bookpower Chapter 570
Chapter 570
"Dr. Lin, Dr. Lin! Look what's wrong with my son..."
At this time, a couple came in a hurry with their children.
The child looked five or six years old, and there were tears on his face.
Lin Feng immediately said:
"Sit down and tell me what's going on!"
Patient, 6 years old, boy.
The woman on the side said with a panicked expression: "Doctor Lin! My son had a sudden fever yesterday, and we didn't take it seriously, so we bought him some cold medicine and sent him to school...."
"Who knew that I suddenly vomited at school, and the teacher called me to quickly take my son home...."
"After returning home, the situation seemed to be a little better, so I took him to the nearby community medical clinic to see and take the medicine..."
"I didn't expect that the situation became more serious today, and when I called him to get up, I found that he couldn't talk well, and he couldn't get up...."
As she spoke, the woman's tears were about to fall.
Listen to this description.
Lin Feng immediately thought of the condition of "pediatric encephalitis".
"Pediatric encephalitis" high fever accompanied by headache, vomiting, lethargy and even coma delirium, neck rigidity.
This patient is all embodied.
Immediately said: "These symptoms, I initially suspect encephalitis!" You guys hurry up to do a blood routine, EEG, CT, I'll give you a list! "
"Good, good...."
When the couple heard this, they hurriedly answered without the slightest hesitation.
After getting the list, pick up my son and leave quickly.
Blood routine can be done according to changes in blood items, including white blood cell count values to assist diagnosis.
EEG is mainly characterized by diffuse or localized abnormal slow wave background activity, and a few are accompanied by spike waves and spike-slow synthesis waves. Slow-wave background activity intelligently indicates normal brain function, which cannot confirm the nature of viral infection, and is also used as an auxiliary diagnosis.
Brain CT is also an aid in diagnosis.
These three are considered the safest and non-invasive tests for pediatric encephalitis.
If the data from all three tests show symptoms of encephalitis.
Then a cerebrospinal fluid aspiration examination is performed, which is traumatic to the patient, but also more certain of the patient's symptoms!
......
An hour later
Lin Feng had just transferred a patient to the respiratory department.
The couple came again.
"Dr. Lin, let's see how my son is doing..."
Saying that, the man put the checklist in his hand in front of Lin Feng.
After reading the checklist,
Lin Feng's brows frowned slightly, and his face was not good.
"With these tests, it is basically determined that it is pediatric encephalitis! Next, you will need to do a cerebrospinal fluid aspiration test for your child! "
"Dr. Lin! Is this encephalitis serious? ...."
The man asked Lin Feng with a heavy face.
"You still need to do tests to determine what type of encephalitis is! Now everything is not accurate, you don't have too much burden in your heart, as long as you follow the doctor's arrangement, nothing will happen! Lin Feng said softly.
"Yes, yes, yes! Let's listen to Dr. Lin, let's go for the examination now..." Looking at the child's uncomfortable appearance, the woman hurriedly said.
Taking the list opened by Lin Feng, the couple hurriedly left with their children.
......
Jingle bells ~~
Nurse station, landline ringing.
The nurse was immediately connected.
A voice from inside said: "Emergency department! Hurry up and get ready, a patient with breathing difficulties will arrive soon! "
After speaking, the phone hung up.
The nurse hurriedly reported, and soon the task was assigned to Lin Feng.
Lin Feng shouted.
"Get ready, a patient with breathing difficulties will arrive soon!"
Hearing this, Lin Feng's team began to prepare.
Embattled.
Difficulty breathing is known to be one of the serious conditions they often encounter.
Dyspnea is a professional term, as the saying goes, breathing is not smooth, not enough breath, not up to breathe, etc., the symptoms of such patients are very obvious, you can see at a glance.
The presence of dyspnea often means that the condition is severe, and more often it means that the disease will progress very quickly.
Why do I have trouble breathing!
It is nothing more than heart disease and lung disease, generally in the scope of these two organs, such as myocardial infarction will have chest pain, dyspnea, heart failure will also have difficulty breathing, severe pneumonia, pulmonary embolism, pneumothorax, pleural effusion, etc. will also have difficulty breathing.
It is difficult to find the cause in a short time, and the time cannot be delayed, otherwise those patients will really die to you!
Patients who encounter this symptom will be in good spirits.
Of course, ICU doctors are often invited to come for consultation.
However, with Lin Feng here, this step is avoided.
At this time, Lin Feng had already led people to wait at the emergency door.
When the ambulance stopped, everyone stepped forward to carry the patient down.
After Lin Feng glanced at it, he ordered:
"Go, rescue room!"
Immediately.
The crowd went straight to the emergency department!
The patient, male, is about 40 years old, and is thin.
"Quick! The patient is deprived of oxygen, put on the oxygen mask! As soon as he was sent to the emergency room, Lin Feng shouted loudly.
Xiaoru on the side hurriedly pushed the non-invasive ventilator and put the mask on the patient's head. In general, a non-invasive ventilator is sufficient to cope with dyspnea, and in milder cases, nasal cannula oxygen is sufficient.
The advantage of using a non-invasive ventilator is that it is non-invasive and not as hard.
If it is an invasive ventilator, it is necessary to insert an endotracheal tube into the patient, which is very hard. Because endotracheal intubation is traumatic, imagine a finger-thick catheter inserted from the mouth or nose, through the throat, and think of the legs are soft.
The machines linked to the patient and began to detect his vital signs.
However, Lin Feng had a serious expression on his face.
The patient in front of him is not doing well, and his breathing is very rapid.
Normal people's breathing is 12-20 beats/min, while patients have reached about 35 beats/min.
Breathing too fast is due to lack of oxygen, and the brain forces the breathing rate to speed up and speed up oxygen inhalation, which is the body's self-protection mechanism.
But breathing too quickly is very tiring, and if you are tired, it can easily lead to respiratory failure.
Lin Feng bowed his head slightly and observed the patient up close.
I found that his eyes were full of panic and anxiety, and although he was wearing a mask, he could still see that his lips had turned cyanosis, but he still tried his best to cooperate with the treatment of doctors and nurses, this is a dying patient, longing for life.
With a non-invasive ventilator or lack of oxygen, ECG monitoring saw that the blood oxygen saturation was only 90%, and the heart rate was 128 times / min, which was very bad.
The quickest way to understand the patient's situation is naturally to ask the family.
However, the accompanying doctors have recorded it.
As soon as Lin Feng spoke, someone sent the record to him.
The patient had fever, sore throat for 3 days, and suddenly had difficulty breathing in the morning.
Lin Feng immediately put a stethoscope on the patient's chest, he had to listen carefully to see if it was a pneumothorax.
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