bookpower Chapter 396
Chapter 396
"Quick, send it to the rescue room..."
Lin Feng ordered,
Then the flat car hula~~ ran back to the emergency room.
Along the way, it has attracted the attention of countless patients and families.
They knew that something must have happened to a patient again...
Back to the emergency department, passing by the nurse's station,
Lin Feng shouted: "Contact the ICU, there may be a patient here to go up..."
Then I went straight to the rescue room.
At this time, the husband of the female patient was already distraught and panicked.
From the emotions of Lin Feng and others, he felt that his wife's condition seemed to be very serious!
Arrive at the rescue room,
Lin Feng shouted:
"On the ECG monitor!"
"Rehydration!"
"Quick!!"
The nurses prepared quickly.
And Lin Feng's hand waved a few times in front of the female patient at this time:
"Can you see me now? Give me a response if you can..."
When the patient comes over for 2 seconds...
"I want to eat strawberries..."
Lin Feng: "???? "
A shiver in my heart.
The consciousness is more blurred, and I feel that the answer is not what was asked.
Compared with when I first came to the consultation room, it was like two people!
It's only been more than 10 minutes...
At this point,
The ECG monitor is connected.
At a glance,
Lin Feng was taken aback!
Blood oxygen, dropped to 91%.
Blood pressure, which also dropped to 85/54...
"Oxygen mask, quick!!"
"Also, vasopressors!!"
Soon, the oxygen mask was tied to the patient's head and the tube was plugged into the oxygen hole interface on the wall!
Vasopressor "epinephrine" is used!
The blood oxygen increased slightly, and then stopped at 93% immobile...
There is obviously nothing wrong with the patient's lungs,
Then Why is blood oxygen so low?
Cause:
Although the patient's lungs are fine, but there is a problem with the central nervous system, there will be respiratory failure.
suddenly
Knock knock~~~
The patient's fierce limbs convulsed involuntarily, and even foamed at the mouth...
The patient's husband ran in while the chaos, Lin Feng and the others had no time to care about him, and the husband was shocked when he saw this situation!
"Doctor Lin, what's going on?"
"I don't know, I didn't figure out the condition..."
Lin Feng needs data judgment,
But the problem is that the 7 results of the blood draw have not yet come out.
Fortunately, Lin Feng didn't have time to think of what medicine to use to stop the convulsions, and the patient's convulsions only lasted for 1 minute, and then it ended.
I looked at the patient's ECG monitor,
Steady.
It did not continue to deteriorate.
Now the blood test results are not yet available.
Taking advantage of this time, Lin Feng considered his condition and told the patient's husband again.
"It's not clear why the cause is, but it's very serious and could be sent to the ICU at any time... The ICU is very expensive, the basis of a day is seven or eight thousand, you have to be prepared..."
The patient's husband looked sad and hesitant: "Dr. Lin, money is not a problem, you must save my wife!" "
Lin Feng nodded heavily.
The mind is constantly spinning.
A question suddenly came to mind,
"You just said that your wife went to the suburbs to expand?" Lin Feng asked the patient's husband.
"Yes, their company organizes outdoor expansion..."
Lin Feng nodded,
The nurse fills out the Informed Consent Form and asks the patient's husband to sign it.
Pondered
It's summer and autumn, and there are a lot of mosquitoes...
Could it be that you were bitten by a mosquito and then got Japanese encephalitis (Japanese encephalitis)? "
Typical epidemic hepatitis B may initially resemble an upper respiratory tract infection, but the patient is in poor spirits, poor appetite, nausea, and vomiting.
It's very similar to the patient's situation.
......
At this moment,
"Doctor Lin, the blood test results are out!"
A nurse, quickly carrying a wad of checklists, rushed into the rescue room.
Lin Feng took a look.
Blood routine: blood white blood cell count is significantly elevated...
Liver and kidney function are basically normal...
Other tests are not much abnormal...
Lin Feng saw this,
I think it should be encephalitis or meningitis.
Then
"Dr. Lin, the patient's blood oxygen saturation has begun to drop again..."
Lin Feng look,
Sure enough, the patient's blood oxygen dropped to 92%...
"Intubate, the oxygen mask is not enough..."
Soon, nurse Mari intubated, then connected to a ventilator, injected oxygen into the lungs, and directly supplied oxygen...
At this time, the blood oxygen began to increase again.
Lin Feng: "Ask the nurse station, is the ICU in contact?" "
"I'll ask..."
A nurse ran out...
Soon after, the nurse ran back: "Dr. Lin, the ICU said that there is no bed..."
Lin Feng nodded.
The patient's husband clenched his fists: "Dr. Lin, can you make an extra bed in the ICU?" "
Lin Feng shook his head: "It's difficult, the ICU are all seriously ill patients and may die at any time, so the isolation is done very strictly, and the extra bed is not conducive to isolation..."
And
Lin Feng didn't say one more thing.
Lin Feng highly suspected that the cause of the female patient was "Japanese encephalitis", which is a contagious disease, in case a mosquito sucked her blood, then ran out, and then dried other ICU patients, it was really a calf.
Lin Feng said to another nurse: "Prepare the needle for spinal puncture..."
Then explained to the patient's husband: "The blood draw results just now, no cause was found, and then I suspected that it was Japanese encephalitis..."
Then a brief explanation of JE.
"To confirm whether it is Japanese encephalitis, you need a spinal tap... (To explain), this puncture requires your consent..."
The patient's husband nodded repeatedly, tears dripping: "Agree, I agree, everything agrees, trouble Dr. Lin, hurry up!" "
soon
The nurse performed a lumbar puncture on the female patient, removed a tube of cerebrospinal fluid, and sent it for emergency testing.
If the patient is really viral encephalitis, there must be a virus outbreak in the cerebrospinal fluid, and there will be antibodies if there is a virus.
If antibodies against Japanese encephalitis virus can be detected in the patient's cerebrospinal fluid, it indicates that it is Japanese encephalitis.
But
This antibody test is not so fast.
Now the condition cannot be delayed,
Lin Feng can only do three operations:
Breathing, ventilator gives itch...
Vasopressors...
If convulsions occur, use calm...
As for encephalitis? The test results are not yet available, but you can try to use "empiric medication" to give the patient antiviral drugs.
Theoretically, inflammatory diseases can be treated with hormones, and hormones are the best anti-inflammatory drugs. But hormones are also a double-edged sword, they also weaken the immune system, not necessarily conducive to treatment.
......
An hour later,
Cerebrospinal fluid results came back soon!
"Doctor Lin..."
The nurse handed the examination report to Lin Feng.
Lin Feng checked the results!
"Good!!"
Happy clapping his legs and yelling.
That's right!
Antibody IgM of Japanese encephalitis virus, positive!
Sure enough, as Lin Feng guessed, it is Japanese encephalitis!
Lin Feng was excited!
As long as the cause is found, then the right medicine can be prescribed!
But the disease is still a little tricky.
In particular, high fever, convulsions, and respiratory failure are critical cases, and the progression is very rapid, and brain damage may have occurred.
Many such severe JE patients cannot be saved.
Fortunately,
Lin Feng's whole process took only 100 minutes to diagnose.
Didn't delay the condition too much!
3 minutes later...
Anti-Japanese encephalitis drugs, directly injected intravenously!
Next
Just wait.
This treatment process may last for about a week, and the patient's fever and coma will be relieved and recovered.
......
At this point,
Over at the airport,
Wu Haoming took two people and arrived at the imperial capital airport.
"I'll see Lin Feng in a minute!"
Wu Haoming is full of expectations and misses.
Take a breath of the air of the imperial capital...
"Hmm... Is this the air that Lin Feng breathes? "
"Awesome!!"
——————————
ps: Today the update is over~~