bookpower Chapter 682
Chapter 682
"Quick~~~!"
"Let's go!"
“....."
A patient was pushed into the emergency room from Lin Feng's side.
This is the case with the emergency department.
Patients are brought in every day.
"Teacher, wait a minute!" As soon as Lin Feng took a step, he heard Xiao Ru's anxious voice behind him.
Smell.
Lin Feng immediately turned around and asked, "How?" What happened to that patient just now! "
"It's not. Teacher, it's a patient in bed six, just now suddenly coughed up blood, I hurried over to call you! Xiaoru said quickly.
"Coughing up blood? Take me to see it! Lin Feng's face tightened, and he said immediately.
Cough up blood!
This can be a big or small thing.
But every patient who can be admitted to the rescue ward must be treated with care.
Just walked into the ward.
I saw the newly arrived Director Wang Zhengchao standing next to bed No. 6.
"Teacher?" Xiao Ru suddenly stopped and said with some hesitation.
"It's okay, go over and take a look!" Lin Feng said with a smile, without the slightest pause in his steps.
Didn't take two steps.
Lin Feng saw the patient on the hospital bed.
A female patient, almost 165 or so tall, looks very thin, estimated to be about 45kg.
As soon as the two walked to the side, Director Wang Zhengchao turned his head and looked over.
"Director." Seeing the director look over, Lin Feng smiled and nodded.
"Hmm." Director Wang nodded, and then continued to look down at the patient's case in his hand.
Then.
The former doctor came to Lin Feng's side and said softly: "Doctor Lin, you are here!" "
"Hmm. Xiaoru saw this patient coughing up blood, so she hurriedly called me back, what is the situation of the patient? Lin Feng nodded and asked softly.
After glancing at the director, Dr. Gui Pei said softly: "Doctor Lin, this patient has been here before. At that time, it was because of coughing and phlegm. At that time, a chest x-ray was also taken, indicating that there was some inflammation in the lower left lung, and blood was drawn to check white blood cells, and the count was also high, which confirmed pneumonia. "
"She was originally hospitalized, but she said she was busy with work and couldn't be hospitalized, so she wanted to take some medicine home to eat."
"Then the director prescribed him oral antibiotics for a few days."
Lin Feng nodded slightly as he listened, and there was no problem in dealing with it.
Most pneumonia is caused by bacteria, if you don't want to be hospitalized, oral antibiotics can cover common bacteria, basically eat a few days will get better.
After seeing Lin Feng nodding, he looked at himself again.
Doctor Guipei paused and continued, "When I came over today, I looked very uncomfortable looking at her. said that after taking medicine for a few days, the cough got better, and this morning I started chest pain again, and now it is even more uncomfortable, and it hurts to breathe deeply, like a needle prick! I couldn't hold on, so I came again. "
The other side.
Director Wang is still watching the case.
This patient was seen by him before, and the basic situation is relatively clear.
Especially after coming over today, it was also the diagnosis he gave.
The patient was very nervous.
Ask if it is because she frequently stays up late and works overtime and lacks exercise.
This is simply common sense.
Staying up late and working overtime without exercising can easily lead to a decline in immunity, and the body's ability to deal with germs will naturally decline.
Director Wang didn't talk much.
Instead, the woman was carefully examined.
After listening to the heart and lungs, there is no problem with the heart, or some wet rales can be heard in the lower left lung, and the inflammation inside should not have disappeared.
Chest x-rays have been taken, and the things to see are relatively limited.
At that time, the diagnosis was pneumonia, but antibiotics did not work, which means that there are other problems in the body that have not been found.
So this time the patient was directly arranged for CT.
The patient was still a little resistant at that time, because she felt that the price of CT was 600 yuan, which was a bit expensive.
I want to try it directly.
Director Wang naturally could not agree, first explained that the patient's lung condition is not necessarily pneumonia, but also may be lung cancer and tuberculosis.
Behold!
The patient even said that there were elders in the family who had lung cancer and began to wonder if he had a family history of lung cancer.
Finally, after being appeased by Director Wang, he agreed to do CT.
Not only did CT, but also another blood draw for re-examination, and at the same time checked coagulation indicators, D dimer, myocardial enzymes, troponin, etc., and finally electrocardiogram.
There was nothing unusual about the ECG, it was a little faster.
The results of CT are very clear, suggesting patchy opacities in the lower left lung and a small amount of pleural effusion, although there is no mass.
Without a lump, lung cancer and tuberculosis can basically be ruled out.
As for the other tests, we won't know until the results come out.
Why consider tuberculosis.
The main reason is that the patient is too thin, appears very thin, and now has respiratory symptoms, it is inevitable to think of this aspect, but the lesions of tuberculosis are generally the tip of the upper lung, not the lower lung.
Later, Director Wang arranged for the patient to be hospitalized for observation, but the patient was only willing to hang needles in the hospital and go back to work at night.
For the patient's strong request, Director Wang naturally will not force it, but let Gui Pei pay more attention.
After the first bottle of antibiotics was used, the patient reported that the effect was good, and the chest pain was not very serious.
Director Wang naturally didn't care much.
Then came the scene in front of you.
"How do you feel now?" After reading the medical records, Director Wang asked the patient softly.
Hearing Director Wang's words, the patient's eyes suddenly moistened, and he asked with some concern: "Doctor, am I not good anymore?" Just coughed twice, but I didn't expect it to cough up blood? "
Director Wang was also very curious about the patient's coughing up blood.
Just one pneumonia, it is said that coughing up blood may also occur, but this condition may appear too low.
What caused the patient in front of him to cough up blood, Director Wang couldn't figure it out for a while.
However, I glanced at the ECG monitoring connected next to me.
High blood pressure, fast heart rate, normal blood oxygen.
Not a big problem.
Immediately comforted: "A small number of pneumonia patients will have symptoms of coughing up blood, don't be afraid!" "
Right at this moment.
A Gui Pei ran over quickly.
He was holding the results of the patient's previous examinations.
Director Wang quickly took it and took a look.
My heart immediately jumped.
However, he still handed the inspection results to Lin Feng without changing his face, and said softly: "Xiao Lin, you can also take a look." "
Lin Feng nodded.
I took the documents and looked at them.
Although the two have contradictions, but... When treating a disease, try to be cooperative.
When I saw that the examination of the D dimer above was accepted, my eyes also became solemn.
This value is several times higher than the normal value.
D dimer generally represents thrombosis...
.——————————————
ps: make up yesterday...