medical road high rise

Chapter 386

Chapter 388 It's all caused by motion sickness medicine

10 minutes later, Qin Feng rushed to the hospital.

The general manager of the hospital greeted Qin Feng directly into the emergency room, and Qin Feng learned about the patient's condition.

"What is the patient's condition now?"

"At present, the patient has rhabdomyolysis, accompanied by external trauma, and the injury is serious." The hospital director said.

"Rhabdomyolysis?"

Rhabdomyolysis refers to a series of striated muscle damage or changes in cell membrane integrity caused by a variety of hereditary or acquired diseases that affect the striated muscle cell membrane, membrane channels and energy supply. After the occurrence of this disease, patients are often accompanied by acute Renal failure and metabolic disorders.

"Is the patient out of danger now? Is he awake?" Qin Feng asked.

The hospital manager smiled wryly and shook his head. If he was rescued, he wouldn't call Qin Feng to come over.

Entering the emergency room, Qin Feng saw the patient's urine bag. The color inside was all soy sauce color, and there was still a lot of blood scab left at the corner of the mouth that he had not had time to deal with.

"Dr. Qin, I feel that this patient may have been beaten by social workers and given some coma-inducing drugs. This is the drug box they found in the car." The resident said.

Qin Feng glanced at the box, it was motion sickness medicine, which made Qin Feng frowned.

Looking at the patient's injury, the distribution of congestion on the patient's body is very irregular, and Qin Feng must be a compression injury.

But how long does it take to compress such a level of scars before it is possible to cause such scars?
Qin Feng estimated in his mind that the structure of the human body would be compressed. It would take more than twelve hours without moving, and the whole body's gravity would compress the legs.

But a normal person, even if he was tied up, would not be able to maintain this movement for so long under such painful conditions.

Qin Feng stepped forward to check the patient's leg again. The pulse of the patient's dorsalis pedis artery was very weak, which proved Qin Feng's judgment.

This should be a compression injury caused by staying in a flexed lying position for a long time. In the current situation, apart from the thigh, the most noticeable thing is the patient's toes.

His thumb was normal, except for some blueness, but the other four toes were completely black.

If the toes turn black, it means they have become necrotic. It is difficult to save them at this time because the necrotic tissues and organs may affect the function of the entire body.

Qin Feng tried to open the patient's mouth, and he could smell a strong smell of motion sickness medicine.

Qin Feng opened the patient's pupils and tested the patient's central nervous system. He found that his reaction to light had become very slow and his consciousness was indifferent. Simply put, the patient's brain was failing and his reaction was very slow.

"I also called an orthopedic surgeon before. They came over to check the patient's injuries and confirmed that there were no fractures. However, the four black toes were still very dangerous. They suggested amputation immediately, otherwise they might not be able to save the patient's life."

"After about 10 minutes of treatment, the originally stable patient's condition suddenly worsened. After it was later diagnosed that the cells were damaged, the potassium ions in the cells were returned to the blood, causing the condition to worsen.

When the patient's blood oxygen level dropped to around 35, I arranged for endotracheal intubation and ventilator-assisted ventilation. The blood oxygen problem was resolved, but the patient's heart rate had problems again. The hospital was full of annoyance, "I gave dopamine injection again, but the patient's condition still hasn't returned to normal. "

Qin Feng nodded after listening. The patient's condition was indeed very complicated. No wonder he had to call himself when he was on vacation.

"The orthopedic department should have suggested amputation, why didn't you adopt it first?" Qin Feng asked.

"I don't think the condition has been confirmed yet. It would be too hasty to amputate the limb directly." The hospital manager said, "Also, I always feel that there is something wrong with the patient's condition, but I don't know what the problem is."

Qin Feng did not continue to speak, but carefully examined the condition of the patient's legs. Tension blisters had appeared on the inner side of the patient's left thigh. There were bruises similar to those on the inner thigh all over the body. The scars on the chest and ribs were particularly obvious. There were also sparse blood spots on both arms.

There is no doubt that this condition occurs when the patient maintains a certain posture for a long time.

As for being beaten and then tied up, the patient had no obvious strangulation marks on his body.

The patient's condition echoed in Qin Feng's mind, and the orthopedic doctor who had just gone to the toilet returned.

"Doctor Qin, you are here."

"Ah."

"My suggestion is to amputate the limb as soon as possible, otherwise the patient's life may not be saved."

The hospital chief retorted: "The patient is middle-aged, and both legs were amputated directly. Doesn't this mean that he can only live in a wheelchair in the future?"

"Legs are more important than life?" The orthopedic department frowned. "Now the patient has arterial pressure and toe necrosis. If the limb is not amputated, should the patient wait to die?"

The head of the hospital twitched his lips, wanting to say something, but didn't know what to say to refute.

"If it wasn't for your previous dopamine, the patient would be dead now."

Qin Feng checked the patient's physical condition and ignored the two of them.

"I remember you saying that the patient was found unconscious in the car?" Qin Feng said.

"correct."

"Then I know what the problem is. The patient didn't have toe necrosis caused by the beating, so he doesn't need amputation." Qin Feng said seriously.

"How is it possible? The patient's toes are necrotic, and there are bruises in the left lower limb. The patient is also very unconscious. His pupils are constricted. This is an extremely critical condition. A critical illness notice needs to be issued." said the orthopedic surgeon.

Hospitalization is always a joy, my diagnosis this time is actually the same as Qin Feng's.

Qin Feng irradiated the patient's pupils again, but his response to light was very slow, and the pupils also shrank a lot, which is indeed abnormal.

"When you were treating him, what kind of medicine did you give him in turn?" Qin Feng asked.

"The first medication I took was to relieve rhabdomyolysis, but later I had a heart rate problem, so I took dopamine and drugs to treat acute renal failure." said the hospital director.

Qin Feng opened the patient's medical record and found that it said that the patient was sensitive to norepinephrine.

"Look at this box of drugs to see if there are any drugs similar to norepinephrine." Qin Feng said.

When everyone looked over, they realized that they had ignored the motion sickness medicine from the beginning to the end.

Yes, motion sickness medicine is similar to atropine, in addition to this, it will also cause the pupils to be different from normal, which is caused by taking too much motion sickness medicine.

"In other words, these symptoms are actually caused by the patient's sensitivity to the drug, and the patient's life is not in danger at all?" the orthopedic doctor said.

Qin Feng nodded, then put the patient in normal saline, and patted the patient's shoulder hard. The patient talked in a daze, and then woke up.

(End of this chapter)