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

The first operation shocked the whole country!Section 429

Hearing Qin Feng's words, the girl's parents were also dumbfounded, and then shook their heads again and again,

"No, I can't!"

"Xiaoya, immediately give her an arterial blood gas, blood ketone body, urine sugar..."

Qin Feng immediately arranged.

"Doctor, my daughter...what's the matter?"

Hearing that the inspection would continue, the child's mother panicked and asked quickly.

"Don't worry, there may have been a change in her condition, we need to make sure."

Qin Feng explained calmly,

"I don't need surgery for the time being. I'll talk about it after the results come out. Don't worry."

finished,

He turned and left, motioning for Xiaoya to pull Zhang Qingquan, who was stunned there with an ugly expression, out of the observation ward.

Misdiagnosed!

The girl may not be as simple as simple intestinal obstruction, it may be caused by another disease.

【Diabetic ketoacidosis】!

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Chapter 314 Timely treatment, Dong Hao's reprimand

Diabetic ketoacidosis,

It is due to the lack of insulin in the body and the inappropriate increase of the glycemic hormone, causing sugar, protein, and fat metabolism disorder syndrome.

It is a common acute complication in diabetic patients.

If treated in time, the mortality rate is not high.

However, it is indeed a bit strange to appear in this girl who has no history of diabetes.

When he was in the first hospital of Jiangcheng City, Qin Feng encountered a case of diabetic ketoacidosis, a man with type [-] diabetes, who almost died because of it.

So although the fatality rate is not high, it still needs to be taken seriously.

"Head Nurse Han, make a call to urge the laboratory department to expedite it. I want to see the test results as soon as possible."

Qin Feng turned his head and said to the short-haired middle-aged woman beside him.

"Okay, I'm going now."

Han Yu, a senior head nurse in the emergency department, worked in the emergency department with Dong Hao at that time.

20 years later, she is now one of the most important souls in the emergency department of Concorde.

Known for being vigorous and diligent, not to mention ordinary doctors and nurses, even Dong Hao is polite.

After all, in the emergency department, nurses work harder!

On the other hand, Zhang Qingquan's complexion was getting worse and worse, and panic flashed in his eyes.

But at this time, he had already reacted, and luckily he did not perform surgery on Zhang Jiajia.

If it is really diabetic ketoacidosis, then once on stage, if something goes wrong, I am afraid the consequences will be serious!

This is why it is necessary to do a comprehensive preoperative examination before the operation, and a second confirmation is necessary.

"Director Qin, what's going on? Is there something wrong with my daughter?"

Just when Qin Feng was about to speak to Zhang Qingquan, the child's father came over.

"That's right, we found that your daughter's blood sugar has some problems, which is several times higher than that of ordinary people. This shouldn't happen at her age.

Coupled with the fact that she had no previous history of diabetes, we initially suspected that she might have diabetic ketoacidosis. "

Qin Feng explained briefly.

"Diabetic...poisoned?

Will this be dangerous? "

Hearing his words, the girl's father frowned, but remained calm.

"Don't worry, if there is nothing wrong with our diagnosis, she should not need surgery."

Qin Feng comforted with a light smile.

"No need for surgery? Does that mean it's not serious?"

The girl's father's eyes lit up when he heard the words, and the next second he saw Zhang Qingquan next to him, and asked in surprise,

"That is to say, the previous diagnosis was wrong?"

As soon as the words fell, Zhang Qingquan's hand holding the checklist trembled subconsciously.

Diagnostic error!

This matter is big or small!

It's okay for the family members to understand. If there is a real disturbance, then they will definitely be unlucky.

Even if it is the least serious, I have to apologize, and the department will come forward to solve it. If it is serious, I am afraid that I may be punished if I make trouble in the hospital.

After all, the situation in front of him is to advance into the operating room with one kick!

If Qin Feng hadn't stopped him in time, the consequences...

Thinking of this, cold sweat broke out on his back.

I have been attending the emergency department for so many years, and I have seen tens of thousands of patients!

Such a disease is rare and uncommon, but it is simple and simple.

And the mistake was entirely caused by his own prejudice against Qin Feng, which made him forcefully confirm his own point of view and neglected it.

It may almost lead to the result that I regret for a lifetime.

"You can understand that your daughter's illness is indeed the same as the previously diagnosed intestinal obstruction. Because of the previous appendix surgery and the adhesion caused by this situation, the real onset time should be very early.

If surgery is performed, although the obstruction problem can be solved, follow-up treatment is still required.

This situation is rare.

Well, I still have a few questions to ask the patient himself, and I will take care of it.

You can see it? "

After finishing speaking, Qin Feng looked at the girl's father with a faint smile.

The man was silent when he heard the words, and after glancing at Zhang Qingquan, his eyes moved to the nameplate on Qin Feng's chest.

"Okay, Director Qin, I believe in you."

"Okay, let's go in first."

Qin Feng nodded and said, turning his head to look at Zhang Qingquan,

"Bring it to me as soon as the test results come out."

"understood."

At this moment, Zhang Qingquan immediately nodded in response.

After about a few minutes,

Zhang Qingquan pushed the door in and handed over the report.

"Director Qin... the report is out."

Qin Feng took it and looked at it, sure enough!

PH7.8, metabolic acidosis~

The results of the blood ketone body test also came out, the increase was obvious, and the blood sugar was also 4+.

It's diagnosed!

Qin Feng's heart was instantly diagnosed.

Diabetic ketoacidosis, yes!

"Jiajia, let me ask you, did you ever eat a lot before?"

Qin Feng looked at the girl on the hospital bed and asked.

"Well... Yes, about a month ago. During that time, because I was preparing for the monthly exam, I went to bed late every day, ate a lot, and lost a few pounds."

Zhang Jiajia thought for a while and said.

"Well, yes, this is one of the typical symptoms of diabetes."

Qin Feng nodded, everything is right.

If the direction is correct, some places that are forgotten by patients but important to doctors' judgment will naturally surface.

Therefore, no matter which hospital you are in, the patient's condition is beyond what you can see.

The most critical thing is whether the doctor can dig out the root cause behind the disease through some details, because the direction determines the diagnosis.

At the same time, it also determines the treatment and the safety of the patient's life.

"Doctor, what's wrong with my daughter? Do you need surgery?"

Mother was extremely anxious at the moment, and urged.

"Don't worry, it's confirmed, your daughter will be fine soon."

Qin Feng said with a smile.

......

Now that the symptoms have been identified, the treatment plan also needs to be changed.

Intestinal obstruction surgery changed to correct ketoacidosis, hypoglycemia, fluid replacement.

According to Qin Feng's judgment, as long as the ketoacidosis is eliminated and the intestinal physiology is restored, the obstruction will naturally disappear.

"Head nurse, take the patient to the consulting room and put on the monitor."

In the consultation room, the monitor was installed on Zhang Jiajia's body, and all the basic physiological indicators appeared on the screen.

Respiration 19 breaths/min

Heart rate 110/min

blood pressure 110/78

Blood oxygen 100%...

The data is all good, and Qin Feng has eased up a lot.

The rehydration instruction arranged by Zhang Qingquan before had an effect, and all indicators fell back to the normal range.

The next step is to lower blood sugar, continue to replenish fluids to maintain electrolysis, and at the same time fight infection to prevent intestinal obstruction and necrosis.

A tube is inserted to remove gas from the stomach and relieve pressure in the bowel.

Drop drop drop~

at this time,

Less than 15 minutes after the start of hypoglycemia, the monitor gave an alarm.

Zhang Jiajia suddenly developed shortness of breath, his expression was a little painful, and his heart rate began to soar.

"Director Qin."

"Shock! Prescribe another intravenous sodium supplement, and give it a quick drip."

Seeing this scene, Qin Feng's eyes suddenly became serious, and he said solemnly.

I saw that the heart rate above the monitoring soared from 110, 120, 130, 140...

In just ten seconds, it has broken through 170/min and rushed towards 180.

The head nurse moved quickly, quickly opened the intravenous access, and began to drip.

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