Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 57

Chapter 57 Confirmation of symptoms, rare sports allergies

In fact, this problem is very simple, as long as medical students have carefully studied internal medicine textbooks, they can roughly judge it.

It’s just that these two diseases are often confused by doctors in general.

Because the symptoms of gastroenteritis and food poisoning are so similar!

Gastrointestinal infections are generally caused by viral infections, which mainly attack the human digestive system and cause symptoms.

Food poisoning is caused by bacteria, viruses or parasites contained in food, which may enter the food during production and operation.

Therefore, although the mechanisms of these two diseases are different, the actual symptoms are actually similar.

This is why the two diseases are difficult to diagnose!

“Nurse, take him to check first…”

Wei Dajinggang shouted outside.

“Oh~”

at this time,

The sick boy suddenly began to vomit in a coma.

A mouthful of blood-stained vomit came out directly, vomiting on the clothes of Wei Dajing and Zhang Chen in front.

And Qin Feng was not affected because he was standing behind them.

The two frowned slightly, but they didn’t move. Zhang Chen was still examining the patient, not caring about the dirty and unpleasant smell on his body.

‘good. ’

Seeing this, Qin Feng nodded slightly.

Although flat fashion is really annoying, but the level of professionalism is quite solid.

But shortly afterwards, he was attracted by the vomit splashing on the ground.

“There is blood~”

When the three of them saw this, their minds shook at the same time!

If it’s just vomiting, diarrhea, and unconsciousness, these are not too serious.

But now there is hematemesis, which shows that the condition is probably more serious than they thought!

“What is your relationship with the patient?”

Zhang Chen immediately raised his head to look at the dull boy next to him and asked in a deep voice.

“Huh? I… I’m his classmate.”

After hearing this, the boy came back to his senses and said quickly.

“Then has he had any abnormalities from last night until now? Special symptoms such as vomiting?”

When the boy heard Zhang Chen’s words, he fell into thinking.

After a moment, he shook his head.

“I haven’t found it, it’s all normal! We drank a cup of soy milk together in the morning and ate two steamed 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 similar happened in the school recently?”

Qin Feng asked.

The boy shook his head again.

“No, I haven’t heard of it.”

……

For a while,

The three of them fell silent, and now there is no other way but to check first!

Wei Dajing quickly issued the bill, drawing blood, vomit test, B-ultrasound…

In order to rule out all possible symptoms, a detailed examination is necessary.

at this time,

The nurse had already pushed the stretcher, and the three men and the boys worked together to lift the patient up and put it on the stretcher.

“Take him to the checkup first, and notify his parents to come here as soon as possible.”

“Good, good, I’ll call right away.”

Hearing what Wei Dajing said, especially the checklist in his hand, the boy panicked and nodded vigorously.

Take out the phone and start 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 expression turned sullen, and he was about to open his mouth to reprimand.

Qin Feng suddenly lifted the clothes of the unconscious boy, revealing his upper body.

Suddenly, everyone’s expressions changed!

I saw that the skin of the upper body of the boy appeared red and swollen one after another.

Distributed in various places on the chest, it looks a bit oozing.

The boy student turned pale when he saw this, and stepped back subconsciously.

“Vascular edema!”

At this time, Qin Feng, Zhang Chen, and Wei Dajing said in unison.

Angioedema, also called angioedema, giant urticaria.

This disease mostly occurs in places where the skin tissue is relatively loose, and is generally localized edema.

“This is…..”

Wei Dajing’s brows furrowed tightly, but he still didn’t react.

“It may be [food induced allergic reactions due to lazy exercise]!”

“Food-induced allergic reactions caused by lazy exercise?”

Qin Feng and Zhang Chen spoke at almost the same time.

When the voice fell, the two looked at each other subconsciously, especially Zhang Chen.

Looking at him in surprise, the reaction speed is so fast!

Because this kind of disease is really uncommon, even some internal medicine doctors will never encounter one in half their lives, and they can only see it occasionally in books.

This is a very special disease, because the causes it induces are incredible!

Although he is a food allergy, he needs certain predisposing conditions.

sports!

Some people, after consuming seafood, high-fiber foods such as celery spinach, and wheat, may develop severe allergic reactions with a high risk of severe exercise within 4-6 hours of gastrointestinal digestion.

In mild cases, unbearable pruritus and rashes appear in the whole body, and in severe cases, symptoms of breathing difficulties and laryngeal edema block the trachea.

If the rescue is not in time, 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 judgments made by Qin Feng and Zhang Chen were also due to the sportswear worn by the boys.

Because if you don’t exercise, there is nothing wrong.

Once exercise, 100% accident!

It’s so amazing!

“Woo~hoo~hoo~hoo~”

There was a low muffled sound in the throat of the boy on the stretcher.

The two looked at it at the same time. At this time, the patient’s face flushed and the lips showed signs of swelling.

Breathing with open mouth, tracheal gasping seems a little difficult.

These are all symptoms that only occur with allergies!

And now, all the symptoms and signs point to one point.

It is fully in line with the symptoms of food-dependent allergic reactions induced by lazy exercise!

“Have you just gone through a lot of exercise?”

Qin Feng asked immediately.

The boy standing aside nodded.

“Yes, our school has a sports meet today, and it just finished running.”

really!

“To be sure, this should be an allergic reaction induced by lazy exercise.”

Zhang Chen nodded when he heard the words, and said with a firm tone.

And Wei Dajing on the side finally remembered, and couldn’t help being a little surprised.

“Really, I didn’t expect to encounter such a strange heat allergy.”

Qin Feng stepped forward and held the wrist of the unconscious boy, his skin felt a little cold, his pulse rate was very fast, and his heart rate had reached at least 200!

There was also a lot of sweat on his forehead, and it began to drip down, his face turned pale.

Palpitations, chest tightness, violent sweats, and loss of blood on the face.

Anaphylactic shock!

“It’s too late to check, go into the rescue room and save people first!”

Without a word, Qin Feng and the nurse rushed into the rescue room on a stretcher.

Anaphylactic shock is already very serious, and the immediate allergic reaction of the immune system repair method will expand the vascular microcirculation and increase the permeability of the tissue.

Any more delay, people will be completely cold!

Zhang Chen and Wei Dajing behind them also rushed all the way and rushed into the rescue room.

“I’ve dealt with this disease, I’ll come!”

When Zhang Chen saw this, he took equipment and said loudly.

Qin Feng reached out and stopped him.

“Wait, you go change your clothes first, I’ll do it first.”

After speaking, he pointed to the white coat and shoes and pants on his body, which still had residual vomit.

In the process of rescue and treatment, aseptic operation should be ensured as far as possible when conditions permit to avoid cross-infection!

This is the common sense of medical students!

Zhang Chen looked at himself, understood in an instant, and withdrew his hand.

But he did not leave, but stared at Qin Feng with a look of surprise.

he comes?

How could an intern handle this particular allergy?

It’s shock now!

But Wei Dajing on the side did not speak. Instead, with a surprised expression on his face, he took the initiative to walk to a place with a good view and began to observe.

……

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!

“Rehydration now!”

Qin Feng ignored his worry and depression, and immediately ordered the nurse to put a detention needle on the unconscious boy.

In accordance with the principle of shock, perform rapid rehydration, first fast and then slow, crystallize first and then glue, increasing potassium.

After shock occurs, because the microcirculation perfusion of important organs will be reduced sharply, fluid replacement is the key!

Disinfect, wear gloves…

A needle was inserted to establish a venous channel, and Qin Feng opened another one besides the retained needle.

One minute later, the liquid preparation is completed, physiological saline, balanced salt solution, glucose…

These can quickly increase the amount of blood returned to the heart and the pumping output of the heart, which will stabilize the shock.

Afterwards, infusion of plasma, albumin, etc. reduces the leakage of crystalloid blood out of the blood vessel.

As the rehydration enters the body, the data on the monitor begins to fall.

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!

He opened his mouth slightly and stared at Qin Feng in surprise.

‘How can this be? The speed is too fast! Faster than me! ’

There was even a thought in his mind, was this intern ever encountered this disease before?

Um!

It must be so!

Otherwise it is impossible to recognize this special disease at a glance!

Even he himself had only encountered it once at the Beijing Hospital. This kid was lucky.

Qin Feng ignored his surprise. He had to pay attention to his physical examination every minute and adjust the speed and proportion of the rehydration to prevent shock rebound.

This process also surprised Zhang Chen!

Ten minutes later, the symptoms of shock had basically disappeared.

Isn’t this kid an intern?

How can you even adjust the rehydration operation through physical examination?

It’s kind of awesome!

Before he knew it, his gaze at Qin Feng changed, with a confident appreciation.

good!

It seems that I might have wronged him before, this intern is a good seed!

“Good job, what’s your name?”

Thinking of this, he voluntarily walked over, looked at Qin Feng with a smile and asked.

? ? ?

“Qin Feng.”