medical road high rise

Chapter 434 Ten Times Blood Creatinine
Chapter 436 Ten Times Blood Creatinine
Qin Feng remembered the patient's nosebleed and gum bleeding, so he did a physical examination on the patient, and found no problems.

"By the way, Zhang Yao, help the patient to draw blood for a coagulation test." Qin Feng suddenly thought of something and said.

The patient's face is a little weak now, and it is difficult to stand up. In addition, there is no family member to accompany him, so Qin Feng asked Zhang Yao to help.

When Zhang Yao pushed the patient back in a wheelchair, she was holding a blood test report in her hand, which showed that the patient's platelet count was very low, only about 10.

The platelet count of normal people is above 150. Platelets are the key to blood coagulation, and the cause of the patient has been found.

Qin Feng hurriedly arranged for the patient to go to the emergency room for blood transfusion, mainly because the patient's platelet count was too low, and Qin Feng was worried that the patient would suddenly have another internal organ bleeding, and it would be over.

Low blood coagulation means that the hemostatic function is low. If the blood cannot be stopped, there is only so much blood in the human body, and death will undoubtedly occur.

Qin Feng also called the doctor from the Department of Hematology and asked him to come over.

After the hematologist came, he arranged a bone marrow examination for the patient. The bone marrow contains red blood cells, platelets, white blood cells, etc. It is a good choice to find problems from the bone marrow.

Examination of the bone marrow revealed a slight increase in the number of megakaryocytes in the patient's bone marrow, but the megakaryocytes did not develop well and were particularly small in size.

Megakaryocytes are the cells that breed platelets. The rare platelet count is inseparable from megakaryocytes.

Finally diagnosed as ITP (Immune Thrombocytopenia), the patient was also directly handed over to the Department of Hematology, and Qin Feng answered his post again.

Before Qin Feng could sit still, the emergency department called and said that an emergency patient had been sent.

Qin Feng had no choice but to ask Yue Meng to stop yelling, and rushed towards the emergency room by himself.

"How long will it take for the patient to arrive? What is the disease?" Qin Feng asked.

"It is estimated that there are still 2 minutes left. The patient fainted suddenly, his blood pressure was high, and the electrocardiogram found no problems." The hospital manager said.

When Qin Feng heard about the situation, he subconsciously thought about stroke.

Before 2 minutes, the ambulance stopped at the door, pushed the patient into the emergency room, connected the ECG, and measured the blood pressure.

Qin Feng checked the patient's pupils and called the patient's name softly at the same time, but the patient still had no consciousness.

"Doctor Qin, the patient's heart rate and blood sugar are normal, but the blood pressure is as high as 187/121." The nurse said.

Upon hearing this, Qin Feng took a deep breath. This blood pressure was already at a very dangerous level, and the patient may have his blood vessels crushed at any time.

"How long will it take for the patient's family to arrive?" Qin Feng asked.

"I have already contacted the patient's husband. The patient's husband will be there in an hour. The patient's husband said that the patient has a history of high blood pressure for three years." The hospital manager said.

"Did you take your medicine on time?"

"No, because the patient is an executive of a company, and he is so busy that he has no time to take medicine, let alone take medicine on time. By the way, he often has headaches." The hospital always conveyed the words of the patient's husband.

But now that the patient is in a coma, Qin Feng suspects that the patient may have cerebral hemorrhage due to high blood pressure, and often has headaches. This is the early warning of cerebral blood vessels.

The patient didn't take it seriously and suddenly fainted and fell to the ground today. Qin Feng directly arranged for a head CT.

"Give the patient an injection of mannitol and at the same time give him a fluid rehydration." Qin Feng ordered.

When the rescue was carried out for 10 minutes, the patient came back to life.

"Doctor Qin, the patient is awake."

Qin Feng hurriedly came to the patient and raised a finger, "Can you hear me? How much is it?"

"one."

The consciousness is very clear, and hemiplegia did not appear, and the patient's face has not changed at the same time, the stroke can be ignored.

Just in time to wake up, Qin Feng arranged to send the patient for head CT.

Ten minutes later, while waiting for the results, the patient's husband arrived.

"Doctor, is my wife okay?" The patient's husband didn't see any worry on his face, but a little joy. Fortunately, he was standing where the patient couldn't see, otherwise Qin Feng felt that the patient might be pissed off .

"The situation is temporarily stable, but we still need to wait for the CT results to determine the cause of the patient." Qin Feng explained.

"It's okay, don't worry." The patient's husband waved his hand.

Qin Feng was speechless for a while, is this really her husband?How does it feel like an enemy.

After half an hour, the patient's head CT results came out. There was no cerebral hemorrhage and no obvious head trauma, which meant that the patient's head was not bumped.

Basically, some more dangerous diseases can be ruled out, which is good news for Qin Feng.

"Have you taken any medicine recently?" Qin Feng looked at the patient.

"I just took a little ibuprofen and antihypertensive drugs, and... ah!" Before the patient finished speaking, he suddenly clenched his teeth, and his whole body twitched violently, foam began to overflow from the corners of his mouth.

"epilepsy!"

"Prepare the diazepam injection."

Diazepam is a sedative drug, which is specially used to treat epileptic seizures, because epileptic seizures usually wake up within a few minutes. In the hospital, doctors will use drugs to terminate the seizures in patients with severe seizures. .

With the bolus injection of the drug, the patient gradually stopped.

Qin Feng asked the hospital to always pay attention to the patient's breathing, because diazepam has a respiratory depressant effect. If the patient has COPD and respiratory failure, respiratory arrest may occur.

Fortunately, the situation is relatively stable, the patient's breathing gradually calmed down, and blood oxygenation also began to stabilize.

"Is there any other examination of the patient?" Qin Feng asked.

"It's out." The intern who was responsible for receiving the results handed the list to Qin Feng.

Qin Feng looked at the results of the examination and found that the patient's blood routine was only 75g/L, which is between 120-15 if normal.

The patient is anemic. Qin Feng looked at the patient and noticed that the patient's skin was too pale. Coupled with the patient's high blood pressure, Qin Feng wondered if the patient had acute hemorrhage. Otherwise, the patient's blood Why has the routine dropped so much, it's almost half.

Acute massive bleeding can also cause coma, brain dysfunction, and even symptoms similar to epilepsy.

Qin Feng remembered that the patient said that she had taken ibuprofen.

Ibuprofen is used to relieve pain, so where exactly does the patient experience pain?
But now the patient is not awake, and Qin Feng can't ask, so he can only continue to look through the test results. When he saw the liver function and kidney function tests, Qin Feng was stunned.

The patient's serum creatinine was as high as 1000umol/L, what does this mean?
This means that the patient's blood creatinine level is ten times higher than normal!
(End of this chapter)