bookpower Chapter 693
Chapter 693
See the anguished expressions of the patient's family.
Lin Feng was also a little anxious in his heart.
If the patient's cause has not been found, there is no way to start treatment.
If treatment is not started, the patient's condition will not improve.
Now it seems that the condition is relatively stable.
In fact, it all relies on the various instruments in the ICU, and the most important thing is to rely on the ventilator.
It can be said that now it is the ventilator to continue the patient's life, so that her physical condition will not be too bad.
However, patients cannot rely on ventilators for life.
Of course, some conditions may require a ventilator for a lifetime, but this patient's symptoms are obviously not, nor are they some known conditions.
Now the patient is lying in the ICU, and Lin Feng is back in his office.
He needs to think.
There is no problem with my own treatment ideas!
Although the patient does not have high blood pressure, coronary heart disease, diabetes and other underlying diseases, it is reasonable to say that it is impossible to suddenly have heart failure.
And there is a reason for heart failure.
The color ultrasound also shows that everything is normal for the patient.
But how to explain how patients have such high brain natriuretic peptides!
Myocarditis can also be excluded.
There is no serious inflammation, and inflammation of the myocytes can cause the myocardial enzymes to rise, and multiple tests can confirm that the patient's myocardial enzymes are normal.
"Teacher! The patient in the ICU is in a situation again, call and ask you to come and see! Just as Lin Feng was thinking about this, Xiao Ru hurriedly ran and said.
"Well? I'll go over and take a look! Lin Feng, who was interrupted by his train of thought, immediately got up and ran towards the ICU.
......
Coming to the ICU,
"Doctor Lin..."
"Doctor Lin..."
Greetings one after another,
After Lin Feng entered.
The patient was seen sweating profusely and breathing very quickly.
Lin Feng immediately placed the stethoscope in the patient's lung.
Listen.
The lungs are full of crackles.
This is a typical heart failure attack!
Lin Feng was puzzled.
Then he asked what was going on.
It turned out that the dose of sedative medicine was a little smaller, and the patient woke up and began to have these symptoms after sucking up phlegm!
Soon.
The ventilator is connected.
The patient's condition began to stabilize.
Lin Fengcai asked softly, "Auntie, where do you feel uncomfortable now?" "
"I'm still tired, and I can't use my hands and feet." The patient's voice was very small, and Lin Feng stepped forward to hear it clearly.
Just finished.
The sedative medication begins to take effect.
The patient went back to sleep.
Lin Feng immediately walked out.
"Doctor, how is my mother?" Seeing this, the patient's son immediately stepped forward and asked.
"It's all right, sedatives, and the patient goes to sleep again." Lin Feng said softly.
Now.
He kept sorting out the situation of the patient's aunt in his mind.
From the beginning to the outpatient.
The patient has always shown weakness in his limbs, but when he saw that the patient's platelet index was very low, Lin Feng subconsciously forgot about this situation.
Then the patient suddenly weakened and almost fell to the ground.
He was then taken to the emergency ward.
This is followed by various examinations.
The brain natriuretic peptide value entered Lin Feng's eyes, directly shifting his attention to the heart.
In particular, the patient's various clinical symptoms are very complex heart failure.
As a result, Lin Feng attributed the weakness of his limbs to heart failure.
After thinking about it carefully.
Lin Feng found that he seemed to have entered a misunderstanding.
Indeed, heart failure, lack of oxygen can indeed lead to weakness in the limbs.
But what if all these symptoms are caused by weakness in the limbs!
What can cause weakness in the limbs.
The first is hypokalemia, but this can be ruled out, and there is no problem with the patient's blood potassium index.
The principle of limb weakness is that there is a neuromuscular problem, resulting in muscle weakness, which will cause muscle weakness.
Moment.
Lin Feng thought of a condition.
Neurological diseases - GBS syndrome!
The essence of this disease is actually inflammation of the peripheral nerves, which leads to weakness of the patient's limb muscles, and as the condition worsens, the respiratory muscles begin to lose strength.
The respiratory muscles have no strength, and its manifestations are shortness of breath, chest tightness, and severe respiratory failure.
Now the patient's heart failure can actually be caused by respiratory failure.
In a flash.
Lin Feng suddenly felt that everything made sense.
Come to think of it.
Lin Feng immediately said to the patient's family: "The patient's situation, I suspect it is another situation!" "
"What a situation! Doctor, you speak quickly! Is there a way to treat it? Hearing this, the patient's son immediately asked.
The patient's husband also looked at Lin Feng expectantly.
"I suspect that the patient is due to nerve inflammation, which causes these symptoms, there is a GBS syndrome GBs!" Lin Feng continued.
"Great! Doctor, if you find the disease, can you start treatment for my wife! Hearing Lin Feng say the name of the illness, the patient's husband immediately asked happily.
"Can't rush! Next, I will start examining patients in this area! As long as the diagnosis is made, treatment can begin! Lin Feng said.
"Yes, yes, yes! Doctor, you are right! The patient's husband nodded quickly.
"There's something you need to decide! If you want to check this disease more accurately, you can draw blood to test for some specific antibodies, which is more meaningful for the diagnosis of this disease, but the price is a bit expensive, and you need to send it to the outside company for examination! Lin Feng said.
"Doctor, it's okay! As long as it can help treat my wife's condition, I am willing to spend as much as I want! The patient's husband said immediately.
"Okay, then I'll start arranging it now!" Lin Feng nodded and said.
After that, Lin Feng left.
Lumbar puncture tests for cerebrospinal fluid, electromyography, etc., are all needed.
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