novelslam Chapter 269
Chapter 269
Chapter 269
Because it is an urgent jump in the queue,
Therefore, the “single fiber EMG” check is completed quickly!
result:
Myasthenia gravis, positive!
“Hoo~~~~”
“It turned out to be myasthenia gravis!”
“Doctor Lin is awesome!!”
All the nurses breathed a sigh of relief, and then looked at Lin Feng’s handsome face with admiring eyes.
so amazing!
Turn around!
The dust is settled!
“How is it? Doctor Lin?”
The patient’s husband was outside the examination room and saw Lin Feng pushing his wife out of the flat car. He walked quickly over and asked.
Lin Feng smiled: “The good news is myasthenia gravis, not rabies!”
When the patient’s husband heard this, he burst into tears of joy!
I feel that the gray world at this moment has become radiant!
Now that it has been determined to be “myasthenia gravis”.
Then, it is symptomatic treatment.
The medicine Lin Feng prescribes is “Bromopistigmine.”
“Bromopistigmine”: Indications for myasthenia gravis, functional intestinal flatulence and urinary retention after surgery.
This drug can re-awaken the handover of neuromuscular junctions and restore muscle strength.
In addition, some glucocorticoids and immunoglobulins are also prescribed.
Because the onset of many patients with myasthenia gravis is related to immune abnormalities, and hormones are the strongest immunosuppressive agents, hormone shock therapy is also effective, even highly effective.
Use all the medicine,
The next step is to wait.
However, the patient has passed out at this time and needs to wait for the patient’s attributes to see the results.
At this time, it was already 5 o’clock in the morning…
…
8:30,
Lin Feng started to work with the doctor,
Soon, the news spread throughout the emergency department 08.
“Waterphobia? Not rabies? Is myasthenia gravis?”
“Doctor Lin is amazing!”
“If you want me, I’m afraid it will really be diagnosed as rabies directly.”
“Learned, in the future, if you have hydrophobia, you have to consider myasthenia gravis.”
9:00…
The handover is complete.
When Lin Feng was about to go home to rest…
“Dr. Lin… the patient is awake!”
“Which patient?”
“The patient with muscle weakness…”
“Woke up?!”
Lin Feng was overjoyed, ran back quickly and ran into the ward.
I saw the husband holding the patient’s wife and crying loudly.
“I’m so afraid that you would just leave like this… scared me to death…”
And the wife Hu touched her husband’s head.
After seeing Lin Feng walk in, the female patient hurriedly thanked.
“Thank you Doctor Lin.”
Lin Feng is full of energy when he sees the patient’s big bright eyes!
Compared with last night’s binocular eyes, eyelids stretched, it was a world of difference.
Lin Feng breathed a sigh of relief.
“congratulations!”
“Thank you, Doctor Lin, if it weren’t for you, I might not have survived.”
“It’s all a duty, you are welcome.”
That afternoon…
The patient’s breathing weakness has completely improved, and he smoothly took off the ventilator and removed the tracheal intubation.
At this time, the patient’s parents, family-in-law and mother-in-law all came from outside.
Seeing that my daughter/daughter-in-law has recovered, I breathed a sigh of relief and expressed my gratitude to the attending doctor Lin Feng.
(Ps: The attending doctor and the attending physician are not the same concept. Usually, the attending physician is the attending physician, which is a professional title.)
(Ps: Take Lin Feng as an example. Lin Feng is currently a doctor of Gui Pei. After three years of rotation (more than two years have been completed), he began to work as a “resident” in the emergency department. I have to go to the countryside for a year, and now I don’t seem to need it anymore), you can evaluate the “attending physician”.)
That night…
Lin Feng continues to work the night shift. At this time, the patient has basically recovered to a healthy level, and can be discharged from the hospital early tomorrow morning.
For the patient’s family, it was a thrilling escape.
…
That night, 23:30
Lin Feng returned to the hospital,
Continue the night shift tonight.
Handover at 24:00, almost 24:15 after handover…
I don’t know why today,
There were five or six patients sitting in the emergency department.
One fever, one cold, one diarrhea…
“what……”
Lin Feng found that the fourth patient, a young woman, had a red rash on her face.
Lin Feng’s application suddenly became serious!
“You, come here first…”
Lin Feng pointed at her and said.
The other patients in the line were dissatisfied.
“Dr. Lin, we came first. You can’t let her jump in the queue.”
“Yes, we are all in a hurry in the middle of the night.”
Lin Feng shook his head: “His illness is even more urgent… You can wait a moment, if you can’t stand it, look for me again.”
…
Lin Feng took the patient with the rash into the clinic.
·Patient, female, 28 years old
Lin Feng looked serious: “What’s the matter with your face?”
The female patient panicked at this time: “I was stung by a bee… Dr. Lin, you must help me, I don’t want to be disfigured!”
Lin Feng took a look and didn’t recognize what bee it was. After all, he was not biological.
However, with so many rashes after being stung, the condition is not generally serious.
Lin Feng: “Apart from the face, are there other places?”
The female patient nodded again and again: “Yes, yes, itchy all over!”
Lin Feng pointed inside the curtain: “Go in, I want to see…”
The female patient also trusts Lin Feng, and she doesn’t suffer from being seen by such a handsome Doctor Lin.
The two went inside the curtain, drew it up, and blocked the eyes from the outside.
“Open my clothes and let me see…”
The female patient lifted up her clothes obediently…
Hiss~~~~~
Lin Feng took a breath!
I saw that the front and back of the young female patient, except for the part of the chest that was covered, were all covered with rashes, dense and red, and none of them was intact!
Lin Feng was shocked.
This allergy is too serious, right?
Will it be anaphylactic shock?
Bee venom mainly contains formic acid, neurotoxin and histamine, etc., which can cause hemolysis and bleeding, and have an inhibitory effect on the central nervous system, so it can cause allergic reactions in some people with stings.
Lin Feng asked urgently:
“Is it on the leg too?”
“Have!”
“Apart from itching, are there other uncomfortable feelings?”
“No!”
“Really not? Breathing?”
“Breathing, it’s a bit stuffy…Doctor, is there any help for my face and skin?”
Beauty is a woman’s nature,
She was really afraid that she would be disfigured!
“It should be okay…Go, go to the rescue room!”
Lin Feng saw such a serious allergy!
It may cause two diseases:
·Allergic shock!
·Laryngeal edema causes dyspnea and suffocation. (Written in Chapter 93)
“Huh? Rescue?”
The female patient was shocked!
I was just stung by a bee. Is it so serious?
However, seeing Lin Feng’s face was wrong, and aware of the critical situation, he hurriedly followed Lin Feng to the rescue room.
Lin Feng explained as he walked.
“Your allergies are too serious now, it may cause anaphylactic shock, throat edema and suffocation. The first one needs to be anti-shock, and the latter one needs emergency tracheal intubation or tracheotomy…”
“Huh? Shock, intubation, tracheotomy?”
Female patient, really panicked at this moment!
Sudden……
The female patient felt an itchy throat and couldn’t help scratching…
“What’s wrong?”
“I…here…” When she spoke, she found that her voice became gradually blurred, and her words became less clear.
The throat seems to be blocked by something!
At this moment, the female patient began to fear.
Reflexively, she breathed desperately and breathed desperately, inhaling oxygen desperately!
“What’s wrong?”
Lin Feng saw that the patient was holding his neck, his expression a little frightened.
His face changed.
“Not good! Throat edema!”
Just right,
An empty flat car was placed not far away.
Lin Feng quickly ran over and ran back pushing the flat car.
“Quickly, lie down!”
Support her and lie down on the flat car.
Quickly let the female patient lie on her side, which is conducive to breathing.
Then yelled: “Xiao Ai, prepare to intubate the oxygen tube immediately, and the “tracheostomy package”! Emergency room, hurry up! ”
At this time, the intern Wang Rui ran over quickly when he heard the movement.
“Wang Zirui, come and help!”
“Yes!”
The two of them pushed the flat car and rushed to the rescue room.
Other doctors and nurses were also attracted.
…
Fast forward to the rescue room.
At this time, the patient was completely speechless, pinched his neck and breathed desperately.
That is because allergies cause congestion and edema of the mucous membranes, which quickly block the airway.
“Nose tube…”
Lin Feng’s first reaction was to supply oxygen first, and then try nasal cannulation.
After trying several times, I found it was blocked and couldn’t put it in!
At this time, although the patient breathed heavily, it was of no avail. He made a throat cry and his complexion had become cyanotic.
Will die of respiratory failure at any time!
The condition progressed too fast, which surprised Lin Feng a bit!
Tear off the patient’s upper collar,
There were obvious depressions in the female patient’s suprasternal fossa, supraclavicular fossa, and intercostal space.
Three concave sign!
This is dyspnea caused by upper airway edema obstruction.
The only option now is:
“Tracheotomy!”
Lin Feng said quickly: “The tracheostomy package!”
For 980 Lin Feng, this is just a minor operation.
Flimsy hands and feet.
Incision, intubation, placement, suture…
Finish,
The whole journey takes less than 1 minute…
More importantly, Lin Feng did not forget to give orders when the tracheotomy was performed.
“Use a needle or syringe to pick out the stinger!”
“Link to the ECG monitor…”
“May be shocked, first build a venous channel, right arm!”
“Adrenaline… Promethazine…”
Several nurses and interns are busy together…
When the ECG monitor was connected, the patient showed low blood pressure and fast heart rate…
“Shock has already occurred!”
“Rehydration now!”
With adrenaline, oxygen inhalation, intravenous fluid expansion, anti-anaphylactic shock rehydration…a series of corresponding treatments…
10 minutes later……
The patient opened his eyes from the faint.
Blood pressure returned to normal, breathing became stable, and the shock was over.
Lin Feng breathed a sigh of relief.
This patient was lucky and came to the hospital in time and was treated in time without serious consequences.
Whether it is shock or suffocation, it is easy to cause death.
Therefore, Lin Feng can be regarded as saving her life.
The trachea was sutured again, and then she was handed over to the doctor in the emergency medicine department. Lin Feng continued to return to the clinic to see other people.
The other patients were still dissatisfied that Lin Feng jumped the patient in line, but now they know that Lin Feng’s timely rescue has saved the life of the patient, so I am not ashamed to blame Lin Feng again.
“Doctor Lin, I was wrong, I shouldn’t blame you just now…”
“Yes, I’m sorry.”
Have apologized.
Lin Feng smiled and waved his hand: “Just understand each other…”
At this time, a patient asked curiously:
“Doctor Lin, have you been stung so badly by a bee?”
In the hearts of many people, being stung by a bee is nothing more than a trifle…
Lin Feng shook his head: “The toxicity of bees is very weak compared to humans. After being stung, they usually only have local redness and swelling… However, some people will be special. If there are a lot of rashes, nausea, vomiting, and palpitation When you have problems such as suffocation, incontinence, etc., it means that your allergies are serious, so you must go to the nearest doctor immediately!”
“Be close, don’t deliberately go to a big hospital, otherwise it may not be too late…”
. .