medical road high rise

Chapter 290

A Will Eternal Chapter 291

The next day, Qin Feng didn't get up until around one o'clock in the afternoon and went to the emergency department. After all, the operation was done too late yesterday. Originally, Zhao Guoping wanted to give Qin Feng a day off, but Qin Feng disagreed.

It's not that Qin Feng has any 996 ideas, but that it's a holiday. Qin Feng is too boring to be alone at home, so he might as well be busy in the emergency department.

As soon as I arrived at the emergency department in the afternoon, I saw a diabetic patient.

"The patient had symptoms of dizziness and vomiting three days ago. After receiving the injection at the community hospital, the symptoms worsened the next day. Today, he completely lost consciousness and was sent to our hospital," said Li Xuewen.

Qin Feng glanced at the patient's examination results.

"25 years old, male, blood sugar 131.26mmol/L!"

This blood sugar is glucose in the blood. Although glucose can provide energy for the human body and is also an important part of the human body, if the content is too high, it will evolve into diabetes, which will lead to organ lesions, various acute diseases, and so on.

Normal people’s blood sugar is around 3.9-7 on an empty stomach. Even after eating, the blood sugar is 10, but this patient directly broke 130.

What is this concept?This is no longer simple diabetes, this is blood in sugar!
The patient was already a high-risk patient. Qin Feng did a few simple checks on the patient and found that the patient had a smell of rotten apples.

It should be the symptoms of ketoacidosis caused by diabetes. After poisoning, patients will experience high blood ketones, ketonuria, dehydration, electrolyte imbalance and so on.

Continuing to look through the patient's medical records, Qin Feng found that the patient's past medical records actually included fatty liver and chronic gastritis.

You must know that the patient is only 25 years old, so many diseases at such a young age?
The results of various examinations were not optimistic. Qin Feng put down the medical record sheet and looked at the patient on the hospital bed, and was shocked.

The hospital bed couldn't hold the patient. The patient was not tall, but the fat on his body was like a mountain of meat, occupying the space of the hospital bed.

Qin Feng probably understands why patients are so sick, which is caused by obesity.

If the human body is too fat, it will affect the breathing of human organs, and even affect the development of the human body, resulting in various discomforts due to insufficient nutrition.

"Replenish the fluid first, and replenish it according to the actual dehydration of the patient." Qin Feng said.

Hyperglycemia will lead to hypertonicity, which will lead to severe dehydration in the body due to osmotic pressure, resulting in disturbance of consciousness. Therefore, Qin Feng did not directly use insulin to control blood sugar, but administered fluid rehydration first.

"The patient doesn't have a heart disease, right?" Qin Feng asked.

Sometimes if you don't ask clearly, the patient's family members will lie, and this child is obviously the result of doting.

"No." The patient's father shook his head, with a hint of remorse in his eyes.

"That's okay, Zhang Yao will supplement the patient with 1000ml of normal saline in the first hour, and then adjust the fluid rehydration rate according to the patient's dehydration state." Qin Feng said.

The normal saline prepared by the hospital is all hypertonic saline to avoid hemolysis and induce cerebral edema.

In addition to drip injection of rehydration fluid, another method is to supplement warm boiled water through the gastrointestinal tract, which is generally used in surgery.

It's just that Zhang Yao was confused during the needle injection.

"Brother Qin, I can't find the patient's blood vessel." Zhang Yao said aggrievedly.

Zhang Yao tried all kinds of methods, such as patting, smearing iodine solution, and even using a tourniquet, but still couldn't see the blood vessels.

For ordinary people, the veins will bulge after being stimulated, and the blood vessels will become obvious, but there is no trace of the blood vessels on this patient's body.

Qin Feng also fell into silence, so he could only silently take the infusion needle from Zhang Yao's hand and go into battle himself.

Holding the infusion needle in the left hand, the right hand is slowly touching the back of the patient's hand. When the blood vessels cannot be observed with the naked eye, some old doctors will use their fingers to sense the pulsation of the blood vessels.

This method is also researched by domestic doctors, and it is converted according to the observation, hearing and questioning of Chinese medicine.

It's just that this method requires a particularly high level of doctor's experience and a sensitive touch, otherwise it's useless.

In the first round of touching, Qin Feng didn't feel the patient's blood vessels, mainly because the patient's fat layer was too thick, covering the blood vessels tightly like armor.

Qin Feng can only take another method, which is the compression hemostasis method. The compression hemostasis method is mainly used to find bleeding points and blood vessels that can be found quickly.

It also applies to this situation, Qin Feng pressed down with his fingers, although the patient's fat layer is thick, but it is very soft and not that kind of muscle.

Soon, Qin Feng marked it with compound iodine.

Marking is done because the patient is too fat and the blood vessels do not run straight. Markers must be used to observe the direction of the blood vessels, which is conducive to parallel needle insertion after seeing blood.

When Qin Feng inserted the needle, the angle was about 25 degrees. Under normal circumstances, only [-] degrees is enough, but the patient's fat layer is too thick, so the angle of the needle needs to be slightly larger to tie the blood vessel.

The needle has been inserted nearly two-thirds, and Qin Feng felt the blood vessel, and the average person's needle can only enter one-half at most.

After the needle enters the blood vessel, Qin Feng inserts the needle along the direction of the blood vessel. After seeing the return of blood, the needle is inserted parallel to its direction, and the position of the needle is chosen to be the outer joint.

The reason why the medial joint with thicker blood vessels is not chosen is because the blood vessels of the medial joint are too slippery. Even if the blood vessel is successfully inserted, it is easy to bulge the needle afterwards.

Drum needle means that if the patient moves a little, the needle may slip out of the blood vessel.

After getting the needle, Qin Feng didn't leave, but waited until after the rehydration, and then gave another intravenous injection of insulin load.

The main reason is that the patient's blood sugar is too high, and Qin Feng dare not leave the patient alone.

High blood sugar may damage the cardiovascular and cerebrovascular vessels at any time, causing blood vessel blockage. If one is not careful, it may be fatal.

"Ding Ding Ding!"

Qin Feng was explaining the doctor's order when the phone in his pocket rang, and Qin Feng answered the phone.

"Something happened? I'll be right over." Qin Feng hung up the phone and turned to Li Xuewen and said, "Brother Li, I'll leave this patient to you. Once the insulin drip is completed, potassium supplementation will be performed directly. Micro-pump potassium will do." Don’t stop pumping small doses of insulin continuously, and if the patient develops fever, you must deal with it in time.”

"Beware of mania in patients, prepare sedatives, if breathing difficulties..."

Qin Feng talked about all the aspects that could be considered in a few minutes, and Li Xuewen nodded.

He also knew that this patient could not do without a doctor until he recovered.

The blood sugar content of [-] is really terrifying.

This patient, even Qin Feng, must be treated with care. It cannot be treated with one operation, but requires the cooperation of various medicines and equipment. As long as there is a slight mistake or wrong treatment, it may become the last thing that crushes the patient. a straw.

(End of this chapter)