Chapter 519
Chapter 519
Lin Feng asked the nurse next to him: "What happened?" "
The nurse said: "A patient with a heart attack, the heart stopped..."
A doctor next to him explained: "That patient, we have been told thousands of times, must stay in bed, stay in bed, but the result is dead or alive... But it is estimated that he wanted to poop, and several times he had to struggle up and say that he wanted to go to the toilet, and the doctor told him that he could not go to the toilet, and if he wanted to pull, he would pull on the bed, but he didn't listen... In order to calm him down, the doctor used morphine 2 times before and after, which had a little effect, but he still remembered to go to the toilet..."
"Later, while the nurse was not paying attention, I finally got out of bed, and when I got out of bed, I fell directly on the ground... When the nurse heard the patient next to the bed shouting, she had already found that the patient had ventricular fibrillation, and then it was gone..."
When the doctor said, his heart was full of helplessness.
Lin Feng was silent.
Patients with myocardial infarction will cause heart failure, the heart cannot pump blood, and cardiogenic shock will occur...
And then ventricular fibrillation ... And then die...
Lying in bed is the position with the least load on the heart, because the heart does not have to overcome the influence of gravity to transport blood to the lower limbs and skull.
Once you stand up, the heart is stressed.
Then the fragile heart can stop at any time.
And
Even if you successfully stand up, when the patient is about to lie in bed,
Patients are unable to lie flat at all, and lying flat can lead to increased return of pulmonary fluid (pulmonary edema in heart failure, cardiogenic shock) and worsen dyspnea.
Therefore, for patients with myocardial infarction, the doctor requires that they must lie down, otherwise they will see this situation in front of the patient.
......
At this point,
Several doctors and nurses are still constantly pressing on the patient's chest, trying to save it.
Adrenaline was given every 3 minutes, but ECG monitoring still showed no improvement.
Lin Feng took a look at the patient's state.
The face is cyanosis, the skin is bruised all over the body, and the limbs are cold...
I tried to touch the femoral artery and carotid artery, but there was no obvious pulse.
This is already a dead man.
At this point,
The family is crying and hoarse.
However, everything is irretrievable.
The disease has progressed to this extent, and there is little chance of rescue.
The rest is estimated to be the relationship between the family and the hospital, and if the difficult family is concerned, it is estimated that it will be anxious, although there are very few such families.
......
......
At this point,
A private car is approaching the hospital.
"Mom, that Dr. Lin is very powerful, I believe he will find out the cause of you..."
"I've heard of this Dr. Lin, but is it really okay to be so young?"
This is a mother and son.
The son drove and sent his mother to see Dr. Lin Feng.
The mother, named Zhang Suhua, her illness is a little strange.
Seven days ago, I began to have dizziness symptoms, and in severe cases, I even felt that the sky was spinning, and sometimes I was nauseated and palpitated...
Of course, it has appeared again and again in recent years, but it is not so serious.
Zhang Suhua panicked, and then hurried to the hospital to see a doctor.
After the doctor asked about the condition, he told him something:
Dizziness, accompanied by a whirlwinding sensation, is called vertigo in medicine.
Root:
May be a problem with the vestibular system of the ear
It may also be a vascular problem
Brain problems
Heart problems
The most common is "Meniere's disease".
It refers to the lymphatic metabolism disorder of the inner ear of the ear, resulting in the labyrinthine of the inner eardrum and accumulation of water.
The onset is very uncomfortable, the sky is spinning, nausea, cold sweat, hearing loss, tinnitus, nystagmus, etc., there is no cure, but it can be controlled by drugs.
But
Zhang Suhua did not have tinnitus and no hearing problems, so "Meniere's disease" was ruled out.
Then I did an electrocardiogram and measured blood pressure, all of which were fine.
Heart problems are ruled out.
Then I did B-ultrasound of cerebral blood vessels, cervical spine X-ray, head CT...
All done.
Except for "X-ray, slight herniation of the cervical spine" + "CT and slight narrowing of the vertebrobasilar artery", everything else is fine!
At last
The diagnosis is vertebrobasilar insufficiency.
Vertebrobasilar artery is a very important blood vessel in the human brain, responsible for supplying blood and oxygen to brain tissue, if it is narrowed or has problems, resulting in insufficient blood supply to the brain, then brain function is bound to be impaired, such as dizziness, nausea, etc., severe and even a short coma.
Then prescribe some drugs to unblock blood vessels.
After taking the medicine for four days, the effect was good at first, but it was just this morning.
She suddenly had the worst dizziness and fell directly to the ground.
And then nausea, vomiting, a very fast heartbeat ...
Medicine
Suddenly, the effect became average.
At this time, Zhang Suhua panicked.
At this time, his son suggested that he come to Harmony Hospital to find Lin Feng.
......
Lin Feng's side,
After 8 patients were diagnosed,
Press the call machine.
"Please ask Zhang Suhua to consult room three..."
And then
Zhang Suhua and her son walked into the consultation room.
"Sit, tell me what's going on?"
"Doctor Lin, it's like this..."
Zhang Suhua informed his condition and doctor's diagnosis one by one.
"Did you bring all the materials for the last hospital examination?" It's only been a few days, so there's no need to continue the same check..."
"I brought it..."
Zhang Suhua quickly handed the inspection materials to Lin Feng.
Lin Feng looked at them carefully.
Indeed, all kinds of checks are fine.
Finally, Lin Feng looked at the "brain CT".
Brow furrowed.
"Your 'vertebrobasilar artery is slightly narrowed', it's not very obvious..."
With Lin Feng's world-first rich reading experience, he immediately concluded that this "slightly narrowed vertebrobasilar artery" should not be able to cause such a serious disease.
So
Lin Feng concluded that it should be other diseases!
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ps: gone...
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