bookpower Chapter 295
Chapter 295
Bleeding all the way!
Lin Feng's face changed.
Look at the right calf of the aunt, which is bleeding non-stop...
This situation is definitely not good!
Lin Feng hurriedly called the nurse not far away: "Push a flat car over immediately, quickly!" "
Then he picked up his aunt directly and rushed to the emergency department.
While running, I generally subconsciously looked at my aunt's bloody right calf.
There are three bulges!
"Varicose veins"!
The so-called varicose veins, in the elderly group, are very common.
If you go to the park and carefully observe the legs of the old man, there will be a lot of veins (the veins are on the surface of the human body, and the arteries are not visible inside).
These veins and blood vessels, curved, are like earthworms, and even some are serious, directly bulging.
This is varicose veins.
And those professions that stand more, such as salesman, security guard... And so on, this varicose vein is most likely to appear. (Wearing elastic stockings can effectively prevent it)
As for the reasons for its formation:
Simply put: the heart needs to return blood, relying on the strength of the heart, to draw blood back from the legs, but the legs are too long (standing), the blood pressure is too strong, so the venous valve (each section of the vein in the body has a venous valve) is needed to block the blood drawn up and not flow down (reverse flow). However, long-term loads (e.g., long-standing occupations, the elderly) can lead to a succession of valve destruction.
Then varicose veins arise!
Due to long-term congestion of varicose limbs, subcutaneous tissue malnutrition, pigmentation, skin desquamation, skin ulcers and other lesions gradually appear.
Commonly known as "old rotten legs", if it does not heal for a long time, it may be in danger of amputation.
In addition, due to the lack of nutrition of varicose vein skin, it is very fragile, which may cause "vein rupture and hemorrhage".
And this aunt in front of her is the "heavy bleeding" of varicose veins.
"Doctor Lin!"
Two nurses quickly pushed the flat cart and rushed over.
Lin Feng quickly hugged his aunt and put it on the flat car.
The aunt had recognized Lin Feng at this time and asked in a panic.
"Doctor Lin, am I still saved?"
Lin Feng hurriedly comforted: "Auntie don't need to be nervous, it's just a small vein bleeding... Auntie, did you have that symptom of non-stop bleeding before? (hemophilia)"
The aunt quickly replied: "No, no, I have always been very healthy." "
Lin Feng nodded: "Then it's okay... Did Auntie's bleeding appear suddenly, or was she injured by something? "
"I don't know, I was shopping for groceries and came home, and I suddenly bled on the way... I was so scared that I threw all my food on the road..."
"Okay."
That should be the rupture of the internal blood vessels, causing bleeding.
While comforting, Lin Feng gave his aunt a pressure to stop the bleeding...
Speeding into the emergency department.
First do debridement and suture to stop bleeding.
Tossed for 20 minutes...
"Thank you, Dr. Lin... Does Dr Lim have a girlfriend? Would you like me to introduce one to you?" My girlfriend is pretty..."
The aunt said enthusiastically.
Lin Feng sweated furiously, and hurriedly said, "Is there anything uncomfortable about Auntie now?" "
Aunt: "It's gone, fortunately, Dr. Lin saved me in time, otherwise my old life would be gone." "
Lin Feng shook his head repeatedly: "This is all I should do... Auntie sure nothing uncomfortable? For example, chest tightness, chest pain or something..."
Why do you ask that?
Because Lin Feng has seen a lot of medical records: patients with varicose veins are prone to another disease - pulmonary embolism! ! !
Auntie: "Hey, when you say that, it seems that you really have a little chest tightness..."
Lin Feng's face suddenly became serious: "Auntie, otherwise, you do another examination, cardiopulmonary ultrasound..."
Because Lin Feng is afraid of "pulmonary embolism".
Why can varicose veins cause pulmonary embolism?
That brings us to the concept of "blood clots".
Thrombosis, which can be imagined as a semi-coagulated substance, is generally produced from the venous valve, and when it is separated from the venous valve, it will go all the way down the vein and all the way back to the lungs...
Then block the pulmonary artery,
Pulmonary embolism is formed...
The consequence of varicose veins is that blood stays in the veins for a long time, making it easier for blood clots to form.
And B ultrasound, you can see the flow information of blood vessels...
When the aunt heard what B ultrasound, I didn't understand.
However, trust in Lin Feng.
"Dr. Lin said that what tests are done, I will do any tests, I don't save money!"
"Thank you for the trust..."
Lin Feng billing,
Auntie took Shan to the B ultrasound side to go for examination...
......
After 1 hour,
The aunt came back with the checklist.
Outcome:
There are cases of pulmonary embolism indeed
However, it is not serious and does not require surgery!
Lin Feng asked about other conditions, and then did several tests to determine that there was no active visceral bleeding, previous hemorrhagic stroke, ischemic stroke or cerebrovascular event within 1 year, intracranial tumor, suspicious aortic dissection... Wait a minute.
At last
Thrombolytic drugs were prescribed and given to the aunt.
Thrombolytic drugs: It is a drug that promotes fibrinolysis and dissolves thrombus, but there are many contraindications to use.
"Auntie, remember to come back and review the B ultrasound in the past two days..."
"Okay, okay... Thank you Dr Lim!! "
The aunt thanked her again and again, feeling that her life was really picked up by Lin Feng.
(PS: Sedentary can also lead to varicose veins, and then "hemorrhoids", so be careful about the risk of sitting for a long time.) ）
(Hemorrhoids are generally difficult to cure with drugs, and surgery is still required to completely treat hemorrhoids.) ）
......
Rest until afternoon, 2 o'clock,
Keep going to work,
Admissions.
A girl walked in.
Boyfriend holding.
Another stomachache!
Lin Feng: "..........................."
Subconsciously thought of the addict in the morning.
"Doctor Lin..."
"Sit down and say... What's the situation..."
"My stomach hurts..."
Lin Feng consulted and got the following situation:
Patient Xiaoli, 24 years old, from Lingnan
• Presenting fever with abdominal pain
Compression without special lumps to exclude intestinal obstruction,
Ask about the diet, the latest meal is ordinary rice + green vegetables + back pot meat, and in the morning it is soy milk buns, no special.
No problems were found during the consultation and physical examination.
Lin Feng opened the order and did:
Routine blood examination: white blood cells and eosinophils were significantly increased.
Preliminary consideration of "acute gastroenteritis".
But Lin Feng felt that things were not so simple!
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PS: Three changes completed............
Some book friends said that after reading this novel, I suddenly felt that my body became unhealthy... Hehehe~~~
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