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

Next,

Lin Feng asked the patient's son again to be safe.

"Your dad, did you have a history of hepatitis, cirrhosis, liver cancer, liver ascites... etc.?"

"what?"

The patient's son was dumbfounded, then shook his head again and again,

"No, no! My dad's body is still very healthy..."

"Okay, got it..."

The patient has no liver disease, but he has a major liver problem.

At this time, Lin Feng can roughly conclude that it is a fake Sanqi medicinal liquor poisoning!

(After the patient regained consciousness later, he learned that the patient’s old man bought Tianqi from the wholesale market, and Tianqi had no formal packaging, only in bulk, so he bought fake panax notoginseng without knowing it.)

As for how to treat it next?

Lin Feng sent the patient directly to icu without saying anything!

Because of this disease, the progress is very fast, and symptoms such as liver failure, jaundice, ascites, etc. have appeared in just over two hours.

Moreover, in the future, there will be cardiopulmonary, gallbladder, spleen, pancreas and so on... Organ failure damage...

The equipment in the emergency department may not be able to handle it.

Icu's equipment is top-notch, even a flat car is worth 150,000, let alone other equipment.

Lin Feng explained it to the patient's son. After hearing this, the son nodded and signed, for fear of delaying his father's condition.

He is a single-parent family, and his father worked hard to raise him, and the relationship between father and son is extremely close.

"Doctor Lin, don't save money, I only want my dad to live!"

"Don't worry, our doctors will try our best to treat patients..."

Lin Feng comforted.

...

It's like a night shift curse,

When I was said by the crow's mouth, I became very busy tonight.

After Lin Feng sent the patient to ICU, after the handover with Dr. Icu, he returned to the emergency department,

Another patient came to the emergency department.

This patient,

About 30 years old,

A look like a social elite.

Even when I came to see the doctor late at night, I always wore suits and trousers, paying attention to my image.

·Patient, 34 years old, Wang Zirui

"Dr. Lin, my eyes are a little swollen in the past few days... You can help me see...¨々..."

Wang Zirui sat down with a pair of thick edema eyes and squinted his eyes. He looked at Lin Feng curiously and was surprised that Lin Feng was 100 times more handsome than himself, and he was ashamed of himself.

Lin Feng could see the edema of the patient's eyes at a glance.

It's special after all.

It's like being stung by a bee.

Of course, it just looks like it, but there are still differences. The sting of a bee is an allergic reaction, not edema.

Edema is another matter.

Lin Feng put on his gloves and pressed the area around the patient's eyes.

"Not only your eyes are swollen, even the surrounding faces are swollen..."

Click on the face next to it.

Recessed,

Then it will not rebound.

In addition, the skin becomes smooth and thin...

It is indeed "edema"!

"This edema is still mild, so I'm not afraid..."

Lin Feng said.

"Edema",

Many people are familiar with this term, but they don't really know much about it at a deep level.

first,

In the human body, the water content of healthy adults generally accounts for about 60%.

Everyone knows this.

Real women are made of water.jpg! !

This water is divided into intracellular fluid and extracellular fluid, and it maintains a dynamic balance in different areas of the human body at all times.

Then there will be: where to flow and not to flow.

When the human body is sick, it causes the imbalance of water in the body to gather too much in a certain place, and there will be "edema".

This is what edema means.

Then, the patient in front of me has edema in his eyes and face, and he looks very serious.

"Let stretch out and show me..."

"There are still hands..."

Lin Feng checked the patient's hands and feet.

No edema was found.

In other words, this edema is currently only present on the face.

So,

How to go back to the source and find its cause?

De novo analysis:

Common causes of edema:

·Mentality...

·Nephrogenic...

·Hepatogenic...

· Malnutrition...

And Lin Feng, the first reaction is-"renal edema".

The characteristic of nephrogenic edema is that eyelid and or facial edema can be found when getting up in the morning in the early stage of the disease.

This kind of edema usually starts from the eyelids or face and can spread quickly to the whole body.

What is the principle of "nephrogenic edema"?

The kidney is an important and indispensable organ of the human body. Its basic function is to produce urine to remove metabolites and certain wastes and poisons from the body. The urine carries these ‘harmful substances’ out of the body.

In addition to the discharge function, there is another absorption function: retention of water and other useful substances, such as glucose, protein, amino acids, sodium ions, potassium ions, sodium bicarbonate, etc., to adjust the body's water and electrolyte balance and maintain acid Alkaline balance.

Nephrogenic edema disease can lead to water and sodium retention, lower plasma colloidal osmotic pressure, etc., and finally lead to imbalances in body, electrolyte, and acid-base balance.

The symptoms range from edema, hypertension, hypoproteinemia, anemia, and other discomforts, to the more serious cases that require dialysis, which is the so-called "uremia."

Uremia: In layman's terms, the kidney does not have the function of detoxification and drainage. All the water and electrolyte problems of the human body can no longer be solved in the kidney, so a dialysis machine can only be used to replace the human kidney function.

...

The patient in front of me,

Eyes and face begin to swell, and there is no edema in the lower limbs and upper limbs. The initial consideration is naturally "nephrogenic edema."

so,

Naturally, kidney function should be checked.

The most basic inspection, there are 3 items:

·"Urine routine"......

·『Kidney function』……

·B-ultrasound...

As for the examinations such as pyelography, renal arteriography, nuclear magnetic resonance, radionuclide, renal blood flow measurement, and renal biopsy, it is necessary to wait for the results of the previous three items to be performed before the indications for these examinations appear.

certainly,

Eye edema is not only a cause of renal edema.

It may also be caused by lack of sleep, low pillows, excessive drinking before going to bed, or crying before going to bed, etc., which affect the backflow of blood on the face, which can basically subside naturally.

However, this can be ruled out because the patient has some swelling not only around the eyes, but also on the face.

In addition, there may be acute inflammation, trauma, allergic disease, hypothyroidism, etc...

Lin Feng asked a few questions and ruled out the first few items.

The last remaining "Jia Gong"...

...

"｀" Have you ever paid attention to urinating? Are there many bubbles? "

"Huh... Doctor Lin, how do you know that I have a lot of bubbles?"

The patient looked surprised.

Lin Feng rolled his eyes: "Because I am a doctor...you have a lot of bubbles in your urine, it should be a kidney problem, and the protein content in your urine is too high...double"

so,

Most likely, there is a kidney problem.

Initially consider nephritis.

. .

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