medical road high rise

Chapter 330 Small lump

Invincible Chapter 332

In that matter, Qin Feng can only be said to be a passer-by, a participant.

Soon, Qin Feng was busy with other things. As long as Qin Feng was in the hospital, Qin Feng would have endless surgeries.

"Doctor Qin, there is another emergency patient!" The head nurse's voice came from outside the office, and Qin Feng hurried to the emergency hall.

"What about the others?" Qin Feng asked.

"Some people are in surgery, and some are in the emergency room, so I can only look for you." The head nurse said.

Qin Feng stood in the hall, looking at the ambulance parked outside the door, and two doctors carried the patient out of the ambulance.

"Dr. Qin, the patient is a 70-year-old female. Her past medical history is a bit complicated. I will type it out on the intranet and send it to you later. The patient has high blood pressure, high blood sugar, long-term constipation, and urinary system infection. At the same time, The patient's kidney function has also failed and he has certain cognitive impairment. According to his family members, this fainting is not the first time." Dr. Zui Che said.

The family members follow behind.

"The patient has a stroke?"

"Well, ischemic stroke!"

Qin Feng breathed a sigh of relief after hearing this, but fortunately it was not a hemorrhagic stroke.

Stroke can be divided into two types, one is ischemic stroke and the other is hemorrhagic stroke.

The incidence of hemorrhagic stroke is relatively low, only accounting for between 20.00% and 10% of stroke patients, about ten per [-] people.

The incidence of ischemic stroke is relatively high, about 10 out of [-].

The so-called ischemic stroke refers to the stenosis and occlusion of the carotid and vertebral arteries, as well as insufficient blood supply to the brain, which is essentially ischemia of brain cells.

The treatment of this kind of stroke can be cured by surgery. Qin Feng had performed carotid endarterectomy before, which is a special operation for ischemic stroke.

By dilating the inner diameter of the carotid artery, dredging the carotid artery duct, and smoothing the blood flow, the problem of insufficient blood supply to the brain can be solved.

A hemorrhagic stroke is a substantive hemorrhage of the brain. The causes of the hemorrhage can include high blood pressure, aortitis, etc., and even constipation when going to the toilet.

Qin Feng followed and rushed to the emergency room. After being put on a ventilator, the patient's condition stabilized.

Qin Feng performed a cerebral angiography on the patient, and confirmed through the image that the stroke this time was caused by carotid artery stenosis.

Originally, Qin Feng suggested surgery, but the patient and his family members were unwilling to undergo surgery, so Qin Feng could only prescribe some thrombolytic drugs to the patient.

Antiplatelet therapy and anticoagulant therapy are carried out at the same time. These three methods are therapeutic measures that have a clear curative effect on ischemic stroke in addition to surgery.

Although it cannot cure the disease, taking thrombolytic drugs on time can reduce the ability of platelets to coagulate, reduce the formation of thrombus, and reduce the occurrence of stroke to a certain extent.

However, the emergency department still arranged for the patient to be hospitalized, a urinary catheter was inserted, and hospital observation and drug treatment were carried out.

During the first catheterization, the nurse was frightened and hurried to find Qin Feng.

"Doctor Qin, something serious happened to the patient, and the urine was actually purple!" said the nurse.

Qin Feng asked the family members if the patient had eaten any food or fruit today.

There may also be bleeding in the urine and discoloration of the feces due to eating certain foods.

For example, if you eat red dragon fruit, you may have purple-red urine, as well as red amaranth.

"No, my mother doesn't have much appetite recently, not to mention fruits, but she doesn't drink much water." The patient's son shook his head.

This is a dangerous signal, and alarm bells are ringing in Qin Feng's heart.

"First send the patient's urine for testing," Qin Feng said.

The family members of the patient became anxious and kept asking Qin Feng what was going on.

Suddenly the urine turns from yellow to purple, and everyone feels that something is wrong.

Qin Feng could only let them wait patiently, waiting for the urine test results to come out.

"Pneumococci infection!"

The test results came out, and the patient's urine contained pneumonia bacteria.

This bacterium exists in the upper respiratory tract and intestinal tract of the human body. When the body's resistance is reduced, it will enter the lungs through the respiratory tract and cause confluent consolidation of the lobules and lobules.

Once infected, there will be urinary frequency, urgency, dysuria and other urinary system irritation symptoms.

Generally speaking, pneumoniae infections are not serious and can be treated with antibiotics.

But infection, there is another kind of sepsis!
This disease mostly occurs in patients with pre-existing diseases. Patients themselves have a variety of diseases, such as high blood pressure, etc., coupled with kidney failure, the probability of bacterial sepsis is higher.

Once the symptoms of sepsis appear, there will be poisoning symptoms of endotoxemia such as high fever, chills, and sweating, and later it will evolve into cold limbs and a sparse pulse.

This kind of infection can be transferred. If it is not treated in time, the lesion may enter any organ at any time, and the fatality rate is as high as 50.00%.

This kind of pneumonia bacillus, Qin Feng still dare not use antibiotics casually, this thing is easy to mutate, has strong drug resistance, once the drug resistance increases, the patient is in a crisis situation, the drug does not work, and the doctor is useless .

Qin Feng thought for a while, but couldn't find any clues, so he could only take the patient's son to ask outside the ward.

"What kind of food did your mother eat recently?" Qin Feng asked.

"Didn't I say that my mother has no appetite, basically she doesn't eat much, why do you ask." The patient's son said impatiently.

"No, I'm asking what your mother ate recently, not whether you can eat or not. It may be the food your mother ate recently, which caused the purple urine." Qin Feng explained.

"Oh, it's just some home-cooked dishes. I have boiled old duck soup once, and fish soup, pork, mutton, and beef..." The patient's son even showed a hint of aftertaste as if he was memorizing a recipe.

Qin Feng frowned when he heard that, these are very common dishes, it seems that they don't go well with purple urine.

There is no other way, Qin Feng can only put the patient aside, talk to the head nurse, and call him directly if there is any situation.

Returning to the clinic, a pretty girl came to the clinic, covering her neck, feeling a little embarrassed.

"Where is it uncomfortable?" Qin Feng poured himself a glass of water and sat down and asked.

"Doctor, when I took a shower yesterday, a hard lump appeared under my armpit." The girl raised her arm.

"Let me see." Qin Feng stretched out his hand to touch it, and found that the hard lump was quite big, about the size of a coin.

"Does it hurt? Does it itch?"

"It doesn't hurt or itch!"

"Do you have any symptoms of nausea or vomiting?"

"No."

Qin Feng asked Zhang Yao to hand over a thermometer to measure the girl's temperature.

"Take your temperature first."

The patient held the thermometer and sat on the position sandwiching it. The cold touch made her shiver.

(End of this chapter)