Signing in at the hospital, the first operation shocked the whole country!

The woman seemed a little nervous. After all, she couldn't find the cause so far, so she was very worried.

"Don't be nervous. This is Dr. Qin from our medical department. Ask him to show your husband today."

Director Han smiled and comforted her, pointed at Qin Feng and said to him.

"Doctor Qin?"

The woman glanced at Qin Feng, her brows were slightly frowned, and she seemed a little puzzled.

After all, Qin Feng is too young!

But since even the director of the emergency department has spoken, she has no reason to refuse.

......

Qin Feng nodded and stepped forward, and began to check the situation and conduct a physical examination.

"Hu Zhongliang, right? Let me show you."

The man nodded, his face was rosy, his eyes were bright, and he didn't look sick at all.

"Let me tell you first, according to the inspection, there is no problem."

Qin Feng explained while examining the body,

"Besides dizziness, do you feel uncomfortable or wrong in other aspects recently?"

"No, it's just that the left eye is a little blurry. Oh, by the way, my arm is also a little uncomfortable, but it may have something to do with how tired I am from work recently. It's okay."

The man recalled a moment and said casually.

"arm?"

Qin Feng looked at his arm upon hearing this,

"Which arm? Why is it uncomfortable?"

Chapter 271 Stealing Blood Syndrome, Drunk on Construction Site

"This one, I felt a little uncomfortable for the first two days. It's like something is falling on my arm, and I can't lift it up."

The man raised his left arm and patted,

"Sometimes it hurts a little bit, but it gets better soon."

The patient's words made Qin Feng's eyes shine.

This condition is very similar to the symptoms of a relatively rare vascular disease, and it is a location that is generally not checked.

"Okay, I get it, let it go."

Immediately afterwards, a series of physical examinations and inquiries were conducted, and after confirmation, I stood up straight.

"Doctor, am I okay?"

the man asked nervously.

"Hehe, don't worry, it's not a big problem. We may have to do some inspections for you later to confirm."

Qin Feng shook his head and comforted him with a smile. He just walked out of the ward when he looked at Director Han next to him.

"Director Han, I want to do a few more checks on him to make sure."

"Have you found the cause?"

Han Yun asked curiously.

"It's not sure yet, we have to wait for the results."

After pondering for a moment, he nodded and looked at Lin Ran,

"Doctor Lin, please ask the nurse to measure the skin temperature and blood pressure of the patient's left upper limb."

"Okay, I'll go now."

After speaking, Lin Ran turned and walked up to the nurse's desk.

The temperature of various parts of the human body is different, even very different.

The head is higher, the foot is lower, and the temperature of the different skin is determined by the thermal balance of the body's core and skin surface heat and environmental influences.

In a normal and comfortable environment, the average human body temperature is about 33 degrees Celsius, and the error is relatively small.

The measurement of skin temperature is generally recorded habitually, so it is very simple to measure.

In the duty room, Qin Feng and Han Yun are discussing.

Patients experience dizziness, fainting, vision loss, and diplopia.

Left upper extremity weakness, slight pain, feeling of falling objects.

These situations are very important basis for judgment and exclusion.

"Come here, the skin temperature of the patient's left upper limb is 33 degrees, and the systolic blood pressure of both upper limbs is 33mmHG."

At this time, Lin Ran ran in and handed over the record sheet in his hand.

"The systolic pressure differential exceeds 20mm?"

Hearing this, Han Yun was also a little surprised, "Are you sure you didn't measure wrong?"

"No, the head nurse and I personally measured it."

Lin Ran shook his head.

"It wasn't that high when I checked this morning, but suddenly it's so different."

Han Yun frowned, lost in thought.

"In the approval document, the systolic blood pressure of both upper limbs is too high, and this range is already very small."

Qin Feng nodded, basically consistent with his guess,

"Well, Dr. Lin, please make an appointment with the imaging department now to do an angiography and arterial ultrasound of the patient's left upper limb to the collarbone."

"okay."

Lin Ran was taken aback when he heard this, and nodded.

Angiography of the left upper extremity, this situation is basically rare.Especially in emergency room.

"Xiao Qin, do you suspect that the patient is stealing blood?"

Director Han Yun also reacted when he heard this, and asked immediately.

Steal Blood Syndrome!

The main reason is that when the subclavian artery is severely stenotic or occluded, the cervical vertebral artery leading to the intracranial is driven by the siphon effect to supply blood to the subclavian artery in reverse.

This causes a relative decrease in blood supply to the brain, showing transient dizziness, amaurosis, syncope, etc. After a short rest, the symptoms will improve.

At the same time, the patient will experience upper extremity arterial ischemia symptoms, manifested as increased blood pressure difference between the upper extremities and weakened radial artery pulse on the affected side.

"Yes, Director Han, this situation should be Steal Blood Syndrome."

Qin Feng nodded, according to his judgment, all the conditions of the patient fit the symptoms of the disease.

Especially after seeing the pressure difference between the two upper limbs just now, his judgment was even more affirmed.

quickly,

The inspection results came out.

The moment Han Yun saw the report, he nodded in surprise and handed the report to him.

"Xiao Qin, you are right, it is indeed Steal Blood Syndrome."

Having said that, she couldn't help being a little surprised and envious,

"Lao Meng's eyes are really vicious, with you in intensive care medicine, maybe he can also consider himself.

I also heard a little bit about you. I heard that you have been in the emergency department for three years, and during that time, you have been the director of a triple-A double department for nearly two years? "

"Hehehe~ It's all in the past, and it can't be compared with the capital."

Qin Feng nodded slightly, and smiled modestly.

"There is no luck in clinical medicine, only strength."

Han Yun shook his head, his eyes lit up strangely, and his tone was a bit complicated,

"You have already surpassed all your peers with only a bachelor's degree, and you are the only one who can stand with us old guys. Looking at the Nine Provinces, you are probably the only one.

You are welcome to come to our emergency department when you have time, young doctors like Lin Ran still need people like you to get in touch with, hehehe~"

"Okay, thank you Director Han, I will come here often in the future."

Qin Feng smiled and nodded in response.

In fact, he also had a natural sense of closeness when he went to the emergency department, probably the same as the emergency department of Jiangcheng No. [-] Hospital, he was very familiar and nostalgic.

Although the days in the emergency room are tiring, they are more fulfilling, and they face all kinds of life all the time.

Aren't doctors supposed to face life and death?

......

in the ward,

Qin Feng took the report and brought Lin Ran in.

"Doctor, you are here, how is my health?"

The man saw the two coming and asked quickly.

"Don't worry, it's been found out, it's Steal Blood Syndrome."

Qin Feng nodded, looked at the patient and his family and said.

"Steal blood syndrome? We don't understand the doctor. Is this disease serious?"

The man and his wife looked at each other and asked nervously.

"Don't worry, this disease is not a serious one, and it won't harm your body for the time being."

Qin Feng smiled and began to explain to his family members, while Lin Ran stood aside and stared at his skillful and relaxed communication,

"Let me describe this steal syndrome to you, that is, half of an artery under your collarbone is occluded.

The arteries themselves are under a lot of pressure, and you should know that, so once it becomes narrow, a phenomenon called siphoning will appear.

The blood is drawn away through some small blood vessels around the arteries, which is what we call blood stealing.

This leads to a lack of blood supply, so you pass out, and your arms are uncomfortable.  …”

Seeing Qin Feng's extremely simple and easy-to-understand narration and actions, the patient's family members listened carefully, without any ambiguity.

Such a rich and harmonious doctor-patient communication made Lin Ran envious~~~~

"That's good, that's good, thank you doctor."

After hearing what he said, the man and his wife finally breathed a sigh of relief, and thanked him with a smile.

"It's okay, your blood stealing under the clavicle is relatively common, and it will affect the large blood vessels of the brain, upper limbs, chest and back, so you still have to pay attention at ordinary times, and you must not sit for a long time like before, overeating, and damage your body. Balanced."

Qin Feng warned,

"At present, we are giving you conservative treatment, mainly relying on drugs and exercise.

I will prescribe some medicines to promote blood flow and blood supply for you later, you must insist on taking them, and exercise more at ordinary times, and you will recover slowly after a long time. "

"But I'm telling you something ugly, if this continues, once the blood vessels are completely blocked, it may cause other problems for you, and you must have surgery."

"I know I know."

The man smiled awkwardly, scratched his head, nodded repeatedly,

"Don't worry doctor, I will take medicine and exercise when I get back!"

"Well, okay, let Dr. Lin bill you later, and you can leave the hospital after packing up."

Qin Feng nodded and handed her the report in his hand.

After leaving the ward, Lin Ran followed behind with a look of admiration.

"Okay, my task is complete, and the rest is up to you."