bookmarkrole Chapter 272
Chapter 272
Chapter 272
“Dr. Lin, you are on the national news again!”
Early in the morning,
When Lin Feng just walked into the door of the emergency department, he greeted the envy of many medical staff.
“??”
Lin Feng paused and was at a loss.
“What’s the meaning?”
Xiao Ai: “Huh? Doctor Lin, don’t you know?”
Others started talking.
“It was last night, when the “News Network” of the National Television Station broadcasted your news, saying that there were 9 patients. Because of your Weibo reminder, the lives of 9~ patients were successfully saved…”
“I counted it. The news is 25-seconds long. It’s getting older…”
“This is the second time Dr. Lin has been on the national news, right?”
“Doctor Lin is awesome!”
In your words and my words,
Lin Feng finally understood what was going on. It should be the two recent Weibo reminders about “Blue bacteria Marneffei”, “Rabies myasthenia gravis” and “Bee sting allergy”, which saved many people. .
Click to open the work group,
Sure enough, someone posted a clip of “News Network” content.
The content is as follows:
· 3 cyanobacteria Marneffei cured, 1 misdiagnosis of rabies, 1 bee stinger rescue… 5 patients and doctors thank Lin Feng for their words. Gathered together to form a 25-second news…
·Finally, “News Network” also promoted some positive energy: “my country’s medical standards are gradually improving”, “a new generation of medical talents continue to emerge”, “superior system” and so on…
Lin Feng was happy.
Unexpectedly, he saved so many people indirectly.
A sense of accomplishment!
And at this time,
Below Lin Feng’s Weibo,
The fans cheered.
“Idol is awesome!”
“The second time on the news!”
“As expected of Lin Shuai!”
“Decided, apply for a doctor’s specialty!”
“No, I advise people to study medicine. It’s hard to study medicine!”
Then started a big discussion on “Should I study medicine?” by the way, I called 666 to Lin Feng~~~
…
Next,
Lin Feng returned to the clinic and was about to start receiving patients.
There is a pennant on the wall.
Pennant +8!
It was sent by the family of the patient with myasthenia gravis when he was discharged from the hospital the day before yesterday.
…
at this time,
3 kilometers away from the hospital, a Cantonese tea restaurant.
The 64-year-old old man Zhao had a dinner with his two old friends.
Because they are all Lingnan people, even if they come to the imperial capital, they still retain the habit of drinking morning tea.
Order a few refreshments, spare ribs, shrimp dumplings, chicken feet… three servings…
Lingnan people drink morning tea, basically ordering a small portion, and then sit for the whole morning. Not to eat, but to sigh the world.
chat……
Drink tea…
Talked for about 30 minutes…
Sudden,
The old man Zhao picked up the tea cup he was going to drink, and suddenly dropped from his hand, fell on the table top, wet the tablecloth.
And Elder Zhao’s hands tightly covered his chest.
The expression is very painful.
The other friends’ complexions changed a lot, and they yelled quickly.
“Old Zhao, what’s wrong with you?”
“what happened……”
All of a sudden a mess!
The surrounding guests looked over, and the waiter rushed over…
“Pain, chest pain…”
Old man Zhao felt a sharp pain in his chest as if he had been stabbed by a needle.
The big beads of sweat on his forehead have come out.
The friend stabilized his emotions at this time.
“Hurry up, hit 120!”
“Send to the hospital!”
Clang~~~
At this time, Elder Zhao suddenly fainted and fell directly to the side.
If it weren’t for the old friend who was quick to see the opportunity and held him up, I’m afraid he would fall directly to the ground.
“It may be a heart attack…”
“Try the panacea…”
“Pinch people!”
One individual keeps recommending.
The doctor hasn’t come yet, so I can only try everything.
The manager of the tea restaurant was sweating profusely.
The scene was once chaotic.
10 minutes later……
“Beep Beep Beep Beep~~~~”
The ambulance from the 120 center arrived.
Carry it into the car.
“Go to Harmony Hospital, recently!”
Shouted the doctor onboard the emergency center.
Then he began to measure blood pressure and heart rate for Mr. Zhao.
The blood pressure is 88/50mmHg, which is lower than normal.
The heart rate is OK, normal range.
The doctor in the car breathed a sigh of relief.
“Do you have high blood pressure, coronary heart disease, etc.”
“It doesn’t seem to be. Old Zhao is in good health and loves sports.”
Said the old friend.
“Pull an ECG…”
connect……
Soon, the electrocardiogram came out, it was normal, nothing special.
The doctor in the car was confused.
Anyway, go to the hospital first.
“Um… uh…”
At this time, Elder Zhao woke up leisurely.
“Old man, how is it?” The doctor on the car lowered his head and asked.
“It hurts, it hurts here…” Elder Zhao said, pointing to the midline of his chest.
at this time,
The old man Zhao was already sweating profusely, his breathing was a little affected, and he was a little bit suffocated.
…
soon,
The ambulance rushed to the emergency department of Harmony Hospital.
“Doctor, there is an unexplained chest pain here, help me see…”
The triage nurse listened,
The possibility of feeling the heart and lungs is very high.
Apart from anything else, it was assigned to Lin Feng.
In this regard, Lin Feng’s strength is recognized as strong!
Lin Feng walked out quickly and waved to command the nurse and intern:
“Push him to the rescue room…”
Then ask the doctor onboard for specific details.
The doctor in the car quickly said: “Patient, male, 64 years old, eating breakfast and tea in the restaurant, eating Cantonese breakfast, sudden chest pain, checked blood pressure, low, but still in the controllable range, pulled the electrocardiogram, I didn’t see the problems such as myocardial infarction…I tried nitroglycerin for him, and it has been 10 minutes now, but it has no effect. It should be able to rule out angina…”
Lin Feng nodded: “Thanks…”
Walked into the rescue room,
The nurses and interns have started to link various instruments without Lin Feng’s orders.
ECG monitor, oxygen mask…
ECG monitor display data:
· Blood pressure: 87/46mmHg, low, but not critical.
·Heart rate: 117 beats/min, not bad
·Oxygen saturation: 94%, not serious.
Looking at the patient’s old man, his face was pale and his forehead was sweating.
No matter how you look at it, it looks very serious.
Lin Feng: “……………………”
So strange?
Data and performance are contradictory!
However, Lin Feng still didn’t dare to take it lightly.
“Angina” was ruled out because of the ineffectiveness of taking “nitroglycerin”.
Then consider “acute myocardial infarction” (foreign body blocking blood vessels, ischemia and hypoxia, leading to myocardial necrosis).
Myocardial infarction is manifested by chest pain, wheezing, and then further leading to cerebral ischemia, leading to syncope.
“Give him an electrocardiogram…”
The ECG is more detailed than the ECG monitoring of an ECG monitor.
And the ECG made by the ambulance in front is too’old’.
“Yes……”
The nurse quickly connected the patient to the electrocardiograph…
Didi di…
It keeps printing out.
Soon, a few pages came out.
Lin Feng looked at the electrocardiogram,
· ST-T segment is slightly depressed.
· Did not see the typical manifestations of myocardial infarction.
However, it is also possible that the electrocardiogram is still in the hyperacute phase, and the electrocardiogram cannot be stopped, and it needs to be reviewed dynamically.
at this time,
The old man’s condition seems to have eased a little bit.
Lin Feng rushed to start the consultation.
“Old man, I am your attending doctor, I will ask you a few questions…”
“Are you still in pain?”
“Pain… (weakness)”
“What a pain?”
“It’s the same as a needle…”
“………………”
Lin Feng was stunned.
Needle stick?
This is not a feature of myocardial infarction.
In myocardial infarction, the area of myocardial death is usually piece by piece, rather than point by point, so the pain is basically area by area.
How to describe it?
There seems to be a stone pressing down on my chest~~
Or stuffy stuff…
I usually don’t tell this patient that it hurts like a needle…
“Does it hurt until now?”
“Yes.”
“No relief?”
“No…Doctor, I don’t dare to breathe, it hurts, am I dying?”
0 ········Find flowers····
The old man asked with trepidation.
As for the elderly, they have always been in good health and love to exercise. It happened not long after retirement. It is a good time to rest and enjoy.
I don’t want to die like this.
“Don’t worry, after checking it out, symptomatic treatment will be fine…”
Lin Feng smiled and comforted.
Of course, the actual situation is that I don’t know anything about the condition. If it is serious, this old man is 64 years old and not young, and he may really die all of a sudden.”Where’s your son and daughter’s phone?”
“On my mobile phone, the number of digits is 2353. Note “neighbor”, my son…”
Lin Feng gave a thumbs up.
Awesome!
“Let’s draw a few tubes of blood first…”
Lin Feng opened several sheets: testing myocardial enzymes, troponin, blood routine, liver and kidney function, electrolytes, coagulation indicators, brain natriuretic peptide, etc…
And at this time,
The nurse quickly called the patient’s son to come over.
Because later, family members may be required to sign the “Notice of Critical Illness.”
Because it was Lin Feng’s urging and urgency, the laboratory department quickly performed laboratory tests on the elderly’s blood “myocardial enzymes and troponin”.
result:
· Myocardial enzymes and troponin are normal.
Coupled with the characteristics of the electrocardiogram, “myocardial infarction” can basically be ruled out.
“Would you like to use some painkillers?” the intern Wang Rui asked.
……… …….. 0
“It can be used, but now the patient’s blood pressure is low. This is a critical signal. Some analgesics may cause lower blood pressure. We need to clarify the cause of the patient’s low blood pressure as soon as possible.” Lin Feng said.
The interns suddenly realized.
Learned it.
Knowledge +1+1…
Lin Feng frowned and looked at the blood pressure lower than normal.
87/46mmHg
↓ drops to:
82/43mmHg
“It’s not a myocardial infarction, so consider “aortic dissection bleeding” and “pulmonary embolism”…”
· “Aortic dissection rupture and bleeding” (the specific meaning is omitted, it has been written many times) feels impossible, because it is bleeding more violently, and it is estimated that it has been in shock long ago.
· “Pulmonary embolism”, a blood clot (a blood clot) from all parts of the body along the veins, all the way through the heart, and then to the lungs, and then in the pulmonary artery-the pulmonary artery branch (the blood vessel becomes smaller), the blood clot blocks this branch , And finally lead to ischemic and hypoxic tissue necrosis in this part of the lung area…
These two diseases,
All have symptoms of chest pain and low blood pressure.
Now that the largest possible myocardial infarction has been ruled out, consider these two.
“Xiao Ai, call the imaging department, join the team, and do a thoracic-abdominal aorta CTA.”
“Yes!”
Lin Feng jumped in,
There will be no complaints from the imaging department.
Because there are more female doctors in the imaging department, Lin Feng is so handsome that female doctors can’t bear to refuse.
The so-called CTA of the thoracic-abdominal aorta is not ordinary CT, but CT angiography. It is necessary to inject a contrast agent to clearly see whether there is aortic dissection or pulmonary embolism.
…
“Doctor, what’s wrong with my dad?”
At this moment,
An anxious man in his 30s rushed into the door, looking at his father lying on the hospital bed, full of worry and panic.
“Are you the old man’s son?”
“Yes.”
“Go, come out with me.”
Lin Feng took the man out of the clinic.
“Your father’s situation has not been found out yet, but it is not ruled out that it will be a more serious illness… Some tests may be done later. You have to sign the “Notice of Critical Illness”…”
“Okay!…Dr. Lin, I am also from Pengshi. I know your medical skills are very good. Please save my dad…”
The man grasped Lin Feng’s hand tightly and pleaded bitterly.
“I will try my best!”
“thanks.”
At this time, the man looked regretful. He was usually busy with work and career, and he didn’t care much about his father.
Now, suddenly I heard that my father might die, and I felt anxious and regretted it!
At this moment,
Nurse Xiao Ai came over.
“Dr. Lin, the imaging department has already been contacted.”
“Okay, let’s go!”
A group of people hurriedly pushed the car to the imaging department.
……Knife.