bookpower Chapter 319
Chapter 319
This family, with the expectation of their hearts,
Sitting in the car,
Came to the imperial capital, Harmony Hospital.
"We came to find Dr. Lin..."
The eldest son came to the emergency department and asked the nurse.
Nurse: "I'm sorry, Dr. Lin is not at work today. "
Eldest son: "Huh? ...... When does Dr. Lin go to work? Will you go to work tomorrow? "
The nurse checked and nodded: "Dr. Lin is indeed going to work tomorrow... But you better come early, or you'll have to wait in line for a long time... There are many patients looking for Dr. Lin..."
The eldest son was happy: "Thank you..."
This night,
The family stayed in a nearby hotel.
Because my family is not rich, I found a relatively poor hotel, but it also cost seven or eight hundred one nights, after all, this is the first ring road and the second ring road.
......
The next day,
After 6 a.m., the eldest son rushed to the emergency department of Harmony Hospital, ready to wait in line.
By 8 o'clock...
Lin Feng came.
But today Lin Feng arranged an operation, that is, the female patient of "iron deficiency anemia + small intestinal tumor" to remove the small intestine tumor.
After Lin Feng finished the operation, it was already half past nine...
During this time, the old Liu family actually had the opportunity to choose other doctors, but out of trust in Lin Feng, they finally insisted on waiting for Lin Feng.
Lin Feng just finished the operation and returned to the consultation room,
The nurse informed Lin Feng that Lao Liu was a special patient.
"Have an autonomous heartbeat and breathing? Will the patient have bilateral mydriasis? "
"Lasted for days, no problem? Just a coma? "
"What results did the CT scan at the county hospital not show?"
Lin Feng was stunned for a moment.
After thinking about it,
It doesn't seem to be a special case.
"Where are the patients and their families?"
"Over there in the rescue room... We arranged a flat cart for the patient to lie down..."
Lin Feng nodded.
......
At this point,
Inside the rescue room.
Other doctors curiously wondered the family of Lao Liu, a patient who had been in the emergency room for more than an hour.
"What's going on with this family? Which doctor's? "
"It seems that he came from out of town specifically to find Dr. Lin..."
"No, isn't Dr. Lin an operation? Not so fast, right? Why not find another doctor if the condition is urgent? "
A nurse said faintly next to him: "They think Dr. Lin is more powerful..."
As soon as these words came out,
Doctors: "...................................."
Flip table(╯‵□)╯(┻━┻!
I don't want to chat anymore, hey!
Chilling and cold!
We're awesome too!
It didn't take long for you to do so.
Lin Feng came to the rescue room.
"Doctor Lin!"
"Doctor Lin!"
Lao Liu's wife and son saw Lin Feng walk in, and immediately stood up excitedly.
"Doctor Lin, you must save my husband~~~"
The wife of the patient Lao Liu said in tears.
Lin Feng soothed: "Don't worry, don't worry... I'll take a look at the situation..."
The patient's wife nodded repeatedly: "Okay, okay, Dr. Lin, look..."
Lin Feng walked in and took a look at the patient Lao Liu's ECG monitor.
Heart rate, normal level...
Blood pressure, normal levels...
Blood oxygen saturation, normal level...
Everything works fine.
Then I looked at the patient's pupils.
Pupil: has a certain amount of dilation, slow response to light...
Lin Feng called the patient.
The patient did not respond.
Obviously, the patient is in a state of "consciousness disorder", which is generally divided into drowsiness, lethargy and coma.
If you don't wake up, it's naturally not drowsiness.
Lin Feng used methods such as bouncing earlobes to stimulate the patient.
The patient reacted in distress but did not wake up.
Apparently the patient is already in a coma.
The pupils are dilated, and there is no problem with the vital signs, which is generally a brain problem.
"CT show me..."
Lin Feng said.
"In this... Dr. Lin, take a look..."
The patient's wife hurriedly handed the CT film to Lin Feng, her hands and feet flustered.
"Don't worry, don't delay for a few minutes..."
Lin Feng comforted while watching the CT results.
Take a look,
Indeed, CT showed that there was nothing wrong with the patient's brain.
But!
CT is fine, doesn't mean it's really okay.
"How long after the patient is in a coma? What is the interval? "
"About 2 hours..."
"Okay."
Lin Feng nodded.
He probably guessed what the cause was.
"Cerebral infarction"!
Cerebral infarction is also known as ischemic stroke, and Chinese medicine calls it stroke or stroke. (Many previous cases, not much explained here)
So why?
Can't CT tell it's a cerebral infarction?
Here's why:
Cranial CT is the most convenient and commonly used imaging of brain structures.
However, CT is not sensitive to ultra-early ischemic lesions and small subcortical infarction foci, especially brainstem and cerebellar infarction in the posterior fossa.
In most cases, CT can show uniform flaky low-density infarct foci 24 hours after onset, but within 2-3 weeks of onset, it is difficult for CT to distinguish infarct foci due to the 'fuzzy effect' of the lesion being comparable to the surrounding normal tissue density due to the disappearance of the lesion's edema.
Other words
The CT film 2 hours after the coma of this disease is not visible to cerebral infarction!
This CT is also the reason why Lin Feng determined that the patient had cerebral infarction.
And the doctor of the county hospital, it is estimated that he did not understand this, came up directly to do CT on the patient, and then relied on the CT results to think that there was nothing wrong with the brain, and the cause could not be found, and began to inform the death.
But
Lin Feng also had a question.
Generally, cerebral infarction is unilateral, and both eyes, the nerves of each eye, are also unilateral.
How do you spread your eyes together?
Could it be that there are cerebral infarctions on both sides?
However, when these are going to do MRI, all the answers can be revealed.
"Get an MRI and see... I called the imaging department, expedited..."
Lin Feng said in a flat tone, full of reassuring calm confidence.
Standard MRI (magnetic resonance) can clearly show ischemic infarction, brainstem and cerebellar infarction, venous sinus thrombosis, etc., but is not sensitive to cerebral infarction within a few hours of onset.
But now, the patient has passed three or four days, and MRI is fine.
"Thank you, Dr. Lin!"
A family of three, happy to go for the check-up.
soon
Patient Lao Liu was pushed into the MRI room...
10 minutes later...
MRI results came in.
really
It's a cerebral infarction!!
Magnetic resonance showed multiple infarct lesions in the bilateral thalamus, occipital lobe, and midbrain.
It is a relatively rare bilateral cerebral infarction!
Because bilateral cerebral infarction involves the midbrain (affecting vision), both pupils are dilated.
"Doctor Lin, my family's old Liu, is there anything wrong?"
Lin Feng looked at MRI and made an assessment.
"At present, looking at this MRI, the patient's cerebral infarction area is not large, it will not be life-threatening, but there may be some loss of mobility (or even paralysis)... Of course, these will have to wait until the patient wakes up before confirming..."
The family was overjoyed.
Although Lin Feng said some bad news, such as loss of mobility, how could it be better than [Death Notice]!
It's better to die than to live.
Moreover, perhaps Lao Liu's condition may not be serious, and the prognosis will be good.
"Thank you, Dr. Lin!"
The family is happy and thankful.
Dr. Lin is awesome, shit county doctor misdiagnosed!
"You're welcome..."
Lin Feng prescribed some drugs in response to the condition.
And let the patient be admitted to the hospital, continue to observe the treatment...
This disease cannot be operated on, only drug treatment.
......
Lin Feng returned to the consultation room,
Nurses arrange patients and wait in line.
Turn on the call machine.
"Please Ward Tian, go to Room 3..."
Lin Feng: "????? "
What name?
At this time,
"Tashi Dele!"
A greeting,
I saw a man dressed in ethnic costumes enter the consultation room.
"Are you here to see you?"
Lin Feng was a little surprised, the man in front of him was extremely burly, and his face was ruddy, and he didn't look sick at all.
Could it be that a relative of a patient came to thank him.
"Doctor Lin, I'm from the grassland, and because I've seen your deeds, I want to see you!"
The strong man sat down under Lin Feng's greeting.
"Name."
"Age."
"What's so uncomfortable about it?"
"My name is Ward Detian-rate De Bu Yao Bu Yaode, it is the beginning of the recent period, the body, inexplicably uncomfortable, accompanied by vomiting, and low-grade fever symptoms, no matter what medicine is taken, my daughter is studying in this imperial capital, just came to see him, just say come to Dr. Lin to see."
"You go and take an X-ray and come to me with the results."
Lin Feng signed a list.
You know, the man on the grassland, the body is definitely a top state, what small illness and pain, does not exist at all.
Therefore, when the strong man said the disease, Lin Feng's preliminary judgment should be a parasitic infection.
But that's just speculation.
Everything has to wait for the X-ray results.
。