bookpower Chapter 499
Chapter 499
Lin Feng checked a few things,
It was found that there are no typical symptoms of stroke: due to a problem with one side of the brain, then the limb muscles controlled by the brain will have dysfunction, limb hemiplegia, and there will be a tongue to one side, the nasolabial fold becomes shallow, and so on.
None of this, the patient has it.
"Isn't it a cerebral hemorrhage, or a cerebral infarction?"
"Or a brain tumor?"
"Or epilepsy?"
Lin Feng thought about it.
Decide to give the patient a CT.
At this time, because of the use of antihypertensive drugs, the blood pressure of the female patient Chen Mei has been reduced.
Patient signature,
Send to CT.
Not long after, the patient's husband arrived at the hospital.
"How is my wife?"
The husband's emotions are a little weird ... Joy?
Lin Feng: ".................."
Four joys in life?
Lin Feng: "Stabilize the situation for the time being... Now I have to go for CT to see if I can find the cause..."
Then the patient's husband was introduced to the possibilities.
......
20 minutes later...
The head CT results are in...
No intracerebral hemorrhage.
No obvious head trauma, that is, no bumps.
Lin Feng pondered for a moment.
Cranial CT did not see cerebral hemorrhage, nor did it see brain tumors, nor cranial abscesses, etc...
That's good news.
At least the possibility of more danger is ruled out.
"Haven't taken any medicine in the past few days?" (Lenovo compound licorice tablets, bezoar detoxification pills)
"No, no, no... I took ibuprofen and antihypertensive drugs..."
Lin Feng asked about the blood pressure lowering drug, and there was no problem.
If it's not a brain problem,
What is the problem with that?
suddenly
The patient suddenly changed again.
Teeth closed, eyelids turned up, lying on the bed, constantly convulsing!
Lin Feng: "........."
Other doctors and nurses: "........."
Astound!
"Look, there is foam at the corner of her mouth..."
A nurse exclaimed.
Foaming at the mouth?
Then, a smell rushed into everyone's noses.
Stink!
!
Lin Feng immediately understood!
「Epilepsy」!!
Isn't this a symptom of epilepsy?
This is a common condition in the emergency department.
"Give her a tranquility..."
Valium, also known as diazepam, is a sedative that can be used to treat seizures.
Seizures usually wake up within a few minutes.
But if the seizure is severe, as is the case now, the patient convulses badly, then drugs should be used to terminate the seizure.
Bolus!
It didn't take long for the patient's tics to begin to slow down and stop after 3 minutes.
"Watch your breathing..."
Diazepam has respiratory depressive effect, if it is COPD, respiratory failure people, use with caution.
Soon, the patient, Chen Mei's condition, was controlled, the epilepsy receded, the breathing was stable, and the blood oxygen was stable.
......
Next
Find out why.
Seizures, there is always a cause.
Let's first explain what epilepsy is.
In general, the brain continuously sends electrical signals to the body, electrical signals are transmitted along the nerves, the nerves control the muscles, and the muscles pull the bones and joints, thereby producing actions.
If there is a problem with the brain and the brain is abnormally discharged, it will cause people to coma and convulsions, which is epilepsy.
Causes of epilepsy:
Brain
Metabolism, poisoning, endocrine, hypoxia, cardiovascular...
There are many reasons, and many cannot find the reason.
To find the cause of epilepsy,
A thorough examination of the female patient is required.
"Did the patient's blood draw come out?"
"Didn't pay attention, I'll go see it now..."
It's as small as turning on your computer quickly.
At a glance,
"Teacher, the blood routine results are out..."
"I'll see..."
Lin Feng turned out the blood test results in the computer.
"Huh?"
Lin Feng suddenly noticed that something was wrong.
Patient's blood routine: hemoglobin 68g/L (normal 120-150)!
Anaemia?!
Only average levels!
It's very low!
At this time, Lin Feng suddenly realized that the patient's face was not white skin, but anemia and pale. Because the patient's skin is too white, he didn't notice it at once.
Will the patient have acute hemorrhage?
Like gastrointestinal bleeding? If it is a large bleeding from the upper gastrointestinal tract, the patient will also cause coma, brain dysfunction, and convulsions because of the rapid onset of blood volume depletion.
"Doctor Lin, the patient is awake..."
It just so happened that at this time, the female patient Chen Mei woke up.
"Doctor Lin, I..."
"Don't worry..."
Lin Feng first stabilized the patient's emotions.
Fortunately, just now the aunt scrubbed the patient's body, otherwise she knew that she was feces and urine, and a female white-collar supervisor was estimated to die of shame and indignation.
Soon, Lin Feng began to ask about anemia.
Less hematopoiesis...
Bleeding a lot...
"Are you normal Yue Jing? Does it bleed a lot? "
"Normal..."
"Are there hemorrhoids?"
"No..."
"Is black or red?"
"No, normal..."
Lin Feng was surprised.
"Well, that's amazing..."
Examined the patient's abdomen, chest ...
There is no feeling of massive acute bleeding.
That's strange.
Is there a problem with hematopoiesis?
。