bookpower Chapter 296
Chapter 296
"The initial diagnosis is 'gastroenteritis', but other symptoms are not excluded..."
"Now you have two choices: one is to take some anti-infective drugs for gastroenteritis first, it's not expensive, 30 yuan is about the same, see if it works... One is to do a CT examination directly, but it will be more expensive, 200 yuan..."
Lin Feng said to the female sick man.
The reason why he asked this was to see that the couple was dressed relatively plainly.
This is for a girl who loves beauty, dressed so plainly, it is obviously - poor!
The couple hesitated at once.
In the imperial capital, life is not easy, moonshine people, but also swipe credit cards, installment repayment, the more repayment.
Girl: "Otherwise, try to take some medicine first..."
The boyfriend was a little embarrassed and said to Lin Feng: "Doctor, take medicine first..."
Lin Feng nodded.
The patient was prescribed anti-infective drugs.
"Quinolone antibiotics", "cephalosporins" and so on...
"Go pay the bill, and then the pharmacy will pick up the medicine..."
"Take the medicine, take it first, don't leave the hospital, wait an hour or two, and then come to me for a review to see if I still have stomach pain..."
"Thank you, Dr. Lin!"
The female patient covered her stomach and left the hospital with the help of her boyfriend.
......
Two hours later,
The female patient returned.
Sweating profusely, it became more serious, covering his stomach and screaming.
My boyfriend looked anxious: "Doctor Lin, those medicines are useless, my girlfriend seems to be more serious." "
Lin Feng frowned: "Then it's not gastroenteritis... I can only go for an abdominal CT..."
Lin Feng asked the nurse to give the patient a painkiller injection,
And then send it to the Ct side in a flat car,
Lin Feng called Ct to cut the queue.
After 20 minutes,
The patient returned with the CT results.
· CT results: multiple low-density foci were found in the liver.
Lin Feng was shocked!
This is...... Bugger?
"Have you eaten something raw in recent months, or years? For example, sashimi or something? "
Lin Feng asked.
The boyfriend nodded again and again: "Yes, my girlfriend, she likes to eat sashimi..."
The female patient smiled awkwardly.
"Doctor Lin, what is my problem?"
"You have a lot of bugs in your belly... I don't know what bugs are, and I need to do a more detailed examination..."
When the female patient thought of it, there were insects in her stomach, her face turned white, her stomach seemed to hurt more, and there were many bugs drilling around.
Lin Feng brush brush open bill...
"Go draw blood and do an ELISA test for parasite antibodies..."
The patient quickly took the checklist and went to draw blood.
......
When I leave work in the afternoon,
The couple, with the results of the examination, returned to the consultation room.
"Doctor, here are the results of the examination..."
Lin Feng looked at the checklist.
Porcine cysticerci – positive!
Liver flukes – positive!
Echinococcus – positive!
Schizocephalus – positive!
Schistosoma japonicum – negative
Pneumotodes – negative
Boy!!
4 kinds of parasites, all positive!!
Lin Feng was shocked.
This girl, it is estimated that she has eaten too much fish!
"Girl, don't eat sashimi in the future."
"But no, Dr. Lin, every time I eat sashimi, I will eat 2 pieces of intestinal worm clear..."
The female patient made the last stubbornness of sashimi.
The boyfriend pouted.
Lin Feng shook his head and smiled: "Intestinal worm is useful, but 2 tablets are far from enough, so if you eat it, it will have no effect, but it may make the worm produce antibodies and have a counteraction." "
The female patient looked down: "Okay..."
Lin Feng thought for a while and said, "Anyway, it's all this level, how about simply doing a brain CT?" Because the schizocephalus in these insects may parasitize in the brain, it cannot be ruled out that the brain is not..."
If there is a schizocephalus in the skull, the light can be headache, epilepsy, dizziness, and the severe brain tissue is swallowed by the schizocephalus, cerebral infarction and so on... Fatal danger.
So, no matter what, the brain must be examined.
"Okay, okay!"
At this time, the female patient no longer dared to object.
Keep doing CT...
An hour later, the Ct results came in.
Cranial CT: multiple irregular patchy low-density shadows in the brain with blurred boundaries; Scattered wide punctate calcifications and local brain atrophy can be seen.
Parasite features are evident.
Obviously, there is the presence of schizocephalus.
Moreover, more importantly, this schizophrenia is almost close to the brain functional area, and it needs to be taken out as soon as possible, otherwise it will be troublesome to enter the functional area.
"Let's get admitted... Take medicine first, see if you can kill these bugs, eat for 3 days..."
Lin Feng ordered.
"On the third day, start water and fasting, and on the fourth day, check whether the brain schizocephalus is alive, and if it is still alive, it will be craniotomy..."
"Huh? Craniotomy? "
The female patient, her face was already white, and she was terrified.
Lin Feng comforted: "Don't worry, our Harmony Hospital has rich experience in craniotomy, it is a minor operation, I am also very familiar, if you don't want me to do it, you can go to other experts to do it, it's similar..."
The female patient shook her head repeatedly: "It's still Dr. Lin, you can do it, I trust you." "
Lin Feng's surgical strength, who doesn't know?
Anyway awesome!!
At this time, the boyfriend couldn't help but ask curiously.
"Dr. Lin, I've always been curious, I've heard a lot, water and fasting before surgery... Why at this time? "
Lin Feng patiently explained:
"There is a connection between the stomach and the esophagus, called the cardia, which cannot be closed under general anesthesia. When the person lies flat, if there is food in the stomach, it will reflux. "
"At the same time, patients with general anesthesia will also lose their throat reflex and cough reflex under the action of drugs."
"This means that food from gastric reflux and gastric juice are very easy to enter the lungs, called aspiration, and then block the airway, prone to suffocation death..."
Explain it again,
However, if the condition is critical and needs to be rescued, then do not pursue water and fasting, and go directly to the operating table.
"Thank you, Dr. Lin!"
The two bent slightly and thanked them.
soon
Female patients are admitted to the hospital.
Lin Feng prescribed the drug, and the patient took praziquantel orally 3 times a day for 3 days.
Praziquantel: An anthelmintic used in humans and animals, specifically for the treatment of tapeworms and flukes. It is particularly effective against schistosomiasis, Chinese liver fluke, and schizotus grandifolia.
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