Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 75
"Huh? I... I'm his classmate."
The boy came back to his senses after hearing the words, and said quickly.
"So has he had any abnormalities since last night? Such as vomiting and other special symptoms?"
Hearing Zhang Chen's words, the boy fell into deep thought.
After a moment he shook his head.
"I haven't noticed it, it's all normal! We drank a cup of soy milk together in the morning and ate two buns."
The voice fell,
Wei Dajing and Zhang Chen looked at each other and frowned.
What's going on here?
If it is a gastrointestinal infection, or food poisoning, it is absolutely impossible for the disease to develop so fast!
"Has anything like this happened in school recently?"
Qin Feng asked.
The boy shook his head again.
"No, I haven't heard of it."
......
For a time,
The three fell into silence, and now they had no other choice but to pass the inspection first!
Wei Dajing quickly billed, blood draw, vomitus test, B-ultrasound......
In order to rule out all possible diseases, a detailed examination must be carried out.
at this time,
The nurse had already pushed the stretcher, and the three of them and the boy worked together to lift the patient and put him on the stretcher.
"Take him to check first, and inform his parents to come over quickly."
"Okay, I'll call right away."
Hearing Wei Dajing's words, especially with the checklist in his hand, the boy panicked and nodded vigorously.
Pulled out the phone and started calling.
"and many more!"
Just when the nurse was about to push the unconscious boy away, Qin Feng suddenly stopped him.
Everyone looked at him at the same time, Zhang Chen's face became sullen, and he was about to reprimand him.
Qin Feng suddenly lifted the clothes of the unconscious boy, exposing his upper body.
Suddenly, everyone's expressions changed!
On the skin of the boy's upper body, red swellings appeared one by one, the big ones were the size of a thumb, and the small ones were like soybean grains.
Distributed in various places on the chest, it looks a bit permeable.
The male student's face turned pale when he saw this, and subconsciously took a few steps back.
"Angioedema!"
At this time, Qin Feng, Zhang Chen, and Wei Dajing said in unison.
Angioedema, also known as angioedema, giant urticaria.
This disease mostly occurs in places where the skin tissue is loose, and is generally localized edema.
"This is....."
Wei Dajing frowned, but he still hadn't reacted.
"It may be [food-dependent exercise-induced allergic reaction]!"
"Food-dependent exercise-induced anaphylaxis?"
Qin Feng and Zhang Chen spoke at almost the same time.
After the words fell, the two subconsciously looked at each other, especially Zhang Chen.
Looking at him in surprise, the reaction speed is so fast!
Because this kind of disease is really very uncommon, even some physicians can't meet one in half their life, and can only see it occasionally in books.
This is a very special disease, because the reason it induces is incredible!
Although he is a food allergy, but certain triggering conditions are required.
sports!
Some people, after eating seafood, high-fiber foods such as celery, spinach, and wheat, have a very high risk of severe allergic reactions within 4-6 hours of strenuous exercise during gastrointestinal digestion.
In mild cases, the whole body itches unbearably, rashes, etc., and in severe cases, symptoms such as dyspnea, laryngeal edema and obstruction of the trachea may also appear.
Once the rescue is not timely, it will easily lead to life danger!
But many physicians will treat this situation as a general allergy when they see it, and don't think about it at all.
The judgment made by Qin Feng and Zhang Chen is also because of the sportswear on the boy.
Because if you don't exercise, you're fine.
Once exercise, [-]% accident!
It's that amazing!
"Hoo~ho~hoo~ho~"
The boy on the stretcher let out a low muffled sound from his throat.
The two looked at the same time. At this time, the patient's face was flushed and his lips showed signs of swelling.
Open mouth breathing, tracheal wheezing seems to be somewhat difficult.
These are symptoms of allergies!
And now, all the symptoms and signs point to a point.
It is fully consistent with the symptoms of food-dependent exercise-induced allergic reactions!
"Have you guys just had a lot of exercise?"
Qin Feng asked immediately.
The boy standing aside nodded.
"Yes, our school has a sports meeting today, and we just finished running."
really!
"To be sure, this should be a food-dependent exercise-induced allergic reaction."
Zhang Chen nodded when he heard the words, and said firmly.
And Wei Dajing on the side finally remembered it, and couldn't help being a little surprised.
"Really, I didn't expect to encounter such a strange special allergy to heat."
Qin Feng stepped forward and held the comatose boy's wrist, his skin was a little cold, his pulse was fast, and his heart rate reached at least 200!
There was also bean-sized sweat on his forehead, which began to drip down, and his face became pale.
Palpitations, chest tightness, profuse sweating, pale face.
Anaphylactic shock!
"It's too late to check, go into the emergency room and save people first!"
Without further ado, Qin Feng rushed into the emergency room with the nurse pushing the stretcher.
Anaphylactic shock is already very serious, and the immediate allergic reaction of the immune system repair method will expand the microcirculation of blood vessels and increase the permeability of tissues.
If you delay any longer, you will be completely cold!
Behind Zhang Chen and Wei Dajing also ran all the way and rushed into the rescue room.
"I've dealt with this disease, here I come!"
Seeing this, Zhang Chen wanted to get the equipment, and said loudly.
Qin Feng reached out and stopped him.
"Wait, go and change your clothes first, I'll do the operation first."
After speaking, he pointed to the white coat and shoes and pants on his body, which still had residual vomit on it.
In the process of rescue and treatment, if conditions permit, aseptic operation should be ensured as much as possible to avoid cross-infection!
This is common sense for medical students!
Zhang Chen looked at himself, understood instantly, and withdrew his hand.
But he didn't leave, but stared at Qin Feng with a look of surprise.
he comes?
How could an intern operate on this particular allergy?
Now it's shock!
But Wei Dajing on the side didn't speak. Instead, with a surprised expression on his face, he took the initiative to go to a place with a good view and start observing.
......
Zhang Chen was speechless when he saw this scene, he didn't even care about teaching the doctor?
What if something goes wrong!
This is human life!
"Replenish immediately!"
Qin Feng ignored his worries and depression, and immediately ordered the nurse to inject a retention needle on the unconscious boy.
Follow the principle of shock for rapid rehydration, first fast and then slow, first crystal and then glue, increasing potassium.
After shock occurs, since the microcirculation perfusion of vital organs will decrease sharply, fluid replacement is the key!
Sanitize, wear gloves...
The needle was inserted to establish a venous channel, and besides the retained needle, Qin Feng opened another one.
After 1 minute, the liquid preparation is completed, normal saline, balanced salt solution, glucose...
These can rapidly increase blood volume back into the heart and pump output of the heart, stabilizing the shock.
Subsequent infusion of plasma, albumin, etc. to reduce the extravasation of crystal blood blood vessels.
As the replacement fluid entered the body, the data on the monitor began to drop.
The heart rate slowly dropped from 202 to 130. In just 3 minutes, the shock was basically controlled.
And Zhang Chen on the side was already shocked!
Opening his mouth slightly, he stared at Qin Feng in surprise.
'How can this be?The speed is too fast!faster than me! '
A thought even floated in his mind, that is, has this intern encountered this kind of disease before?
Ah!
It must be so!
Otherwise, it is impossible to recognize this special disease at a glance!
Even he himself only met once in the capital hospital, this kid is quite lucky.
Qin Feng didn't care about his surprise, he had to pay attention to the physical examination every minute, adjust the speed and ratio of fluid replacement, and prevent shock rebound.
And this process also surprised Zhang Chen!
Ten minutes later, the symptoms of shock had basically disappeared.
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