After 100 Days Of Sign-In, The First Operation Shocked The World

"Give me a flashlight..."

Lin Feng put on his gloves, held the flashlight, and opened the patient's pupils...

"what……"

"There is no reflection on the light!"

Doctor Liu Fei was surprised.

The pupil's reflection of light disappears, which is a very dangerous signal!

These are patients who are more critically ill or on the verge of death, and will have such signs.

This change occurs because the nerves that control the pupils lose control or are stimulated.

"Have you done a cranial CT?"

"Done, there is no big problem, it's just a lacunar infarction..."

Lin Feng pondered.

Lacunar infarction is a mild disease and is not enough to support pupil failure.

Dr. Liu Fei: "Yes, one more thing, the patient has atrial fibrillation..."

Atrial fibrillation, (not ventricular fibrillation)

Then be careful of blood clots.

In atrial fibrillation, local blood is prone to turbulent flow, and it is easy to coagulate and form thrombus. Once the thrombus falls off, it may cause cerebral infarction.

(At this time, the patient was sent for 3 hours. If it is a cerebral infarction and the edema has not yet appeared, then the brain CT can not be found in 08. Only when the edema appears, the CT will come out.)

"What is the cause of shortness of breath?"

"I had a chest radiograph, and the lungs were filled with fluid. It should be pneumonia. The specific reason for the pneumonia is still unclear... But the blood test came out and the white blood cells were not very high, so the pneumonia is not serious. It should not be the coma caused by it... …"

(There are also a small number of severely infected patients whose white blood cells are not high, which may be related to the poor immunity of the patients, and the white blood cells cannot react.)

"What about blood sugar?"

With low blood sugar, energy cannot be supplied to the whole body, it will be weak, and in severe cases, it will become coma.

Especially for elderly people with diabetes, their nerves are not sensitive anymore. Maybe you haven't noticed that it is hypoglycemia before they are in a coma.

"The blood sugar is okay... It's been tested, it's normal..."

At this time, Liu Fei said:

"By the way, the patient is a bit anemic, and hemoglobin is only 89g/L..."

Lin Feng: "Is there any reason, why is anemia?"

Liu Fei shook his head: "No..."

Lin Feng scratched his head.

too troublesome.

There are many problems, but suddenly there is no way to find the real cause.

at this time,

The patient shook a few times and coughed...

Then after a minute,

The patient's blood oxygen began to fall unknowingly.

Lin Feng looked at the blood oxygen, it was almost 92%, this is still in the case of oxygen inhalation.

"No, just intubate..."

Push the ventilator...

anaesthetization……

Intubation...

One in!

See the problem!

Lin Feng's face didn't know whether to laugh or to be bitter.

"No, this liquid, it's not pneumonia liquid, it's gastric juice, food waste!"

This is aspiration!

It must be a coma, the gastric juice refluxed through the throat, then entered the airway, and flowed all the way down to the lungs.

so,

Why is the white blood cell not very high in blood routine? It is different from the patient's shortness of breath pneumonia.

The answer is coma and aspiration!

"Attractor..."

Continue to suck out all the liquid in the lungs.

Then quickly plugged in the oxygen tube.

After a few minutes,

Blood oxygen began to rise continuously.

The ventilator gradually smoothed down, and the entire vital signs stabilized.

Saved my life temporarily.

Lin Feng breathed a sigh of relief.

Gastric juice is inhaled into the lungs, which may block the respiratory tract at once, which may cause suffocation, or death in severe cases.

The patient did not, which is considered a kind of luck.

However, this gastric juice ran to the lungs, which is very troublesome, because the gastric juice is acidic and can damage the fragile bronchial tubes and even other things in the lungs.

In addition, the gastric juice contains many bacteria, and these bacteria can bring great bacterial infections to the lungs.

It is estimated that the white blood cells must be greatly improved in the blood test.

Next, in order to avoid another aspiration,

Lin Feng stretched his stomach tube into his stomach non-stop, sucking out the gastric juice and waste residue inside.

"Be a deep vein puncture..."

At this time, the patient's condition is more complicated, but it is still necessary to have a deep vein puncture, and then the speed of spraying medicine or something will be much faster.

Originally, Lin Feng wanted to do an MRI.

As mentioned earlier, brain CT cannot detect cerebral infarction before edema, but Mri can.

Lin Feng originally wanted to use MRI to check for cerebral infarction.

But now, the patient has not been able to get rid of the ventilator, and naturally cannot enter the MRI machine. The powerful magnetic force will directly crush hundreds of thousands of ventilators.

...

So far here,

Still can't find the cause.

Lin Feng took advantage of the patient's vital signs with the support of the ventilator, except for the emergency room.

Find the patient's son to find out the situation.

Maybe there are things that Lin Feng didn't find.

"Did your dad eat anything lately? Food poisoning, drug poisoning, etc."

The son shook his head again and again: "No...My dad didn't take any medicine. As for the food he took with us, there is no problem..."

Lin Feng: "Think about it again..."

The son recalled...

"Does drinking count?"

"Forget...but I drank more than 167 less?!"

"Baijiu, Erguotou, probably over 50 degrees... I drank seven or eight bottles..."

Lin Feng: "………………"

Son: "Recently, my dad didn't know why, and he was in a bad mood. Then he drank a lot of alcohol, drank all meals, and didn't eat much..."

Lin Feng: "Is the coma coma soon after drinking, or is it a coma after a long time?"

Son: "It's been two or three hours..."

Lin Feng pondered.

Alcoholism is ruled out.

Because the patients of alcoholism are all acute, they will be drunk and unconscious, but the patients did not drink alcohol before unconscious.

Sudden,

A disease appeared in Lin Feng's mind!

Wernicke encephalopathy! !

"Your dad... drinks often?"

"Yes, we are from the Northeast, drinking is the norm..."

Lin Feng felt more alike when he heard it.

"Wernicke encephalopathy": It is a common metabolic encephalopathy caused by chronic alcoholism and an emergency caused by thiamine deficiency.

This disease often occurs in people who drink excessively for a long time. This kind of people suffer from neurological dysfunction due to excessive drinking for a long time. It can manifest as sudden coma, ataxia and so on.

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ps: The update is over. .

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