I Can See Health

Diarrhea itself will not cause serious problems, and it will not kill anyone.

But if you have severe diarrhea for a long time, some potassium ions and calcium ions in the body may be excreted, and the body will suffer from electrolyte imbalance. Severe electrolyte imbalance can be fatal.

For example, hypokalemia may manifest as limb weakness or even cardiac arrhythmia.

"I have only seen such severe diarrhea in books." Wang Xiaodong frowned.

"Cholera?" Lu Chen responded.

"Yes." Wang Xiaodong nodded, "I heard from the director that they had a lot of cholera at that time, and cholera was scary. But now we hardly see cholera. But we must also be vigilant."

Cholera has an acute onset and spreads quickly.

The main symptoms are diarrhea, "rice-like" stools, and vomiting. It is an international quarantine infectious disease, and cholera is a Class A infectious disease in our country.

"Doctor, please give me some glucose first. I'm afraid I will faint." Xiao Yunfei saw that Wang Xiaodong was still not coming over to prescribe the medicine, so she became a little anxious. "I heard people say that glucose can replenish energy. I haven't done much good for several days." have eaten."

Wang Xiaodong comforted him: "Don't worry, let's take a closer look before talking. How is your physical condition?"

"Everything is fine, nothing wrong." Xiao Yunfei replied.

Wang Xiaodong nodded and turned back to Lu Chen.

“Since the patient had eaten unclean food before having diarrhea, and the diarrhea was so severe, we considered the possibility of acute gastroenteritis to be the highest. We will do a routine stool test, do an abdominal B-ultrasound, and use some antibiotics for observation. "

Wang Xiaodong finished giving all the medical instructions.

Before leaving, Lu Chen asked Lu Chen to do an electrocardiogram on the patient.

This electrocardiogram is routine.

No matter what the problem is, as long as you are an adult, you should first do an electrocardiogram when you come to the emergency room.

Lu Chen pushed away the electrocardiograph and quickly performed an electrocardiogram on the patient.

"The electrocardiogram is fine, but the heart rate is too fast." Lu Chen said to Xiao Yunfei.

"Well, thank you doctor."

Xiao Yunfei paid the money, kept the stool, and went for abdominal color ultrasound.

For patients with diarrhea, in addition to acute gastroenteritis, they should also consider whether they have other problems.

Such as kidney stones, appendicitis, etc.

Don’t think that kidney stones only cause lower back pain, and appendicitis only causes abdominal pain. These diseases may cause diarrhea and are similar to gastroenteritis. There is no evidence without examination.

The ultrasound results came out soon, and the liver, gallbladder, pancreas and spleen were basically normal.

Lu Chen looked at the existing auxiliary examinations.

Thinking about the patient's possible diagnosis.

He had just performed a physical examination on the patient, and the abdominal examination was negative.

At present, the most likely diagnosis is what Wang Xiaodong said, acute gastroenteritis!

However, Lu Chen always felt that something was wrong.

A simple acute gastroenteritis will definitely not reduce the health value to only 64.

This value has reached dangerous limits.

At this time, Wang Xiaodong returned to the emergency ward.

He also saw the patient's ultrasound results.

"Junior brother, we are still considering gastroenteritis at the moment. Let's give the patient some levooxygen."

"Okay." Lu Chen nodded, currently he could only listen to the superior doctor's advice.

Levofloxacin injection is a relatively broad-spectrum antibiotic that is effective in treating infectious diarrhea.

"Doctor, is it necessary to use some antidiarrheal medicine? I just had another diarrhea." Ms. Xiao asked Wang Xiaodong with a sad face.

"After taking the medicine, observe it. Diarrhea is not always a bad thing. It can expel all the unclean things in the stomach, and it will be fine. I will give you more water, electrolytes, and energy. , if the diarrhea is not good, I will give you some antidiarrheal medicine." Wang Xiaodong explained.

Xiao Yunfei heard this and went to the toilet without worries.

Lu Chen also returned to the doctor's office.

"Junior brother, what patient came just now?" He Qin smiled and looked at Lu Chen.

Lu Chen replied: "For a patient with diarrhea, if the abdominal ultrasound is normal, it may be acute gastroenteritis."

"Oh, this season, if you don't eat cleanly, you will easily get gastroenteritis." He Qin said.

Lu Chen smiled and said nothing.

He always felt that this patient must not be that simple.

But now we can only take medication and observe.

After dealing with Xiao Yunfei, several more patients came to the emergency department one after another.

Most of them are patients with abdominal pain, chest pain, fever and cough.

Lu Chen followed Wang Xiaodong to deal with several patients and gained another 3 points of gratitude.

…

after an hour.

Just when Lu Chen was about to forget Xiao Yunfei.

At some point, she stood at the door of the doctor's office.

"Doctor, why do I feel a little tight in my chest?"

Xiao Yunfei covered her chest with one hand, a look of pain on her face.

At this time, Wang Xiaodong happened to go to the ward to see patients.

There were only Lu Chen and He Qin in the office.

Lu Chen looked a little confused.

Chest tightness?

She didn’t have this symptom before!

He Qin whispered from the side: "Junior brother, could it be a drug allergy? Some people are prone to allergies when taking antibiotics such as levofloxacin."

Lu Chen frowned, but the patient just said that he usually doesn't have any medicine for food allergies.

"It shouldn't be an allergy. Almost all drug allergies occur during the use of drugs, especially thirty minutes before taking the drug. I have never heard of allergies occurring after taking the drug. This is illogical." Lu Chen said.

He Qin nodded and said: "As long as it's not a drug allergy, that's fine. Otherwise, if the drug allergy causes chest tightness, it will be troublesome."

Drug allergy, UU reading www. uukｎshu.ｎet It is very likely to cause anaphylactic shock, even laryngeal edema, and there is a risk of suffocation.

So what's the reason?

Looking at Xiao Yunfei's frown, it seemed that her chest was really uncomfortable.

Lu Chen stepped forward and used a stethoscope to auscultate Xiao Yunfei's heart.

"broken!"

As soon as the stethoscope touched her chest, Lu Chen heard a frantic rhythm, her heartbeat was very fast, jumping, jumping, jumping!

No wonder she felt so uncomfortable!

My heartbeat is at least 160 beats per minute. No one can stand such a fast heartbeat.

With such a fast rhythm, the heart cannot pump blood normally, so both the brain and the heart will suffer from ischemia, and chest tightness is inevitable!

He Qin also stepped forward to auscultate the heart. Her expression was exactly the same as Lu Chen's.

My heart is beating so fast, what happened?

Why is there arrhythmia?

Lu Chen brainstormed immediately.

"Auntie, have you had heart disease before?"

Xiao Yunfei shook her head: "No."

Lu Chen raised his eyebrows, then this was the first time arrhythmia occurred!

"Auntie, then we need to review the electrocardiogram."

"Okay, I'll listen to you." Xiao Yunfei was very cooperative.

When she came to the ward, Lu Chen and He Qin reviewed her electrocardiogram.

"Rapid atrial fibrillation!"

After getting the electrocardiogram, Lu Chen made a diagnosis immediately.

A normal person's heart beats very regularly, at equal intervals.

But people with atrial fibrillation.

There is no rhythm to the heartbeat, sometimes it is fast and sometimes it is slow.

The heart does whatever it wants.