FVN Chapter 298
Chapter 298
rescue room,
Without Lin Feng's orders, the nurses quickly connected to the ECG monitor.
Blood pressure: normal
Heart rate: fast
Lin Feng observed cyanosis on the patient's lips.
A shiver in my heart.
"Cyanosis of the lips": It is caused by the decrease in the oxygen content of the blood-red veneer in the body's blood, and it is the color change of the human mucosa when it is deprived of oxygen.
Didi ~~~
At this time, the finger clip is accurately clamped,
The blood oxygen data on the ECG monitor ran out.
Blood oxygen saturation: 91%!
"Elder Wang? Wang Lao? "
Wang Lao couldn't wake up.
He looked at Wang Lao's pupils again.
The pupil is symmetrical and equicircle.
Less sensitive to light reflection
Lin Feng frowned, it should be a problem with his head.
"Is it really a brain hemorrhage?"
"Go to the CT room immediately and do brain CT!"
Quickly rushed to the CT room.
Of course, the flat car carries oxygen cylinders, constantly giving oxygen to Wang Lao to maintain oxygen content.
......
CT room,
Lin Feng personally operated, do CT troubleshooting!
On the spot, the results came out!
· CT show: No bleeding marks!!
Here is an explanation of how blood is displayed in CT:
The density of the brain tissue itself is relatively low, and the contrast with blood is obvious, so if there is bleeding, it will have a darker color (density increase shadow).
Lin Feng: "..........................."
"Intracerebral hemorrhage" was excluded,
So why do you get faint?
This kind of faintness must be caused by brain problems.
Lin Feng carefully used CT to scan this brain tissue little by little, and found that the brain tissue had a certain range of 'displacement'.
It should be said that it is "placeholder".
It is considered cerebral edema, resulting in volume edema that squeezes normal brain tissue (in severe cases, intracranial pressurization).
"Cerebral edema": usually caused by brain injury.
But
"Cerebral edema" is not the cause.
It is a result, there must be something, that caused cerebral edema.
"Intracerebral hemorrhage" has been ruled out earlier, then consider the most common "cerebral infarction".
"cerebral infarction",
It's about the same as myocardial infarction.
Both are ischemic and hypoxic, resulting in tissue necrosis.
"Cerebral infarction": blocking blood vessels - ischemia and hypoxia -" tissue necrosis...
But
There is a pitfall in cerebral infarction: in the early stage of "cerebral infarction" (within 24 hours), CT is difficult to see, there is no obvious change on CT, and there may be only some edema.
After 24 hours, or 48 hours, the ischemic necrosis of brain tissue is serious, and only then can you see obvious low-density shadows.
At this time,
The son rushed in.
Make somebody's blood boil!
"What's going on, what's going on with my dad?"
Crazy.
In itself, he was very dissatisfied with Lin Feng, the 'young doctor'!
I, the big leader, my father is also a retired big leader, why let a small doctor be the attending doctor?
If Dad is okay with anything, it's nothing.
But!
Now that I am about to be discharged from the hospital, I actually fainted and fell!
The son suddenly felt that everything was wrong with Lin Feng.
Suddenly, 24 hours of resentment broke out directly.
Like an angry bull, rushing towards Lin Feng!
"You return my father's life!"
An old fist, swinging towards Lin Feng.
And then......
was easily caught by Lin Feng with one hand, and then twisted...
The son felt a powerful and unmatched force coming from Lin Feng's arm, easily twisting his arm to his back.
One pressure.
His whole person was like a dead dog, crushed to the ground.
"This is the hospital, please calm down."
Lin Feng's unsalty voice sounded.
"Calm down Nima coin, you killed my father, you still want me to calm down, quickly let go, you are dead!"
The son cursed.
At this time, other doctors rushed to hear the news.
Seeing this, he quickly ripped the two apart.
"Doctor Lin, calm down, calm down..."
"Mr. Wang, calm down..."
Lin Feng asked and sat back in front of the CT console...
The son was so angry that he screamed and wanted to beat Lin Feng and find the field, but he was stopped by other doctors.
The son cursed angrily:
"Your Harmony Hospital is so good that you actually let a little doctor see my father... If something happens to my dad, I'm going to kill you in the hospital..."
The doctors listened: "..........................."
Qi Qi rolled his eyes.
Sue our hospital?
Please, do you think our Harmony Hospital is a cat and a dog?
You look at those associations that rate the top three, even if harmony does not bird them, do they dare not give harmony top three?
This is the strength of harmony!
Moreover, you actually said that Lin Feng is a little doctor?
Are you a villager?
The crowd was speechless...
......
After the CT is done,
Didn't find anything special.
"Doctor Lin, it's not good, the patient's blood pressure has become much lower!"
When entering the CT room, naturally there is no way to bring an ECG monitor, so blood pressure is not measured manually.
Measured every 5 minutes.
outcome
The last time I took a test, there was a problem with my blood pressure!
"How much?"
“70/40......"
Lin Feng's face changed.
Such a low blood pressure indicates that the heart has insufficient blood pumping power and insufficient blood flow...
Other words
The condition has worsened!
However, CT can't detect anything!
"Contact ICU immediately and send it!"
"Yes!"
The ICU has a lot of emergency equipment, the emergency department is not available, now this Wang Lao's condition is so serious, so it is safest to send to the ICU.
At this time, any examination is not as important as the life support of the ICU.
"Black Hospital!"
The son was even more angry.
ICU, he still understands, is the last lifeline, and it takes extremely serious patients to send it.
"You doctor, I remember you!"
"If my dad dies, I'll kill you!"
Scolding.
Lin Feng was unmoved.
Quickly pushed Wang Lao and sent him all the way to the ICU.
The pace was fast, and there was a tense atmosphere throughout the team.
On the way, other doctors asked Wang's wife to sign.
Because ICUs are quite expensive, seven or eight thousand a day, it is best to obtain the consent of the family.
Old Wang's wife was still reasonable, trembling her hands, and quickly signed.
"Please, doctors!"
As soon as Wang Lao sent it, the ICU team, which had already been prepared, quickly connected Wang Lao with various equipment.
Low-frequency ventilators...
Various monitoring instruments...
Originally, the ICU could not let the family in, but this son was too violent and directly broke in.
At this time,
The director of the ICU, the professor, the country's top ICU expert, Director Chen, came forward.
Stopped this emotional son.
Director Chen: "You are here, it will only get in the way, and this is the ICU, there are many seriously ill patients, being troubled by you like this, there may be big problems, when the time comes, you don't want to get around... So, I advise you to better go out. "
Don't be angry.
The language is full of threats.
The son suddenly became vain, did not dare to be presumptuous, and cried bitterly in a low voice:
"Please Director Chen to save my father..."
"I'll watch..."
"Also, that doctor called Lin Feng, I don't think he can heal, please don't use him..."
"Lin Feng? You say he can't? "
Director Chen's majestic face was stunned for a moment.
Lin Feng's such a powerful doctor, you actually said no?
How long do you have a head?
With an expression like a fool, he looked at this old son of Wang.
"Get out quickly, I'll rescue here..."
"Yes, yes, I will go out immediately, Director Chen, please help me save my father..."
Old Wang's son only promised to leave, and Director Chen's 'you fool' gaze echoed in his mind.
......
Under the action of various valuable instruments of the ICU, then vasopressors were used, intubation for oxygen ...
Elder Wang's vital signs quickly stabilized.
Many doctors from the ICU were present, and simply gave this Wang Lao a consultation.
"I think Dr. Lin's consideration is correct."
"The patient's condition should be cerebral edema caused by cerebral infarction..."
"CT results can rule out coma caused by cerebral hemorrhage..."
Numerous doctors think about it and can't think of anything...
In the end, they all supported Lin Feng's diagnosis - cerebral infarction!
But
I want to prove "cerebral infarction".
Need to do MRI!
But at this time, the patient's situation, not to mention the rest, the oxygen cylinder must be brought!
There is no oxygen supply, and it can die at any time.
The oxygen cylinder is a metal shell, so it cannot enter the MRI room, otherwise the strong suction force will suck the oxygen cylinder over, if you sandwich the person in the middle, you can clamp the person to death!
So
There is no way to test "cerebral infarction"!
If there is no way to detect it, they dare not give strong drugs.
Things are at an impasse!
suddenly
Lin Feng thought of a possibility:
Pulmonary embolism!!
Pulmonary embolism: thrombosis blocks the pulmonary artery tributary -》Then causes blood + oxygen to not be able to combine-》The amount of oxygen delivered to the blood of the whole body is not enough, resulting in systemic hypoxia (cyanosis of the lips, low oxygen saturation) -> Cerebral hypoxia, cerebral infarction -> edema, occupancy -》Dizziness, fall...
It's a bit far, but it's not impossible.
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ps: End of update today...
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