bookpower Chapter 685
Chapter 685
Too late to say more!
Lin Feng quickly measured the patient's blood pressure again.
The situation is serious.
Systolic blood pressure is less than 90 mmHg (normal value 100-120).
While measuring blood pressure, Lin Feng could clearly hear that the patient's breathing became rapid and his heart rate became faster.
Hands-on and jumped the oxygen flow to the maximum.
After a moment of contemplation.
Orders such as re-arterial blood gas for the patient.
Soon, the arterial blood gas came out.
The partial pressure of oxygen is already only 66mmHg, which is still in the state of oxygen inhalation.
It is obvious that the lack of oxygen is aggravated, and there is already a case of respiratory failure.
"Thrombolysis?"
......
......
By the time Lin Feng came out of the interventional operating room, it was already 1 hour later.
Send to ICU.
Intensive care.
Lin Feng explained the patient's situation to the doctor on duty in the ICU, and immediately called him to notify him of any problems, and then left the ICU.
Return to the emergency department.
Not for a while.
A middle-aged couple hurried in with a young girl.
See Lin Feng instantly.
The couple's faces changed, and they pleaded with Lin Feng: "Doctor Lin, Doctor Lin." Save my daughter! "
Facing the sudden patient, Lin Feng said calmly: "Two of you, don't worry. Sit down first and tell me about your daughter's situation? "
Lin Feng also took the opportunity to carefully look at this patient.
Brow furrowed.
His eyes wandered, as if he was worried about something.
His face was very haggard, and he looked very weak.
After sitting down.
The patient's father hurriedly said: "Dr. Lin, we have visited many hospitals, this time we came to find you specifically, you must save my daughter!" "
"Don't get excited, don't get excited. Tell me about your daughter first! Lin Feng said immediately.
Hear this.
The patient's father began to speak.
His daughter was a month ago, I don't know if it was due to work pressure or something else.
Began to have poor sleep, could not sleep, fell asleep and easily woke up, often dreamed at night, and it was not a good dream. Sometimes there will be numbness in the fingers and upset.
At first, they didn't care, thinking that it was just caused by too much pressure and too tired work.
Until five days ago.
When his daughter drank water, she suddenly felt chest tightness, gasping and nervousness, as if someone was going to hunt her down.
Although it only lasted for a few minutes, it also attracted his great attention.
Especially when her daughter stands by the window, when she is blown by the wind, she will immediately be anxious, and seeing the wind is like seeing a ghost, as if the wind wants to kill her.
The doors and windows of the house can be sealed tightly, airtight, and have no effect.
Panic attacks still occur.
In addition, his sister had a mental disorder before, and he was worried about whether it would be passed on to his daughter.
Immediately put down the work at hand and took my daughter to the hospital for examination.
Many checks were done.
Chest x-ray, electrocardiogram, color ultrasound, etc.
None of them found anything unusual.
Finally, I went to the psychiatric clinic and after evaluation, I came up with an anxiety disorder.
He was a little unconvinced of the result.
So I took my daughter here and wanted to ask Lin Feng to help diagnose it.
Duration.
His daughter had several more of her previous symptoms, but they both frightened.
......
Lin Feng listened to the description of the patient's father there, and his brows wrinkled from time to time.
When he heard about the anxiety, Lin Feng looked at the patient more carefully.
Something feels wrong.
Anxiety disorder is a mental disorder characterized by the experience of anxious emotions and is divided into many types. According to the patient's father, there are some types of compound panic disorder.
Panic disorder refers to repeated unpredictable feelings of intense fear or discomfort that peak within minutes, resulting in an increased heart rate, increased breathing, sweating, shaking, weakness, tiredness, difficulty sleeping, and bowel problems.
After the patient's father finished speaking.
Lin Feng opened his mouth and asked the patient, "Can you tell me what it was like at that time?" "
Seeing Lin Feng, he directly opened his mouth to ask the patient.
The parents of the patients sitting on either side had worried looks on their faces, worried that their daughter would be irritated by the doctor's words.
Then.
The patient spoke, and said in a very weak voice: "At the beginning, I felt that it was difficult to breathe, as if I couldn't feel the air at all, it was very uncomfortable, I could only keep beating my chest, and slowly I felt the sadness, pain, hesitation and helplessness like losing a loved one." Then it starts to recover slowly! "
Hearing this description, Lin Feng shook his head and asked again: "During the attack, did you see any hallucinations or any strange thoughts in your mind?" Or is the brain pausing to think? "
Hearsay.
The patient shook his head slightly.
Hearing this answer, Lin Feng had some thoughts in his heart.
As for why the patient is asked whether there are hallucinations or delusions, it is because this is the symptom that normal mental disorder patients will have, and they all happen inexplicably.
And the patient in front of you does not have this situation, which means that it may not be a mental problem, it may be something else.
Immediately, Lin Feng began to carefully recall the description just now.
The patient's parents were a little shocked, and when they saw Lin Feng's two sentences, they fell into deep thought, and the patient's father couldn't help but ask: "Doctor Lin, what is the situation of my daughter?" Is it really a mental illness? "
Just as the patient's father spoke, Lin Feng recalled the patient's father's previous description and the patient's reaction when he encountered the wind, which reminded him of another situation rabies!
Immediately, Lin Feng immediately asked the patient: "Think about it carefully!" Have you ever been bitten by a dog recently! In a few weeks or months? "
The parents next to the patient were stunned for a moment, not understanding why Lin Feng asked this question.
The patient did not think much, but carefully recalled.
After a moment, he said softly: "A few months ago, I seemed to have been bitten by a puppy near the unit!" "
Hear here.
Lin Feng's heart was half cold, and he immediately asked, "Did you go to get the rabies vaccine at that time!! "
The patient then said, "No! A small puppy, did not pay attention to it at all, just rinsed it with water, and after the blood stopped, it was gone! "
"Alas!" Lin Feng sighed in his heart.
Immediately got up and called the patient's parents out, and said in a deep voice: "Two, your daughter does not have some mental illness, but rabies!" Those previous symptoms are obviously symptoms of a rabies attack! "
Lin Feng also understood at this time the reason why the patient was nervous when drinking water, afraid of the wind and light.
It's obviously hydrophobia, that is, rabies!
Hearing this, the patient's father immediately asked nervously: "Dr. Lin, is rabies very serious?" "
。