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

Really want a hammer.

Zhao Jiajia went to Lin Feng for medical treatment on the grounds of being ill, but he did not expect to see the illness.

A simple cough and chest pain was diagnosed with a dangerous pneumothorax.

This may be a kind of luck.

Zhao Jiajia and her friend came to the x-ray room. Because there was no need to queue too long in the emergency room, the results were quickly available.

· Chest X-ray: extremely low-density gas shadows appear in the pleural cavity of the right lung, accompanied by varying degrees of compression and collapse of the right lung tissue.

· 90% compression!

"It turned out to be a pneumothorax!!"

Zhao Jiajia couldn't help being afraid.

Fortunately, the pneumothorax is not serious. If she does not come to the hospital on a whim this time, she will probably delay forever until she finally finds the pneumothorax, which might be dangerous at that time.

Zhao Jiajia returned to Lin Feng's clinic and squeezed in after waiting for a patient to finish reading.

"Dr. Lin, the chest radiograph was taken... it's a pneumothorax..."

"Let me see... the situation is not very serious..."

Lin Feng nodded.

Make sure it is a pneumothorax.

So here comes the question:

What is the cause of pneumothorax?

·Original (can't find the reason)?

·Or is it secondary (can find the cause)? Lung disease 10, causing perforation, gas ran to the diaphragm...

·Or special pneumothorax: Yuejing, pregnancy, trauma (car accident, etc.), spontaneous elderly...

First exclude the simpler...

First of all: exclude pregnant pneumothorax, because this patient Jiajia is still a student and the possibility of pregnancy is very low.

Then: Yuejing pneumothorax.

Lin Feng: "Have you had cough pain before?"

Zhao Jiajia: "Yes, yes...but it will be better soon..."

Lin Feng: "Did it appear during the Yuejing?"

Zhao Jiajia: "Ah... this... I think about it..."

Zhao Jiajia thought for a while, and she felt really close to the Yuejing. It seemed that every time she coughed and had chest pain, it was always when Yuejing came.

This time, too.

Yue Jing came the day before yesterday.

"seems like it……"

"Then it didn't run, it should be the Yuejing pneumothorax..."

The detailed pathogenesis of Yue meridian pneumothorax is not fully understood at present. It is only known that it is related to endometriosis (that is, the endometrial lining goes to the chest) and diaphragmatic gaps, resulting in repeated episodes that accompany the Yue menstrual cycle. Spontaneous pneumothorax.

"This disease...I don't need other tests for the time being. I will prescribe some cough medicine for you... If the next pneumothorax cough does not occur within 72 hours before and after the Yuemen, please come to the hospital to check if it is for other reasons..."

"In addition, with your illness, whether it is playing games with your boyfriend or being pregnant, it will be a little troublesome... You will know if you go back and check it."

Lin Feng didn't say carefully,

Emergency, in a hurry!

The diagnosis is over,

Zhao Jiajia left the consulting room a little depressed.

She was also fortunate that she had discovered a pneumothorax early and could be treated effectively, but she did not expect it to be a pneumothorax.

This disease, she happened to be told by the teacher in the last class that this special case, a more troublesome disease, will affect the future.

...

Just after diagnosing this patient,

Is preparing for the next patient,

The nurse at the front desk came to find Lin Feng.

"Dr. Lin, the 120 ambulance has one minute to get here. It's an old man, unconscious..."

Lin Feng: "Okay..."

Got up,

Go to the emergency department and wait.

The ambulance arrived soon.

·The patient is an elderly person, estimated to be more than 80 years old

·Coma...

·Pupil of both eyes to light: no problem, sensitive reflection

Lin Feng asked as he pushed to the rescue room.

"what happened?"

The family member's grandson replied in a flustered manner: "Today at noon, the old man had a banquet with someone, and then went home to take a nap, and then he couldn't wake up anyway..."

Lin Feng: "Did you drink?"

Family member and grandson: "Did not drink...My dad can't drink, he will be very allergic..."

Lin Feng: "Is there any medical history? Three high..."

Family grandson: "Diabetes, high blood pressure..."

Lin Feng: "Do you take medicine regularly?"

The grandson of the family members nodded again and again: "Yes, both...My dad is still very afraid of death, taking medicine regularly...!"

Lin Feng was surprised.

He was still considering whether it was a cerebral clot caused by high blood pressure, or high blood sugar caused by diabetes.

The result is the regularity of medication.

"Do you have much food for lunch?"

"This is not clear... But it seems like my dad said that he should have eaten a lot..."

Lin Feng nodded,

Ate a lot of meals,

Could it be ketoacidosis caused by diabetes and hyperglycemia, or hyperosmolar coma?

"Xiao Ai, blood glucose meter, give him a blood sugar test..."

Soon, Ai pierced a finger.

The blood sugar came out.

·The blood sugar is only 1.1mmo/l!

Lin Feng: "..."

A little surprised.

Lin Feng thought it was high blood sugar, but he didn't expect it to be low blood sugar.

This is weird!

Diabetics are generally hyperglycemic, and it is almost impossible to have hypoglycemia!

Very weird!

"It should be a coma caused by hypoglycemia..."

"Push him a high sugar (50% high concentration glucose), 40ml..."

Lin Feng still gave a doctor's order soon.

"Yes!"

Next,

Just wait.

High sugar is very sticky, it is still a bit difficult to push the syringe, and I get tired after a few pushes.

After high sugar enters the blood, it becomes blood sugar. After 193, it travels all the way through the veins to the heart, and then recirculates the aorta to transport to the whole body to provide energy consumption for the whole body.

More than 10 minutes later...

The elderly patient woke up leisurely.

"I...Where is this?"

Looking around, his face was dumbfounded.

The grandson immediately hugged his father happily.

...

Lin Feng left the consulting room.

The elderly patient just now should be in a coma caused by hypoglycemia.

but,

Why do people with diabetes have low blood sugar?

There is only one answer!

The old man has overdose of insulin injections!

Older people, dizzy, and overdose when injecting insulin are also possible.

...

at this time,

Outside the emergency department,

Several family members, pushing an old lady with a crooked mouth, about 90 years old, consciously entered the emergency department.

Take a ventilator.

"Who will pick up the old lady for us..."

The nurse answered and asked about the condition.

"My mother has a cerebral hemorrhage, respiratory failure, severe pneumonia, and her condition is repeated, so I want to see a doctor..."

When the nurse heard it, it was so serious?

Subconsciously find Lin Feng.

Lin Feng was helping a child to see Hirschsprung's colon (the colon is so big that it can't pull out the feces), and then the family pushed the old lady and walked in.

.

..

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