bookpower Chapter 680
Chapter 680
"No, not at all. I've eaten cephalosporin, and I'm sure I don't dare to drink. The patient hurriedly replied.
Ask him if he has a drink!
It is because according to the patient's description, Lin Feng's first thought was the disulfiram reaction.
People who take cephalosporin antibiotics will have headaches, chest tightness, palpitations and other symptoms if they drink alcohol during this period, similar to alcohol withdrawal symptoms.
Why is it called disulfiram reaction, because disulfiram is a kind of alcohol withdrawal drug, everyone who eats disulfiram and then drink, although you usually do not pour a thousand glasses or how, as long as it is stained with alcohol it is uncomfortable, thus playing the purpose of abstaining from alcohol, so it is also called disulfiram reaction.
Now some drugs, mainly cephalosporin antibiotics, eat them and then drink, this reaction will occur.
"Have you ever drunk something with alcohol such as Huo Xiang Zhengqi Water?" Lin Feng continued to ask, such a trivial matter is easy to ignore in the consultation.
"No, no! Doctor, I also know that you can't drink alcohol after taking cephalosporin antibiotics, and certainly don't eat anything that contains alcohol! The patient then explained.
After speaking, he took out a few medicine boxes from his pocket and placed them on the table, and said to Lin Feng: "Doctor, I have only taken these medicines in the past two days!" "
Lin Feng glanced twice.
They are all normal cold medicines, and there will be no problems.
Just ready to continue asking.
Look up and see that the patient's lips begin to have cyanosis.
“？？？？？"
Lin Feng was stunned for a moment.
He was sure that this had not happened when the patient had just arrived at the door.
This is obviously a manifestation of hypoxia!
Lin Feng grabbed the patient's wrist.
Pulse!
The ulnar artery beats, very fast!
"Isn't it a little breathless? Chest tightness? "
"It's a little..."
The patient said.
At that moment, Lin Feng did not hesitate, and immediately got up and said: "Xiaoru, Xiao Zhang." Immediately send the patient to the rescue room and take oxygen! "
"Yes." The two answered immediately.
Get up and walk quickly and take the patient to the emergency room.
Lin Feng was just about to follow, but the patient's mother looked nervous, stopped Lin Feng and asked, "Doctor, is my son okay?" Why go to the rescue room! "
"Your son is now suffering from hypoxia, let him go to the rescue room to get oxygen, and I will diagnose him over there!" His situation is still unclear, and you stopped me for questioning to delay the time to treat him! "
Lin Feng understood the patient's mother's feelings, but also let her know the seriousness of the matter to avoid affecting the patient's treatment later.
"Okay, okay, doctor, let's go quickly!" The patient's mother hurriedly turned sideways to get out of the way, and said quickly in her mouth.
Lin Feng nodded.
Immediately walked out of the consultation room and came to the rescue room.
At this moment, the patient has been oxygenated.
"Feel better?" Lin Feng asked.
"I feel a little more relaxed, but I still hold my breath a little!" The patient said to Lin Feng.
Looked at.
Lin Feng took the stethoscope and prepared to listen to the patient's heart and lungs, and continued to ask in his mouth: "Have you ever taken cephalosporin drugs before, and are there any drug allergies?" "
The patient shook his head.
Before he could say anything, Lin Feng had already put the stethoscope on the patient.
According to a simple inquiry.
Lin Feng can basically rule out that this patient is not allergic, if it is an allergy, there will be a rash on the body and itchy skin.
Of course, not 100% certain.
Some people's symptoms of allergies are directly shortness of breath, laryngeal edema, severe or even direct shock.
Suddenly.
When the stethoscope heard the patient's lungs, Lin Feng's face turned pale and his brows furrowed.
Here in the left lung, you can hardly hear the sound.
Immediately listened to the patient's right lung, which is relatively normal.
He immediately looked up and asked, "Have you ever taken a chest x-ray before?" "
"No, the previous clinic did not have chest radiographs, and I came to you directly after coming to the hospital!" The patient answered.
Hearsay.
Lin Feng said to Xiaoru: "Adjust the oxygen flow to the maximum!" Let the patient lie down and connect the ECG monitor! "
Xiaoru hurried to work.
Oxygen gushed out like crazy, sizzling.
"You lie in bed first, don't move, don't be nervous, you've already come to the hospital, it's not a big problem." Lin Feng soothed the confused and nervous patient on the hospital bed.
Subsequently, he walked out of the emergency room with the patient's mother.
"Doctor, how is my son?" As soon as she came out, the patient's mother hurriedly asked.
"Preliminary diagnosis, your son should be a pneumothorax!" Lin Feng said.
"Doctor, is this dangerous? Hurry up and save my son!" "The patient's mother didn't know how serious this was, and she was even more worried about death.
"Simply put, your son's left lung ruptured. The breath sounds in the left lung are so low that they are almost gone. Because the lungs rupture, the lungs cannot swell up, and they cannot breathe more oxygen, so he will have chest tightness, shortness of breath, palpitation and headaches. As for the pain like a knife cut, the lungs are ruptured, it definitely hurts! Lin Feng explained.
"Ah~! Doctor, so what now! Hurry up and operate on my son!" When the patient's mother heard this, she immediately said.
"No surgery now! You need to first determine whether your son has a pneumothorax symptom, and then do chest drainage to release the gas in the chest cavity, so that the lungs can re-inflate and alleviate the risk of hypoxia! Lin Feng said.
"Good, good, good! Doctor, listen to you! You can do what you say! The patient's mother said quickly.
At this moment, she was afraid in her heart.
The son just coughed, but he heard Lin Feng say that his son's lungs ruptured.
The legs were so frightened that they only trembled.
Lin Feng nodded.
Walk back to the rescue room.
Explained to Xiaoru and asked her to arrange for the patient's mother to sign a serious illness notice.
Chest x-ray at the bedside was called,
Although bedside chest radiographs are flawed in quality compared to conventional chest radiographs, they still provide valuable information.
Lin Feng looked at the ECG monitoring in front of the hospital bed.
Heart rate 120 beats / min
Blood pressure 148/80mmHg
29 breaths/min
Blood oxygen 92%
Seeing the last item of blood oxygen, Lin Feng took a deep breath.
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