bookpower Chapter 678
Chapter 678
「678」
"Doctor, doctor..."
In Lin Feng's consultation room, the nurse suddenly broke in.
"Dr. Lin, there is a high school student, just sent over, epilepsy seems to be, you help take a look..."
Lin Feng hadn't called the patient at this time, so he nodded.
"Good!"
Walked out, Xiaoru, Zhang Donglai followed out.
Outside, on the flat car, lay a high school student, male, wearing a blue and white school uniform.
Awake, but seemingly with little strength.
There are also 3 male classmates, who came with them.
"What's going on?" Lin Feng asked.
"I don't know, Chen Jie suddenly fainted when he was in class."
"After fainting, I still twitched a few times on the ground, that is, my limbs and head were twitching involuntarily."
"yes, it looked a little scary at the time!"
The three classmates, you said a word, and I spoke.
Lin Feng asked the patient Zhang Jie: "Did you feel anything at that time?" Where does it hurt? Or a cerebral coma? "
Zhang Jie looked confused: "I don't know, I don't have any impression, I just know that I fell..."
Lin Feng: "??? "
But combined with what the classmate just said, the first judgment is - epilepsy.
Continue to ask: "Before, have you had any illness?" It's surgery, or a serious illness or something..."
Zhang Jie shook his head: "No... I've always been healthy, just a cold and fever..."
Lin Feng: "Have you ever hurt your head?" "
Zhang Jie recalled: "There was... Playing basketball again, I hit the basketball iron frame, and my head was black at that time, but there was nothing to do behind..."
"At that time, I hit my head, did I faint and vomit?"
"No..."
Although Zhang Jie said that there are no sequelae,
But Lin Feng considered epilepsy, plus hit the head... Therefore, it cannot be ruled out that there was brain damage at that time, which caused today's disease.
"Let's go for a CT... Let's get rid of the problem of the head first..."
Lin Feng said.
"That... Doctor, we didn't bring any money..."
A few high school students, humming and blushing shyly.
Lin Feng smiled and said, "I'll give it to you..."
Mainly students, and there are not many signs.
Chen Jie: "Thank you doctor, I have already called my mother, she will come over soon." "
Lin Feng nodded.
suddenly
Zhang Jie jerked up and fainted again.
Then, the convulsions appear again.
"Yes, Doctor, that's it!"
The three classmates pointed to Chen Jie and said loudly.
Lin Feng's face was grim, on the one hand, he was afraid of vomit, and then swallowed into the airway, on the other hand, he was afraid of epilepsy for too long, should he use some anti-epileptic drugs...
At this moment, Chen Jie's convulsions suddenly stopped.
The whole process lasted less than 12 seconds.
However, Chen Jie was still in a coma and did not wake up.
Lin Feng looked at the pupils of patient Chen Jie,
Double pupils and other large circles, the light reflection is still present, which can exclude serious craniocerebral trauma with a high probability.
"Go to the rescue room..."
Enter the operating room, monitor the three consecutive ...
ECG, ECG monitoring...
Blood pressure 98/52mmHg, a little lower
Heart rate 110 beats/min,
Blood oxygen 98%
Lin Feng assessed that the patient's condition did not have too dangerous symptoms.
"Go, do CT!"
"Wait..."
"Build a meridian channel, you can quickly use medicine if you have something..."
"By the way, take a blood routine..."
At the same time, blood was drawn for routine testing.
......
A few minutes later,
Arrive at the CT room.
Chen Jie hasn't woken up yet.
"No matter, do a CT first..."
8 minutes later...
The CT teacher shook his head at Lin Feng.
"No obvious foci of craniocerebral hemorrhage were found, and no cracks in the skull were seen..."
“？？？ Didn't find it? "
Now it was Lin Feng's turn to frown.
The patient fainted twice, impaired consciousness, and both had convulsions, if it was not cerebral hemorrhage, what would be the cause.
First of all, the consideration is epilepsy.
Push patient Chen Jie out of the CT room, and then see patient Chen Jie wake up.
"I... What's going on? "
Lin Feng: "Wake up... Can you remember what just happened? "
Chen Jie shook his head, looking confused and worried.
Lin Feng, the first thing to consider at this time is epilepsy.
The so-called epilepsy refers to the abnormal firing of neurons in the brain, simply put, the brain was short-circuited at that time, sending out a lot of abnormal electrical signals, resulting in abnormal sensation, movement, consciousness, spirit, behavior, etc.
With mild seizures, the patient may still be awake.
Severe seizures, such as large seizures, the patient will have impaired consciousness, accompanied by violent convulsions, foaming at the mouth, turning the eyeballs, biting the tip of the tongue...
"Go for an EEG..."
EEG is an important basis for diagnosing epilepsy.
Moreover, Harmony Hospital has the most advanced video EEG with higher accuracy, which is of great value for distinguishing epileptic seizures from non-epileptic seizures.
"Consider epilepsy first..."
"If the EEG does not pass, then look for other reasons..."
What else causes epilepsy to cause this?
For example, heart disease.
For example, the patient has a tachyarrhythmic attack, or a severe slow arrhythmia, the heart does not pump enough blood, the brain will be ischemic and hypoxic, brain dysfunction, and there will also be transient coma, convulsions...
That is, "Ass syndrome".
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ps: Went out today, so the word count is a little less...
......。