socalfunplaces Chapter 690
Chapter 690
After reading it.
The patient's aunt did not have any bleeding on her body.
"Doctor, what the hell is wrong with me?" The patient's aunt saw Lin Feng's expression a little strange, and immediately asked.
Lin Feng, who did not see the bleeding symptoms, was wondering, heard the words of the patient's aunt, and said softly:
"Auntie, let me be honest with you! CT only shows mild inflammation, but platelet values on your blood routine are too low. This is a key factor in the coagulation system, if there are few platelets, the body will bleed nonstop! But Auntie, you don't have any symptoms of bleeding! "
The patient's aunt didn't understand very well, but just asked: "Doctor, then what is my condition causing this?" "
"It's hard to say, if you haven't checked it, it's not clear for the time being. It could be an infection, or something else! Lin Feng said immediately.
Talking and talking.
Suddenly, the patient's aunt fell to the table with a tired look.
Seeing this, Lin Feng hurriedly asked, "Auntie, what's wrong with you?" Where is it uncomfortable? "
The patient's aunt looked very weak at the moment, and said in a very small voice: "I'm so tired!" I feel bored, like I have collapsed! I can't even move! "
Talking and talking.
Lin Feng found that the patient's aunt seemed to be slowly sliding off the table.
Immediately stepped forward to support the patient's aunt.
The mouth shouted: "Xiao Zhang, come and help." Send Auntie to the rescue room! "
Hearsay.
Zhang Donglai immediately got up.
Following Lin Feng, he helped the patient's aunt out of the consultation room and walked towards the rescue room.
When a nurse saw it on the road, she immediately stepped forward to help.
Soon.
The patient's aunt was admitted to the emergency room and lay on the hospital bed.
Subsequently.
Lin Feng instructed the nurse: "Go and contact the patient's family!" "
After speaking, Lin Feng turned on the computer and began to look for whether the patient's aunt had any previous cases.
Really.
Soon, Lin Feng found the information on the social security card registered by the patient's aunt.
I was diagnosed with lung cancer last year and finally underwent surgery.
Very smooth cure.
Very good luck.
After seeing the case of the tumor, Lin Feng had some doubts about whether the tumor had recurred.
But I have done CT before, and I can't see the tumor on it.
"Dr. Lin, the patient seems to be in pain." At this time, the nurse who was taking care of the patient shouted to Lin Feng.
Hearsay.
Lin Feng hurriedly ran over and saw that the patient's aunt had a very painful expression on her face and her breathing was uneven.
Then asked softly: "Auntie, where are you uncomfortable now?" "
"Doctor: Raw, I... I feel so bored now! You put the window: Open it! The patient's aunt said intermittently.
It seems that it has exhausted all his strength to say this.
And there are also manifestations of dyspnea.
Lin Feng immediately asked, "Auntie, do you have chest pain?" "
"No..., it's just chest tightness, I don't feel enough qi." The patient's aunt replied softly.
Hear this.
Lin Feng was a little puzzled.
However, it is not a big mistake to be careful, and began to do an electrocardiogram for the patient's aunt to rule out the situation of myocardial infarction.
After a while, the electrocardiogram came out.
Quite normal.
It's that the heart rate is slightly faster.
100 times/min.
The rest is not special, not a graphic of a myocardial infarction.
But I'll have to do another ECG later.
Subsequently, Lin Feng drew blood from the patient's aunt and tested routine blood routines, cardiac enzymes, troponin, liver and kidney function and other routine items.
The walk is the emergency department is accelerated.
The test results came back in a short time.
Myocardial enzymes and troponin are almost normal, so the possibility of myocardial infarction can be ruled out.
The platelets are still low, but not as low as before, it should be that Lin Feng used some drugs to raise platelets for the patient's aunt after entering the rescue room just now.
After eliminating these, there was another abnormal item value that made Lin Feng nervous.
"Brain Natriuretic peptide"!
The content of brain natriuretic peptide, which is related to ventricular pressure, dyspnea, and the state of the patient's hormonal regulatory system, is very important for clinical monitoring.
Increased brain natriuretic peptide is generally used in the diagnosis and treatment of cardiovascular and respiratory diseases such as heart failure, hypertension, and dyspnea, and can also be used to predict the risk of acute coronary syndrome. "
now
The value of brain natriuretic peptide is very, very high, and the checklist only indicates that it is greater than the detection value, which means that it is high to burst.
Right now!
A nurse walked in and said to Lin Feng: "Doctor Lin, the patient's family is here!" "
"Hmm!" Lin Feng nodded and walked out.
There were two men standing outside, presumably father and son.
After seeing Lin Feng come out, the older man spoke: "Doctor, how is my wife?" "
Lin Feng immediately told the two of them the results of the inspection just now.
After listening, the two immediately became nervous.
Hearing that the check values are much higher than normal is not a good thing.
My husband asked eagerly: "Doctor, what does this value mean?" "
Lin Feng immediately said: "This test result indicates that the patient may have heart failure. "
"Doctor, how can my wife have heart failure?" The patient's husband immediately asked.
"As for what caused it, the results of the examination at this stage have not yet found the cause! The most common is myocardial infarction, but now the patient's electrocardiogram and examination results have ruled out the possibility of myocardial infarction! Lin Feng said softly.
In general, breathing difficulties are nothing more than problems with the two organs of the heart and lungs.
The patient's CT is still enhanced CT, only mild pneumonia is seen above, there is no severe pneumonia, there is no possibility of pulmonary embolism, excluding atelectasis, pneumothorax, etc., so it is not a lung disease.
If lung problems are ruled out, only heart disease remains.
Especially when the brain natriuretic peptide is so high, it is only possible that there is heart failure.
But the cause of heart failure, Lin Feng has not yet found out.
"Doctor, what now?" The patient's son immediately asked.
"Now that the patient is at medium risk, you need to sign a critical illness notice. Next, the patient needs to be closely monitored, and indicators such as electrocardiogram and myocardial enzymes are reviewed. Lin Feng said.
"What? Is my mom's situation so serious? She also had lung cancer last year, could it be because of lung cancer? The patient's son said immediately.
"Very serious! Heart failure, heart failure, you say Yan is not serious. According to the results of the examination at this stage, the patient's condition has nothing to do with lung disease, you wait first, I will continue to examine the patient! Lin Feng said immediately, then turned around and walked back to the rescue room.
After coming in.
Lin Feng saw that the patient's aunt had already brought a mask to take oxygen.
It seems that the breathing is getting worse.
Otherwise, the nurse would not have put an oxygen mask on the patient's aunt.
If the patient's partial pressure of oxygen continues to drop, endotracheal intubation may be required.
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