FVN Chapter 356
Chapter 356
Lin Feng came to the ICU,
Outside the ICU, several guards were standing.
After checking Lin Feng's identity, he let Lin Feng in.
I entered the ICU and came to the ward of the female patient with "Guillain Barré syndrome".
Then see a group of 'strangers' inside.
At the head is an old man.
"Leader Number Five?"
Lin Feng was taken aback, and the appearance of the old man in front of him actually corresponded to the big leader on the news.
"Good leader..."
Lin Feng saluted.
"Haha, you are Lin Feng... I know you, the one who is very famous on the Internet..."
The leader is very happy, it may be that the female patient's condition has improved, so he is very enthusiastic about Lin Feng.
Pulling Lin Feng, he greeted him...
Other doctors were very envious in their hearts, knowing that Lin Feng was a 'fish leaping over the dragon gate' this time, and it was estimated that it would be easy to find Lin Feng if something good happened in the future...
Director Chen introduced the treatment progress of the female patient to Lin Feng.
After a day and a half of treatment, the female patient, the leader's daughter, began to move her feet, and her hands were lifted.
At the same time, yesterday an electromyogram, antibody blood draw ...
Electromyography: Determine muscle weakness...
Antibody blood draw: Guillain Barré syndrome, positive.
Lin Feng's diagnosis is undoubtedly correct.
......
For the next half month,
Lin Feng felt what it was called 'someone on the head to do things'...
In general, every doctor who enters the profession will join various medical associations (hundreds or thousands in total).
This kind of association is lined with mountains, all kinds of competition for fame and fortune, and seniority is arranged.
And Lin Feng, this person, does not like this kind of thing, so he has never applied to join any association.
And now, not only several of the top medical associations in the country invited Lin Feng, but also gave various senior titles.
Then, many senior leaders invited Lin Feng to dinner, to get to know ...
Inevitably, Lin Feng's reputation began to rise in the high-level circle of the imperial capital.
......
Tossed for half a month,
Lin Feng finally relaxed a little.
Keep seeing the doctor...
......
night
The imperial capital runs laps at night...
It's a small, nonprofit organization with about 200 people joining, and a dozen people run through the night every night.
Today, 34-year-old Lao Zhang, dressed in his gear, gathered at the departure location.
Run with 15 other teammates.
Let's go!
4 km ... 6 km... 8 km ...
By the time of the 9th kilometer ...
Lao Zhang suddenly felt that the whole person was more tired, especially the lower limbs, soft ...
"What's going on? I usually run 15 kilometers..."
"Why are you tired after only running half of the run today?"
Lao Zhang wanted to continue running, but his body couldn't bear it, so he could only stop and rest...
The runner next to him stopped and asked curiously.
"Why did Lao Zhang stop?"
"Tired?"
"Lao Zhang, have you paid too much public grain recently? Can't carry it for only 8 km? "
Lao Zhang gasped and shook his head:
"I don't know... Suddenly I'm so tired... You guys run first, I'll take a break..."
"Then you rest first, let's continue running..."
"Bye bye..."
Everyone separated.
Lao Zhang found a tree to lean on, but he couldn't stand it a little, so he found a stone to sit on, gasping ...
At this time, he felt that his strength was even smaller...
"Could it be that the night run three days ago was too intense and damaged the muscles?"
Lao Zhang felt that the night run could not continue tonight.
Take a taxi home first and take a break...
Back home...
Lao Zhang felt that something was getting more and more wrong.
Originally, he just had no strength in his feet.
But after returning home for more than ten minutes, I found that my hands began to lose strength.
Even lifting a phone becomes a bit laborious.
At this moment, he panicked.
Quickly call his wife, take himself to the hospital, and help him over.
It took 15 minutes to rush to Harmony Hospital, emergency department.
......
Lin Feng happened to be in class P today.
There are still 3 hours to leave work, and there are surprisingly no patients tonight, so Lin Feng is relatively idle.
"Doctor Lin..."
While resting...
I saw a woman holding a man and walking in.
Seeing that it was Lin Feng, I was pleasantly surprised.
"Doctor Lin, my husband suddenly has no strength, his feet have no strength, and his hands have become weak, you can help see..."
Hold Lao Zhang's hand and sit on the chair...
"I'll see..."
Lin Feng grabbed the patient's hand and suddenly raised his eyebrows.
Soft and weak...
"Tell me what's going on... Cause and effect..."
"That's right, my husband has always liked to run at night, twice a week, about 15 kilometers each time... After running about 8 kilometers today, I can't stand it..."
15 km ...
Lin Feng was surprised.
So long!
Then subconsciously thought of a disease - rhabdomyolysis.
In general,
Muscle damage after strenuous exercise can completely lead to limb weakness. Many people who run marathons will have limb pain and fatigue afterwards, and they will be rhabdomyolysis.
Of course, it does not mean that exercise is big, but: when the human body does not exercise for a long time and suddenly exercises vigorously, the muscles will dissolve.
However, since the patient can run 15 kilometers, it means that night running is experienced and should be fully prepared.
In addition, I can often run 15 kilometers, but today it is only 8 kilometers, which shows that it has not reached the limit.
"Will you show muscle pain?"
"No..."
Lin Feng nodded.
If there is no significant manifestation of muscle pain, combined with the above two inferences, the patient appears unlikely to rhabdomyolysis.
"Lying in bed, I'll see..."
Lin Feng checked,
It was found that the muscle strength of both lower limbs was only level 3, and the muscle strength of both upper limbs was level 4.
(5 levels in total)
Lin Feng began to think about what specific disease was in his heart.
First of all, there are neurological problems, such as the Guillain Barré syndrome in the front ...
Secondly, there is muscle problems, muscle dissolution...
Also, the brain (cerebral hemorrhage or cerebral infarction), because it is a nerve center, can cause weakness in the limbs...
• Heart...
First of all, it is natural to check the simplest and fastest heart.
Connect to the electrocardiogram machine, it will come out at once, and you don't have to wait for brain CT to take half an hour and an hour...
Tick Tick..................
ECG drawings, constantly stretched ...
"I'm going!!"
Lin Feng glanced at the electrocardiogram and was taken aback!
· The Q-T interval is significantly extended! The P-R interval has also been extended!
Big problem!!
This prolonged Q-T interval indicates a problem with the heart's electrical conduction system.
This can really happen at any time (ps: shake pork)!
What are the consequences of ventricular fibrillation?
Cardiac arrest!
Lin Feng was glad in his heart, fortunately he subconsciously did an electrocardiogram, otherwise if he really asked the patient to go for brain CT, wait for 1 hour...
I'm afraid the patient will die directly!!
"Quick, send to the rescue room!!"
Lin Feng shouted.
This patient Lao Zhang may hang up directly at any time, so Lin Feng shouted urgently.
And Lao Zhang was frightened!
His wife was also terrified!
"Doctor, what's wrong?"
"Doctor, is my husband all right?"
Lin Feng didn't care about explaining, put the patient on the bed, and then pushed the car and rushed to the rescue room.
A burst of chickens and dogs jumping.
While running, ask the patient.
"Your husband, do you usually have a history of heart disease?"
"No..."
"High blood pressure, diabetes?"
"Nor ..."
"Do you have any other medical history?"
"Yes, hyperthyroidism, usually take hyperthyroid medicine..."
When Lin Feng heard this, his face changed.
"If there is hyperthyroidism, don't you say it earlier, lying groove!"
Lin Feng was a little angry.
"You didn't ask me..." Lao Zhang was a little aggrieved.
Lin Feng: ".................."
I don't know how to say well.
However, this is not the time to care about this small problem.
Hyperthyroidism, also known as hyperthyroidism, is a condition in which the thyroid gland synthesizes and releases too much thyroid hormone, resulting in hypermetabolism and sympathetic excitement, causing palpitations, sweating, increased eating and stools, and weight loss.
The patient has hyperthyroidism, and Lin Feng subconsciously associates it with hyperthyroid cardiomyopathy.
The reason is that thyroid hormones will excite the heart, causing fast heart rate, large consumption, etc., and over time, it will damage the heart muscle.
。