medical road high rise

Chapter 356
Chapter 358
Early the next morning, Qin Feng went to the ward to take a look at the old lady again. The old lady's edema subsided almost a circle, which is good news.

Back at the outpatient clinic, Qin Feng started today's outpatient clinic.

A young mother hurriedly walked into the clinic with her child in her arms.

"What about the child?"

"During breakfast, Xiaoqiu vomited a little and had diarrhea."

Qin Feng looked at the patient, who was frowning with a bitter face.

"Brother, I want to throw up."

Vomiting and diarrhea, Qin Feng thought it was food poisoning, food poisoning must be ruled out before considering other intestinal diseases.

Qin Feng picked up the patient, asked the patient to unbutton the heavy down jacket, put on gloves and pressed around the abdomen.

"Does it hurt here?"

"pain."

"What about here?"

"It doesn't hurt."

……

After confirming that there was only pain around the belly button, Qin Feng withdrew his hand, took off the gloves and threw them into the trash can, and then continued to ask: "What kind of pain? Is it the feeling of being pinched by someone's hands, or is it like being pricked by something? .”

Facing children, Qin Feng can only ask them in words that the children can understand as much as possible.

The patient thought for a while, and seemed to be feeling carefully: "It's like being twisted by someone."

"Is it different for a while, or is it always painful?" Qin Feng asked.

"For a while."

Qin Feng's first diagnosis was paroxysmal colic around the umbilicus. When Qin Feng was recording, the patient suddenly became short of breath.

Qin Feng, who was recording on the side, could clearly hear the patient taking a quick breath.

"Qiuqiu, what's wrong with you?" The patient's mother was so frightened that her face turned pale.

Qin Feng frowned, and hurried forward to lift the patient's head up, allowing the patient to breathe more openly.

Soon, the patient's dyspnea was relieved.

But Qin Feng felt that the patient's condition was not that simple.If it's just ordinary vomiting and diarrhea, Qin Feng can follow the diagnosis just now.

But the patient suddenly had difficulty breathing, which is already a very serious disease for a child.

In addition to excluding respiratory diseases such as pneumothorax and hemothorax, dyspnea also occurs, which means that this is a very difficult disease.

"The patient has a similar family genetic history, such as whether the patient's father, grandfather, and grandmother have similar symptoms of dyspnea?" Qin Feng asked.

"No, no one in our family has this kind of situation." The patient's mother kept shaking her head.

"What else is there in the patient's vomit besides the breakfast he ate?" Qin Feng asked.

"Gone."

"Take her for a few checks first, including routine blood tests and pancreatic function checks." Qin Feng said seriously.

The patient's mother carried the patient to go for an examination. After the examination, the patient's mother turned paler.

"What's wrong? Did the result come out?"

"Doctor, Xiaoqiu finished the examination, why does it seem to be more serious." The patient's mother said.

Qin Feng asked the patient to lie on the hospital bed, and then found that the patient was drooling.

Salivation is a relatively common disease in young children and the elderly, mostly in infants under one year old or elderly people with Alzheimer's disease and severe dementia.

When suffering from oral mucosal inflammation or nervous system diseases such as nerve paralysis, bulbar palsy, and sequelae of encephalitis, excessive saliva secretion or neurological disorders will cause salivation.

According to Qin Feng's examination, the patient did not have inflammation of the oral mucosa, and the latter conditions are very dangerous for the patient.

"Zhang Yao, hospitalize the patient immediately." Qin Feng shouted.

The patient's mother hurriedly followed Zhang Yao out to pay the fee, and Yue Meng also brought back the patient's examination results.

Blood potassium, blood sodium, etc. are in the normal range, the stool is regular, the white blood cells exceed two units, and there are cases of occult blood.

Occult blood is bleeding that cannot be seen with the naked eye, but an excess of red blood cells can be found in the examination.

In terms of virus testing, both rotavirus and adenovirus tests were negative, which is good news.

Qin Feng quickly made a diagnosis and treated it as acute gastroenteritis.

If we don't deal with it now, the patient can't bear it anymore. The patient's face is almost screwed together. Qin Feng is also very distressed when he sees it.

People have a natural sense of tolerance and a desire to protect children.

Because the patient vomited, Qin Feng could only give the medicine by static push. During this process, Qin Feng found that the patient's lips were a little white, which was a phenomenon of dehydration.

"Yue Meng, intravenous infusion of 5.00% glucose saline solution, [-]% glucose solution and balanced saline solution, the input amount will be supplied according to the degree of water loss and electrolyte imbalance in the patient's body." Qin Feng said.

Yue Meng nodded, and hurriedly went to compare the medicines.

Qin Feng performed another quick venous blood gas test on the patient. Fortunately, the pH values ​​were normal and there was no acidosis. Otherwise, hemofiltration would have been necessary to correct the acidosis.

At this time, the patient's condition was relieved a little under the action of the drug, at least he didn't vomit anymore, and he was able to speak.

"Does it still hurt?" Qin Feng asked.

"It hurts, it hurts." The patient cried bitterly.

"Zhang Yao, go prepare a pot of hot water and some gauze." Qin Feng said.

After a while, Zhang Yao came over with hot water,

Qin Feng put the gauze into it, let the surface of the gauze reach a warm state, then gently covered the patient's abdomen, and Qin Feng massaged the patient on the surface of the gauze.

As for the structure of the human body, Qin Feng can know it just by looking at it, so the method of hot compress and massage can effectively relieve the pain temporarily.

"Have you brought the antispasmodic?"

"Brought it."

"Okay, first resolve the patient's abdominal pain, then administer glucose, 654-2 injection, and give cefuroxime."

654-2 injection is a drug similar to atropine. It has obvious peripheral anticholinergic effects. It can resist the contraction of intestinal and bladder smooth muscles and the decrease in blood pressure caused by acetylcholine, and can reduce intestinal tone in the body.

For patients, it can effectively inhibit saliva secretion and relieve abdominal cramps.

"Intravenous injection of 20mg." Qin Feng said.

Intravenous injection is mainly used for emergencies, and it can work faster, and it is also the first attempt.

10-40mg each time, control the amount yourself. After the first injection, repeat the dose at intervals of 10-30 minutes according to the patient's condition. After the condition improves, the dosing time can be gradually extended until the patient does not need the drug.

With the injection of the drug, the patient's face finally relaxed and there was no longer so much pain.

"Are you feeling better now?" Qin Feng picked up the gauze and threw it into the basin.

"I feel good, thank you brother."

At this time, the patient suddenly glanced at the door.

"Don't be afraid, your mother is waiting outside. When you get better, you can see your mother." Qin Feng thought that the child missed his mother, which is also a normal situation.

"No, no, I'm looking to see if Dad is here."

(End of this chapter)