radiothebook Chapter 321
Chapter 321
Chapter 321
This family, with expectations in their hearts,
Sitting in the car,
Came to the Imperial Capital, Harmony Hospital.
“We came to see Doctor Lin…”
The eldest son came to the emergency department and asked the nurse.
Nurse: “Sorry, Dr. Lin is not going to work today.”
The eldest son: “Ah?…When does Dr. Lin go to work? Will he go to work tomorrow?”
The nurse checked and nodded: “Dr. Lin does go to work tomorrow…but you’d better come early, otherwise you will have to wait a long time…There are many patients looking for Dr. Lin…”
The eldest son is happy: “Thank you…”
This night,
The family stayed in a nearby hotel.
Because the family is not rich, I found a poor hotel, but it will take seven or eight hundred and one nights. After all, this is the first ring and the second ring.
…
the next day,
At around 6 in the morning, the eldest son rushed to the emergency department of Harmony Hospital, ready to wait in line.
It’s 8 o’clock…
Lin Feng is here.
But today Lin Feng arranged an operation, that is, the female patient with “iron deficiency anemia + small bowel tumor” to remove the small bowel tumor.
After Lin Feng finished the operation, it was already half past nine…
During this period, Lao Liu’s family actually had the opportunity to choose other doctors, but out of trust in Lin Feng, they finally insisted on waiting for Lin Feng.
Lin Feng just finished the operation and returned to the clinic,
The nurse told Lin Feng that Lao Liu was a special patient.
“Have spontaneous heartbeat and breathing? Will the patient have bilateral dilated pupils?”
“It lasts for several days, no problem? It’s just a coma?”
“The CT scan of the county hospital did not show any results?”
Lin Feng was stunned for a moment.
Thought for a while,
It does not seem to be a special case.
“Where are the patients and family members?”
“At the rescue room… we arranged a flat car to let the patient lie down…” 010
Lin Feng nodded.
…
at this time,
Inside the rescue room.
The other doctors were curious and wondering about the patient Lao Liu’s family who had been in the rescue room for more than an hour.
“What’s the matter with this family? Which doctor’s?”
“It seems that I came here specially from outside to find Doctor Lin…”
“No, isn’t Dr. Lin an operation? Not so fast, is it? Why don’t you find another doctor in an emergency?”
A nurse said quietly next to him: “They think Doctor Lin is better…”
As soon as this remark came out,
All the doctors: “…………………………”
Lift the table (╯‵□)╯︵┻━┻!
I don’t want to chat anymore!
Shocking and cold!
We are also very awesome, okay!
Not long after,
Lin Feng came to the rescue room.
“Doctor Lin!”
“Doctor Lin!”
The three of Lao Liu’s wife and son, seeing Lin Feng walk in, suddenly stood up with excitement.
“Doctor Lin, you must save my husband~~~”
The patient’s wife, Lao Liu, cried and said.
Lin Feng calmed down: “Don’t worry, don’t worry… I’ll see the situation…”
The patient’s wife nodded again and again: “Okay, OK, Dr. Lin, look at…”
Lin Feng walked in and took a look at the patient’s old (aicd) Liu’s ECG monitor.
·Heart rate, normal level…
·Blood pressure, normal level…
·Blood oxygen saturation, normal level…
everything is normal.
Then he looked at the patient’s pupils.
·Pupils: a certain degree of dilation, slow response to light…
Lin Feng called the patient.
The patient did not respond.
Obviously, the patient is in a state of “disorder of consciousness”, which is generally divided into lethargy, lethargy and coma.
If you don’t wake up, it’s naturally not lethargy.
Lin Feng used methods such as popping the earlobe to stimulate the patient.
The patient had a painful reaction, but did not wake up.
Obviously the patient is already in a coma.
Dilated pupils, combined with vital signs are no problem, it is usually a brain problem.
“CT show me…”
Lin Feng said.
“Here… Dr. Lin, take a look…”
The patient’s wife hurriedly handed the CT film to Lin Feng, panicking.
“Don’t worry, don’t delay for a few minutes…”
Lin Feng comforted him while watching the CT results.
Took a look,
Indeed, CT showed that there was nothing wrong with the patient’s brain.
but!
CT is okay, doesn’t mean it’s really okay.
“CT is taken after the patient is in a coma? How long is the interval?”
“About 2 hours…”
“OK.”
Lin Feng nodded.
He probably guessed the cause of it.
“Cerebral infarction”!
Cerebral infarction is also called ischemic stroke, which is called stroke or stroke in Chinese medicine. (Many of the previous cases, not much explanation here)
Then why?
Can’t CT see that it is a cerebral infarction?
The reasons are as follows:
Head CT is the most convenient and commonly used imaging examination of brain structure.
However, CT is not sensitive to ultra-early ischemic lesions and small cortical or sub-cortical infarcts, especially brain stem and cerebellar infarctions in the posterior fossa are more difficult to detect.
In most cases 24 hours after the onset, CT can show uniform sheet-like low-density infarcts, but within 2-3 weeks of onset, due to the disappearance of the edema of the lesions, the density of the lesions is equivalent to the surrounding normal tissues, which is difficult to distinguish by CT. Infarct lesions.
In other words,
The CT film taken 2 hours after the illness became unconscious, there is no cerebral infarction visible!
This CT is also the reason Lin Feng identified the patient as a cerebral infarction.
The doctors at the county hospital probably didn’t understand this. They directly performed CT on the patient. Then, relying on the CT results, they thought that there was nothing wrong with the brain and could not find the cause, so they began to inform them of the death.
but,
Lin Feng also has a question.
Generally, cerebral infarction is unilateral, and the eyes and nerves of each eye are also unilateral.
Why are the two eyes widened together?
Are there cerebral infarctions on both sides?
However, all the answers can be revealed when we go on to do MRI.
“Let’s have an MRI check… I called the imaging department, and it’s urgent…”
Lin Feng said in a flat tone, full of reassuring calm and self-confidence.
Standard MRI (nuclear magnetic resonance) can clearly show ischemic infarction, brain stem and cerebellar infarction, venous sinus thrombosis, etc., but it is not sensitive to cerebral infarction within a few hours of onset.
But at present, the patient has passed three or four days, mri is no problem.
“Thank you Doctor Lin!”
A family of three, happy to go for the check-up.
soon,
Patient Liu was pushed into the MRI room…
10 minutes later……
The result of mri came out.
really,
It’s a cerebral infarction! !
·Magnetic resonance showed multiple infarcts in bilateral thalamus, occipital lobe, and midbrain.
·It is a relatively rare bilateral cerebral infarction!
·Because the site of bilateral cerebral infarction happens to involve the midbrain (which affects vision), the pupils on both sides are dilated.
“Doctor Lin, my old Liu, is nothing wrong?”
Lin Feng looked at MRI and made an assessment.
“At present, according to this MRI, the patient’s cerebral infarction area is not too large and will not be life-threatening, but there may be some loss of mobility (or even paralysis)…Of course, these have to be confirmed after the patient wakes up… …”
The family was overjoyed.
Although Lin Feng said some bad news, such as loss of mobility, it was better than the [Death Notice]!
It’s better to die than to live.
Moreover, perhaps Lao Liu’s condition may not be serious, and the prognosis will be good.
“Thank you Doctor Lin!”
The family is happy and thankful.
Doctor Lin is awesome, doctors in Shishi County misdiagnosed!
“You’re welcome……”
Lin Feng prescribed some medicine for the condition.
And let the patient into the hospital, continue to observe and treat…
There is no surgery for this disease, only medication.
…
Lin Feng returned to the clinic,
The nurse arranges patients and waits in line.
Turn on the call machine.
“Waldeday, please go to Clinic No. 3…”
Lin Feng: “???”
what name?
At this moment,
“Tashi Delek!”
Say hello,
I saw a man dressed in ethnic costumes walked into the clinic.
“Excuse me, are you here for the consultation?”
Lin Feng was a little surprised. The man in front of him was extremely burly, and his face was ruddy, he didn’t seem to be sick at all.
Could it be that a relative of a certain patient came to thank myself for not being successful.
“Dr. Lin, I’m from the grassland. I want to see you for medical treatment because I have seen your deeds!”
The brawny man sat down at the greeting of Lin Feng.
“name.”
“age.”
“What’s the specific discomfort?”
“My name is Wardday-Sidbuyaobuyaode. Since this period of time, my body has been inexplicably uncomfortable, accompanied by vomiting, and low-grade fever. No matter what medicine I take, my daughter is in this imperial capital. When I was in school, I just came to see him, so I told him to come and take a look at Dr. Lin.”
“You go take an X-ray film, and then come to me with the results.”
Lin Feng signs an order.
You know, the man on the grassland is absolutely top-notch, and there are no minor illnesses or pains.
So when the strong man said about his illness, Lin Feng’s preliminary judgment should be a parasitic infection.
But it is only speculation.
Everything has to wait for the X-ray examination result.
. .