bookpower Chapter 475
Chapter 475
"My baby is one year old and 5 months old, just now my mother boiled a jug of water, put it on a stool and forgot to pour it, but the baby saw it, went to grab it, and then turned it over..."
"It's scalding your legs, isn't it? Did you wear pants? "
"Worn..."
"How long has it been hot?"
"It's been four or five minutes..."
"How big is it?"
"It's big, the thighs and calves are burned..."
The female classmate continued to cry.
After all, children are the flesh of the heart, even if they bump a little, they are sad, let alone burned.
However, the baby's cry is louder and he is still struggling.
Lin Feng began to become serious: "Okay, you calm down, I say, you listen, and then do it!" "
"Okay, okay!" The female classmate quickly cried and nodded.
"First of all, take the baby to cold water right away! Now, right away! "
"Okay, okay!"
"Remember, it's cold water, don't use ice, ice will make the blood vessels of the wound contract violently, which is not conducive to the recovery of the wound!"
"Okay, okay..."
"Also, pay attention not to be too strong in water, it will also hurt the skin!"
Soon, Lin Feng heard the sound of the faucet washing.
At this time, the crying of the female classmates finally calmed down a little, and with Lin Feng's command, their family would finally not panic like a headless fly.
And the female classmate is also very lucky, just now my mother also said that usually bruises are ice compresses, thinking that scalds should also be ice.
Fortunately, I called Lin Feng to ask clearly, otherwise if the ice application really hurts the baby, it will be really a big trouble.
Flush cold water...
The baby is crying and constantly struggling...
Lin Feng: "Next, flush for more than 5 minutes... 80% of the damage to scalds is caused by residual heat, so be sure to continuously rinse with cold water to take the residual heat away..."
Female student: "Thank you Lin Feng, thank you..."
Lin Feng: "Don't rush to thank, just now you said that the baby is wearing pants, so the pants must be cut off, don't hurt the skin, don't rub the skin, be sure to cut it carefully in cold water... If there is really no way, just wait for the medical staff to come to the door and do this... You guys called 120, right? "
Female classmate: "I hit, I hit 120 at the first time." "
Lin Feng: "Good." "
Then continue the exhortation:
"If you can cut off the pants, then rinse for 10 minutes and wrap the wound with clean gauze to avoid environmental pollution... The rest is to be sent to the hospital..."
"Okay, okay, thank you, Lin Feng..."
The female classmates thanked one after another.
After Lin Feng said 'you're welcome', he ended the call.
......
Hanging up the phone, Lin Feng came to the consultation room.
Start your day.
The first patient,
Headache!
The patient's man, probably in his 30s, accompanied by his wife, walked in.
It seems that there is nothing wrong with the patient man...
"Doctor Lin, help me see my husband..."
"Sit down..."
At this time, Lin Feng was a little puzzled in his heart.
Emergency department, emergency department, must be the condition is more urgent, hurry to the hospital to see a doctor.
Generally, the patient who ranks first in the emergency department is more seriously ill and urgent.
And this man in front of you,
In his 30s, he also looks strong, and he has a headache... Wouldn't it be number one?
"Did the triage nurse ask you anything just now?"
The patient's wife replied: "I asked if we had a fever, how did we have a headache... By the way, I also measured my blood pressure..."
Lin Feng immediately grasped the point.
Triage nurses generally take their temperature when they have a high fever at most, and almost do not measure the patient's blood pressure.
"Is there anything wrong with blood pressure?"
"Blood pressure 198/120..."
Lin Feng: "..........................."
This blood pressure is very high!
And the patient in front of him has such a high blood pressure at such a young age, which is too abnormal.
"What are your symptoms now?"
"Headache..." replied the patient man.
"How much does it hurt? Are there any other symptoms besides headaches? Fever ? "
"A little pain, no fever and no other problems..."
"What is high blood pressure? How many years? Did you take your medicine? Is it regular to take medicine? "
"Some of them half a year ago, they have also been taking medicine, and they have changed several medicines, but the effect is average, but they all insist on taking medicine..."
"What kind of medicine are you taking now?"
"Nifedipine sustained-release tablets..."
Lin Feng nodded.
"Xiaoru, take his blood pressure..."
soon
Blood pressure is out: 199/115mmHg.
This is very high!
"When did you take antihypertensive drugs?"
"I ate it when I came, and now it's about half an hour..."
Lin Feng suddenly frowned.
What is the effect of taking antihypertensive drugs?
That's not right!
It feels a bit problematic here.
However, according to the current information, high blood pressure + headache...
What's the easiest thing to think of?
• Intracerebral hemorrhage!
Cerebral infarction!
Lin Feng needs to check these two items first.
"Do you have weakness in your hands and feet? Or walk unsteadily, deviated? "
"No..."
"Stick out your tongue and look at me..."
"Ah~~~"
Lin Feng groaned.
The patient's reaction to himself is fast and clear, which is different from cerebral infarction cerebral hemorrhage.
In addition, the typical symptoms of cerebral hemorrhage in cerebral infarction are limb movement disorders and language disorders, while patients will not, not only do not have fatigue, disorders, tongue centered, impartial, and speak fluently.
So
The high probability of ruling out is a brain problem.
But
To be on the safe side, you still need to do a brain CT!
"Is there anything uncomfortable in the heart other than a headache?"
High blood pressure, easy for the heart to pump blood quickly (blood pressure is high, difficult to move, so the heart needs to increase the power to pump blood out), the heart load is large, should be uncomfortable.
"It's a little tight, too..."
"Let's take an electrocardiogram..."
"How much is an ECG? Why do an ECG? "
The male patient looked guarded, as if Lin Feng wanted to hack his money.
Lin Feng was impatient: "You are all chest tight, naturally you have to do an electrocardiogram insurance to see if there is a problem with the heart..."
At this time, the wife quickly apologized: "Do it, do it right away... Dr. Lin is embarrassed, he is just reluctant to spend money, after all, the family is too nervous about using money. "
Upper ECG.
It came out quickly.
ECG results: everything is normal.
Lin Feng breathed a sigh of relief.
"Let's go for a CT..."
Then Lin Feng explained why he did CT.
The male patient was directly angry: "I know that if you come to the hospital, you doctors will not be comfortable without spending 1,000 yuan... I have a headache, what kind of CT do I have to do! Isn't it just pit money? "
"You shut up for me!!" The wife next to her scolded directly, feeling that her husband was simply embarrassed to her.
"Dr. Lin, we did the CT!" The wife cut the railway.
"Okay, I'll bill you..."
......
Half an hour later,
The couple returned with CT results.
Cranial CT Results: Everything is normal...
Lin Feng wondered.
The male patient did not shout: "I just said, it must be fine... Another waste of money..."
Lin Feng was also puzzled.
Seeing that this male patient kept shouting, Lin Feng also had a fire in his heart.
"Am I a doctor or are you a doctor?" You are so powerful, what are you still coming to the hospital for? "
"Hey, you still dare to talk back? You a doctor dares to talk back, not afraid that I will complain about you ... Ouch........."
Just when the male patient was in a high mood...
suddenly
He covered his heart and cried out in pain.
Lin Feng was shocked.
The wife panicked: "Husband, what's wrong with you?" "
The male patient took a few breaths: "I... I have a little pain in my chest..."
.