radiothebook Chapter 391
Chapter 391
Chapter 391
“what??”
The doctors around were shocked!
Suck washing powder?
Junkie?
Everyone looked at the patient Wang Chen with weird eyes.
Wang Chen wanted to quibble, but when he wanted to speak, he smiled bitterly in the face of the doctors’ eyes.
“Yes…”
His face was full of regret and shame.
“I don’t want to. I was instigated by a few friends at the time, and then I tried it, but I couldn’t get rid of it…”
this moment,
The whole ward was in an uproar.
The doctors of respiratory medicine were very angry.
One of the doctors yelled in frustration.
“Why didn’t you say it earlier!”
“Don’t you know that this will delay your illness?”
On the one hand, it is the concealment of angry patients; on the other hand, it causes the whole department to toss about and waste precious time.
The patient Wang Chen is weak and weak: “I dare not let my family know, otherwise my wife, son, and parents will be very worried, and this has nothing to do with my illness. You don’t know and it won’t affect anything.”
Lin Feng shook his head: “No, 070 is on the contrary, the impact is very big!”
“If you suck detergent, then you have to consider infectious “endocarditis”…”
Principle: The main key to the onset of endocarditis is bacterial infection. The long-term intravenous puncture and drug injection (patient Wang Chen’s elbow fossa injection addiction) is caused by washing laundry powder, lack of necessary skin disinfection treatment, and the use of injection equipment that is not hurry, so it is easy to cause bacterial infection.
Bacteria enter the blood through the puncture site, and then multiply in the damaged part of the heart and the degenerative part, forming a neoplasm, and finally causing “endocarditis.”
And endocarditis, it will cause fever!
However, endocarditis usually has a’heart murmur’, but the patient in front of it does not. The reason may be that the vegetation is not big enough, so it can’t be heard.
“Go and be a heart color Doppler ultrasound……”
Heart color Doppler ultrasound can clearly see whether there are neoplasms in the heart.
Because the patient’s condition is stable, Lin Feng greeted the imaging department and cut in the team.
The results of the inspection were presented on the spot:
(aicd) ·Heart color Doppler ultrasound: There are vegetations in the mitral and tricuspid valves. A neoplasm is found on the heart valve, which is probably a bacterial clump of infection of the inner lining.
Obviously, this is an endocarditis infection!
The real murderer, found it!
Next,
Three steps at the same time:
·Bacterial culture, confirm what bacteria cause neoplasms
· Rotate antibiotics to see what works…After the bacterial culture results come out, you can prescribe the right medicine, but one thing is that half of the bacteria in the vegetation is difficult to kill. If it is serious, it will take at least 2 months to take the medicine.
·Heart neoplasms need to be carefully checked. If the neoplasms are too serious, you need to perform surgical operations at the heart surgery, open the chest, cut the heart, and remove the neoplasms, so as not to let the neoplasms grow rapidly… This time, I’m afraid 200,000 Can’t stop…
but,
These do not need Lin Feng to worry about.
Respiratory medicine can be done.
Soon after Lin Feng returned to the emergency department, he heard gossip from the doctor in the Department of Respiratory Medicine saying: The patient Wang Chen’s washing powder was sucked by his wife and children. I heard that because the washing powder spent nearly 500,000… Divorce…
After Lin Feng listened, he didn’t sympathize with the patient at all.
“I knew so, why bother?”
The thing that sucks detergent is not to touch it by itself!
…
Lin Feng returned to the emergency department,
Continue to receive consultations,
The first patient was a 3-year-old boy.
Being held by my mother,
Blushing and unconscious.
A Bingbing antipyretic sticker was also posted on his forehead.
Mother was anxious and begged: “Doctor, my baby is 40 degrees, I must help him to reduce his fever…”
Lin Feng: “Have you taken your temperature?”
Normally, the nurse station will start to take the temperature.
Mother is anxious: “I have measured it, 40.8 degrees…”
Lin Feng: “How long has the fever been?”
Mother: “It started yesterday afternoon…”
Lin Feng: “That’s less than 24 hours…Are there any anti-fever medicines on the way? What kind of medicine? How effective is it?”
“After I ate it, the medicine is Merrill Lynch. I take it once every 6 hours. After I ate it, I will withdraw, but it starts to burn again after 4 hours…”
Merrill Lynch is the same commonly used medicine for reducing fever as ibuprofen.
Lin Feng nodded: “Okay, continue to take the anti-fever medicine, and then go get blood and urine…”
At this time, my mother cried and said, “Dr. Lin, it’s almost 41 degrees. In the past, the fever was as high as 38 degrees. Now it is more than 40 degrees. Doctor, will my baby burn his brain?”
Lin Feng shook his head: “Don’t worry, it’s usually difficult…”
Then it explained.
“Generally, the so-called burned brain is actually caused by the invasion and infection of bacteria and viruses, or hypoxia of the brain…”
·The higher the fever, the more serious the infection, which is likely to cause brain inflammation. Inflammation will naturally make the “bad brain”… (the highest probability)
·At the same time, fever will cause a large amount of oxygen in the body to be consumed (fever is the oxidation reaction in the organism, which is the body’s self-protection response to pathogens), causing hypoxia in the brain… (the probability is relatively low)
·Brain cells may be damaged in the process of high fever… But the probability of this part is actually very low, almost 42 degrees or more.
Lin Feng looked at the antipyretic sticker on the boy’s forehead, and couldn’t help but remind.
“This antipyretic sticker is actually useless, it’s just a psychological comfort…”
“Huh? Isn’t it? Isn’t publicity very useful?”
Lin Feng shook his head: “This kind of cooling is not as effective as anti-fever medicine.”
Solemnly say:
There is no antipyretic sticker in the fever reduction treatment guide!
Medical organizations around the world agree that it is more convenient to cool down with medicines in most cases. When children are intolerant or allergic to anti-fever medicines, they can give priority to warm bathing.
The two recognized classic drugs are: “ibuprofen” and “acetaminophen (merrill)”.
and,
The main purpose of using anti-fever medicine is to relieve the pain of the child, not purely to reduce the fever.
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ps: That’s it for today… first…
Now write a case, to check a lot of information…difficult….