bookpower Chapter 341
Chapter 341
10 minutes...
20 minutes...
A patient who ate 100 colchicine tablets was in an emergency gastric lavage rescue ...
Of course, blood is drawn, sent to the laboratory department, colchicine composition test is also being done...
In addition, the doctor also used hormones, liver protection, kidney protection and other drugs...
In the process,
The middle-aged male patient had diarrhea 3 times and vomited 6 times...
The cleaner aunts were all a little broken.
Lin Feng sighed in his heart, the patient was a middle-aged man, his hair was combed very carefully, it was obvious that today he wanted to work or rest as usual, maybe because of something, he collapsed in his heart, and then ate 100 pieces of colchicine to commit suicide.
Lin Feng thought of that sentence on the Internet...
Adult collapse, often in that instant.
Lin Feng didn't know what happened to the middle-aged man, but he hoped that he would be stronger in the future.
......
An hour later,
The results of the hematuria test are back.
Colchicine positive,
Colchicine poisoning was identified.
Then gastric lavage, excretion, blood purification ... Go ahead.
Until the afternoon,
The patient vomited more than 10 times and had diarrhea nearly 20 times.
If it weren't for the constant rehydration, I'm afraid that vomiting and diarrhea alone would have caused him to go into shock.
15:00 pm
The patient's gastric lavage and purification are finally over.
The patient has collapsed, lying in a hospital bed, and then he will be hospitalized for a few days to monitor the condition ...
In fact
The patient's kidney damage and liver damage have appeared and are not reversible at all.
More seriously, it may happen: bone marrow transplantation, complicated by serious infections, coagulation dysfunction... And so on complications.
These are unknown.
......
The next day,
The middle-aged patient's sister and mother came from other provinces.
Holding the patient and crying, the mother cried and fainted.
The middle-aged patient also cried and kept shouting sorry to his mother.
......
......
A company,
A meeting chaired by the head of the superintendent takes place in the conference room.
The director is at the table, full of enthusiasm, high talk, and forced to arrogate.
below
One by one, the subordinates held their heads high, listened carefully, and did not dare to slacken.
Then
"Purr~~~"
"Purr~~~"
A snoring voice sounded.
Superintendent Leader: ".............................."
subordinates; “........................"
Who?
So bold?
Dare to doze off in front of me (the director)?
Gaze, Qi brushed to one of the seats.
A fat man.
A few minutes later,
The director's angry roar came from the conference room, as well as many terrified subordinates, and the fat employee's trembling apology.
midday
The fat man was surrounded by a group of employees.
"Fatty? What's going on? Do you dare to sleep in the director's meeting? "
"yes, don't die?"
The fat man wanted to cry without tears: "I don't know, in the past few days, I have been very sleepy and have no spirit... I don't want to sleep either, I pinched me several times, and finally fell asleep, I didn't do this before... I obviously go to bed early every night..."
Confused.
Distress.
When colleague 1 heard this, he felt that something was wrong: "Fatty, your situation is not right, do you want to see a doctor?" "
Colleague 2: "Yes, fatty, I used to remember that you were very energetic without taking a nap..."
Colleague 3: "Why don't you go to the doctor?" "
......
Got the patient who took medicine to commit suicide,
Lin Feng returned to the consultation room,
"Please ask Zhou Xianxian to visit the third consultation room..."
And then
A fat man who looked at about 190 pounds walked into the consultation room.
"Doctor Lin!"
The fat man's eyes lit up after seeing Lin Feng, and he said excitedly; "I'm so lucky to meet you, Dr. Lin... Dr. Lin, sign my name, my sister is your fan! "
Lin Feng smiled: "It's no problem to sign the doctor, see the doctor first, I'll give it to you after seeing the doctor..."
Lin Feng has too many fans in the imperial capital, and one-third of the patients will eventually ask Lin Feng to sign a copy, either to his daughter or granddaughter...
Lin Feng: "Say, what disease?" "
Lin Feng saw that this patient was so fat, and obesity began to rotate in his mind.
The fat man began to speak: "Doctor Lin, it's like this, I didn't know why I went to work recently, and I haven't had much energy... I wouldn't have done this before, I didn't have to take a lunch break, and I didn't get tired from a day's work. "
Lin Feng: "Bad spirits, huh?" "
Bad spirits,
The first things to consider are:
Chronic fatigue syndrome.
Chronic fatigue syndrome, on the other hand, has three causes:
Excessive working hours: too much stress...
Lack of sleep at night: As a result, there is a condition that you always want to sleep during the day and have no energy.
Abnormal liver function: the liver detoxification function is reduced, so that the toxins in the body accumulate, and people will feel tired and weak, and languish.
Lin Feng needs to be eliminated one by one.
"You said you wouldn't before?"
"Nope."
"It used to be about the same workload? Could it be that you work more all of a sudden, and then you are stressed? "
"No, the work is no different, and it is not stressful."
Exclude the first cause.
"How about sleeping at night?"
"It should be okay, right? I go to bed very early every night and get up regularly..."
"Is there snoring?"
Lin Feng glanced at the patient's chubby figure, as well as his neck...
"I don't know... I live alone... Oh yes, these days I take a lunch break at the company at noon, and my colleague says that I snore... It's very loud kind..."
Snoring......
Very loud...
Lin Feng tapped the keyboard's hand and stopped.
Snoring, many people think that it is tired, sleeping soundly, very one-sided, not entirely right.
Note:
If you are tired from work, fall asleep quickly at night, and then snore, and are energetic during the day, it is generally not a disease.
However, if you fall asleep and snore at night and are not energetic during the day, the possibility of illness is very high.
Lin Feng looked at the fat patient's neck...
"Come here, let me see..."
The fat man moved his chair and came to Lin Feng.
Lin Feng pinched...
The patient's neck was a little thick and fat, so he couldn't feel anything.
But Lin Feng's first consideration was "sleep apnea hypopnea syndrome" (I wrote about this disease earlier)...
Because I was too fat, fat accumulated, and when I slept at night, I slack, and I resisted the airway...
This needs to be checked by a "breath monitoring".
Then there's the third cause: the liver.
"Have you ever had a history of liver before? Hepatitis, hepatitis B, hepatitis C... Wait..."
"No... But there should be fatty liver..."
"Well... Do you have a headache? "
If it is a lack of energy caused by the liver, it will be accompanied by headache and swelling of the body.
"No headache..."
Lin Feng nodded, and then checked the fat patient's body, and there was no swelling.
Temporarily rule out liver problems.
So far......
All examinations are completed.
Lin Feng probably knew it in his heart...
"To do a "sleep breathing monitoring", if you are not troublesome or afraid to spend money, you can go to draw blood to do a "liver work"..."
Lin Feng explained his diagnosis in detail.
After listening to it, the fat man decided:
"Doctor Lin, don't be afraid to spend money, let's do it together."
Payment
The follow-up nurse will follow up, and Lin Feng is not needed...
If it is "sleep apnea-hypopnea syndrome", there are two methods:
Either have surgery to remove part of it or buy a portable ventilator.
・Use a ventilator to take part of the breathing while sleeping.
......
The next patient.
"Ahem~~~~Ahem~~~~~Ahem~~~~~~~"
Those who have not seen it hear it first.
Before Lin Feng saw the patient, he heard a series of coughs that lasted for more than 20 seconds.
This is the longest patient Lin Feng has ever heard of coughing.
And then
Lin Feng saw the patient.
・ About 30 years old, wearing an ANTA T-shirt and sweatpants, a spirited youth.
He walked in.
"Doctor Lin..." the young man held a tissue and covered his mouth.
"Sit... What problem? "
"This half-year-old cough, dry cough, hot throat, always feel that something is in the throat here..."
Lin Feng nodded.
Cough, the reasons are actually very many and very complex.
Respiratory diseases: such as respiratory inflammation, chemistry, allergic factors on the trachea, bronchi irritation...
Digestive tract: e.g. gastric reflux ...
Pleural diseases: such as lung, cardiovascular diseases...
Central nervous system: e.g. encephalitis, meningitis...
Psychological: ...
Of course
The main thing is the respiratory tract, digestive tract...
。