bookpower Chapter 689
Chapter 689
This blood oxygen saturation is simply amazing.
Normal people's values are 95%-100%.
94% are considered problematic.
It's only 92 percent of the patients in front of you.
Moreover, the patient is now taking oxygen, and the blood oxygen is still so low.
This means that many of the red blood cells in his blood do not carry oxygen, because the patient does not inhale enough oxygen, and all this is because of pneumothorax.
If you come a little later, I'm afraid you really won't be able to return to heaven.
If the time is longer, I am afraid that it will damage the patient's brain cells, and in severe cases, it will lead to cardiac arrest!
At this moment, the radiologist hurried in with an X-ray machine.
A bedside chest x-ray was taken in three or two clicks.
Why call a bedside chest x-ray is primarily for the patient's safety.
Now the patient is seriously short of medicine, if he is out of the ventilator and has a problem on the way to the imaging department, then it is troublesome!
Facts have proved that Lin Feng's caution is very necessary.
The results came out quickly.
Although the chest x-ray is very rough, it is incomparable to the imaging department.
However, this chest x-ray can tell with closed eyes that the patient is a pneumothorax.
The left lung is almost pitch black on the chest radiograph, and no texture of lung tissue is visible.
This result is also consistent with the results of Lin Feng's auscultation, the left breathing sound is basically inaudible, and now the chest x-ray can not see the texture of the left lung, the lung is compressed, and it is 100% pneumothorax.
So
All you have to do is:
Perform "Chest Closure Drainage" immediately!
Fortunately, the patient is young, the left lung is almost out of function, relying on a lung to support hard, blood pressure, heart rate, blood oxygen, etc. can barely support, so that he has the opportunity to carry out chest closed drainage.
Confirm the condition, then it will be easy to do.
Signed by the patient's family.
Lin Feng began to prepare for the piercing.
The patient on the hospital bed also knew his situation, and asked a little nervously: "I coughed so badly because my left lung was ruptured, and the chest pain was also caused by pneumothorax?" "
Lin Feng, who was preparing, did not speak, nodded and responded, "That's right! Fortunately, you came to the hospital in time, and if it is later, it will be troublesome, and your life may be gone! "
Lin Feng is not scaring the patient, but the pneumothorax can really be very dangerous.
There are also many types, the patient in front of this is a spontaneous pneumothorax, which may be coughing up the lungs, or the lungs may be broken by themselves, resulting in cough.
At first, when the pneumothorax is not serious, there will be no obvious lack of oxygen, the back of the breach is getting bigger and bigger, the more severe the lung compression, the whole person will immediately become uncomfortable.
If some doctors treat chest tightness caused by pneumothorax as an allergy or disulfiram reaction, that's bad.
Of course, this situation is basically impossible, diagnosing pneumothorax is not troublesome, as long as you listen to both lungs with a stethoscope can basically be determined (complicated cases are counted separately), if this can still be misdiagnosed, then this doctor should not do it.
What else does the patient want to say,
Lin Feng: "Don't talk!" "
Patient: ".................."
Soon.
The puncture is ready to be completed.
Zhang Donglai on the side stood there stupidly, watching Xiaoru skillfully untie the clothes on the patient's chest and put away the disinfection cloth.
Lin Feng had already put on sterile gloves, and after local anesthesia, he held a puncture needle and directly pierced the patient's left chest cavity, and then quickly connected the water seal bottle.
Immediately, I saw a steady stream of bubbles coming out of the tube.
The gas in the patient's left chest cavity is being drained through the catheter in the chest to the water seal bottle.
After the pressure in the chest cavity is relieved, the patient's lungs will slowly expand.
Now.
The patient also becomes relaxed at a speed visible to the naked eye.
Looked at the ECG monitoring.
Breath 18 breaths/min
Heart rate 101 beats / min
Blood oxygen 100%
Seeing these values, Lin Feng knew that the patient was out of danger.
Next, it was left to Xiaoru to take care of.
Lin Feng walked out.
Seeing the patient's mother, he said with a smile: "Don't worry, your son's life is no longer in danger!" "
"Great! Thank you so much, Doctor! The patient's mother cried with joy and thanked Lin Feng incessantly.
"No thanks! This is all as it should be. Lin Feng smiled.
"Doctor. How could my son's lungs be broken? Hearing that her son was not in danger, the patient's mother also relaxed and asked Lin Feng very suspiciously.
She is mainly worried about whether her son will have this situation in the future.
Although it was cured this time, it was troublesome if this problem fell.
For the patient's mother's doubts, Lin Feng also understood in his heart, and then explained softly: "This is not strange!" "
"Maybe your son was born with a weak lung, or has bullae, or other problems, and in the case of severe coughing, it may lead to lung rupture, which is difficult to prevent."
"There are also people who smoke for a long time, have old chronic emphysema, and easily develop pneumothorax on their own."
"Of course, now your son is out of danger."
"After hospitalization, you must also improve the chest CT, and then you may be able to understand, and by the way, see if there are other problems."
Listening to Lin Feng's words, the patient's mother said thoughtfully: "So it is! "
"Hmm." Lin Feng nodded and walked back again.
There are some things he didn't say, which is to check some patients for lung cancer or other problems.
But
Now that the patient is just out of danger, it is better not to talk about this topic that makes the patient's family nervous.
After arranging for hospitalization, it will be good to do these examinations at that time.
The patient's lung rupture, there must be a reason, it will not be good to crack, but now there is no way to know.
For ordinary people, how to distinguish a pneumothorax?
If chest tightness, shortness of breath, chest pain, especially chest pain when breathing deeply, especially if accompanied by cough, suddenly appear, you must be vigilant.
There are also difficulty breathing, sweating, cyanosis of the lips, etc., all of which are possible.
Mild pneumothorax that can be absorbed on its own without puncture and pumping.
Severe pneumothorax, chest cavity closed drainage, it is impossible to take medicine at home, must do this minor surgery.
If you have this symptom, then go to the hospital quickly, which is a wise move.
......
Return to the rescue room,
"Teacher."
Seeing Lin Feng returning, Xiaoru hurriedly stepped forward.
After reporting the patient's condition, everything has returned to stability.
Lin Feng nodded and said to Xiao Ru: "Well, you will arrange for the patient to be hospitalized in the future, and after it is completely stabilized, you will conduct a follow-up examination to find out the cause of the patient's pneumothorax." "
"Yes, teacher!" Small as the answer immediately.
Then, Lin Feng looked at intern Zhang Donglai and asked softly, "What does it feel?" "
"Doctor Lin, you are too powerful!" Zhang Donglai said a little nervously.
"Nothing awesome! Study hard, you can do it later! Lin Feng patted Zhang Donglai's shoulder, the intern still had to give more encouragement.
Then, Lin Feng walked out.
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