medical road high rise

Chapter 443 Unexplained Lung Hemorrhage
Chapter 445 Unexplained Lung Hemorrhage
After the examination, the little patient was fine, so the patient's mother breathed a sigh of relief, went to get the medicine list prescribed by Qin Feng, and then left.

Immediately afterwards, another patient came, a middle-aged man wearing a suit. He should have just come to the hospital to see a doctor after participating in a formal event.

"Doctor, I... just have difficulty breathing, and sometimes I can't even breathe."

When the patient said this sentence, he stopped once in the middle and took two consecutive breaths before finishing the sentence.

"When did it start?"

"It started three days ago, but it was the worst today. I almost fainted, and I felt dizzy," said the patient.

Qin Feng did a simple physical examination on the patient and found that the patient's pulse was a little fast, at least over 120.

"Lie on the hospital bed, keep breathing steadily, and don't panic." Qin Feng asked Yue Meng to tell the people waiting outside to wait, and then took Zhang Yao to push the patient to the emergency room.

Connected to the ECG monitor in the rescue room, there were problems with heart rate, blood pressure, and blood oxygen.

Even blood oxygen is only 91%, plus there are problems with heart rate and blood pressure, and the patient's breathing rate is also fast.

The faster you breathe, the easier it is for the body to feel tired. Once the body has symptoms of fatigue, respiratory failure will occur.

The organs of the human body are like family members living together. Once a problem occurs in a certain part, other parts will respond accordingly according to the feedback.

"Quickly, prepare the non-invasive ventilator and oxygen mask for the patient," Qin Feng said.

With the use of the ventilator, the patient's blood oxygen began to rise slowly, and Qin Feng also breathed a sigh of relief.

The patient inhaled oxygen greedily, and the long-lost breathing was smooth, which made his whole body transparent.

"Have you taken any medicine recently?" Qin Feng asked after the patient's blood oxygen stabilized.

"It's just that I had a fever a few days ago, so I bought some antipyretics. After taking it, my throat hurt and I couldn't breathe well. I thought it was a cold that caused the stuffy nose, but today I suddenly couldn't get my breath out. I I came directly after I was busy with work." The patient said.

Sore throat?That's a sore throat!
Qin Feng looked at the patient's neck and found that the patient's neck was a bit short and thick, and he suspected that it was due to hypertrophy of the glands, but after examination, he found that it did not seem to be the obstruction of the throat and airway caused by hypertrophy of the glands.

"Do you feel chest pain?" Qin Feng considered pneumothorax again.

Pneumothorax is the rupture of the lungs. After the air enters the chest cavity, it compresses the lungs, causing the lungs to fail to inflate. The patient cannot breathe normally, and there will be dizziness due to hypoxia.

"No."

Qin Feng was holding a stethoscope, and the patient's lungs did not have moist rales, and the breathing sounds were also symmetrical. Apart from the heart beating very fast, there was no other discovery.

Such patients are typical special patients without characteristic symptoms.

"How about this, you go for a myocardial enzyme spectrum, and blood routine..." Qin Feng explained the examination, and after the results of other examinations came out, there was no abnormality, Qin Feng pushed the patient to do it by himself CT examination.

The director of the Ct room saw Qin Feng coming and greeted him warmly.

"Doctor Qin."

"Director Xu, is there an empty flight now? I want to check the patient myself." Qin Feng said.

"Yes, I just happened to be a little tired." The CT room took Qin Feng to the empty CT room.

Qin Feng typed the keyboard skillfully, and then saw the patient's physical condition on the screen. Qin Feng scanned the image to the vicinity of the patient's chest, and suddenly found that there were a lot of white in the patient's chest cavity and lungs.

The lung images of normal people are all black, because the lung tissue contains gas and has high transparency, so it appears black.

But the patient's lungs are almost completely white, which means that the patient's lungs are no longer filled with air, but fluid that may ooze.

There are many cases of exudate, and what Qin Feng considers is the pus caused by pneumonia.

As the image of the patient's chest appeared, Qin Feng's eyes widened.

A piece of white!

"No, hurry back to the emergency room now." Qin Feng stopped the machine quickly, and left without having time to say hello to the director of the CT room.

The main reason is that the patient is now in an emergency situation, with a large amount of exudate in the lungs, coupled with the patient's previous blood oxygen situation, it is very likely that the patient will go into shock.

Back in the rescue room and reconnecting the ECG monitor, Qin Feng found that the patient's blood oxygen had dropped to 85%, and at the same time the patient's lips began to slowly turn cyanotic.

"Inhale oxygen, relax." Qin Feng patted the patient's shoulder to comfort him, then turned to look at the intern in the emergency room, and shouted loudly, "Quick, get ready for intubation."

The intern was taken aback and quickly brought the intubation kit.

Then Qin Feng began to anesthetize the patient, and at the same time injected 5mg of midazolam, and then intubated.

As soon as the tube went in, blood began to spill out continuously, spraying Qin Feng all over. Qin Feng looked at the laryngoscope and found that the patient's chest was not liquid, but blood!

In other words, the patient was not pneumonia, but hemorrhage caused by hemorrhage.

The blood was still bright red, and it didn't appear for a long time. It was likely that it slowly accumulated when he came to the hospital.

Could it be pulmonary edema?

This disease appeared in Qin Feng's mind. This disease is mainly caused by heart failure, blood will gather in the pulmonary circulation, the pressure will increase, and the blood components will seep into the alveoli. Once the amount is enough, it may gushe out from the airway.

Wait, half of what pulmonary edema spews is pink frothy phlegm, but what the patient just spewed was bright red blood.

"Suction." Qin Feng ordered Zhang Yao to start using the suction tube to suck out the accumulated blood.

After a while, 100ml of blood had been sucked out, and Qin Feng realized that something was wrong, the amount of blood was a bit too much.

"Hurry up, Zhang Yao, you change to Wang Xiong, and then you go to the blood bank to ask for blood." Qin Feng said.

Zhang Yao handed the suction tube to Wang Xiong, and ran to the blood bank by herself.

After 2 minutes, the suction tube stopped bleeding, Qin Feng quickly inserted the oxygen tube, the ventilator delivered the oxygen, and the patient's blood oxygen began to rise.

Qin Feng frowned and stood aside thinking about what caused the bleeding. There are only so many cases of lung bleeding, and the patient didn't have a car accident or something, and his lungs were damaged.

It can only be caused by bacteria or viruses.

Is it the rupture and bleeding of blood vessels caused by bronchial mucosal congestion and edema, or the massive hemorrhage of pulmonary tuberculosis?still?
Qin Feng took out his mobile phone, called Mr. He, asked for an interventional operating room, and then pushed the patient directly to the interventional operating room.

Compared with drugs to stop bleeding, Qin Feng is more confident in his interventional surgery. In the case of an unknown condition, interventional hemostasis is the best choice.

To be on the safe side, the ventilator was pushed along with the patient.

(End of this chapter)