paranoianovel Chapter 578
Chapter 578
The patient just left,
Click~
A rush of footsteps came out.
The nurse from the nurse's station ran in and hurriedly said to Lin Feng:
"Dr. Lin, there is a patient who is in a very serious condition, she fell into a coma when she was delivered, we just sent her to the emergency room, the director told you to go over and take a look!"
"Ah~~~ good..."
Hearsay.
Lin Feng immediately got up and rushed towards the emergency room.
Xiaoru followed.
"What happened to the patient? Have you measured your blood pressure and blood sugar? When I opened the door and entered, I saw the unconscious patient, surrounded by several nurses, and immediately asked.
"Dr. Lin! The patient's blood pressure and blood sugar are normal! A nurse hurried to answer.
"Tell me about the patient!" Lin Feng answered immediately.
The nurse then said: "Dr. Lin, the patient suddenly collapsed when he walked out of the restaurant after eating! It was the patient's sister who sent her and did not provide any other information! "
"Hmm!" Lin Feng nodded.
Blood sugar and blood pressure are normal.
Then look at the intracranial situation.
Most patients who suddenly fall into a coma are due to brain problems.
Such as cerebral hemorrhage, cerebral embolism, cerebral infarction and so on.
Immediately said: "Ready to send the patient for head CT, I will go to the patient's family to sign!" "
After that, he pushed the door and went out.
I saw the patient's sister, who was sitting on a stool by the wall.
The mood is a little unstable, and the lips are trembling nervously.
"Are you a family member of the patient?" Lin Feng stepped forward and asked softly.
"It's me! Inside is my sister! Doctor, how is my sister..." Hearing Lin Feng's question, the patient's sister hurriedly got up and asked.
"The situation is still stable, don't worry! We need to make a head CT for him, we need you to sign it! Lin Feng said softly.
"Good! Well...," the patient's sister replied immediately.
Immediately, Lin Feng nodded.
Prepare to go in and let Xiaoru be in charge of signing things.
At this time, Xiao Ru pushed the door and walked out, her face full of surprise and said: "Teacher, the patient is awake!" "
Hearing this, Lin Feng immediately stepped in.
When the patient's sister heard this, she also hurried over.
Xiaoru did not stop it.
For the patient's coma without warning and awakening without warning, Lin Feng was a little puzzled.
First judge the patient's consciousness, turn on the flashlight and start to check the patient's pupils, and the patient also instinctively dodges.
A few simple questions were asked.
There are no questions answered.
I just don't know why I was in the hospital, and I looked at my sister with a confused face.
Seeing this situation, Lin Feng thought that it might be a transient disorder of sexual consciousness.
"Teacher, do you still need to do the patient's CT?" Xiao Ru asked softly to Lin Feng.
"Do it, you have to do it!" Lin Feng said.
What happens to patients inside the skull, they don't know at all. Not only did she have to do CT, but she also had to arrange for her to reveal her MRI later.
To figure out the situation, don't make any intracranial tumor, burst blood vessels, or embolism, that's tricky.
It is still necessary to take precautions.
"Sister! How come your left hand is not strong at all! Suddenly, my sister's voice reached Lin Feng's ears.
He came over immediately.
A careful examination of the patient's extremities is began.
It was found that the patient's left upper limb muscle strength was 0, and the other body muscle strength was very normal, and the left upper limb alone could not move.
"Doctor, what's wrong with my sister...," the patient's sister saw that Lin Feng's face was not good, and hurriedly asked nervously.
"The left upper limb is paralyzed!" Lin Feng whispered.
Although the voice was soft, both the patient and the patient's sister heard it.
It's just that the patient didn't have a violent reaction, but his face was full of confusion.
The younger sister on the side had tears on her face for a long time.
"Doctor, you must save my sister! She is already very pitiful, why does God treat her like this..." the patient's sister cried and said to Lin Feng.
"We'll do our best! The priority is to do the head CT first. Lin Feng said.
Xiaoru and the nurses were then asked to carefully push the patient to the CT room.
Naturally, there is no need to queue for head CT in the emergency department.
Lin Feng learned about the patient's situation from the patient's sister.
The patient, Ms. Feng, 46 years old, taxi driver, divorced, living alone, son is away from university.
Have to rejoice!
If this happens while the patient is driving, something is wrong!
After 20 minutes,
The CT report came out and gave Lin Feng.
Examination results: the brain has a low-density focus, and according to the patient's situation, it is considered to be ischemic stroke.
See this report!
Lin Feng's brows furrowed slightly.
I originally expected her to be just a transient sexual consciousness disorder, no brain disease, but the result was still a brain problem.
"Doctor Lin, what's wrong with my sister? Why does the left hand have no strength..."Although the patient's sister on the side did not understand what stroke was, she knew that it was her sister's head that had a problem, and hurriedly asked Lin Feng.
"Don't worry! We are now observing through CT, considering that your sister may have had an ischemic stroke and will need drug thrombolytic therapy? Lin Feng said softly.
"Thrombolysis? Dr. Lin, you mean my sister has a cerebral thrombosis! How is it possible....."Hearing the word thrombolysis, the patient immediately thought of this disease, but she did not believe it.
"Just observe the possibilities derived from CT, you don't worry! Maybe it's a mistake, I'll go check your sister again! Lin Feng said two words of relief, and stepped forward again to examine the patient's body.
It's a pity!
The patient's left upper extremity muscle strength is still in a state of disappearance.
In addition, the patient's other limb muscle strength is all normal, the texture of the forehead and nasolabial folds are present, and the speech is basically normal, and there is no aphasia (speech disorder or words that do not reach the meaning, etc.).
And the patient did not have headaches or vomiting.
This situation is very strange.
Suddenly.
Lin Feng thought of a question.
Mainly when asking about past medical history, the patient's sister said that the patient did not have a history of hypertension, heart disease, etc., and the patient did not have chest pain and other manifestations after waking up, unlike myocardial infarction, so she did not guess the heart.
Now he began to doubt again.
It just so happens that the patient is awake.
Then he opened his mouth and asked the patient: "Do you have a history of high blood pressure and heart disease?" "
Hearing Lin Feng's question, the patient's sister looked puzzled, didn't she ask just now! He was ready to answer.
At this time, the patient said softly: "Doctor, I have a heart attack!" "
"What! How can it be! Sister, how can you have a heart attack, how come I don't know! Hearing this, the patient's sister looked excited, and her voice was slightly louder.
Lin Feng immediately turned his head and said to the patient's sister: "Quiet, I am now understanding the situation with the patient!" "
The patient's sister hurriedly shut up, her face full of nervousness.
Afterwards, Lin Feng continued to look at the patient and signaled her to say what type of heart disease she was.
The patient whispered: "Doctor, I have atrial fibrillation!" "
Swish~
These words instantly made a thunderbolt sound in Lin Feng's head!
Sure enough!
Immediately put on the stethoscope and stick the probe into the patient's chest.
Boom~Boom~
A chaotic heartbeat sounded into Lin Feng's ears.
As we all know, the heartbeat of normal people is regular and neat. And this patient's heartbeat is undisciplined, and every heartbeat is like an unrestrained traitor.
He doesn't know how many times he listened to it, it was this heartbeat that made many people lose their lives, and also made many people bedridden (stroke sequelae), and the patient's eldest sister in front of him is likely to face such a tragedy.
"Xiaoru, pull an electrocardiogram for the patient!" Putting away the stethoscope, Lin Feng said to Xiaoru.
"Yes, teacher!" Xiao Ru hurriedly answered.
Not for a while.
The ECG pulls out.
It is indeed atrial fibrillation.
Lin Feng asked softly, "Big sister, how many years have you been with this atrial fibrillation?" "
"It's been almost three or four years..." The patient looked flat, as if he was saying something insignificant.
Lin Feng was annoyed.
Ignoring the medical history, the patient did not say!
However, doctors need to pay attention to too much, and it is normal to miss something.
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