medical road high rise

Chapter 436 Blood vessel rupture

Chapter 438 Broken Blood Vessel

Qin Feng told Mr. He all three methods, and Mr. He was so excited that he started to pat the table.

"Genius idea, Xiao Qin, you have to work hard these two days and write the paper. I think this paper can enter the SCI standard." Mr. He said excitedly.

Qin Feng nodded, then turned and left.

In an indoor basketball court in the HP area.

The students are all on winter vacation. Because it is too cold outside, the business of the indoor basketball hall is much better than in summer. The first is that there is sufficient heating, and the second is that there are many people, and they can form teams to play anytime and anywhere.

Basketball is brother basketball, basketball alone is always boring.

Two high school students had just come off their rotation, and one of them ran to a nearby store to buy two bottles of iced drinks.

"then."

After playing, for them, a bottle of iced drink is called a clear.

The high school student who took the iced drink directly unscrewed the bottle cap and drank half of the bottle in one gulp.

After sitting for a while, the high school student held his stomach, "No, my stomach feels a little uncomfortable, I'll go to the toilet first."

"Okay, I'll wait for you." Another high school student also just finished drinking and wiped the sweat off his face with a towel.

Half an hour later, the waiting high school student glanced at the electronic watch on his wrist and became a little worried. He put down his drink bottle and was about to get up when he saw his companion with a painful face walking like a crab, walking with difficulty while leaning on the wall.

"what happened to you?"

"Chest hurts." The painful high school student only felt like a big stone was pressed on his heart, making him unable to breathe.

Another high school student hurriedly went to the manager of the indoor basketball court. The manager came over to check the situation and called 120 without saying a word.

They have encountered many such patients before and are relatively mature in handling them.

An ambulance came and took the patient to Ruijin Hospital.

Qin Feng on the other side also received an emergency call, saying that a high school student was playing basketball. After drinking a bottle of iced drink, he suddenly developed symptoms of chest tightness and chest pain, as well as shortness of breath.

Qin Feng rushed to the operating room and found the chief resident, "First clean up an operating room and prepare it for me."

"Okay." The hospital manager also knew the priorities, and quickly contacted the operating room to postpone the surgery that could be postponed.

Qin Feng waited in the emergency room, thinking about the patient's condition in his mind.

After exercising, binge drinking, chest tightness and chest pain, and shortness of breath, there are only a few symptoms that can be dealt with.

An AAD, a coronary spasm, mediastinal emphysema, or esophageal perforation, or a post-exercise pneumothorax.

After a while, the doctor in the ambulance called.

"The patient suffered a respiratory arrest."

After hearing this, Qin Feng frowned. According to the patient's physique who often plays basketball, even if he drinks cold drinks after exercising, he will not suffer from sudden respiratory arrest.

Once it is linked to respiratory arrest, the disease can be serious.

It's not that Qin Feng has never encountered patients who drink cold drinks after exercising and send them to the doctor. There are many such patients, and summer is the most frequent period, but winter is less.

Because in summer, no one would like to let a person drink normal temperature water after exercise.

The reason why there are such patients is that cold drinks are very irritating to the digestive tract, and people’s body temperature will rise a lot after exercise. Cold and hot will cause strong peristalsis of the digestive tract, resulting in symptoms of diarrhea and abdominal pain .

At the same time, the sharp change of cold and heat will also cause the blood vessels in the stomach to contract suddenly, causing the absorption function of the digestive tract to be disordered.

But with respiratory arrest, that's unlikely.

Five minutes later, the ambulance arrived at the door and the patient was taken to the emergency room.

After connecting the ECG monitor and venous access, Qin Feng conducted a physical examination on the patient.

The patient's physical signs were all normal, and no obvious abnormalities were found in the cardiopulmonary auscultation. Then Qin Feng probed the patient's esophagus, throat and other parts, and found that the esophagus was not damaged.

This means that the disease of esophageal injury can be ruled out.

"Arrange electrocardiogram, troponin, and D2 aggregation examination, and do a CTA examination of the thoracoabdominal aorta at the same time." Qin Feng ordered.

Hospitalization is always rushed to arrange, Qin Feng's main considerations now are acute coronary syndrome, mediastinal emphysema and pneumothorax.

Half an hour later, various auxiliary examinations for the patient came out one after another.

Coronary syndrome was ruled out in turn. After the ECG evaluation was completed, there was no evidence of myocardial ischemia or myocardial infarction. Myocardial injury was also ruled out, and the condition of the coronary arteries was also normal.

It means that Qin Feng's guesses are all wrong, which makes Qin Feng a little headache. Most of these patients are sent here with this symptom, but this high school student is different.

Although Qin Feng likes to study difficult and miscellaneous diseases, he still feels a headache.

But one thing is certain, that is, the patient's respiratory arrest was not caused by drinking cold drinks. It may be that the patient had similar symptoms before, but what is the cause?
"Is the family here?"

"Come here, at the door."

"Call them in, I have something to ask them."

The patient's father walked in with a worried expression on his face, and Qin Feng asked, "Does your family have a family hereditary disease?"

"Genetic disease? Does high blood sugar count? Both my grandfather and I have high blood sugar." The patient's father dared not hide it.

Qin Feng shook his head, the chance that the patient's respiratory failure is related to high blood sugar is too small.

"Is there nothing else?" Qin Feng asked.

"No more." The patient's father shook his head.

Qin Feng sighed, at this moment, the piercing sound of the machine sounded.

The patient is in shock!

Qin Feng hurried to the patient's bed, and the nurse invited the patient's father out.

The scene of rescue is really not suitable for the presence of family members.

"The patient went into shock, his blood pressure continued to drop, and his heart rate slowed down," the intern shouted.

Qin Feng saw that the patient's face became paler, and his lips changed from rosy to sickly white.

"Is this hemorrhagic shock?" Qin Feng's heart suddenly picked up.

Why was he in respiratory failure just now, and he stabilized his breathing, but now he is in hemorrhagic shock again?

"Rehydration, blood transfusion, contact the blood bank to send blood." Qin Feng shouted.

The intravenous channel was opened before, and the fluid should be refilled first to adjust the patient's electrolytes so that the body would not be dehydrated. As for the blood bag, the nurse had to wait for it.

Ten minutes later, the delivery of the blood bag also caused the patient's blood pressure to rise slowly.

"Prepare for angiography." Qin Feng said.

The patient was rescued, but Qin Feng had a direction of diagnosis in his mind. As long as there are no mistakes, the cause should be found after angiography.

After all, blood loss is inseparable from the blood vessels. Qin Feng depends on the rupture of the blood vessels in the patient's body.

It's just that there is one thing Qin Feng can't figure out, that is, the patient is in a semi-comatose state, the body is in a calm state, and there is no violent exercise. Why does the blood vessel rupture?

(End of this chapter)