medical road high rise

Chapter 463 Broad bean disease

Chapter 465 Broad bean disease

In the ward, a middle-aged male patient in his 40s was lying on the hospital bed, and irregular pressure lines had appeared on the ECG monitor beside him.

Wang Jun kept swearing, but the movement of his hands didn't stop, he kept pressing, and his whole face was sweating profusely.

"What happened?" Qin Feng asked the nurse next to him.

"A patient with myocardial infarction suddenly had a cardiac arrest," the nurse said.

"Oh, that patient, we told him to stay in bed, but he refused to die. Later, taking advantage of the nurse's inattention, he got up and bumped against the edge of the bed, causing ventricular fibrillation, and then he became like this." The emergency doctor on the side sighed.

Qin Feng sighed helplessly. Patients with myocardial infarction will cause heart failure. The heart cannot pump blood, and cardiogenic shock will occur. Therefore, lying in bed is the position with the least load on the heart, because the heart pumps blood without using it. Overcoming the influence of gravity and transporting to the lower limbs, head and so on.

Once you sit or stand, the pressure on your heart will increase, causing discomfort to the human body. An impact is actually caused by discomfort to the human body.

But even after sitting up, lying down again may cause increased pulmonary water reflux. Therefore, doctors require patients with myocardial infarction to lie down, otherwise the patient's situation will occur.

Wang Jun led several doctors and nurses to continue to perform chest compressions on the patient, trying to rescue the patient.

Even a shot of epinephrine was given every 3 minutes, but there was still no improvement in the ECG monitoring.

Qin Feng looked at the patient's condition. At this time, his lips were already cyanotic, his skin all over his body turned purple, and his limbs became cold. It was obvious that he was already a dead person.

The family members were crying and crying, but all this has been irreversible.

When the disease has progressed to this stage, it is difficult to save even a god.

However, this matter still has some impact on the hospital. There is a high probability that the family members will quarrel with the hospital, and the medical office will be in a state of distress again, but it will not have any impact on the medical staff.

Qin Feng shook his head and left. It was meaningless for him to stay here, and he was thinking about whether he could be of any help.

When I went back, I received a call from Li Xuewen, saying that one of his classmates had insufficient blood supply from the vertebrobasilar artery, had cervical protrusion and stenosis of the vertebrobasilar artery, and asked Qin Feng to take a look.

Qin Feng was also a little surprised to hear that the vertebrobasilar artery was insufficient in blood supply, because the vertebrobasilar artery is a very important blood vessel in the human brain, which is responsible for supplying blood and oxygen to the brain tissue. If it is narrow and has other problems, it may lead to insufficient blood supply If the brain is used, the brain function will be hindered, dizziness, nausea, etc. will appear, and even a short-term coma will appear in severe cases.

"Has the patient taken any medicine to unblock blood vessels?" Qin Feng asked.

"After taking the medicine for five days, the effect was good at first, but this morning, my classmate suddenly suffered from severe dizziness, fell to the ground, and then developed nausea and vomiting." Li Xuewen said.

Qin Feng nodded, expressing his understanding.

After a few minutes, an unknown call appeared on Qin Feng's mobile phone.

"Hello, are you Xie Shufen's family member? Just come to Clinic No. [-]."

Soon, the patient Xie Shufen walked in with the support of her son.

Qin Feng checked and asked, and then asked: "Did you bring all the examination materials from the hospital last time? It's less than a week away, so there is no need to do the same examination."

The patient's son quickly took out the bag and handed it to Qin Feng, who took out one by one and looked at them.

The other examinations were just as Li Xuewen said, and there was no major problem, mainly because of the obvious stenosis of the vertebrobasilar artery on the cranial CT.

"Tell me your symptoms again." Qin Feng said while watching the film.

The patient recounted his symptoms, and Qin Feng frowned.

Because the patient's film only has vertebrobasilar artery stenosis, but it is impossible to have so many symptoms just for this, the high probability is that the patient has other diseases that have not been investigated clearly.

"I suggest to do other checks, preferably the whole body." Qin Feng suggested.

"Okay." The patient is still very convinced of Qin Feng, after all, he was introduced by his classmate.

The introduction between acquaintances is to give face to each other.

The patient took the checklist and followed his son to do various checks.

After about an hour, the patient's test results came out.

Qin Feng discovered the patient's problem in the blood routine examination, that is, the patient's hemoglobin was only 58, and the normal value was 120-150, which was a bit severe anemia.

Normal anemia will cause dizziness, let alone such severe anemia, once the blood supply is not enough for the brain to use, the brain function will be impaired, resulting in dizziness, nausea and other symptoms.

Qin Feng looked at the patient's face carefully and found that the patient's face was a little pale, which was typically caused by excessive blood loss.

Qin Feng began to ask about the patient's condition, such as whether his aunt's bleeding was normal, whether he had a history of anemia, and so on.

However, the results were not optimistic and no special findings were found.

"Doctor, my uncle seems to have favism. Do you think it may be a family genetic disease?" The patient's son has also done corresponding medical research.

When Qin Feng heard this, his expression became serious.

Favism is a type of glucose-6-phosphate dehydrogenase deficiency. In patients lacking this enzyme, red blood cells will become very unstable, manifested as hemolytic anemia after eating broad beans.

Once it is on the sidelines with hemolysis, the patient's condition is more serious.

Hemolysis is the destruction of the structure of red blood cells, resulting in the red blood cells being lysed.

Moreover, favism is also a typical family hereditary disease. If someone in the family has this disease, it may be inherited from generation to generation.

"Have you eaten soy products recently? Such as broad beans, bean paste, etc." Qin Feng asked.

"I often eat soy products, and I always add a little bit of bean paste every time I cook. There was no problem before." The patient asked in confusion.

"Fava bean disease is not caused by anemia after eating soy products. It is also a random disease, and it is a recessive disease." Qin Feng said, "I will arrange for you to have a blood transfusion first, and then go for a hemolysis test."

The patient was transfused with two units of blood, and then the patient went for a hemolysis test and found that the patient was lower than the normal value.

Basically, it can be determined that the patient is fava bean disease. As for the cause, it is related to bean paste.

"In the future, put bean paste, remember not to eat broad bean ingredients, use other ingredients, and don't use antipyretics such as aminopyrine, phenacetin..." Qin Feng ordered one by one, "That's right , Do you use mothballs at home? Mothballs contain naphthalene, which can also cause hemolysis in faba bean disease."

(End of this chapter)