socalfunplaces Chapter 684
Chapter 684
Seeing the patient's husband so cooperative.
Lin Feng was also relieved.
If these two people have one attitude, then it's troublesome!
Then.
The patient's husband asked with some nervousness and doubt: "Doctor, will my wife get pulmonary embolism if she is good?" "
Lin Feng also had some doubts in his heart about this question.
But he still said softly: "If a person is good, it is impossible to get pulmonary embolism!" There must be something in it that hasn't been discovered yet. For example, some congenital diseases, resulting in relatively viscous blood, which is easy to cause thrombosis, and once the thrombus falls off, it may block the pulmonary artery and form pulmonary embolism. "
"That's impossible, my wife has always been healthy, but I didn't know what caused cough and phlegm some time ago, so I came to the hospital for examination." The patient's husband immediately said excitedly.
"Don't get excited first, what I just said is just a possibility!" Seeing that he was so excited, Lin Feng hurriedly calmed down, and then said: "There are many possibilities of pulmonary embolism, such as some malignant tumor patients, such as lung cancer, bowel cancer, liver cancer, their blood will be more viscous. Of course, if you say that your wife is in good health, then you can rule these out..."
Hearing these words, the patient's husband thought back for a moment.
Just ready to speak.
Lin Feng said: "Let's not talk so much, now that you understand the situation, let's go to your wife to do a CTA examination first to determine if you have pulmonary embolism." "
"Well, good!" Hearing this, the patient's husband immediately answered.
For safety reasons, Lin Feng accompanied the patient to do CT throughout the process, mainly worried about what happened in the middle of the way, and it was also convenient for rescue.
After 15 minutes,
The computer processed the CT
When the film came out, the radiologist frowned slightly and called Lin Feng over.
Follow the radiologist in the direction of his finger.
Now it is very clear that the upper left lower lung patch shadow on the previous CT scan is not pneumonia, but the exudative lesion caused by this pulmonary embolism, fortunately, the embolization is not very serious, but the relatively small blood vessels are blocked, and there is no ventilation problem affecting the entire lung.
At the same time, it is further clarified.
No mass seen, not a tumor.
Afterwards, Lin Feng returned to the patient's side.
The patient's husband on the side asked Lin Feng with a look of anticipation: "Doctor, is my wife okay!" "
Looking at his expression, Lin Feng said softly: "Well, it's not a big problem. It is not a problem with the tumor, and an embolism was found in the lower left lung, but fortunately it was not very serious and was at moderate risk. My advice is to be hospitalized for the next step in treatment, as the condition can be serious. "
Hear such statements.
The patient and the patient's husband instantly turned bad.
After the two looked at each other.
The patient's husband said in embarrassment: "Doctor, can you not be hospitalized!" The family's business is inseparable from people! "
Hear this.
Lin Feng suddenly became angry!
Still thinking about business!
He didn't listen to what he just said!
Pulmonary embolism!
Medium danger!
There is a serious possibility!
Just like that, I don't want to be hospitalized.
Lin Feng endured his anger and questioned the patient's husband: "Do you want life or business!" Your wife is like this, you even think about business! I don't want this life! "
"Yes! Of course it's damn! Seeing Lin Feng staring at him angrily, the patient's husband said immediately.
"Then what are you still hesitating about! Hurry up and go through the hospitalization procedures! Lin Feng said, and then asked Xiaoru to take the patient's husband to go through the procedures, and he took the training and intern to send the patient to the rescue room.
Although the patient has been diagnosed with pulmonary embolism, the data on ECG monitoring is quite stable.
At best, it is a low- to moderate-risk pulmonary embolism.
Lin Feng now needs to find out where the patient's blood clots came from.
The most common case should be from the deep veins of the lower extremities, where the thrombus detaches from the deep veins of the lower extremities and flows down the blood vessels into the pulmonary arteries, resulting in pulmonary embolism.
In the previous examination, the lower extremity ultrasound has been done, and no venous thrombosis has been found.
Lower extremities were excluded.
Then the most likely thing is that there is thrombosis in the blood vessels of the waist or buttocks, and the ultrasound of such a deep part is invisible.
Of course, it is also possible that there is no source of thrombosis at all, and the blood clot grows on the pulmonary arteries in the first place.
Everything is possible.
Now that the patient has identified pulmonary embolism, but the overall assessment is non-high-risk, then thrombolysis is not required.
At this time, thrombolysis will only do more harm than good.
If the thrombus does not dissolve, but causes the patient to have cerebral hemorrhage, it will be a big trouble.
Although thrombolysis is not required, anticoagulation is required!
That is, to prevent the thrombus from further coagulation and expansion, to prevent the patient's condition from worsening, and perhaps the thrombus that has formed can be slowly dissolved through the fibrinolytic system of the human body.
This is the safest and safest way to do so.
Lin Feng looked at the patient on the hospital bed and asked softly: "Now you need bed rest, don't get out of bed if you're fine, notify the nurses and doctors if you need anything, whether the chest pain is aggravated now, if it is aggravated, you can use some painkillers." "
"The chest pain is already better and I don't need painkillers. It's just that I'm feeling tired now! Listening to Lin Feng's question, the patient responded.
Lin Feng nodded, and then prepared lactose oral liquid for the patient to moisturize and laxative, in case she was constipated, causing the thrombus to fall off and causing a new pulmonary embolism.
Then.
The patient's husband also returned.
Hospitalization procedures have also been completed.
Lin Feng pulled him aside and prepared to explain.
Haven't spoken yet.
Xiao Ru hurriedly ran over and said with some panic: "Teacher, it's not good." The patient's blood pressure is dropping rapidly! "
Swish~
Hearing this, Lin Feng immediately ran back.
Although the patient's husband did not quite understand what the drop in blood pressure meant, he also quickly followed behind him when he saw Lin Feng's reaction.
Lin Feng ran back.
Look at ECG monitoring.
Blood pressure 88/40mmHg
It can be said that it is terrible!
I'm really afraid of what is coming!
Pulmonary embolism is also divided into mild and severe.
If the blood pressure is normal, it is usually not very serious. If the blood pressure drops, it means that the condition has worsened, and it is likely that a new thrombus has been shed, forming a new embolism.
The patient's condition instantly increased from medium to high risk.
.