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

Chapter 550

Lin Feng asked the patient Huang Chen: "What is your stool like? What is the color and shape? Is it formed? Or is it watery? Is there bloody stool?"

Get used to it·jpg

Patient Huang Chen was a little embarrassed: "Yellow, it's not pulpy, but it's not hard..."

"Are there fever, abdominal pain, nausea, vomiting?"

"None, everything else is pretty good, just shit wildly, and the amount is not large..."

Huang Chen said, very hard, because his legs were really soft.

Lin Feng pondered.

No nausea, vomiting, abdominal pain...

It doesn't feel like enteritis.

Could it be other diseases? ?

"Come on, take a blood pressure..."

Why take blood pressure?

Because this kind of patient with long-term diarrhea is still weak, blood pressure may be affected~.

Xiaoru took a sphygmomanometer and measured the blood pressure of the patient Huang Chen.

·Blood pressure: 90-/50mmHg

·Heart rate: 110 beats/min.

"Teacher, this blood pressure is a bit low, and the heart rate is not right..."

"There is a problem, I feel almost shocked... Do you usually eat and drink enough water?"

"Ah... I don't have much appetite for meals, and I don't drink too much water..."

"That should be a low volume shock..."

It means that if you eat less food and your blood volume is insufficient, your blood pressure will naturally not rise. If your heart pumps blood faster, your heart rate will be higher...

In addition, diarrhea + low intake, there will be loss of water and electrolytes, such as possible hypokalemia... The serious point is arrhythmia, the most serious is ventricular fibrillation, and then cardiac arrest.

so,

Lin Feng is very vigilant.

make a prompt decision.

"Go to the rescue room... Correct the shock first before talking..."

"Huh? The rescue room?"

The patient Huang Chen was dumbfounded.

Why am I going to the rescue room?

...

Came to the rescue room,

Connect the instrument, and then start rehydration for anti-shock.

Directly opened two venous channels, a large amount of rapid fluid replenishment, as soon as possible to replenish the lost water.

"Go and pull an electrocardiogram..."

Lin Feng fears that the patient Huang Chen has hypokalemia, which will further cause heart problems, and the ECG is cheap and painless.

In addition, a very small number of patients with myocardial infarction will only show diarrhea and abdominal pain, without chest pain, and can only rely on electrocardiogram.

Therefore, Lin Feng opened this inspection without any psychological pressure.

soon,

The nurse pulled the patient's electrocardiogram.

· ECG results: no problem!

The patient is young and has a great body...

Next, Lin Feng ordered the nurse to draw blood for various indicators.

First of all, it is natural to check for enteritis.

No matter how impossible it is, the first thing to do for diarrhea is to check for enteritis.

Bacteria, viruses, fungi, etc. can cause enteritis. The antibiotics prescribed in community hospitals can only treat bacterial infections, but cannot deal with viruses and fungi. And other possibilities are not ruled out, such as whether there is "food poisoning", "chronic intestinal inflammation"...

There are also liver and kidney function, myocardial enzyme spectrum...

"Have any medical history before?"

"Yes, I suffered from acute pancreatitis 3 years ago, and I was hospitalized for almost a month before I got better and was discharged."

Lin Feng nodded.

Consider: Pancreatitis that simply causes diarrhea may also be present, and the problem of pancreatitis is relatively large.

Therefore, it is better to be safe and to draw a blood to make a pancreas.

Instructed the nurse to add a blood draw (amylase, lipase) for the pancreas.

(Ps: "Amylase" is mostly hidden in the pancreas. Once the pancreas is damaged, these enzymes will be released into the blood.)

After the order,

Lin Feng: "You will be hospitalized today and be observed in the hospital... I will give you the admission form, and when the infusion is over, you will pay the fee and go through the procedures..."

Patient Huang Chen: "Ok, okay, thank you Dr. Lin..."

...

Lin Feng returned to the clinic and continued to see the patient.

after an hour,

The result of the patient's blood draw came out.

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·Liver and kidney function: normal...

·Blood routine: mild anemia...

Electrolytes: hypokalemia, blood potassium is only 3.2mmol/L (normal 3.5-5.5).

(Potassium supplement when already infusion...)

·Two items of pancreatitis: normal......

·Myocardial enzyme spectrum: normal...

Lin Feng: "………………"

It turned out not to be.

Can't help sighing:

Digestive diseases are really difficult and difficult!

"Xiaoru, open an order to do a colonoscope for that Huang Chen."

Intestinal tumors, diarrhea may also occur.

. ....... .......

So it can be a colonoscopy.

"The colonoscopy won't be done tomorrow..."

"Then wait for tomorrow..."

...

the next day,

Lin Feng goes to day shift,

During the round, the patient Huang Chen's blood volume and blood pressure came up after rehydration, and his heart rate was still a bit fast, but it was not too obvious.

Diarrhea continues!

I took antidiarrheal medicine, but the effect was only a little...

Until noon,

Patient Huang Chen's colonoscopy results came out.

·Result: No signs of tumors, ulcers, ulcers...

Lin Feng: "………………"

The patient Huang Chen breathed a sigh of relief.

Fortunately, there is no tumor, otherwise he will be in serious trouble.

"neither……"

Lin Feng couldn't help it,

Can only continue to check more items.

One by one investigation.