radiothebook Chapter 300
Chapter 300
Chapter 300
emergency room,
Without Lin Feng’s order, the nurses quickly connected the ECG monitor.
·Blood pressure: normal
·Heart rate: fast
Lin Feng observed that the patient’s lips were cyanotic.
There was a thump in my heart.
“Lip cyanosis”: It is caused by the decrease in the oxygen content of the blood red veneer in the body’s blood, and it is the color change of the human mucous membrane when it is hypoxic.
Didi~~~
At this time, the finger clip was clamped accurately,
The blood oxygen data on the ECG monitor ran out.
· Blood oxygen saturation: 91%!
“Elder Wang? Elder Wang?”
Wang Lao couldn’t wake up.
Looked at Wang Lao’s pupils again.
· The pupils are symmetrical and equi-circle.
·Not so sensitive to light reflection
Lin Feng frowned, there should be something wrong with his head.
“Is it really a brain hemorrhage?”
“Go to the CT room now and do a brain CT!”
Swiftly rushed to the CT room.
Of course, the flat car is equipped with an oxygen cylinder to continuously give oxygen to the king to maintain the oxygen content.
…
Ct room,
Lin Feng personally operated and did CT investigation!
On the spot, the result came out!
·CT showed: no bleeding marks! !
Here is an explanation of how blood is displayed in CT:
·The density of brain tissue itself is relatively low, and the contrast is obvious with blood, so if there is bleeding, it will have a darker color (shadow of increased density).
Lin Feng: “……………………”
Excluded “cerebral hemorrhage”,
Then why are you fainted?
This faintness must be caused by a brain problem.
Lin Feng carefully used CT to scan the brain tissue bit by bit, and found that the brain tissue had a certain range of ‘displacement’.
It should be said to be “occupying”.
It is considered that it is cerebral edema, which causes the volume of edema and squeezes the normal brain tissue (a serious one will cause intracranial pressure).
“Cerebral edema”: It is usually caused by brain injury.
but,
“Cerebral edema” is not the cause.
It is a result, something must have caused cerebral edema.
“Cerebral hemorrhage” has been ruled out earlier, then consider the most common “cerebral infarction”.
“Cerebral infarction”,
It’s almost the same as myocardial infarction.
All are ischemia and hypoxia, leading to tissue necrosis.
“Cerebral infarction”: Blocking blood vessels-“Ischemia and hypoxia-“Tissue necrosis…
but,
One of the pitfalls of cerebral infarction is: in the early stage of “cerebral infarction” (within 24 hours), CT is difficult to see. There is no obvious change on CT, and there may be only a little edema.
After 24 hours or 48 hours, the brain tissue is severely avascular and necrotic, and only then can we see obvious low-density shadows.
At this moment,
The son rushed in.
Furious!
“What’s the matter, what’s the matter with my dad?”
Mad.
He himself is very dissatisfied with Lin Feng, a ‘young doctor’!
I, a dignified leader, and my dad is also a retired leader, why should a small doctor be the attending doctor?
If Dad is all right, it’s fine.
but!
I’m going to be discharged from the hospital now, and I was fainted and fell down!
The son suddenly felt that Lin Feng was all at fault.
Suddenly, the 24-hour grievance broke out.
Like an angry bull, rushing towards Lin Feng!
“You pay my dad’s life!”
An old fist slammed at Lin Feng.
Then……
Lin Feng caught it easily with one hand, and then twisted…
The son felt a powerful and unmatched force from Lin Feng’s arm and easily twisted his arm to his back.
One pressure.
He was crushed to the ground just like a dead dog.
“This is the hospital, please calm down.”
Lin Feng’s unsalty and undiminished voice rang.
“Calm down f*ck coins, you killed my dad, and you want me to calm down, let go, you are dead!”
The son scolded.
At this time, other doctors rushed to hear the news.
Seeing this, he quickly pulled the two apart.
“Doctor Lin, calm down, calm down…”
“Mr. Wang, calm down…”
Lin Feng asked to sit back in front of the CT console…
The son was so angry that he wanted to beat Lin Feng to find the place, but was stopped by other doctors.
The son scolded with anger:
“Your Harmony Hospital is so good that you let a little doctor treat my dad… If my dad has an accident, I will sue your hospital…”
All the doctors heard: “………………”
Rolled his eyes together.
Sue our hospital?
Please, do you think our Harmony Hospital is a cat and a dog?
Look at those associations with top three ratings. Even if they are not in harmony, do they dare not give the top three in harmony?
This is the power of harmony!
Besides, you actually said that Lin Feng is a little doctor?
Are you from Cuntong.com?
The crowd was speechless…
…
CT is done,
Nothing special was found.
“Dr. Lin, it’s not good, the patient’s blood pressure has dropped a lot!”
When entering the CT room, there is no way to bring an ECG monitor, so the blood pressure is measured manually.
Test every 5 minutes.
result,
During the last measurement, there was a problem with blood pressure!
“How many?”
“70/40…”
Lin Feng’s face changed.
Such a low blood pressure indicates that the heart pumping power is insufficient, and the blood flow is insufficient…
In other words,
The condition got worse!
However, CT can’t check anything!
“Contact the ICU immediately and send it up!”
“Yes!”
The ICU has a lot of first aid equipment, but there is no emergency department. Now the Wang Lao is in such a serious condition, so it is safest to send him to the ICU.
At this time, no inspection is more important than ICU’s life support.
“Black hospital!”
The son is even more angry and mad.
Icu, he still understands, it is the last lifeline, and it will only be sent to extremely serious patients.
“You doctor, I remember you!”
“If my dad dies, I will sue you!”
Scolded.
Lin Feng was unmoved.
Pushing Wang Lao quickly, all the way to ICU.
The pace is rapid, and the whole team is filled with a tense atmosphere.
On the way, the other doctors asked the wife of the old man to sign.
Because ICU is quite expensive, seven to eight thousand a day, it is best to get the consent of family members.
Elder Wang’s wife was reasonably reasonable, shaking hands, and quickly signed.
“Please doctors!”
Wang Lao Yi sent it up, and the icu team, who had already prepared, quickly connected Wang Lao to various devices.
Low frequency ventilator…
Various monitoring equipment…
Originally Icu couldn’t let his family in, but the son was too violent and he broke in directly.
At this moment,
The director of the icu, the professor, the country’s top icu expert, Director Chen, came forward.
Stopped this emotional son.
Director Chen: “｀” If you are here, it will only get in the way, and here is ICU. There are many seriously ill patients. If you are so troubled by you, there may be major problems. Then you don’t want to get in the way… So, I Advise you to go out. ”
Not angry and prestigious.
The language is full of threats.
The son was emptied all of a sudden, and he dared not to be presumptuous, so he cried in a low voice:
“I beg Director Chen to save my dad…”
“I will watch…”
“Also, the doctor named Lin Feng, I don’t think he is good at medical skills, please don’t use him…”
“Lin Feng? You say he can’t?”
Director Chen’s majestic face was stunned.
Lin Feng is such an awesome doctor, how can you say no?
Why does your head grow?
He looked at this old Wang son with a foolish expression.
“Get out, I am here to rescue…”
“Yes, I’ll go out right away, Director Chen begs you to help me save my dad…”
The elder Wang’s son left with only promise, and Director Chen’s ‘you fool’ gaze reverberated in his mind.
…
Under the action of various expensive instruments of icu, a blood pressure booster was used, and oxygen was intubated…
The vital signs of Wang Lao quickly stabilized.
Many doctors from icu were present, and they simply gave the prince a consultation.
“I think Dr. Lin’s consideration is correct.”
“The patient’s situation should be cerebral edema caused by (Nuo Nuo Zhao) cerebral infarction…”
“CT results can rule out fainting caused by cerebral hemorrhage…”
Many doctors think about it, but can’t think of anything…
In the end, they all supported Lin Feng’s diagnosis-cerebral infarction!
but,
Want to prove “cerebral infarction”.
Need to do nuclear magnetic mri!
But at this time the patient’s situation, not to mention the others, the oxygen cylinder must be brought!
Without oxygen supply, you will die at any time.
The oxygen cylinder is a metal shell, so you can’t enter the MRI room, otherwise the strong suction will suck the oxygen cylinder through. If you get a person in the middle, you can pinch the person to death!
so,
There is no way to test “cerebral infarction”!
If there is no way to test, they dare not give strong medicine.
Things are deadlocked!
Sudden,
Lin Feng thought of a possibility:
Pulmonary embolism! !
Pulmonary embolism: thrombus blocks the pulmonary artery tributaries-“then cause the blood + oxygen can not be combined -” the amount of oxygen in the blood delivered to the whole body is not enough, resulting in hypoxia (cyanosis of the lips, low oxygen saturation)-“causing the brain Hypoxia, cerebral infarction-“edema, space occupation -” dizziness, falling…
Although it’s a bit far, but it’s not impossible.
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ps: Today’s update is over…
. end.