medical road high rise

Chapter 473 Blood Oxygen Drops Rapidly

Chapter 475 Blood Oxygen Drops Rapidly

Qin Feng chatted with Director Xu for a while, and decided to consider it. Director Xu didn't say much, just let Qin Feng have an idea and call him.

After returning to Ruijin Hospital, Qin Feng began to see patients.

It's just that Qin Feng met a special patient again today, a little boy about five years old.

The symptoms are also obvious. The left hand is normal, but the right hand is only one-third of the left hand.

The patient's parents also traveled thousands of miles from other provinces. Since they discovered that their child had problems with their hands at the age of three, they began to seek medical treatment, but they have not been able to get an accurate result.

Parents are very worried. If they become disabled in this way, they will regret it for the rest of their lives, and their children's life will be greatly restricted in the future.

After hearing that Dr. Qin Feng from Ruijin Hospital was very good, they hurriedly looked for scalpers, and waited for half a month before they got Qin Feng's number.

Qin Feng looked at the patient's right hand seriously. The patient's right finger was obviously dysplastic, and Qin Feng's mind instantly came up with two diseases corresponding to it.

One is Poland syndrome, which is a rare syndrome involving multiple deformities. It occurs mostly in men and appears on the right side. The typical features are pectoralis major muscle deficiency, rib shortage, brachydactyly, carpal hypoplasia, funnel Chest and spinal deformity.

Another type is achondroplasia. The typical feature is that the limbs are short and small, but the trunk and head develop normally, and the intelligence is not affected. At that time, the body, appearance, and limbs will be significantly reduced, and the fingers will be trident.

The second achondroplasia does not match the patient's condition, so it can only be Poland syndrome.

Qin Feng asked the patient to lie on the examination bed, Qin Feng pulled up the child's top, and clearly saw the patient's right ribs, costochondral hypoplasia, and chest collapse at the same time, corresponding to Poland syndrome.

"Doctor, my son..." the patient's mother worried.

She didn't know how many times she couldn't see this kind of examination, but none of the doctors could give an answer, so she was very afraid that Qin Feng would say the same thing.

"It's been diagnosed, it's Poland syndrome." Qin Feng said.

When the patient's mother heard the diagnosis, she breathed a sigh of relief, "Doctor, is my son's disease curable?"

"At present, there is no early phalange extension surgery in China. You can only wait for your child to grow up, and then perform phalanx lengthening surgery after the phalanx is fully developed to improve the function and shape of the hand." Qin Feng suggested, "Your child's chest development can be treated through surgery, mainly to correct the body shape."

But the patient's parents were a little dissatisfied. What Qin Feng proposed was to treat the symptoms rather than the root cause. What they wanted was to completely solve the disease.

Qin Feng also almost guessed what they were thinking, but the cause of Poland syndrome, the whole world has not been able to give an accurate judgment. Although it is suspected that it may be caused by abnormal development of the pectoral muscle buds during the fetal period, it is only a guess.

Even the cause can't be found, let alone completely cured, so it can only be treated passively.

Qin Feng chatted with the patient's family members for a while, and the family members took the patient away directly. Qin Feng sighed as he looked at their backs.

Although the world's medical treatment is constantly developing, there are still many diseases that cannot be cured, and even the cause cannot be found.

At seven o'clock in the evening, Qin Feng finished writing the report and just got up when the phone in his pocket rang.

"Brother Qin, a comatose patient came to the emergency department, and the cause of the coma cannot be found at present." The hospital chief said urgently.

"I'll be right there." Qin Feng hurried to the emergency room.

"Huh, tell me what's going on."

"The patient was brought in an hour ago. According to the family members, he suddenly fell into a coma while sitting and watching TV after dinner. When he was sent to the hospital, the patient had shortness of breath and the itching was not very good. Now he has taken Put on an oxygen mask." The hospital manager said.

Qin Feng looked at the ECG monitor. The patient's heart rate and blood pressure were still normal mainly because the blood oxygen was only 96, which was still in the state of oxygen inhalation, which proved that the patient should be hypoxic.

"Does the patient have high blood pressure?" Qin Feng asked.

The patient in front of me is older, 56 years old, and the probability of having high blood pressure is very high.

If there is high blood pressure, there are many causes of coma.

Hypertensive cerebral hemorrhage, cerebral infarction and so on.

"There is no high blood pressure in the patient's medical history." The hospital chief shook his head.

Qin Feng frowned, then asked for a flashlight to check the patient's pupils.

"The patient has no reflex to light." Qin Feng frowned even tighter.

Loss of pupillary light reflex is a very dangerous signal, and it usually occurs in critically ill or dying patients.

This occurs because the nerves that control the pupils are de-innervated or irritated.

"Has the patient had a brain CT?"

"I did, a little lacunar infarction."

This kind of cerebral infarction is a mild disease and will not cause pupillary unresponsiveness.

Therefore, the patient's pupillary unresponsiveness must have other conditions.

"Does the patient have atrial fibrillation?"

"Have."

Qin Feng nodded. If you have atrial fibrillation, you must be careful of blood clots.

Atrial fibrillation is the tendency for local blood to form a turbulent flow and clot to form a thrombus. Once the thrombus falls off, it may cause cerebral infarction.

Now the patient has no edema, so the cerebral infarction cannot be shown on CT.

"Has the patient's shortness of breath been found out?" Qin Feng asked.

"After a chest X-ray, the patient's lungs were filled with fluid. There should be lung inflammation. The specific cause has not yet been identified, and the patient's blood routine results also showed that the white blood cells were not very high and the inflammation was not serious." said the hospital chief road.

The white blood cells are not high. This situation may also be related to the patient's own immunity. Some people have poor immunity and their white blood cell response cannot keep up.

"What about the patient's blood sugar?"

Qin Feng also needs to consider the situation of hypoglycemia. This involves energy problems. When there is a lack of energy, there will be a feeling of weakness and even coma.

Most of the young people who passed out on the subway had hypoglycemia.

"Blood sugar is fine, but the patient is a little anemic, and his hemoglobin is only 89g/L."

"Have you found out why?"

"No." The hospital chief shook his head.

Qin Feng found that this patient had many problems, but he could not find the key point, that is, he could not find the real cause.

"Cough cough."

The patient's body suddenly trembled, and then coughed violently a few times.

"Drip drip..."

"Not good, the patient's blood oxygen is dropping." The nurse shouted.

Qin Feng saw that the patient's blood oxygen dropped to 92% after coughing. This is still the case of oxygen inhalation.

"Prepare the ventilator!" Qin Feng roared.

(End of this chapter)