bookmarkrole Chapter 416
Chapter 416
Chapter 416
Lin Feng hid quickly and was not sprayed.
Quickly grab the suction tube and continue to suck.
While inhaling, he said: “Attention, the patient cannot rule out the possibility of tuberculosis. Everyone should clean up the blood as soon as possible…”
The faces of the doctors and nurses changed suddenly.
Tuberculosis is one type of pneumonia.
But it is contagious!
But the good news is that the condition of infection is: tuberculosis bacteria must enter the respiratory tract to cause infection.
The doctors and nurses here are all fully armed and wearing masks. Under normal circumstances, they are all safe.
The blood-stained doctors and nurses go to change clothes, change gloves, masks, disinfect…
On Lin Feng’s side, he was successfully intubated again to ventilate the patient.
And directly adjusted to pure oxygen.
One breath,
Lin Feng can finally breathe a sigh of relief for the time being.
but,
Things always like to go against Lin Feng.
at this time,
Lin Feng’s student Xiaoru shouted:
“Teacher, the patient’s heart rate is slow!”
Lin Feng took a look,
There was a thud.
·Heart rate: 100——95——83——63……
Keep falling down!
Lin Feng almost wanted to scold his mother!
“Quick, adrenaline!!”
The heart rate of such patients with extreme hypoxia should be very fast, because the heart has to keep beating and pumping blood, so that it is possible to deliver oxygen 087 to the whole body.
But now, the heartbeat is slow, indicating that the patient’s whole body is extremely hypoxic, and the heart is about to stop!
really!
Just when the nurse pumped in adrenaline,
The patient’s heartbeat stopped! !
A straight line ‘——————————’ was pulled out directly.
At this time, Lin Feng was already standing in front of the hospital bed, constantly giving the female patient heart compressions and cardiopulmonary resuscitation.
This time,
It took only 3 minutes to successfully rescue the female patient and restore normal sinus rhythm.
but,
Lin Feng understands that the condition is still very serious at this time. The patient does not know where hemorrhage is occurring. It diffuses in the left and right lungs and it is too difficult to inhale oxygen.
Stop bleeding?
There is no way to go to the interventional operating room for interventional hemostasis, so only drugs can be used to stop the bleeding.
Drugs to stop bleeding will have various complex drug reactions.
The equipment in the rescue room is definitely not good.
Need to use various life support equipment of icu, at least there is ecmo extracorporeal membrane oxygenation machine can be used.
“Xiao Ai, contact icu to see if there are any beds…”
soon,
Xiao Ai finished the call: “Dr. Lin, Icu said there is a bed…”
Lin Feng nodded: “Okay, I’ll give it to Icu right away!”
In fact, when going to ICU at this time, you have to take a big risk. Maybe the patient died in the elevator.
Moreover, rescue on the road is inconvenient.
But Lin Feng evaluated the situation and decided to go to icu!
“Take a ventilator… and go!”
Promoting the flat car at a fast speed…
Rushing towards icu…
Wherever he went, countless patients and family members looked sideways.
This is very common in hospitals,
But in the eyes of patients and family members, it is so serious and heavy.
On the way,
Lin Feng is thinking.
Lin Feng didn’t have time to think about why the heartbeat stopped.
What he considers is, why is there bleeding in the airway? !
Lin Feng’s first reaction was: severe pneumonia, which infringed on the blood vessels of the lungs, causing the blood vessels to rupture, hemorrhage, and blood enters the airway…
In retrospect, the extremely heavy wet rale heard by Lin Feng using the stethoscope may not be the liquid of pneumonia, but blood!
…
Hurry to icu!
Fortunately, the female patient did not have any accidents halfway through.
Arrived at icu.
Replaced with a high-frequency ventilator to ventilate the patient more efficiently.
Then rehydration, blood transfusion…
Start using hemostatic drugs…
There were also some situations in the middle, but they were all carried over by ICU equipment.
It took 3 hours…
The blood has finally stopped!
And the patient’s condition finally stabilized, turning the crisis into peace.
All the doctors and nurses breathed a sigh of relief.
at this time,
A part of the blood sputum was also taken and sent for a “sputum smear.”
Look at what kind of bacteria is causing such heavy bleeding in the patient’s lungs…
…
That afternoon,
The patient’s condition has improved a lot.
Lin Feng discussed with the doctor of icu, and thought that he should be able to go to the CT room.
then,
Push the patient to do (aicd) a CT!
Results on the spot:
·CT: A large number of consolidation shadows in the upper lobes of the lungs are accompanied by cavities
·Doctor’s tip: Tuberculosis! !
·There are many cavities. Maybe the patient’s airway bleeding is caused by blood vessel rupture in some places of these cavities.
As soon as this result came out,
Lin Feng and Doctor Icu looked at each other.
It turned out to be tuberculosis!
Tuberculosis is also a kind of pneumonia, but tuberculosis is special and contagious.
In general, tuberculosis is only called tuberculosis, not XX pneumonia.
Moreover, the treatment drugs are not the same. For tuberculosis, special drugs must be used for anti-tuberculosis.
However, whether it is true tuberculosis, we have to wait for the result of the “sputum smear”!
For empirical medication in ICU, anti-tuberculosis drugs are given to the patient first, and treatment is performed first.
…
the next day,
Lin Feng continues to work day shift.
Icu sent back a message,
The patient’s family members have arrived in the imperial capital and are currently communicating well and there is no disturbance.
The patient’s condition has basically improved.
At 10 o’clock in the morning, the patient’s sputum smear results came out.
·Sputum smear “acid-fast staining”: positive +++ (three pluses)
Positive acid-fast staining often means “Mycobacterium tuberculosis” infection!
Equal to positive for tuberculosis.
In other words, it has been diagnosed and the patient is “tuberculosis”!
Lin Feng saw this, and then talked about it in the group.
“The patient with bleeding yesterday has been diagnosed as “tuberculosis.” ”
“The doctors and nurses who were splattered with blood yesterday should pay attention to check later to avoid contracting tuberculosis…”
Inside the group,
The discussion began.
“Therefore, standard protection such as wearing masks and gloves must be strictly implemented…”
“Yes, tuberculosis is okay. If you come into contact with AIDS, you won’t have time to cry…”
“Three years ago, I drew blood from an AIDS patient, and then accidentally got stuck. At that time, the whole department was so nervous and asked me to write a review…crying~~~~~”
“Are you okay?”
“Terror·jpg~~~”
“It’s okay…”
…
Worked all morning.
At noon, Lin Feng had a meal in the dining hall.
As a result, the auntie in the dining hall ran out.
“Doctor Lin, let me introduce you a girlfriend…”
Then let’s go~~~~ I talked endlessly.
Then open a video.
Soon the opposite side was connected, and a pretty girl appeared in front of the camera.
It’s too fast, Lin Feng can’t stop it.
Next, is a blind date…
Lin Feng: “…………………………”
The auntie in the canteen and the pretty girl on the other side twitter…
Then,
Later, she joined the pretty girl her mother, who promoted her daughter to Lin Feng on the opposite side of the video.
Lin Feng: “………………”
You guys let me say something, hello! !
at this time,
Sudden,
Lin Feng noticed a problem.
The beautiful girl on the opposite side of the video, her mother, frowned from time to time when she was speaking, rubbing her left arm and shoulder…
Lin Feng: “???”
Traction pain in the left arm and left shoulder?
heart disease?
————————
ps: The update is over…