My medical skills are a billion points

I saw Wang Qiufeng sitting on the floor of the emergency room, with his mouth open, gasping for breath, with a terrified expression.

Xiao Chu hurried over, picked her up, and carried her back to the hospital bed she had been lying on before.

At this time, Gao Yingjun, Zhou Ziqiang and others had already heard the news.

A group of trainee doctors and interns were stunned when they saw this situation.

I don't know that this patient was discharged from the hospital just now.

Why did he suddenly have difficulty breathing again as soon as he left the ward?

The nurse has connected Wang Qiufeng with oxygen.

But she was still panting with her mouth wide open, her face was painful, and her head was profusely sweating.

Gao Yingjun and Zhou Ziqiang who were standing aside frowned, not knowing why.

They are all familiar with this patient's condition!

He was already discharged from the hospital, why did he suddenly become like this?

Should not be!

The drugs that Wang Qiufeng took were not very toxic at all.

Besides, it has already been metabolized, so there will be no such complications!

Zhao Fangshu also rushed over, and after learning about the situation in detail, she also frowned.

"Look, the patient has obvious inspiratory dyspnea, has three concave signs, and the blood oxygen saturation is not high,

This must be a problem with the large airway. If it doesn’t work, re-intubate her, and then do a lung CT to rule out pulmonary embolism! "

Zhou Ziqiang and Gao Yingjun also had to nod their heads.

Even though Zhou Ziqiang has been working for several years, he has never seen such a situation.

In his cognition, the patient was fine, why did he suddenly have difficulty breathing?

Even if Zhao Fangshu suspected that the patient had pulmonary embolism, in Zhou Ziqiang's heart, he did not particularly agree.

After all, the patient's condition is not serious, and he was completely cured in just 5 days after coming to their hospital.

There was no lower extremity venous thrombosis, so why did pulmonary embolism occur?

It's not in line with common sense!

But the patient's situation was so sudden that any doctor was caught off guard.

For a while, I couldn't think of the reason why the patient had sudden dyspnea.

Just when several doctors were frowning and thinking about the cause.

The frequency of Wang Qiufeng's breathing with his mouth wide open has dropped significantly, and his blood pressure has also become shock blood pressure!

"The patient is about to stop breathing, hurry! Emergency intubation!"

Gao Yingjun yelled and prepared to intubate the patient.

Wang Qiufeng's breathing seemed to stop soon.

And her face had turned cyanotic.

Is caused by obvious hypoxia.

Several doctors suddenly panicked.

He hurriedly cooperated with Gao Yingjun, preparing to intubate Wang Qiufeng.

Otherwise, once her breathing stops, it will cause ischemia and hypoxia damage to the brain.

Although Gao Yingjun still doesn't know the cause of Wang Qiufeng's dyspnea, the current goal is to intubate the trachea immediately and put him on a ventilator.

When Xiao Chu just put Wang Qiufeng on the hospital bed, he was puzzled for a moment when he saw that she was having difficulty breathing.

He thought about various causes in his mind, but he couldn't give a definite explanation.

Why did Wang Qiufeng appear, inspiratory dyspnea.

Inspiratory dyspnea combined with three concave signs, usually due to airway obstruction, laryngeal edema, etc., are the most common causes.

The most common cause of airway obstruction is the inhalation of a foreign body.

And Wang Qiufeng has no experience of inhaling foreign objects, so this reason can be ruled out.

As for laryngeal edema, the possibility of this cause is also very small.

Don't forget that before she was discharged from the hospital, she had undergone detailed examinations in all aspects, and everything was normal.

Therefore, the reason for this sudden inspiratory dyspnea for a while is really puzzling.

This period of time seems to be very long, but it is actually very short, only about 1 minute.

Due to the urgency of the situation, Xiao Chu even forgot to use his special skills.

Seeing that Gao Yingjun was going to perform tracheal intubation on the patient, Xiao Chu hastily activated the 3D medical intuitive imaging ability.

Looking at this, Xiao Chu was greatly surprised.

It turned out to be a foreign body in the trachea!

Through the effect of his ability, Xiao Chu could clearly feel what is the foreign object in Wang Qiufeng's trachea?

Only at this time did Xiao Chu finally understand the real reason why Wang Qiufeng suddenly developed inspiratory dyspnea!

Seeing that Gao Yingjun picked up the video laryngoscope and was about to intubate Wang Qiufeng who was in great pain, Xiao Chu hurriedly stopped him.

"Wait a minute, don't intubate yet!"

While speaking, Xiao Chu hurriedly jumped onto the hospital bed.

Then straddle the patient on both sides, place the palms of both hands above the navel of the patient, and press forward and downward with the heels of the palms suddenly.

Seeing Xiao Chu's actions, everyone of course understood that he was performing the Heimlich first aid method on the patient.

"Did the patient inhale a foreign object? Impossible! The patient just walked out of the ward, and the family members also confirmed that there was nothing in her mouth. How could there be a foreign object in the trachea?"

All the doctors present had the same thought.

The prerequisite for a foreign body in the trachea is that there is something in the mouth that is accidentally sucked into the trachea.

But there was obviously nothing in the patient's mouth.

There is no possibility of aspiration by mistake, why would Xiao Chu do such an operation? !

Everyone was puzzled and wanted to prevent Xiao Chu from continuing to perform Heimlich first aid on the patient, and then hasten to intubate the patient's trachea.

At this time, under Xiao Chu's repeated impacts, the patient's opened mouth suddenly sprayed out a bloody thing.

Chapter 231 The Culprit Who Almost Killed Someone

As the blood-colored substance spurted out, Wang Qiufeng opened his mouth wide and seemed to be having difficulty breathing, which was immediately relieved obviously.

Her breathing became noticeably easier.

With a few deep breaths, her cyanotic complexion gradually turned rosy.

Breathing also gradually calmed down.

Zhao Fangshu took a piece of sterile gauze and picked up the bloody substance that Wang Qiufeng had spit out.

Then I poked it with a cotton swab, and then I saw clearly that what Wang Qiufeng spit out turned out to be a piece of human tissue the size of a fingernail.

"This is the inner wall of the trachea that has fallen off. How could this happen?"

As a doctor in emergency surgery, Zhao Fangshu is certainly no stranger to this thing.

In any case, she never thought that the culprit of Wang Qiufeng's inspiratory dyspnea turned out to be this small piece of the inner wall of the trachea that fell off.

It was it that blocked the airway, caused suffocation, and almost killed Wang Qiufeng.

"It's the inner wall of the trachea, but, okay, why did the inner wall of the trachea fall off?"

Of course Zhou Ziqiang also recognized this organization, but he was full of suspicion.

The bloody substance that Wang Qiufeng spit out is the inner wall of the trachea, there is no doubt about it.

But the most puzzling thing for everyone is, why did Wang Qiufeng, who had been doing well before, suddenly have the inner wall of the trachea fall off?

But at the same time feel lucky for Wang Qiufeng.

Fortunately, Wang Qiufeng had just left the door of the ward, not even the door of the emergency department.

If she took a taxi and walked halfway, and this happened, then she would definitely die!

All eyes were on Xiao Chu, who had a calm face.

All the doctors present did not consider the foreign body in the trachea. How did he think of it?

Wang Qiufeng's condition has completely stabilized, her vital signs are all normal, and she no longer needs tracheal intubation.

Xiao Chu asked the nurse to continue inhaling oxygen for her and observe closely.

Then, a group of people went back to the doctor's office.

Gao Yingjun wiped the cold sweat off his face, walked over, and patted Xiao Chu's shoulder.

With lingering fear in his heart, he said: "Xiao Chu, you are so powerful, how did you come up with this idea? Fortunately, you are there, otherwise, if Wang Qiufeng was blindly intubated, the broken inner wall of the trachea would be pushed deep into the trachea .

At that time, even if the patient is on a ventilator, because this tissue is blocked in the bronchi, it may be difficult for her to recover.Thanks to you this time. "

Zhao Fangshu, Zhou Ziqiang and other doctors all looked at Xiao Chu expectantly.

Everyone wants to know how Xiao Chu came up with this reason.

It was the first time they had seen the inner wall of the trachea fall off on its own after so many years of medical practice.

So when Wang Qiufeng first had this situation, all of them were in a daze.

No one at all thought that it was a foreign body in the airway that caused breathing difficulties.

Naturally, Xiao Chu would not say that he could see it through the cheating.

However, it is not difficult to explain the patient's occurrence of such a situation after thinking about it.

He smiled and said, "Actually, I'm just guessing. Because the patient has obvious inspiratory dyspnea, and also has three concave signs.

Everyone knows that patients have inspiratory dyspnea and three depressions. The most common causes are laryngeal edema and foreign bodies in the trachea.

The laryngeal edema can basically be ruled out, because before leaving the hospital, the patient has been checked in all aspects, and there is no problem. "

"So I unilaterally considered that she had airway obstruction, which caused inspiratory dyspnea.

Wang Qiufeng's symptoms are obvious. The large airway is blocked, but there is no foreign object in her mouth, and her teeth have not fallen out. How can there be foreign object blockage? "

Xiao Chu paused, and continued: "Actually, if you think about it carefully, it is not difficult to guess that this patient committed suicide by taking medicine before. She underwent gastric lavage at the local county hospital and found that her breathing was not good, so she was intubated. .

After being transferred to our hospital, the endotracheal intubation was pulled out in about two days, and the endotracheal intubation was the main cause of the patient's accident this time.

It is likely that the air bag on the endotracheal tube is over-inflated and the pressure is too high, which compresses the inner wall of the trachea and causes local ischemic necrosis.

When we pulled out the catheter, the balloon may not be fully deflated, and by the way, some of the necrotic inner wall of the trachea was torn off, but it has not completely fallen off.

When the patient learned that he was going to be discharged from the hospital, he was excited and took several deep breaths.

As a result, the inner wall of the trachea that was about to fall off completely fell off, blocking the large airway!Here it is the root cause of the patient's sudden inspiratory dyspnea. "

Xiao Chu's explanation was well-founded and impeccable, and all the doctors who listened nodded their heads.

Gao Yingjun even gave Xiao Chu a thumbs up.

"Good guy, Xiao Chu, you are not only an awesome doctor, but also like Sherlock Holmes! Admire! Admire!"

Zhao Fangshu glanced at Xiao Chu approvingly, and nodded repeatedly.

"It seems that this is the reason for the patient's sudden dyspnea.

Xiao Chu, you are very thoughtful and dealt with it in a timely manner, thanks to you this time! "

Zhou Ziqiang patted Xiao Chu's shoulder, showing a little envy.

"I didn't expect you to think of so much in such a short period of time. I feel that in two years, you will be able to get the title of professor!"

Xiao Chu laughed.

"I also made a bold guess, but luckily I guessed it right!"