radicalducati Chapter 412
Chapter 412
Lin Feng dodged quickly and was not sprayed.
Quickly grab the suction tube and continue to suck.
While sucking, he said: "Pay attention, the patient cannot rule out the possibility of tuberculosis, everyone clean up the blood on the body as soon as possible..."
The faces of the doctors and nurses suddenly changed.
Tuberculosis is one of the types of pneumonia.
But it's contagious!
But the good news is that the condition of infection is that tuberculosis bacteria must enter the respiratory tract to cause infection.
The doctors and nurses here are all fully armed and wearing masks, and under normal circumstances, they are safe.
Doctors and nurses who are stained with blood go to change clothes, gloves, masks, disinfect...
On Lin Feng's side, he successfully intubated again and gave the patient itchy air.
And directly adjusted to pure oxygen.
One ventilation,
Lin Feng could finally breathe a sigh of relief for the time being.
But
Things always like to go against Lin Feng.
At this point,
Lin Feng's student Xiaoru shouted:
"Teacher, the patient's heart rate is slowing down!"
Lin Feng took a look,
Giggled.
Heart rate: 100-95-83-63...
Keep falling!
Lin Feng almost wanted to scold his mother!
"Quick, adrenaline!!"
Such an extremely hypoxic patient, the heart rate should be fast, because the heart must keep beating and pumping blood to transport oxygen to the whole body.
And now, the heartbeat is slow, indicating that the patient's whole body has been extremely deprived of oxygen, and the heart is about to stop!
Really!
Just as the nurse pumped in the adrenaline,
The patient's heartbeat stopped!!
A straight '——————————' was pulled out directly.
At this time, Lin Feng had already stood in front of the hospital bed, constantly giving the female patient cardiac compressions and cardiopulmonary resuscitation.
This time
It took only 3 minutes to successfully rescue the female patient and restore normal sinus rhythm.
But
Lin Feng understood that the condition was still very serious at this time, the patient did not know where to bleed, diffused the left and right lungs, and it was too difficult to breathe oxygen.
Hemostasis?
There is no way to go to the interventional operating room and intervene to stop bleeding, so you can only stop the bleeding with drugs.
Drug hemostasis can have a variety of complex drug reactions.
The equipment of the rescue room, definitely not good.
All kinds of life support equipment that need to be used in the ICU, at least ECMO extracorporeal membrane oxygenation machine can be used.
"Xiao Ai, contact the ICU to see if there is a bed..."
soon
Xiao Ai finished calling: "Doctor Lin, the ICU said that there is a bed..."
Lin Feng nodded: "Okay, send the ICU immediately!" "
In fact, going to the ICU at this time, you also have to take a big risk, maybe the patient will die in the elevator.
Moreover, it is not convenient to rescue on the way.
But Lin Feng assessed the situation and decided to go to the ICU!
"Bring a ventilator... Walk! "
Speeding flat cars...
Speeding to the ICU...
Everywhere they passed, countless patients and family members looked sideways.
This is common in hospitals,
But in the eyes of patients and families, it is so serious and heavy.
on the road
Lin Feng was thinking.
Why did the heartbeat stop, Lin Feng didn't have time to think about it.
What he pondered was, why is there airway bleeding?!
Lin Feng's first reaction was: severe pneumonia, which invaded the blood vessels in the lungs, causing blood vessels to rupture, heavy bleeding, and blood entering the airways...
Looking back now, the extremely heavy crackles that Lin Feng heard using a stethoscope earlier may not be the liquid of pneumonia, but blood!
......
Rush to the ICU!
Fortunately, the female patient did not have any accidents along the way.
Arrival at ICU.
Switched to a high-frequency ventilator to ventilate patients more efficiently.
Then rehydration, blood transfusion...
Start using hemostatic pills...
There were also some situations along the way, but they were also carried by the equipment of the ICU.
It took 3 hours...
The bleeding finally stopped!
And the patient's condition finally stabilized and turned critical.
All the doctors, nurses breathed a sigh of relief.
At this point,
I also took a part of the blood sputum and sent it for a "phlegm smear".
See what kind of bacteria are causing the patient's lungs to bleed so much...
......
In the afternoon of the same day,
The patient's condition has improved a lot.
Lin Feng discussed with the doctor in the ICU and felt that he should be able to go to the CT room.
thereupon
Pushed the patient to do a CT!
Results on the spot:
· CT: massive consolidation in the upper lobes of both lungs with cavitation formation
Doctor's tip: Tuberculosis!!
There are many cavities, and perhaps the patient's airway bleeding is caused by rupture and bleeding of blood vessels from some of these cavities.
As soon as this result came out,
Lin Feng and the ICU doctor looked at each other.
It turned out to be tuberculosis!
Tuberculosis is also a type of pneumonia, but tuberculosis is special and contagious.
In general, pulmonary tuberculosis is only called tuberculosis, not XX pneumonia.
Moreover, the treatment of drugs is not the same, and tuberculosis must be used to use anti-tuberculosis drugs.
However, whether it is really tuberculosis, you have to wait for the "phlegm smear" result!
Empiric medication in the ICU, anti-tuberculosis drugs are given to the patient first, and treatment is given first.
......
The next day,
Lin Feng continued to work the day shift.
The ICU sent back the message,
The patient's family has rushed to the imperial capital, and the communication is good and there is no trouble.
The patient's condition has basically improved.
At 10 a.m., the patient's sputum smear results came in.
Sputum smear "acid-fast staining": positive +++ (three plus)
A positive antacid stain often means a "Mycobacterium tuberculosis" infection!
Equal to TB positive.
That is to say, it has been diagnosed, and the patient is "tuberculosis"!
Lin Feng saw this, and then said something in the group.
"Yesterday's blood spray patient has been diagnosed - "tuberculosis"."
"The doctors and nurses who were splashed with blood yesterday should pay attention to check later, so as not to be infected with tuberculosis..."
Inside the group,
The discussion began.
"Therefore, wearing masks, gloves and other standard protection must be strictly enforced..."
"Yes, tuberculosis is good to say, in case of AIDS and contact, then it is too late to cry..."
"Three years ago, I took blood from an AIDS patient and accidentally pricked it, and the whole department was nervous and asked me to write a review... Cry~~~~~"
"Are you all right?"
"Panic ·jpg~~~"
"It's okay..."
......
Went to work all morning.
At noon, Lin Feng eats in the canteen.
As a result, the canteen aunt ran out.
"Doctor Lin, let me introduce you to a girlfriend..."
Then let's go~~~~ gushing.
Then open a video.
Soon connected to the opposite side, a beautiful woman appeared in front of the camera.
It was too fast, and Lin Feng didn't have time to stop it.
Next, it's a blind date...
Lin Feng: "...................................."
The whole process of the cafeteria auntie and the beautiful girl opposite twitter...
And then
Later, she added a beautiful woman and her mother to promote her daughter to Lin Feng on the other side of the video.
Lin Feng: ".................."
You guys let me say something, hey!!
At this moment,
suddenly
Lin Feng noticed a problem.
The beautiful girl on the other side of the video, her mother, frowned from time to time when she spoke, rubbed her left arm and left shoulder...
Lin Feng: "???? "
Left arm and left shoulder traction pain?
Heart disease?
————————
ps: the update is over...