bookpower Chapter 691
Chapter 691
After Lin Feng came in.
The patient's family followed.
Seeing the mother lying on the hospital bed with an oxygen mask, the patient's son's face was full of distress.
The patient's husband was also very worried.
However, seeing that Lin Feng was busy, he did not disturb Lin Feng, but just stood quietly to the side.
At this time, Lin Feng was doing an electrocardiogram for the patient's aunt.
However, the results still did not show any signs of myocardial infarction.
If it is not myocardial infarction, then what causes such symptoms in patients!
And the patient's brain natriuretic peptide is so high, it must be heart failure.
But because of what heart failure!
Lin Feng was very puzzled.
No matter.
Or do the heart color ultrasound first, maybe you can find some conditions on it.
Forthwith.
Lin Feng began to play orders and arrange color ultrasound.
"Dr. Lin, the patient's breathing difficulties have worsened and he needs to be rescued!" Suddenly, the nurse hurriedly shouted.
Shouts are heard.
Lin Feng immediately ran over.
The patient who obviously saw the oxygen mask was still panting, his face was cyanosis, and his eyes began to be confused.
Then looked at the ECG monitoring on the side.
Heart rate 130 beats/min
Blood oxygen 85%
This is a high-flow mask that takes oxygen, blood oxygen is still so low, and the patient is seriously hypoxic.
"Prepare for endotracheal intubation!" Lin Feng immediately ordered.
Hearsay.
Xiaoru immediately pushed the ventilator over.
Lin Feng first injected the patient with a sedative, and then put on gloves and inserted a tracheal tube from the mouth.
Seeing this, Xiaoru immediately connected the ventilator.
"Give 100% pure oxygen first and blow it on the patient." After connecting the ventilator, Lin Feng said immediately.
Xiaoru immediately began to adjust the ventilator parameters.
With the input of pure oxygen, the value on the ECG monitoring begins to slowly recover.
It didn't take long to return to normal values.
Heart rate 100 beats/min
Blood oxygen 96%
However, blood pressure has dropped.
However, this is normal, and generally patients who have been sedated, coupled with the use of ventilators, blood pressure will drip down.
Lin Feng immediately said to Xiao Ru: "Give the patient a tube of norepinephrine!" "
"Yes, teacher!" Small as the answer immediately.
The situation just now frightened the families of the patients in the ward.
Only when I saw that the patient's condition had stabilized, did I breathe a sigh of relief.
Immediately thanked Lin Feng: "Doctor, thank you for saving my wife!" "
Hearing the voice, Lin Feng noticed that the patient's family members also walked in.
"Save? Not yet! Lin Feng said and walked outside.
The patient's family rushed to follow.
Seeing Lin Feng stopping outside, the patient's husband hurriedly asked, "Doctor, what should my wife do?" "
"Don't say anything, transfer to the ICU first!" Lin Feng waved his hand, and then continued: "Now the patient's heart function is very poor, and further examination is needed. And the patient's condition is very bad, it may not work at any time, you must be mentally prepared! "
"Doctor, doctor! We will transfer to the ICU now, and I will go through the formalities now! The patient's husband hurriedly said.
Soon, the formalities were done.
There is no problem with the patient's admission to the ICU.
Because of the sedative, the patient has not yet woken up.
The ICU admitted to it is closely monitored around the clock.
During this period, he received a variety of injections.
It's all about stabilizing the patient.
It has to be said.
The effect is still very good, and the patient's condition is very stable.
In the meantime.
Lin Feng still did not give up and gave the patient an electrocardiogram again.
There are still no signs of myocardial infarction.
Then he pushed the patient to do a cardiac ultrasound.
I thought that the cardiac ultrasound could see some lesions, after all, the patient is an obvious heart failure manifestation, and the brain natriuretic peptide is so high.
However, the results of the color ultrasound made Lin Feng disappointed.
The patient's heart is very healthy, beats very strongly, and the ventricular wall movement is also very good, and there is no sign of heart failure.
This made Lin Feng even more entangled.
The brain natriuretic peptide is so high, indicating heart failure.
But the cardiac ultrasound is not abnormal and very healthy.
How to do this!
Which one to believe?
Outside the ICU.
The patient's husband asked, "Doctor, what is my wife's disease?" I did a check just now, did I find out? She can't live in the ICU all the time, can she? "
Facing the patient's husband's inquiry, Lin Feng said softly: "Now the patient's situation is somewhat complicated!" A data shows that the patient has heart failure, and the current situation is correct, can not leave the ventilator, leaving the ventilator began to appear shortness of breath, lack of oxygen symptoms. However, the result of cardiac ultrasound is that the patient has no heart problems and there is no possibility of heart failure! "
"What? Doctor, what the hell is going on here? Did the check result go wrong? Then hurry up and do another check-up! The patient's husband hurriedly asked, he didn't understand what Lin Feng said, thinking that the test results were wrong.
"You misunderstood! You can't go wrong with the results! Lin Feng shook his head.
"What? Then the test results are contradictory, how to check this? The patient's husband said immediately.
"You're wrong! The patient's situation can not only look at the examination results as an indicator, but also add the comprehensive consideration of the clinical situation! Otherwise, what do you want us doctors to do, just replace it with a machine! After a pause, Lin Feng continued: "The patient has difficulty breathing, in addition to considering the heart Wen Ting, he also needs to be vigilant against lung problems. "
"Doctor, do you mean to suspect my wife's previous lung cancer?" The patient's old horse asked nervously.
"After all, the patient still has symptoms of pneumonia! Some people may not look serious on CT, but it may actually be very serious. In addition, the patient has a history of lung cancer before, and it may be metastasis! Even if it is possible to transfer to the heart, the heart ultrasound is not 100% ready to see! Lin Feng explained.
"Doctor, this can't be! Does it look like there are signs of a shift now? "When the patient's husband heard about the metastasis of lung cancer, he felt like he was about to collapse.
"Of course, I'm just talking about possibility! However, this possibility is very small, so don't worry too much! After Lin Feng was relieved, he continued: "Now everything is not good, after the patient's condition is more stable, we can give the patient a full-body CT, see a little more clearly and then evaluate." "
The patient's husband was speechless, but nodded subconsciously.
Looked at.
After Lin Feng hesitated for a moment, he still spoke: "If there is really lung cancer metastasis, it belongs to the advanced stage of lung cancer, then the hope of treatment improvement is probably even more remote!" "
。