bookpower Chapter 569
Chapter 569
"It seems that you can only send the ICU..."
The patient's condition is considered to be pulmonary embolism, and going to the ICU is the best option.
But!
If it is a large pulmonary embolism, the ventilator is not very effective.
It's simple.
Ventilators work by injecting oxygen into the patient's lungs and forcing it. However, if the pulmonary artery emboli is blocked and no blood flows over, there is no way to carry out effective blood oxygen exchange.
If the blood cannot flow, then it cannot bring oxygen in, and in the same way, there is no way to excrete carbon dioxide, and finally the patient will die due to lack of oxygen and carbon dioxide retention.
Of course, there is a ventilator, and the effect is still very large.
At the very least, the patient's vital signs are now more stable.
The next step is to diagnose the patient's condition.
Grasp the opportunity, and then dissolve the emboli and restore the patency of the pulmonary artery, then there are many chances of survival, after all, it is still so young.
"Dr. Lin! The patient's family has arrived! The medical department is communicating with her! A nurse came in and said.
Lin Feng nodded.
After communication, the family also agreed to be admitted to the ICU!
For patients, Lin Feng is still more attentive.
Especially since this patient is still so young.
On the way to the ICU, two other doctors offered to get a CT!
He was stopped by Lin Feng on the spot.
CT is not available now.
Admitted to a separate ward, various monitoring equipment linked.
The families also arrived.
The family is the patient's aunt, just working here, or renting a house, and the income is not high, and the ICU is bad news for them!
Of course, the ICU is bad news for everyone!
Soon.
The color ultrasound machine was pushed into the ward, and Lin Feng was also invited in.
Do bedside ultrasound.
Although the doctors in the ICU are not as good as the doctors who do ultrasound professionally, it is probably no problem to see one.
Especially after inviting Lin Feng in, their hearts were more secure.
"Doctor Lin, look! The patient's right ventricle is really dilated, and the pressure is obviously high! The ICU doctor stared at the screen, saw the image, and said to Lin Feng.
Lin Feng nodded.
However, his eyes still did not leave the screen.
Although pulmonary emboli are not clearly seen above, it can be indirectly believed that the patient has pulmonary embolism through increased right heart pressure and pulmonary artery pressure load.
"I think it's time to prepare for thrombolysis as soon as possible!" The ICU doctor asked Lin Feng.
"Hmm! However, it is necessary to communicate well with the family. Lin Feng nodded.
Thrombolysis for pulmonary embolism is completely different from thrombolysis for myocardial infarction. Although both are thrombus blocking blood vessels, thrombolytic drugs for myocardial infarction are more urgent, and they must be completed within 1-2 hours, otherwise the cardiomyocytes will die, and then there is no point in thrombolysis.
Pulmonary embolism is not the same, the lungs are many channels of blood supply, pulmonary arteries are blocked and bronchial arteries are supplying blood, not so fast necrosis, so pulmonary embolism thrombolysis can have 14 days to consider.
At this moment,
The aunt suddenly said something.
Whispered to Lin Feng.
"Dr. Lin... There's something I don't know if I want to tell you..."
"What's going on?"
"My nephew ... Suck that thing..."
“？？？？"
“！！！"
Lin Feng understood!!
Suck laundry detergent!
At this moment, Lin Feng thought a lot.
This patient is very similar to the last sucking patient!
Infective endocarditis that occurs in drug addicts, causing a long-term fever. Infective endometritis will have cardiac vegetations, and if the patient has a vegetation in the right heart, once it falls off, it may also cause pulmonary embolism!
If it is really infective endometritis, then the emboli that fall off are bacterial masses and tissues, and they are not thrombus at all, then thrombolysis is not needed!
Thrombolytic drugs target blood clots, have no effect on bacterial masses and tissue masses, and once thrombolysis, it will definitely do more harm than good!
So
The treatment plan is about to change!
Lin Feng told others about 'attracting fans'.
"I'll go!"
"Fan sucking!"
"Stepping on the horse!!"
"Why didn't you say it earlier!"
Everyone's faces changed.
A nurse turned pale: "I just touched his blood..."
"Don't be too scared! Our protection is fine, it should not be infected. Lin Feng comforted.
"What about thrombolysis?" The ICU doctor asked softly.
"Wait a minute! If the patient actually smokes X, I think it is a pulmonary embolism caused by cardiac vegetations! Lin Feng said.
Hearing this, the other two doctors immediately understood what it meant.
"Doctor Lin, what should I do now!" The doctor on the side asked.
"If you want to do bacterial culture, it may be too late... Or just come up with a broad-spectrum fierce medicine and use "Swar"..." Lin Feng said immediately.
The ICU doctor listened and nodded.
"Dr. Lin's opinion, I agree!"
Then, the next step is to find the family aunt to sign.
As for occupational exposure protection, it is naturally strengthened to a higher level.
Lin Feng glanced at the patient, left the ICU, and returned to the emergency department.
Just leave the rest to the ICU.
Let's be honest!
This patient is also self-helping!
Is it good to live well?
Have to suck X!
Even more disgusting are those traffickers!
It really deserves the death penalty!
After returning to the emergency department.
Xiao Ru said to Lin Feng: "Teacher! The patient at bed 30 had a fiberoptic bronchoscope today! "
"Hmm! How is the effect? Lin Feng asked.
"According to the results of tissue tests, the manifestations of the lung abscess were echoed, in which no tumor cells were found, and no tuberculosis cells were found! That's good news! Xiaoru said.
"Hmm!" Lin Feng nodded.
At this time, another patient arrived.
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