I can see the status bar

Chapter 754 Acute Epiglottitis
Before Sun Lien entered the ninth consulting room, he did not expect that his work today would be so...exciting.At first, he thought that today's emergency outpatient work is probably the same as before, mainly responsible for some patients who "I think my illness is very urgent".

However, ideals are beautiful, but reality... is cruel.Today's first patient was acute epiglottitis, and there was a big "allergy" reminder on the status bar, which made Sun Lien's blood pressure soar to 180.

The epiglottis is a sheet-shaped tissue composed of cartilage and mucous membrane behind the tongue base. Its normal physiological function is to prevent food or liquid from entering the trachea when swallowing.If this part of the structure becomes red and swollen due to infection or allergy, it can be called "epiglottitis" or "supraglottic laryngitis".

The inflammation in this area itself is not very special. Just like other inflammatory reactions of the upper respiratory tract, hormones and antibiotics can play a very good role in fighting inflammation.But the position of the epiglottis overlying the trachea is too important.People can live for three weeks without food, and three days without water, but if they can't breathe... they can't live for more than 6 minutes.

Acute epiglottitis causes redness, swelling and swelling of the epiglottis, and once the swelling reaches a certain level, the patient's airway will be completely blocked.Then... the time left for the doctors is very short.

Sun Li'en asked this young man named Liang Tian to sit on the seat, and then began to check as fast as he could—he touched the top of Liang Tian's Adam's Apple with his gloved hand, and asked, " Sore throat?"

Liang Tian glanced at Sun Lien in surprise, and was about to nod his head and say something, but he didn't expect that when Sun Lien pressed his throat, he would directly induce a violent cough.

"Have you taken any medicine?" Sun Li'en saw the status bar with the word "suffocation" quickly appear behind Liang Tian's status bar, and it was difficult to judge whether it was the further development of the allergy or the worsening of the symptoms.Although no matter which one it is, tracheotomy can effectively alleviate the danger, but since allergies may induce other reactions, it is better to ask clearly. "Just about an hour or so ago, did you eat anything you've never eaten before?"

While coughing violently, Liang Tian took out a small iron box from his pocket and put it on the ground.His face had turned red, and he started to scratch his neck with his hands, with a painful appearance of suffocation.Sun Lien took a step and rushed towards the door. At the same time, he saw the small iron box on the ground from the corner of his eye - it was a box of throat lozenges that are relatively common in the market.

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Sun Lien's shout quickly attracted the attention of nurses and doctors in the emergency room.Brother Liang, the security guard, and a nurse pushed the bed to the ninth consultation room, and unceremoniously pushed away all the patients who were watching, and then moved Liang Tian onto the bed as quickly as possible.Sun Li'en followed the two towards the emergency room.

"What's the situation?" Zhou Jun, who was guarding in the emergency room, came out to meet people. He smoothly completed a series of operations from standing in place to running and pushing the bed, and at the same time he still had the energy to ask Sun Li'en, "This is your patient?"

"Yes, people who just came into my consultation room will die." Sun Lien gave an affirmative answer, "The patient reported that he had a sore throat, which stimulated the top of his Adam's apple and would cause a severe cough, and he had eaten loquat cough medicine within an hour before he choked. Sugar—he's never had it before. I suspect he has an allergy in addition to the acute epiglottitis."

"Take the incision bag, inject 1mg of epinephrine intravenously, and then take 20ml of saline!" Zhou Jun gave the rescue order while running.Most of the doctors in the rescue room were still working at their posts. Only three doctors who were identified as the emergency rescue team rushed over—two of them had already got the tools they needed, and the third doctor In his hand, he held a sterilized bender and pliers just snatched from the ambulance.

While running, using pliers to hold cotton balls soaked in povidone iodine for disinfection seems to be a necessary skill for genuine emergency doctors of the Fourth Hospital, but it is a bit difficult to complete the incision while running.Adrenaline intravenous injections are equally difficult to administer during exercise.Therefore, when Liang Tian, ​​whose face was flushed and even his lips started to turn purple, was moved to the bed in the emergency room, the doctors in the emergency rescue team had just completed the disinfection work before the tracheotomy.

These three doctors, Sun Lien, are not very familiar with them, but they have only met them a few times.But this does not affect the cooperation between them.Sun Li'en grabbed the monitoring probe from the side, and then pulled up Liang Tian's clothes.Everyone wears thick clothes in winter, and it is really difficult to tear them apart with bare hands.And the doctor who had completed the disinfection stretched out a pair of scissors very tacitly, and cut open the clothes on Sun Lien's hands.

By the time Sun Lien started to put a blood pressure cuff on Liang Tian's arm, the incision had already been completed.The fear of being stabbed in the neck with a blade is nothing compared to suffocation.Just after the breathing tube used to prop up the incision was put in and the plug was pulled out, there was a sound of breathing from the breathing tube.

Liang Tian was panting quickly under the body's reflex conditions, and the blood pressure monitoring confirmed that he did not suffer from severe anaphylactic shock - this was a blessing among misfortunes.

Through the breathing tube, after bypassing the edema of the epiglottis, oxygen can finally enter the lung lobes smoothly.And at this moment, Liang Tian's life was temporarily saved.

"This person is lucky." Zhou Jun nodded in satisfaction after seeing that the epinephrine injection was completed.Looking at the data on the side, he was a little relieved, "Acute epiglottitis doesn't come across twice a year, but the probability of being able to recover is not too high. He only got sick when he met you. His life is not bad."

"It's also possible that my life was not very good. I met Dr. Sun and I got acute epiglottitis." Dr. Cao Yanhua, who had been rooted in the emergency room, appeared in time and acted as a fan.He winked at Sun Li'en, "When you send someone to the emergency room next time, can you send some lighter ones? Don't do this kind of thing that kills people every minute...it's not good for the heart. "

"It's about to be sent to the emergency room, can it be lighter?" Sun Li'en is not too familiar with Dr. Cao Yanhua now, and he complains about this senior doctor who is several years older than himself, "If I send a mild case to the emergency room, Director Zhou has to kill me first."

"At most, I'll let you write the examination, anyway, it's not like you haven't written it before." Dr. Cao patted Sun Lien's shoulder with a smile, "I haven't seen you for a few days, I heard that your department has made a big news? "

Zhou Jun glared at the two of them, "We are still being rescued here, we need to chat and talk about it." He said to Sun Li'en, "This patient's information or something, please explain it to Xiao Cao. This patient is put in the emergency room first, you two , Let his family come over as soon as possible."

　I wish all book friends a happy new year~ After surviving 2020, a year that must be remembered, I wish you all the best, good health, and peace in 2021.I wish our country, Guotai Minan, and peace in the world!
　　
　
(End of this chapter)