bookpower Chapter 265
Chapter 265
"Does the patient have any previous diseases, such as whether there is congenital heart disease and so on. Lin Feng suddenly asked.
My husband was stunned: "No, I'm usually fine, I'm not feeling well these days, but it's not serious..."
"Did you just have trouble breathing tonight?"
"In the afternoon, I was a little uncomfortable, I felt a little difficult to breathe, but it was not serious, and it began to get worse at night, and I wanted to wait until tomorrow to come back, but I saw that the situation was not quite right, and I quickly called 120 cars over. "
The patient's husband had palpitations.
"Have you seen a doctor or taken medicine in the past two days?"
"No, I didn't go to the pharmacy and buy a little medicine... I've taken all the pictures..."
The husband was attentive and knew that the doctor might have to ask, so all the medicines were photographed.
"I'll see..."
Lin Feng took a look at those photos.
Amoxicillin, an antibiotic, for pneumonia.
There is also a box of cold medicine, and several proprietary Chinese medicines,
After reading Lin Feng, there is nothing special...
......
After some diagnosis, the cocoon was peeled back.
Lin Feng initially thought that the patient should be: pneumonia.
"You go for these tests..."
Chest x-ray
Blood routine,
"Okay, go right away!"
The patient pushed the flat cart over, carrying oxygen cylinders all the way to oxygen...
And the man, who is the patient's husband, pushed the patient to draw blood first, and then do X-rays...
And in this process, Lin Feng instructed the nurse to first replenish some fluids for the patient, use some antibiotics, and stabilize the vital signs...
Half an hour later...
The results came out.
Chest x-ray results: There is a little inflammation in the left lung.
So little?
Lin Feng suddenly became serious!
This result was completely different from what Lin Feng had envisioned!
In Lin Feng's vision, such a serious breathing difficulty should be that the inflammation is very serious.
"Why is that?"
"Isn't it pneumonia?"
The so-called pneumonia, in most cases, bacteria, viruses and other microorganisms invade the lungs, causing inflammation, cough, sputum, chest pain, fever, hemoptysis and other symptoms.
In severe cases, shortness of breath will occur!
The patient in front of him is obviously breathless, but the pneumonia is not serious!
It is unlikely to cause such obvious symptoms.
Of course, there is also a possibility: chest x-ray is not severe but symptoms are severe (there are cases of this).
But in Lin Feng's countless experiences, this kind of person will only appear in those old people, and the patients in front of him are less than 30 years old, too young.
"Wait for the blood draw results!"
Pneumonia, inflammation, that naturally causes an increase in white blood cells.
Reason: White blood cells are the guardians of the human body, specializing in dealing with bacterial invasion, after inflammation, white blood cells through chemotaxis, white blood cells gather around the inflammation to engulf invading bacteria, so white blood cells will increase.
Of course, there are exceptions: if the patient's body response is poor, the disease is more severe or the leukemia is suppressed, the white blood cells may not be significantly increased, and even may be reduced.
soon
The results of the blood routine test came out urgently.
White blood cells, data journey, no elevation!
"It seems that it is really not pneumonia..."
"What the hell is that?"
"Lung cancer, pulmonary embolism?"
"Heart problem?"
Lin Feng fell into deep thought.
This case, a little material!
"Do you have children?"
Lin Feng asked curiously.
Husband: "No, we are all busy with our careers, and we are not prepared for this..."
Lin Feng: "Have you ever had any illness before?"
The husband shook his head: "It's all a cold and fever, nothing else." "
"Have you ever been pregnant?"
"Nope. "
"Do you have long-term birth control pills?"
"Nope. "
"Have you been in bed for a long time?"
"Nope. "
Lin Feng pondered for a moment.
The condition of young patients can reach the level of this patient in front of them, and it is generally not a minor illness.
She is so young, and has no history of bed rest, pregnancy, long-term oral contraceptives, and other high-risk factors, the blood will not be very thick, and it is unlikely to be pulmonary embolism.
Moreover, pulmonary embolism has special characteristics: "dyspnea", "chest pain", "hemoptysis" triad.
The patient currently has only dyspnea, no chest pain, and no hemoptysis, so there is little support for pulmonary embolism.
As for lung cancer...
Lin Feng thought about it and decided to check for heart disease first.
Because heart disease can be seen with an electrocardiogram, fast and cheap...
Although the patient is young, the heart disease tends to be younger today.
Arrhythmia, heart failure, myocardial infarction, etc. may have similar symptoms, and at her age, although these diseases are unlikely to occur, they cannot be ruled out.
(Although ECG monitoring can also roughly see the ECG situation, but it is more rough, and it is certainly not as good as the ECG.) ）
Upper ECG!
soon
A piece of paper keeps printing out,
The ECG keeps elongating...
Lin Feng frowned.
ECG Result: Everything is OK!!
Moreover, the patient did not show chest pain, which can exclude myocardial infarction (see the previous chapter for details).
Myocarditis?
Because the patient has dyspnea, fatigue and other manifestations, and it is not a myocardial infarction, the possibility of myocarditis can be considered.
However, Lin Feng looked at the patient's electrocardiogram and inferred from experience: It's not like!
As for heart failure, there should be no previous heart disease.
Comprehensive consideration,
Lin Feng temporarily ruled out heart problems because of insufficient evidence!
"Is it a lung?"
Circling around, and finally going around the 'lungs'.
"It seems that you can only do a CT..."
At this moment,
"Thirst, drink water..."
At this time, the patient's weak voice came out.
At this time, as the medication progressed, her breathing difficulties improved slightly, she 'recovered', and she felt thirst.
Although there was rehydration halfway, Lin Feng was afraid that she had heart problems, so she did not dare to replenish too much fluid.
Obviously, the patient's lips were a little dry and cracked.
"Wife, give..."
The husband opened the lid of the cup and carefully inserted a straw, ready to give it to the patient.
The patient ripped off the oxygen mask and took a sip.
suddenly
Burst~~~~
A very sudden movement!
The female patient threw up directly.
"Boom~~~"
The thermos cup was directly knocked over on the floor, and the water splashed on the ground!
Lin Feng and the nurses were taken aback!
Her husband was also taken aback!
A thought flashed in Lin Feng's mind, and he quickly looked at the female patient!
But seeing her expression of extreme horror, her lips trembled.
Terrified!
Breathing also became urgent at this moment.
The heart rate is close to 140 beats per minute.
The blood oxygen saturation has dropped all the way, and it has unknowingly dropped to 88%.
ECG monitoring launched a sharp alarm sound
Lin Feng quickly ordered:
"Mask, oxygen, increase the amount of oxygen!"
The nurse quickly brought back the mask to the female patient, adjusted the gate valve, and increased the flow.
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