bookpower Chapter 722
Chapter 722
Small rocks, little things!
The next day.
The patient was first given a chest CTA, and with a dozen contrast agents, the emboli in the pulmonary artery were developed, and the filling defect was very obvious.
This patient is also suffering!
Pulmonary embolism was confirmed again by the gold standard of CT.
Fortunately, the branch is blocked, not the main pulmonary artery blockage.
After the CT, get the results.
Lin Feng sent the patient directly to the operating room to prepare for interventional surgery.
Under Lin Feng's skillful operation, the inferior vena cava filter was successfully placed in the patient.
The filter is put into the blood vessel, it is like a roadblock, the following thrombus stop to pass it, which ensures that the thrombus will not block the pulmonary artery again.
After processing, the patient is returned to the ICU.
After a period of intense treatment, the patient's blood oxygen saturation finally slowly returned to 100%.
The blood pressure that has been monitored is also in a stable state.
After the patient woke up successfully, there were still some signs of chest tightness.
But the state is getting better and better.
After 5 days, the patient was re-examined for arterial blood gas, and the partial pressure of oxygen had reached 200mmHg.
Review cardiac ultrasound.
What was suspected of being an emboli in the right atrium before is missing!
That's the good news.
In addition, the pulmonary artery pressure of the retest has also decreased, and there is 35mmHg, although it is still a little high, but it is significantly lower than the previous 50mmHg.
This indicates that the patient's atrium and pulmonary artery thrombosis have been dissolved by her own functions, disappeared or significantly reduced.
The anticoagulant effect is remarkable!
This is also the most gratifying result.
The patient survived and successfully left the ICU and was admitted to the general ward.
In the ward, Lin Feng explained to the patient: "You will be able to walk on the ground soon!" If it weren't for this pulmonary embolism, many people would be able to walk the next day after surgery. "
"In addition, the warfarin that was stopped before needs to continue to be eaten. If you don't eat it, you may even have cerebral embolism. "
The patient nodded repeatedly, and this escape also made her more indifferent.
Walking out of the ward, I saw the patient's family standing outside.
The face was full of anxiety.
Seeing Lin Feng come out, the patient's husband hurriedly asked, "Doctor, how is my wife?" Is she all right? "
"It's okay! You can be discharged from the hospital after a few days of rest! Lin Feng said with a smile.
Hearing this, the patient's husband immediately burst into tears, and the patient's affairs in the past few days made him worry.
Now things are finally working out perfectly.
Immediately, he excitedly said to Lin Feng: "Great, great!" Thank you so much, Doctor! You saved my wife, I don't even know how to thank you! "
"No, no! This is what I should do. The patient is awake, go in and accompany her! Lin Feng waved his hand and said with a smile.
Hearsay.
The patient's family rushed into the ward.
......
Afternoon.
Lin Feng is sitting in the consultation room.
A middle-aged man walked in, his right hand covering his waist.
As soon as he sat down, he said anxiously: "Doctor, you quickly help me see!" My back hurts, it's been hurting for a long time! "
"Don't worry! Let's talk about when the back pain started and how long it hurt. Lin Feng's brows couldn't help but wrinkle when he saw the patient speak, and it seemed that the pain was quite serious.
Hearsay.
The patient immediately began to speak.
It turns out that it has been two months since the back pain.
At first, it was not frequent, and in the past month, I have experienced back pain every day.
Sometimes it hurts for a few minutes, sometimes for an hour or two.
When the pain was so bad, I couldn't straighten my waist at all, and I almost rolled on the ground.
At first, I thought that the back pain was a kidney problem.
I have eaten herbs that nourish the kidneys and qi, and some strange animals.
It may be less effective.
The pain this time was so severe that it was unbearable.
The patient first went to the clinic, where the doctor deferred that he might have kidney stones and gave advice to go to a major hospital for examination.
Come here this time.
"Hmm. You first go to take a kidney ultrasound, and then it will be clear at a glance. Hearing this, Lin Feng said.
"Doctor, I should be free of stones! I have a guy who is a kidney stone, he urinates with blood, I don't have it! The patient said immediately.
The patient was not worried about the cost of the examination, but discussed the possibility of stones with Lin Feng very seriously.
Hearing this, Lin Feng smiled and said, "It's not! Everyone's kidney stones are not the same, some people will have back pain, hematuria, frequent urination, urgency, symptoms are different, even if the symptoms are the same, the degree is different. No hematuria, not necessarily no kidney stones, hematuria is not necessarily kidney stones, and it may be kidney cancer! "
"This..." the patient didn't know how to answer.
At this time, Lin Feng got up and walked to the patient's side.
The right hand clenched into a fist and slightly hammered the patient's left waist.
"Ouch!"
The patient immediately lost his voice and cried out in pain.
Lin Feng immediately said: "You must be a kidney stone, hurry up and go for a B-ultrasound first to see if you can take medicine or other stone expulsion treatment." "
Seeing that Lin Feng said so firmly, the patient was no longer entangled.
I took the list and went for a urinary B-ultrasound.
Soon he returned with the list.
The results were not surprising.
The results showed that the patient's left kidney had a stone of 0.5 cm * 0.5 cm.
Hear this result.
The patient's mouth began to complain about the friends who had made him replenish his kidney.
Listening to the patient's mouth, Lin Feng said a little helplessly: "You didn't even figure out the reason yourself, so you took medicine indiscriminately!" When the time comes, if you really eat kidney failure or liver failure, it is also self-seeking, and you can't go to court with those people! People haven't given you a prescription! "
Hearing what Lin Feng said was so serious, the patient hurriedly asked, "Doctor, what do you say I should do now?" "
Seeing that the patient was so worried, Lin Feng directly prescribed him some anti-inflammatory and diuretic stone-draining drugs, let him go home and eat it by himself, and then said: "Such a small stone, it is possible to drink more water and urinate, or it can be excreted by itself." In the end, it really doesn't work, and then consider the idea of surgically removing the stone. "
Hearing this, the patient immediately breathed a sigh of relief.
No surgery or hospitalization, just take some medicine, it's good.
In total, I took a few hundred dollars of medicine and went back.
It took about five or six days.
The patient found Lin Feng here again.
When they met, they said: "Doctor, the medicine you prescribed has no effect at all!" I have taken medicine every day these days, but my back still hurts badly every day. "
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