latelenovela Chapter 717
Chapter 717
"You're not just diabetic! Now blood sugar is so high, and nausea and vomiting, may have acute complications of diabetes, we call it diabetic ketoacidosis, this is your usual blood sugar control is not good, the body can not use glucose, but the use of fat consequences, burning fat will produce a lot of ketone bodies, ketone bodies pile up, is this ketoacidosis, mild will lead to nausea and vomiting, severe shock will die. Lin Feng continued.
He was also not worried that he would say too seriously and scare the patient.
"Then why do I have a fever?" The patient asked with a puzzled look.
"Infected! Infection can cause blood sugar to worsen, inducing ketoacidosis. Lin Feng said immediately, and then said: "Let's do a CT first!" "
Because the patient has digestive tract diseases such as nausea and vomiting, Lin Feng proposed to go for an abdominal CT first to see if it was a problem in the abdomen.
The patient also had no objections.
As soon as I did the CT, I was shocked.
CT Tips:
The patient's liver has a large fist lump.
The CT teacher deduced: suspected malignant tumor, may also be liver abscess or liver cyst, not easy to identify, need to do further examination, but now it seems that the chance of liver cancer is relatively large.
The patient was stunned.
I usually don't see a doctor, but now I suddenly have liver cancer, and diabetes, and it is the most serious diabetes.
At this moment, her mood is beyond words.
The children of the patient next to him heard that their mother was so seriously ill, so they quietly went outside to discuss countermeasures.
What can be done!
You can only continue to heal!
After discussing for more than half an hour, they returned.
As soon as he returned, the patient's condition began to deteriorate.
I have begun to cough, and I feel that the condition of my lungs has begun to worsen, accompanied by a high fever.
Quickly measured the patient's blood sugar, and there was 28mmol/L.
Lin Feng also came up with a diagnosis, and the patient was diagnosed with type 2 diabetes ketoacidosis.
The main features of this condition are high blood sugar, the body is prone to dehydration, and it is very easy to go into shock.
After giving a conclusion, Lin Feng recommended the use of insulin for hypoglycemia and massive fluid expansion.
Faced with Lin Feng's suggestion, the patient's children immediately agreed. But the patient asked, "Doctor, is using insulin addictive?" Can you not use it? "
"That won't work. When ketoacidosis, blood sugar is so high that intravenous insulin must be used to control blood sugar first to improve the condition. Besides, insulin is not addictive, you are deficient in insulin, so you have to supplement insulin. It's like eating when you're hungry, can you think rice is addictive? Lin Feng said immediately.
With Lin Feng's explanation and the persuasion of the patient's children, the patient quickly accepted.
While preparing, the patient's cough suddenly worsened, and after saying a few words, he began to breathe, and his heart rate increased, reaching 130 beats per minute at the fastest.
In addition to nausea and vomiting, the patient's abdomen also began to ache.
After learning this, Lin Feng couldn't help frowning.
The condition has not only become more complicated, but also serious.
Is the liver a liver cancer or a liver abscess or something else?
Lin Feng chanted in his heart.
Although the report says that there are many liver cancers, overall liver abscesses are more likely.
The patient has fever, signs of infection, and pain in the abdomen, which are all signs of a serious infection, and a liver abscess is a serious infection.
If it is liver cancer, how can the patient have fever and infection?
Or is it possible that there is an infection in other parts along with the presence of liver cancer?
Like a lung infection?
Now the patient has a cough and difficulty breathing after activity, and there is a high probability of a lung infection, and it can be a serious infection.
After quickly passing through his head, Lin Feng said: "Let's do CT again!" Figure out the situation in the chest. "
Looking at Lin Feng's solemn expression, the patient's children just about to complain swallowed back, nodding in agreement repeatedly.
As for the patient, she now tries not to speak.
Suddenly.
Xiao Ru shouted to Lin Feng: "Teacher, the patient's situation has changed again. "
Hearing this, Lin Feng immediately looked at the ECG monitor at the bedside.
Blood oxygen has fallen by 80%, and the heart rate has climbed to 140 beats per minute.
The patient's face was full of discomfort and his lips were cyanosis.
Lin Feng immediately gave up his plan to do CT, and I am afraid that there may be big problems halfway to this state.
What he thinks about now is preparing to take the patient to the ICU.
Pick up the stethoscope and examine the patient.
After listening to both lungs, the breath sounds are still symmetrical, not much like pneumothorax or atelectasis.
Now the priority is to stabilize the patient's breathing, oxygenation, first stabilize the small life, and then find the cause.
Lin Feng explained the situation to the patient's children.
After discussion, the patient's children agreed to take the patient to the ICU.
After entering the ICU, the patient's hypoxia became more serious, the respiratory rate was only 35 times per minute, and the blood oxygen saturation was only 89% under the condition of oxygen.
This will not work!
You have to be intubated and connected to a ventilator.
Now that the patient was still conscious, Lin Feng informed the patient that he needed to be intubated.
Hearing this, the patient nodded sharply.
Now the patient is hypoxic and must urgently need oxygen supplementation.
Soon.
A tranquilizer was injected intravenously, and the patient went to sleep.
Lin Feng immediately completed the endotracheal intubation and connected it to the ventilator.
Now the patient's condition is finally better.
Blood oxygen returned to 95%.
The heart rate also returned to 120 beats per minute.
Much better than before.
Taking advantage of this time, Lin Feng applied for a bedside chest x-ray for the patient, and after seeing the results, he found that the condition became confusing.
Indicates that the lung infection is also very serious!
Have an infection in the lungs too?
Do you have a tumor or abscess in your liver?
And there is also diabetic type 2 ketoacidosis!
None of them are likely to be fatal!
Right at this moment.
The patient's children called Lin Feng out.
First there was a moment of silence.
Then the patient's eldest son opened his mouth and said to Lin Feng: "Doctor, we want to take my mother home!" "
As soon as the words fell, Lin Feng looked at him with a surprised expression.
I don't understand how the patient's son suddenly changed his mind again.
Facing Lin Feng's surprised eyes, the patient's son had a somewhat evasive look in his eyes, did not dare to look at Lin Feng, lowered his head and said: "Just now we discussed, because my mother is more seriously ill, it is possible to die in the hospital, according to our customs, people cannot die in the hospital, so we want to take my mother home, let later..."
The patient's son's voice was trembling, and this choice seemed to make him very painful.
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ps: Happy New Year's Day, book friends!!
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