The popular science of antipyretic stickers eventually caused some controversy.

Lin Feng received calls from several senior doctors, including his teacher Zhang Guofeng and the dean. They all pointed out that there was a pharmaceutical company that was putting pressure on the hospital.

Pharmaceutical companies are still quite powerful in the country.

But I also told Lin Feng that this matter is big and big, and small and small. Harmony Hospital has this ability to shield Lin Feng from wind and rain.

This is the confidence of Harmony Hospital.

Of course, there are a lot of "negative news" about Lin Feng on the Internet, but it was sprayed to death by the majority of netizens.

Moreover, Lin Feng's remarks also greatly reduced the sales of antipyretic stickers.

This makes those manufacturers angry and anxious, but helpless.

Only keep posting popular science posts on the Internet: heat dissipation posts are actually very useful.

(Ps: It is not useless, but the effect is very limited.)

...

Soon after the news of the XX star’s gun king broke out, the anti-heat posting storm finally subsided...

At this time, Lin Feng’s live broadcast audience rose to 35 million daily as the fever subsided, and Douyin’s fans also rose to 70 million...

At this moment,

Couples who were diagnosed with pancreatitis, gallbladder stones and pregnant last time (one month ago),

Come back for review.

The results of the re-examination were very surprising, the pancreatitis was gone, only gallbladder stones were left.

08

The condition of the fetus is also very good, which is considered to be saved.

This is a blessing among the unlucky.

...

a new day,

Continue to sit on the clinic.

The live broadcast room started.

"I'm coming!!"

"It's time to rise!"

"See Dr. Lin's face to eat..."

"Old irons, get up at 666~~~~"

"666~~~"

"666~~~"

Very lively...

The first patient.

This is a middle-aged man, relatively strong, wearing a shirt, like a professional white-collar worker, at least the kind of supervisor level.

But at this time, his face was full of fatigue.

·Male, 38 years old, Zhao Feng

"Dr. Lin, I have a little difficulty breathing now..."

When Zhao Feng said this sentence, he broke once in the middle and took two breaths before he finished speaking.

Lin Feng: "When did it start?"

Zhao Feng: "It started three days ago, but today is the most serious, I feel like I can't breathe..."

Lin Feng grabbed Zhao Feng's pulse.

The beating is very fast, and the pulse rate is at least over 120.

Suddenly became serious.

"Lying on the bed...send you to the rescue room..."

Studio:

"Here is a big patient..."

"Can't breathe?"

"Blind guessing begins!"

"pneumonia?"

"Lung cancer? Tuberculosis? COPD?"

"I think his neck is short and thick, maybe the glands are hypertrophy and blocking the airway..."

...

Arrived in the rescue room.

Connect the ECG monitor.

one look.

Good guys!

·Heart rate: 127……

·Blood pressure: 140/97……

·Blood oxygen: 91%...

·Breathing: 35……

This blood oxygen is very problematic!

Moreover, there may be problems with this heart rate and blood pressure.

As for the breathing, normal people's breathing is 12-20 times/min. The breathing rate is too fast and it is tiring. If you are tired, it is easy to cause respiratory failure.

Lin Feng said nothing, and quickly ordered:

"Non-invasive ventilator, oxygen mask, get on first!"

The non-invasive ventilator only needs a mask, and then the ventilator pumps up air to provide oxygen to the patient. Generally, patients with dyspnea can be dealt with with non-invasive ventilator.

soon,

With the use of non-invasive ventilators,

The patient's blood oxygen began to rise slowly.

Lin Feng breathed a sigh of relief temporarily.

"Tell me about your illness..."

"Okay... That's it. I started to have a fever 3 days ago and then a sore throat... I bought some anti-fever medicines, but it didn't work... This morning I suddenly had difficulty breathing, so I rushed over..."

sore throat?

The patient’s neck is stubby. Is it due to glandular hypertrophy that causes breathing difficulties?

But if the throat and airway are blocked, the heart rate should not be so high, right?

Lin Feng checked.

Found it's not like it.

"Do you have chest pain?"

"No……"

Will it be pneumothorax?

Pneumothorax, in layman terms, is that the lungs are broken. Air enters the chest cavity and compresses the lungs. The lungs can no longer expand, and the patient cannot breathe well, so they will be extremely hypoxic.

In this case, it is likely to be a pneumothorax.

But Lin Feng touched it, and he didn't feel like it with the feel.

Lin Feng held the patient's lungs with a stethoscope.

No rales...

And the breath sounds are symmetrical...

After listening to the heart, I didn't notice it, but it was beating very fast!

After a round of inspection, there was no special discovery.

(Many patients are special and have no typical symptoms.)

"Draw blood... to do myocardial enzyme spectroscopy (considering heart problems, especially myocardial infarction, although there is no chest pain, but atypical myocardial infarction cannot be ruled out), blood routines (white blood cells) should also be done,..."

"Make an electrocardiogram..."

"Wait for a CT, say hello to the imaging department, and go there later..."

Lin Feng gave a series of orders.

The people below move quickly.

1 minute later,

The electrocardiogram is constantly being pulled out...

·ECG: No abnormalities... Myocardial infarction and other problems are ruled out...

at this time,

The blood draw is over.

"Go to the CT room..."

Lin Feng felt that this patient was not easy, so Lin Feng did not go back to the clinic, but went to the CT room.

10 minutes later,

The patient was pushed into the CT room and jumped to the front.

The patient slowly pushed into the CT machine (the kind of circular hole on the TV).

"Dr. Lin, are you here? I can just take a break..." the CT teacher said with a smile.

"good."

Lin Feng did not postpone.

Pushed near the chest...

Then……

"and many more!"

Lin Feng was shocked!

There was a lot of white in the chest and lungs of patient Zhao Feng!

In general,

The lung imaging of a normal person should be black, because normal lung tissue contains gas and has a high light transmittance, so it appears black.

But the two lungs of this patient Zhao Feng are almost completely white!

This means that the lungs are no longer filled with air, but may be oozing fluid!

"Is it pneumonia?"

"And it's a very heavy pneumonia? The pus soaked both lungs?"

Why do drowning people die?

Just because the lungs are filled with water and the alveoli are in the water, how can air get in?

so,

No wonder the blood oxygen is so low for such severe ‘pneumonia’.

Promoting CT scanning rapidly.

Lin Feng found that most of the lung tissue was completely white!

It is a hundred times more serious than Lin Feng expected before doing CT!

Stand up suddenly!

"go!"

"Back to the rescue room!"

CT doesn't do it!

Go back and rescue!

With such a serious fluid permeation, the patient's blood oxygen just on the way may not be able to hold it!

CT can bring a small non-invasive ventilator into the first 157, but cannot bring an ECG monitor, and Lin Feng did not bring a small oximeter to the patient, so I don’t know how the patient’s blood oxygen is on the road.

Quickly pushed back to the emergency room of the emergency department.

Connect the ECG monitor.

one look,

Lin Feng was shocked in a cold sweat!

· 85% blood oxygen! !

Careless!

As for why I didn't hear the wet rale, Lin Feng thought that it was too much liquid?

Lin Feng can clearly see that the patient's Zhao Feng's lips have begun to become cyanotic.

He was breathing hard, breathing very fast, but his eyes were full of panic and anxiety, as if he felt the weakness of his life.

"Quick, intubate!!"

Lin Feng shouted.

Fortunately, these are always available.

The nurse took it out.

Another nurse rushed over with a ventilator.

Lin Feng said to the patient Zhao Feng: "In your case, you must intubate immediately... you need your consent..."

The patient nodded in panic.

I want to talk but I can't say anything.

When it was time to sign, the patient's hands were already weak.

Can't sign.

"Have you contacted your family?"

"I got in touch, but the family members are out of town and have to fly over..."

At this time, it is reasonable to go through the process, report, and the leader agrees...

But in this case, the patient absolutely cannot wait.

"do not care!"

Lin Feng gritted his teeth.

Begin to give the patient anesthesia.

I statically pushed 5mg midazolam!

Then start intubation.

The result is a plug!

After entering the trachea,

Lin Feng was shocked!

The laryngoscope suddenly revealed a lot of blood inside!

Bright red blood! .

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