Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points

While everyone was laughing from ear to ear, the child suddenly coughed violently.

And, he coughed up a mouthful of phlegm.

It's the kind of frothy phlegm that's pink in color.

Lu Ming could tell at a glance that there was blood in the sputum.

There are many causes of blood in sputum.

For example, rupture of the nasal mucosa causes blood to flow back into the throat, bronchial inflammation, etc.

But if the phlegm is pink and foamy, it can be narrowed down to a certain extent.

In addition, the child came to the hospital because of a cough, Lu Ming considered that the child might have pneumonia.

"Huh?"

However, Lu Ming discovered another symptom in the child.

The child's lips have purple spots!

Also, there is a lot of sweating.

"Doctor, what's wrong with my son?"

Xue Pengyun was shocked and didn't know what was happening to his son Xue Binbin.

"Dad, I feel bad."

Xue Binbin began to become restless and kept moving in Xue Yun's arms.

"Doctor, look at my son quickly!"

Xue Peng looked at Lu Ming, who was still in a daze, and his luck was completely desperate.

But in fact, Lu Ming was not in a daze, but judging symptoms.

To diagnose any disease, the first step is to look at the patient’s symptoms, and then conduct an in-depth examination.

Whether it is the theory of modern medicine or the theory of traditional Chinese medicine, the first thing is to "look".

Therefore, the order of "seeing, hearing, asking, and understanding" arranged by our ancestors makes sense.

After seeing the symptoms displayed by Xue Binbin, Lu Ming began to "smell" him.

Smell means listening to sounds, and modern medicine generally uses a stethoscope.

He placed the stethoscope on Xue Binbin's chest.

"There are rales in the lungs..."

"It seems that my conclusion is correct."

Lu Ming took a deep breath, getting closer and closer to the truth.

The next step is to “ask”.

That is, ask the patient and let him orally describe where he feels uncomfortable.

"Kid, do you feel chest tightness now?"

"I just can't seem to breathe."

Hearing this, Xue Binbin opened his mouth, gasped, and nodded slowly.

The last step is to "cut".

In traditional Chinese medicine, this means taking the pulse, that is, feeling the pulse.

But in modern medicine, various examinations are performed, such as blood tests, X-ray examinations, etc.

"Chest tightness, difficulty breathing, cold sweats, pink frothy sputum, cyanosis of the lips, wet rales in the lungs..."

"I now suspect that your son has pulmonary edema."

"So go get an ultrasound to make sure."

Lu Ming expressed her judgment and asked emergency doctor Wang Kuiyong to issue a checklist.

"Pulmonary Edema?"

"Isn't it said that the child's cough is always bad and is caused by lung heat? Why is there pulmonary edema again?"

Xue Pengyun said he couldn't understand.

"There are many causes of cough."

"Lung heat is just a relatively common type, so many cough cases without special symptoms are initially inferred to be lung heat.

After listening to Lu Ming's explanation, Xue Pengyun still said he didn't understand, but he only hoped that Lu Ming could help him cure the child.

"Director Lu, isn't this pulmonary edema also related to the heart?"

"And if it is really pulmonary edema, this child should also have acute pulmonary edema, right?"

Wang Kuiyong, who was opening the checklist, expressed his opinion.

"Yes, it may be related to the heart."

“After all, there are two causes of acute pulmonary edema, one is cardiogenic acute pulmonary edema, and the other is non-cardiogenic acute pulmonary edema.

"Cardiogenic acute pulmonary edema is generally caused by acute heart failure."

"Myocardial contractility will significantly decrease after heart failure, and the heart load will increase."

"This then causes an acute sudden drop in cardiac output, a sudden increase in pulmonary circulation pressure, and an increase in peripheral circulation resistance."

"Ultimately, it causes congestion in the pulmonary circulation, increases intrapulmonary capillary pressure, and increases exudate, which exceeds the compensatory capacity of the lymphatic circulation, leading to accumulation of fluid in tissue spaces and alveoli, leading to acute pulmonary edema."

“Non-cardiogenic acute pulmonary edema may be caused by adverse drug reactions, viral infections, neurological diseases, etc.

"By the way, does your family have a history of heart disease?"

After Lu Ming finished speaking, he suddenly looked at Xue Pengyun and asked.

"No, there are no relatives with heart disease in my family or my wife's family.

Xue Pengyun shook his head and denied having a family history of heart disease.

"Okay, let's do the inspection first."

There is no use in doubting here. The most important thing is to see the final inspection results.

Xue Binbin was immediately taken by Xue Pengyun for an ultrasound examination.

soon.

The ultrasound results are out.

On both sides of Xue Binbin's lung tissue, diffuse comet-like tail lines emanating from the pleura synchronously with breathing can be seen.

This is one of the typical manifestations of acute pulmonary edema.

In addition, the size of the heart is normal.

Now we can draw the final conclusion.

It is acute pulmonary edema, and it is non-cardiogenic acute pulmonary edema.

"Is your son taking any medications?"

Since it is non-cardiogenic pulmonary edema, it may be troublesome to find the cause.

"No, I just took a little cough syrup."

Xue Binbin also came to the hospital because of a cough before, and Xue Pengyun gave him some cough syrup.

"Cough syrup does not cause pulmonary edema, so has he drowned recently?"

Drowning can also cause acute pulmonary edema, but it may not occur on the spot.

There is a certain probability that acute pulmonary edema will appear after a few days.

Because when you drown, the bacteria contained in the unclean water may slowly invade the capillary walls in the lungs.

The permeability of the blood vessel wall increases, and fluid leaks from the capillaries into the lung tissue spaces and alveoli, causing acute pulmonary edema.

"No, I won't let him go to the river to play."

Xue Pengyun believes that his safety education for his children is quite good.

"The cause of the disease may not be clear for the time being. Let's treat it first."

Hearing this, Xue Pengyun asked: "Is my son's condition serious?"

Lu Ming shook his head, "Although it is acute pulmonary edema, it is not serious. Just take certain drug treatment."

Some acute symptoms are called acute just because the disease breaks out suddenly.

Acute does not necessarily mean serious.

On the contrary, some chronic diseases are more difficult to treat than acute diseases.

For example, chronic bronchitis is more difficult to treat than acute bronchitis.

and.

More than 80% of major diseases actually belong to the category of chronic diseases.

"Okay, okay, that's troublesome."

Xue Pengyun expressed his gratitude to Lu Ming repeatedly.

Lu Ming nodded, then gave Xue Binbin the medicine and then moved to the infusion room.

After one hour.

Taking advantage of the lack of patients, Lu Ming took the time to review Xue Binbin's treatment.

At this time, Xue Binbin's complexion was obviously much better.

And I don’t have any more wheezing or coughing.

He was sitting on Xue Pengyun's lap, watching cartoons on his phone.

"Doctor Lu."

When Xue Pengyun saw Lu Ming arriving, he wanted to get up and express his gratitude again, but found that he seemed unable to stand up.

"The child is recovering well."

Lu Ming smiled and pressed his hand, signaling Xue Pengyun not to be polite.

"Thanks to Dr. Lu."

"I bumped into you a little bit in Dr. Wang's clinic earlier. I'm sorry."

Xue Pengyun also asked the nurse carefully about Lu Ming just now. After knowing that Lu Ming was a very good doctor, his admiration for him became even greater.

"It's normal to have misunderstandings."

"Especially the family members of patients are worried about their family members' condition, so sometimes misunderstandings with doctors are inevitable due to communication and other issues."

"The most important thing is to stabilize your emotions and think about how to solve problems instead of intensifying conflicts.

Lu Ming told Xue Pengyun not to take it to heart.

After all, how many people who come to the hospital, whether they are patients or their family members, are emotionally stable?

Who doesn’t have to worry about coming to the hospital?

Even doctors find it annoying.

"My dear grandson!"

"What's wrong with you!"

"You have suffered, my dear grandson!"

At this moment, an old man with white hair hurried over.

"Dad, why are you here?"

Xue Pengyun was a little surprised when he saw his father Xue Jian actually coming.

At the same time, he sighed helplessly.

The old man knew that his grandson was sick, so he kept clamoring to see his grandson.

After Xue Pengyun comforted him for a while, he made Xue Jian agree to go to see Xue Binbin at home tomorrow.

But unexpectedly, the old man came to the hospital from the countryside.

Judging from the way the old man was sweating profusely, he probably came on a tricycle.

"My sweet grandson is sick, can I not come?"

Xue Jian glared at Xue Pengyun and blamed him for not telling him where Xue Binbin was earlier, causing him to search in the hospital for a long time.

Xue Pengyun was immediately speechless.

This "kid of another generation" is really an incomprehensible existence.

However, some people say that the so-called "kissing from another generation" is actually because your parents see the shadow of your childhood in your children.

It reminds them of the happy times they had with you as a child.

"grandfather!"

Seeing Xue Jian's arrival, Xue Binbin immediately gave up the cartoon on his phone.

"Hey! My dear grandson!"

"Come, let grandpa hold me."

"You kid, start driving for me.

Xue Jian directly squeezed Xue Pengyun away and let Xue Binbin sit on his lap.

Xue Pengyun, who was pushed aside, was unable to complain.

But watching the interaction between his grandfather and grandson, he was also very happy.

"Grandpa, when I get better, can you take me to the stove to light a fire and cook?"

"Okay, I'll wait until you get better, I won't take you to destroy me!"

After hearing the conversation between his grandfather and grandson, Lu Ming, who was originally smiling, suddenly froze.

Make a fire?

He thought of a possibility!

It seems that the cause of Xue Binbin’s pulmonary edema has been found!

"Uncle, does Tao often take his grandson to light fires?"

Hearing this, Xue Jian raised his head and glanced at Lu Ming, his eyes full of doubts.

"Dad, this is the doctor who treated Binbin."

Xue Pengyun introduced Lu Ming.

............0

"Oh, thank you.

"Yes, when cooking, I often take my grandson to sit in the stove and light the fire.

"My grandson likes to stuff firewood into the stove."

Xue Jian first expressed his gratitude to Lu Ming.

Then, he talked about the happy time when he and Xue Binbin were cooking together.

"That's possible."

Lu Ming heard this and already made a rough judgment.

"What's possible?"

Xue Pengyun and Xue Jian both looked at Lu Ming with puzzled faces.

I don't know what he means.

"Causes of pulmonary edema also include smoke."

"Excessive smoke inhalation may also damage the capillary walls in the lungs."

"Then its permeability increases, and fluid leaks from the capillaries into the lung tissue spaces and alveoli, causing acute pulmonary edema.

This is why many people trapped in fires develop pulmonary edema.

This is an "inhalation injury."

Most combustible materials at a fire site contain carbon.

When the supplied air is sufficient, the carbon will burn and produce carbon dioxide.

But when there is insufficient air, dangerous carbon monoxide is formed.

Carbon monoxide will combine with chlorine to form phosgene through the action of activated carbon.

Phosgene is a colorless, highly toxic gas that can cause pulmonary edema.

Therefore, if you are at a fire scene, in addition to preventing burns from flames, you must also avoid inhaling toxic gases at the fire scene as much as possible to avoid inhalation injuries.

"What do you mean, my grandson's illness was caused by me taking him to burn fires?"

After hearing what Lu Ming said, Xue Jian was stunned.

The grandson whom he loves so much is sick because of himself?

"Just saying it's possible."

"After all, long-term inhalation of smoke and the toxic gases that may be contained in the smoke can cause pulmonary edema.

Lu Ming could not conclude that it must be a fire problem, but he could not rule out the possibility.

"My dear grandson, grandpa can't take you to light the fire anymore."

Xue Jian felt guilty and said that he would never bring a fire again.

Xue Binbin was also more sensible, and he immediately said generously that it didn't matter if he didn't light the fire. He could accompany Xue Jian to collect firewood.

"My good grandson!"

Xue Jian laughed happily again.

"Then I'll go and get busy first. If anything happens to the child, please come to the clinic to see me.

Lu Ming said goodbye to Xue Pengyun and the others and returned to the consulting room.

Lu Ming had just returned to the consulting room and her butt was still hot.

The ambulance came back with another patient.

Lu Ming ran directly out to greet the patient.

When he saw the patient, Lu Ming was stunned for a moment.

The patient had difficulty breathing and was also coughing, which sounded like phlegm stuck in the throat.

This seems to be another patient with lung problems!

This is already the third case today!

What a coincidence. .