medical road high rise

Chapter 254
Memorize Chapter 254
Qin Feng has a feeling that this patient really has a problem, but the patient's wife doesn't seem to know.

Or there is another situation, that is, the patient's wife makes the patient pretend to be sick, but the real situation appears unexpectedly under the pretense, that is, the truth is confused with the false.

Heart rate and blood pressure can't fool anyone, Qin Feng said in a deep voice: "Prepare for first aid, inhale oxygen, replenish fluid, check blood pressure, pulse..."

The electrocardiogram next to the bed was pushed over, and then connected to the computer to detect the patient's blood sugar. However, the blood glucose meter could not measure data and displayed an error.

This is not a problem with the blood glucose meter, but it means that the patient's blood sugar is too high. The upper limit of blood glucose meter measurement is 23.0mmol/L. Once the blood glucose concentration exceeds this level, it cannot be measured.

At this time, Qin Feng already had a rough answer in his mind, but further confirmation was still needed.

On the other side, the patient's wife found that something was wrong. Why did her husband suddenly have to undergo so many checkups? This is a bit different from pretending to have a stomachache.

Li Xuewen also frowned, not because of Qin Fengshan's claims, but because there was indeed something wrong with the patient's test results.

Qin Feng looked at the patient and hummed in a low voice. The nurse had already finished drawing blood.

"Prescribe another intravenous infusion for the patient, and quickly infuse 0.9ml of 500% sodium chloride."

The nurse hurried forward to perform the operation, but Li Xuewen just watched quietly without interrupting.

The patient's wife found that something was wrong, and hurriedly said, "I... my husband is really sick?"

"Well, emergency, need to wait for blood test results." Qin Feng said.

The patient's wife's face turned pale immediately, and she couldn't help but fall down beside the hospital bed, the iron rod holding the bed trembling silently.

Qin Feng had no time to pay attention to him now and asked Li Xuewen to call the laboratory department. The patient's blood routine needed to be obtained immediately.

Ordinary blood routines require waiting for half an hour or one or two hours. However, in fact, blood routines are very fast and are basically completed in a few minutes. However, due to the large daily volume, it still needs to be classified into departments, and it will be done when you get it. It will be very slow.

The emergency department has a privilege, that is, the blood routine must be expedited. As long as the laboratory department receives a call, the emergency department's blood routine must be done as soon as possible. The same goes for other examinations.

Five minutes later, the nurse ran in and handed the blood routine results to Li Xuewen.

After all, Li Xuewen is the leader. Although Qin Feng gave the command and dispatch just now, the rules are still the same. If she were given directly to Qin Feng, she might not be able to stay in the emergency department for long.

Li Xuewen looked at the result above and couldn't help frowning.

"The patient's blood sugar is a bit high, and the kidney function is abnormal..."

After reading it, pass it to Qin Feng.

Qin Feng's result was a little dumbfounded when he saw the blood sugar result of 27.1 above. The blood sugar level of normal people is generally 3.9-6.1, and the patient's blood sugar level directly went up to eight times, which is a typical symptom of diabetes.

In addition, the gastrointestinal tract was normal, but there was vomiting and diarrhea. Qin Feng approached the patient and smelled it, and there was a smell of rotten apples.

“Ketoacidosis!”

Qin Feng got the result, which was similar to what he guessed, but the peculiar smell on the patient's body was not strong, and the poisoning did not last long.

Because some diabetic patients will have symptoms of ketoacidosis, and ketoacidosis will have a taste similar to rotten apples. Physicians use this method, and the diagnosis rate is as high as 90.00%.

Li Xuewen also stepped forward to smell it, and approved Qin Feng's judgment.

Ketoacidosis is a disease in which the patient is under the action of various incentives, resulting in insufficient insulin and inappropriate increase of the glucose-raising hormone, resulting in pathological changes such as hyperglycemia, hyperketone, and ketonuria. A common emergency.

"A small dose of intravenous infusion of insulin." Qin Feng said.

Li Xuewen hurriedly arranged, Qin Feng turned his head and asked: "Are you sure the patient was not the problem of food the day before yesterday?"

"Sure." Li Xuewen said.

Qin Feng nodded. There are many causes of ketoacidosis, such as infection, food poisoning, etc., as well as various stress factors.

To solve ketoacidosis, in addition to controlling the symptoms, you must also find the predisposing factors and completely eliminate them, otherwise it will become a chronic disease and often recur.

"Has the patient had any surgery recently? Or was he injured?" Qin Feng asked the patient's wife beside him. At this time, she was already being helped up by the nurse.

Although they have bad intentions, when they come to the hospital, the medical staff must be responsible for them.

"I had a minor operation recently." The patient's wife was a little confused.

"What operation? Where was it done?" Qin Feng asked.

If it's not a dietary problem, it must be an infection in the surgical wound.

"It was a circumcision performed in a small clinic near my home..." The patient's wife did not dare to hide it.

"Small clinic?" Qin Feng frowned.

I have to admit that small clinics in big cities are just like bullshit. If it were a small clinic in Taoshi, they would definitely not dare to perform circumcision surgery.

It's not that Qin Feng is biased against small clinics, but that although doctors in many small clinics may have skills, in order to save money, those doctors will use some cheap equipment, and even those equipment may be second-hand.

Just like waste oil, it has been used many times after a simple disinfection.

This also involves an industrial chain, and Qin Feng has no way to solve it. After all, small clinics can only make money among large hospitals through this method.

The price of surgery must be cheaper than that of a big hospital, and cheapness means a problem. Big hospitals can get medical insurance, but what can small clinics get?Medical insurance brush honeysuckle dew?
"That means the circumcision is infected." Qin Feng said.

"Okay, leave the rest to me." Li Xuewen said.

After all, it's not good to bother Qin Feng all the time. Qin Feng nodded and went back directly.

As soon as he walked out of the emergency department, Qin Feng suddenly felt his body tremble and almost fell to the ground.

Glancing at the people in the emergency room, everyone looked confused.

Suddenly another violent tremor struck, Qin Feng bent his body, trying to keep his body balanced.

"There's an earthquake, run!"

I don't know who shouted, and the emergency room became a mess.

Qin Feng frowned, the chance of earthquakes in the geographical environment of Shanghai is very small, but after the tremor this time, there was no tremor again, and Qin Feng returned to the outpatient clinic.

"Brother Qin, do you know? There was an earthquake in Sichuan Province, and many people asked for help online!" Zhang Yao looked at the phone with a worried expression.

"What?" Qin Feng hurriedly stepped forward to snatch Zhang Yao's mobile phone, and looked at a news pushed on it.

"An earthquake of magnitude 6 or above occurred in Sichuan Province, and residents in many places were trapped..."

Qin Feng's heart suddenly throbbed. You must know that the capital city felt a huge shock. This earthquake may be even more terrifying than expected...

(End of this chapter)