bookpower Chapter 679
Chapter 679
「679」
"Wait, Ass syndrome?!"
Lin Feng was stunned for a moment.
"Ass syndrome":
Also known as cardiogenic cerebral ischemic syndrome, it refers to a sudden onset of severe, fatal slow or rapid arrhythmias, which sharply reduces cardiac output in a short period of time, resulting in severe cerebral ischemia, loss of consciousness and syncope and other symptoms.
"The patient's condition seems to be very similar to this..."
At this time, Lin Feng became serious.
This "Ass syndrome" is an emergency.
It is likely to cause sudden death of the patient.
thereupon
Lin Feng changed his mind and did not go for an EEG first, because epilepsy rarely causes sudden death of patients. But "Ass syndrome" does.
Therefore, first rule out "As's syndrome"!
How to exclude?
Holter!
Let the patient always wear the monitoring equipment and electrodes of the ambulatory ECG to record whether the ECG is obviously abnormal when the patient next has an 'attack'.
If there is, it meets the characteristics of "As's syndrome", then it is a real hammer.
If not, then exclude.
If the patient falls into coma and convulsions again, and ECG monitoring can capture abnormal electrical activity, it is a stone hammer.
Of course, while doing this, you can also do an EEG.
Can be together.
"Doctor, I want to go to the toilet..."
At this moment, patient Chen Jie suddenly said.
"Going to the bathroom? Do you have a stomach ache? "
"It doesn't hurt, but it's not comfortable..."
"You don't have to go to the toilet, you pull on the bed ..."
"Huh?"
The patient Chen Jie was still just a high school student, his face was tender, and when he heard that he was going to pull on the bed, he suddenly couldn't hang up and blushed.
"Doctor, no need, right?"
"Wanted... Don't be shy, this is a hospital, your condition, I haven't figured out what the reason is, in case you come to the toilet, it will be trouble..."
In Lin Feng's serious and majestic voice, classmate Chen Jie blushed, and on the bed under the playfulness of his classmates.
soon
Poof~~~~~ (Smelly sound)
Classmate Chen Jie suddenly blushed like a shrimp.
succeeded.
Chen Jie: "................................."
3 male classmates: ".............................."
Embarrassed!
Social death scene!!
The three male classmates wanted to laugh, but considering that their friend Chen Jie was still sick, they did not dare to laugh and endured it so hard.
Wait a minute......
Lin Feng's eyes suddenly looked inside the bedpan.
Wrong!
The color of this stool, dark black.
The sensitivity of the profession made Lin Feng suddenly suspect ———— blood in the stool!!
The ward aunt prepares to pack up the stool.
"Wait... This stool, leave a sample, send it for occult blood test, see if there is blood in the stool..."
"Huh? Well..."
Then Lin Feng looked at Chen Jie: "Have you eaten red recently?" For example, dragon fruit, cherries or something. "
Chen Jie shook his head: "No." "
Lin Feng: "Then have you pulled black poop recently?" "
Chen Jie thought for a while: "In the past two days, it seems that there are pulls..."
Lin Feng: "!!!! "
The probability of blood in the stool has been greatly improved!
Then, according to the pattern of blood in the stool written earlier.
Bleeding from the upper part of the digestive tract (stomach, duodenum) and black stool!
The lower half of the digestive tract (small intestine, colon, rectum, etc.) bleeds, and red stools will come out!
so
Consider gastric and duodenal bleeding.
"Recently, have you ever felt uncomfortable in your stomach and intestines?"
"Occasionally..."
"Acid reflux? Abdominal distension? "
"Occasionally there will be ... It's really not been very comfortable lately..."
Lin Feng asked here, and he already had a part of the basic judgment.
Most likely, there is a problem with the stomach and duodenum!
just right
At this time, Chen Jie's mother rushed over with a nervous face, looking at which ward number while galloping.
Soon, he found it, saw his son Chen Jie in the ward, and immediately rushed over.
"Son, are you all right? Don't scare your mother! "
A series of nervous questions, bar la la for more than a minute, hugging from time to time.
Chen Jie: ".................."
Death again.
He's already a man!
"Hey, Doctor Lin..." My mother recognized Lin Feng when she saw it.
"Hello..."
"Hello, Dr. Lin, what's the situation with my son?"
"It's not clear, but I just found you with black stool, suspected stomach ulcer, duodenal ulcer bleeding... I want to give him a gastroscope. "
"Do do do do do! I trust Dr. Lim for your skills! "
Mom nodded repeatedly.
soon
The patient was sent to a gastroscope.
At this time, the laboratory department transmitted back the patient's blood routine results.
Hemoglobin: 69!
go without saying
Anemia.
Proof of the presence of blood in the stool!
The next step is to wait for the gastroscope.
Lin Feng glanced at the two students following behind: Xiaoru and Zhang Donglai.
Prepare for the exam.
"If it's really stomach bleeding, then ... Do you think it has anything to do with the sudden fainting and convulsions of the patient? "
Zhang Donglai thought for a while: "No, right? It doesn't feel like it matters. "
Xiaoru: "I think there is." "
Lin Feng gave the answer: "There are very few such patients, but it is not impossible, anemia, when the blood supply to the brain is insufficient, it will cause various reactions of the brain..."
Then instructed Xiaoru: "The patient is anemic, and it is not light, you go and prepare a rehydration to avoid shock... Let the blood bank take the blood... By the way, prepare medicine to stop the bleeding..."
Xiao Ru ordered: "Yes." "
......
Half an hour later,
Chen Jie's gastroscopy results are out!
OK: Stomach ulcer, bleeding!!
In other words, Chen Jie has been bleeding all the time these days!
Next
It's a lot simpler.
Replenishment of blood followed by endoscopic hemostasis...
In addition, if you are worried about epilepsy and Ass syndrome, you can wear a Holter monitoring instrument and do an electroencephalogram...
Finally, my mother followed Lin Feng's advice and went for these two tests, and a day later, these two tests were eliminated.
And during this day, Chen Jie never fainted and convulsed again.
......
Conclusion: Tentatively determined "bleeding from gastric ulcer", resulting in fainting and convulsions.
Other possibilities are not excluded.
......
A new day,
Xiao Ru and Zhang Donglai continued to follow.
This small gauge is still nervous.
Sitting there trembling, his eyes dodged, not daring to look at Lin Feng who came over.
Lin Feng smiled and was ready to speak to relieve him and let him relax a little.
At this time, the elderly mother and the patient's son hurriedly walked in.
"Doctor, doctor. Quickly help my son see. The patient's mother shouted at Lin Feng with an eager look.
"Don't panic, sit down and say." Lin Feng glanced at the mother and the patient and said softly.
The patient's face looked a little ugly, but his mind was still clear.
Just sat down.
Lin Feng asked, "Tell me about the situation?" "
Patient: "Doctor, I have had a cold these two days and always coughed. Just prescribed some medicine at the clinic near my home, and this cefaclor . After eating, I felt that the situation was serious. The cough became more and more severe, and every time I coughed or inhaled deeply, the left side of my chest felt like a knife cut. Chest tightness, panic, and a little headache. "
Lin Feng did not raise his head, while recording the patient's situation, he asked: "Have you drunk in the past two days?" "
Cephalosporin plus wine, one close and go...
。