medical road high rise

Chapter 380 The Old Man With Chest Pain

Chapter 382 The Old Man With Chest Pain

The laboratory department was also checking, and the life teacher also contacted him. He was hanging the water, but his body was still uncomfortable. Qin Feng felt that something was wrong, so he gave the children balanced electrolytes first to relieve the vomiting.

Suddenly, a child was found to have purpura in the abdomen. This was discovered by the gastroenterology doctor. They were sure that it was related to an infectious disease, so they did a gastrointestinal examination and found purple scars on the child.

So I went for a B-ultrasound and found that it was abdominal purpura.

Purpura is a kind of allergic vasculitis. Its pathological changes are fibrous necrosis of capillaries and arterioles, serous exudation and infiltration of inflammatory cells around blood vessels. It can be induced by infection, drugs, food, etc. In children and adolescents, men are more than women.

Henoch-Schonlein purpura1 caused by any condition will involve the gastrointestinal tract, with gastrointestinal symptoms as the typical symptoms.

The cause of this disease, one is bacterial infection, one is food, one is drugs, and three predisposing conditions.

Therefore, the patient's abdominal pain was severe, and the cause was found.

Qin Feng and the gastroenterology doctor found the child's family members, but the family members came and told Qin Feng a piece of news.

That is the child in his family, who does not eat the food in the kindergarten at all. He had a purpura attack before, and he took medicine to get better.

Soon the CDC took samples in the hospital, and the results came out the next day.

In addition to purpura patients, Sohu other patients were infected with norovirus.

This kind of virus is generally caused by unclean water. The tap water in the kindergarten should be caused by the fact that the water pipes have not been maintained all year round.

Norovirus is a virus that causes non-bacterial acute gastroenteritis. It is highly contagious and is a self-limiting disease. Generally, no special treatment is required, and there is currently no specific drug.

After confirmation, Qin Feng immediately arranged an isolation ward for the patients in the kindergarten, and at the same time carried out a second disinfection of the emergency department.

Qin Feng has been taking care of the children in the isolation ward for the past few days. Finally, after a week, the children were successfully discharged from the hospital.

This also gave Qin Feng a wake-up call, and Director Zhao also discovered the problem, that is, the emergency department did not have an effective method for this infectious disease.

If this contagious disease could spread through the air, parents and patients would be screwed.

This is the dereliction of duty of the hospital. Even if Qin Feng discovered it at the first time, he did not isolate it.

In the end, we waited for the test results to come out before quarantining. This is an obvious shortcoming. Infectious diseases are no joke.

Director Zhao also held a special meeting about the emergency response team.

Form an emergency team, with Qin Feng as the captain. After Qin Feng discovers a problem, he has the absolute right to speak.

The right to speak, that is to say, Qin Feng said to clear the scene, and everyone must cooperate with Qin Feng to quickly clean up the emergency scene to allow sufficient space. At the same time, Qin Feng also has the absolute right to mobilize and use the ward.

In other words, when Director Zhao is away, Qin Feng can act as the director in an emergency.

Qin Feng also agreed. Director Zhao also wrote a document and applied for it, and it was approved. Qin Feng's authority was further expanded.

That is an emergency. Qin Feng has the right to use other departments and wards. If there is no vacancy, Qin Feng has to arrange a vacancy.

This matter was arranged in this way, and Qin Feng obtained the greatest right to deal with emergencies.

Qin Feng also felt that he had a great responsibility. When he returned to the outpatient clinic, Zhang Yao and Yue Meng also knew the news.

"Brother Qin, you've been promoted. I want to treat you to dinner tonight."

"Shouldn't you invite me to eat? Otherwise, I will wear small shoes for you in the future." Qin Feng smiled.

"Ah, Mr. Qin has such great authority!" Yue Meng put his shoulders on his shoulders and said softly.

……

At around two o'clock in the afternoon, an ambulance brought an elderly patient and called Qin Feng over.

"What's the patient's condition?"

"The patient was drinking afternoon tea at the teahouse, and suddenly had chest pains, and then fainted on the ground. The person in the company called 120. After waking up, the chest pain was extremely painful, and eating nitroglycerin did not have any effect, so angina pectoris was ruled out." Follow the car doctor.

Entering the rescue room, the medical staff have already connected all the instruments.

Qin Feng looked at the data on the ECG, the patient's blood pressure was low, the heart rate was 118 beats per minute, and the blood oxygen saturation was 94%, which was not serious.

Qin Feng looked at the patient again, his face was pale, even his temples were covered with sweat, and his hair was wet.

No matter how you look at it, it is a very serious situation, but why is the test result like this?

Data and performance are contradictory.

After chest pain and angina pectoris are ruled out, there is still acute myocardial infarction.

"Give the patient an electrocardiogram first." Qin Feng said.

The electrocardiogram is more detailed than the electrocardiogram monitor. As for the electrocardiogram on the ambulance, it is not very good because the equipment is too long, and it is generally only used for reference.

Soon, the patient's electrocardiogram was typed out.

The patient's ST segment had slight low pressure, and he did not see the typical manifestations of myocardial infarction. Of course, it may be in the acute stage, so a second review is needed.

With the examination completed, the patient's condition seemed to ease a little.

Qin Feng began to ask questions again.

"Does your chest still hurt?"

"pain."

"What do you feel?"

"It's like being pricked by a needle."

Qin Feng froze for a moment, the feeling of being pricked by a needle is not a characteristic of myocardial infarction.

Myocardial infarction is generally regional, in pieces, not in one point, so the pain is also in pieces.

Pain is usually chest tightness, the kind of breathless.

"Doctor, I don't dare to take a big breath now, am I dying?" the patient asked panting.

The patient is a bit older, 62 years old, and he is still a little afraid of death.

After all, this age is the time to retire and enjoy life, and he doesn't want to die so early.

"No, as long as the test results come out and the symptoms are treated, there will be no problem." Qin Feng comforted.

But the current situation is that Qin Feng doesn't know the patient's condition at all. The patient's age is indeed too old. If he is not careful, he will die.

"Do you remember your family's phone number?" Qin Feng asked.

Trembling, the old man took out his phone and handed it to Qin Feng. Qin Feng unlocked it, found his son's note and called it.

After the son got the news, he asked the hospital and hung up the phone without further questioning.

Qin Feng took advantage of the situation and prescribed several checklists for the patient, and the test results were all normal, and myocardial infarction could also be ruled out.

It's just that the patient was still in pain and kept humming, and the intern doctor beside him couldn't stand it anymore.

"Doctor Qin, should we give the patient some painkillers to ease his pain?"

"No, the patient's blood pressure is low now, and the use of painkillers will lead to lower blood pressure. We need to know the cause of the patient's low blood pressure before we can take drug treatment." Qin Feng explained.

(End of this chapter)