Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Lin Yi paused for a moment and continued: "Actually, if you think about it carefully, it's not difficult to guess that this patient committed suicide by taking medicine before. She underwent gastric lavage at the local hospital and found that her breathing was not good, so she was intubated. "

"When 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, compressing the inner wall of the trachea, causing 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. "

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

Wu Jiang even gave Lin Yi a thumbs up.

"Good guy, Brother Yi, your analysis is well-founded! Admire! Admire!"

Zhou Chao glanced at Lin Yi approvingly, and nodded repeatedly.

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

Lin Yi, you are very thoughtful, and you dealt with it very correctly and timely, thanks to you this time! "

Yin Liang patted Lin Yi on the shoulder, showing a little envy.

"I didn't expect you to think of so much in such a short period of time."

Lin Yi laughed.

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

"However, this patient can't be taken lightly. I don't know where the inner wall of the trachea has fallen off. It's best to wait for the patient to stabilize and do a bronchoscopy to clarify it. We will know it in our hearts!"

Yin Liang nodded.

"Yes, Lin Yi is right! This patient must undergo a bronchoscopy to see if there is any other parts, the inner wall of the trachea is necrotic."

Wu Jiang and Zhou Chao also nodded in support.

Although the patient has been rescued now, the inner wall of her trachea has always been a problem.

It is necessary to understand where it fell off, so as to better target the treatment.

In this case, other inspection methods are useless, only fiberoptic bronchoscopy.

Many doctors in the emergency department witnessed Lin Yi's handling of this emergency.

For Lin Yi's series of sedative operations and the rescue process, they were all in admiration!
I feel that Lin Yi is really real, and gave them a vivid emergency handling class!

This kind of internship and learning experience will be unforgettable for a lifetime.

Huang Shuang's family members were even more grateful to Lin Yi.

It is even more expressive that this time I will not be in a hurry to leave the hospital.

A physical examination must be done, and if there is no problem, then discharge is considered.

After Huang Shuang woke up, she was even more in shock, and she was scared out of her psychological shadow!

As soon as Lin Yi came down, an unconscious young girl came to the gate of the emergency room.

The doctors on duty rushed to the door to pick up the patients.

After the emergency doctor carried him down, the family members followed behind, crying and shouting:

"Daughter, wake up! Huh...doctors, save my daughter!"

The emergency doctor explained to Lin Yi and others on the side:
"The girl fainted at home. When we went, we found that the girl had shortness of breath, she couldn't respond, and her skin also had red papules, a bit like hives.

There is still a lot of sweat on the body, and it is suspected that there was exercise before fainting.

In addition, the family members said that she had..."

Just as the emergency doctor was talking, the alarm on the girl's ECG monitor sounded!

beep!beep!beep!
"Blood pressure is dropping!"

"It's stopped, I can't feel the carotid pulse!"

"Do CPR first, do CPR!"

Other doctors hurriedly did rescue work.

Lin Yi carefully observed the girl's whole body from the side.

First of all, the fainting had nothing to do with the brain, because no aneurysm or other malformations were found in Lin Yi's sight.

Secondly, it has nothing to do with other liver, kidney, and blood vessel embolisms in the body.

Combined with the emergency doctor, it was found that the girl had a rash and shortness of breath.

Lin Yi's first reaction was an allergy!

And has become anaphylactic shock!
Lin Yi immediately turned to the nurse and said:

"Hurry up and take one epinephrine, one dexamethasone, static push, hurry up!"

"Oh, good."

"Don't stop cardiopulmonary resuscitation, put on a ventilator!"

"Ok."

Wu Jiang glanced at Lin Yi and said, "I also suspect it's an allergy, but what is the allergen?"

Could it be a sports allergy?
Lin Yi thought about it, walked to the family and asked:

"Family, I would like to ask if she has fainted after exercising before or has a similar situation to today?"

The family shook their heads again and again:

"No, my daughter is healthy, and she will run and do sports at home from time to time.

I've never seen her like this before... She was sitting on that couch panting before she passed out.

My father and I didn't react, we thought it was because we were too tired from running and we didn't care.

But I was panting for more than ten minutes!And the more I panted, the more I felt something was wrong. I went to her and called her, but she was sobbing with her mouth open, unable to speak a complete sentence...

Oops... It scared me and her father to death!

Immediately called 120 ambulance, and before 120 arrived, my daughter had completely refused to answer...

God!Doctor, please save my daughter, our old couple only have one daughter.

You save her, doctor! "

"Don't worry, we are rescuing, but we still need to vaccinate you.

It is now highly suspected that your daughter is allergic and has developed anaphylactic shock.

I will try my best to rescue you, but I can't guarantee that she will not be in danger, okay?You still have to be mentally prepared. "

Hearing Lin Yi's words, the girl's mother cried even worse.

Tears flowed down.

After Lin Yi finished speaking, he thought carefully about what the family members said just now.

You exercise regularly, but this is the first time you have fainted due to allergies?

That means it's not a sports allergy.

Everyone's constitution is different, some people are allergic to mango, and some people are allergic to wheat.

Some people are allergic to milk, and others are allergic to sunlight.

This is a hypersensitivity reaction of the body to foreign allergens, also called allergic inflammation.

Like the common cold and fever, the body's inflammatory response to viral infection is a normal response for the body to protect itself.

An allergic reaction is a hypersensitivity reaction of the body to an allergen.

After thinking about it for a while, Lin Yi speculated that this girl might not have a pure sports allergy.

"Family, did your daughter eat anything before she fainted this time?"

The girl's mother took two twitches and said:

"Eating? I remember... she seemed to be eating some kind of fat-reducing meal? She said she was going to lose weight.

She didn't eat the porridge and steamed buns we cooked. She ate some fat-reducing meals she bought online.

Doctors!Is there a problem with the fat-reducing meal?Could it be expired food? ! "

Lin Yi frowned tightly:

"I don't rule out this possibility. Also, do you have small animals in your home? Animal hair may also cause allergies."

"No, no, our family doesn't have any animals." The family members shook their heads repeatedly.

"Did your daughter have any other contact allergies or food allergies when she was young?"

"No, doctor, my daughter is very healthy, it's just that such a sudden incident scared our old couple quite a bit."

"Then when did she eat the fat-reducing meal and when did she start exercising?"

"Hmm...it seems to be after six o'clock, right? My daughter is preparing for the postgraduate entrance examination, and she got up very early. I saw her reading a book after dinner.

Maybe I started exercising after watching it for more than three hours, just after exercising for a while, people are like this..."

"That's fine, how about this, you go home first and bring me the fat-reducing meal she ate.

Your daughter is allergic, but the source of the allergen must be found. If the source of the allergen cannot be completely eliminated, then such a dangerous situation may occur again next time. "

The girl's mother nodded quickly.

Later, after discussing with the father of the girl next to her, her father left the hospital and went home to get things.

The girl's mother waited at the door of the emergency room for news.

About 10 minutes later, the girl was successfully rescued and her heartbeat recovered.

"Fortunately, I came in time, otherwise this girl would be hard to say."

Wu Jiang sighed while shaking his head.

"By the way, Lin Yi, have you found out what allergies are? I think she looks like a sports allergy?"

Lin Yi shook his head: "No, it's not sports allergy, her mother said that she had never fainted before exercising.

Also, she ate a fat-reducing meal bought online in the morning, and only started exercising after eating.

It is not ruled out that her allergy is related to food, but this food may not be the main cause of the disease. "

"what?"

"It's about the food but the food isn't the main reason?"

Lin Yi glanced at the girl lying on the hospital bed, then walked towards the door of the emergency room, and said as he walked:

"I suspect a food-dependent exercise allergy."

At this time, Lin Yi had already reached the door.

The girl's mother was still waiting there, Lin Yi waved at her, and she rushed over immediately:

"What about the doctor, how is my daughter now?"

"Don't worry, it has been rescued now, but it needs to be observed again, and the anti-allergic medicine has to be used."

"call……"

The strength in the girl's mother's heart immediately came down, and she almost staggered and couldn't stand still.

"Thank you... thank you all..."

Wu Jiang stretched out his hand to help the family members and said:
"It's okay, you can go and pay the fee first, and now that the person has been rescued, you have to push it for an examination."

"Okay, I'll go right now."

After more than ten minutes, the girl's father rushed to the doctor's office with a big box.

"Doctor! Look at the doctor!"

Bang!
A very heavy box was placed in front of Lin Yi.

The family members said out of breath:

"I don't know what kind of food my daughter eats, so I brought all the express food she bought a few days ago, take a look?"

The girl's mother also came back, and after looking into the box carefully, she took out a package of food with 'whole wheat bread' on it and said:

"This! This! This is what my daughter eats in the morning, with sliced ​​tomatoes and a fried egg!

She said she was trying to lose weight, so she ate this bread for breakfast.

I also said that you still eat bread to lose weight, but she said that this bread is not ordinary bread. "

"Whole wheat bread??"

Lin Yi stared at the packaging bag and carefully looked at the list of ingredients.

Topped with: Whole Wheat Flour, Rye Flour, Wheat Flour, Pumpkin Flour, and other additives.

"Are you sure you ate this before you started exercising?"

"That's right, that's it, it's about my daughter's safety, can I not remember it!"

"Then did she ever eat this kind of coarse grain food when she was a child?"

The girl's father showed embarrassment, but he didn't know this.

But the girl's mother thought about it and said:

"I have. When I was young, I ate whole grain buns in my hometown. Although I didn't eat much, his father and I occasionally ate some whole grains. It's good for our health. My daughter will also eat some."

"Haven't you ever fainted after eating this before?"

"No, my daughter was really healthy before, and this is the first time she fainted."

"Row."

Lin Yi nodded, and he almost knew it in his heart.

"Sit down first, I'll tell you about your daughter's situation."

The two family members sat down nervously and apprehensively, and looked at Lin Yi eagerly.

In fact, if it is really an allergy, it is okay, as long as it is cured this time, it will be fine not to touch the allergen next time.

I'm afraid that it will end up with cancer, brain tumor or something...

The old couple were very worried.

After watching the family members sit down, Lin Yicai said:
"I took a look at your daughter's checklist, and the granulocyte count and eosinophil ratio were significantly elevated.

Generally, the increase of the two can be diagnosed as an allergy.

But your daughter is special in that her allergies are not due to food or exercise alone, but a combination of both. "

The family members frowned and opened their mouths slightly.

Three big question marks were written on his forehead.

Lin Yi went on to explain:
"What I mean is, your daughter will have allergy symptoms after eating whole wheat or wheat-based food and exercising.

But if you eat this food alone, without exercising, you will not experience allergy symptoms.

This condition is very rare and is called food-dependent exercise allergy.

Your daughter's condition could also be called wheat-dependent exercise allergy. "

The family members were dumbfounded.

food what? ?

What sportiness?
What depends on what allergies? ?

The family members are all laymen, and after thinking about it several times, they finally got the name of the disease.

The girl's father patted her thigh and said:
"What dependence allergy? Oh my god, I really... I've never heard of it!"

The girl's mother quickly asked:
"Then doctor, is my daughter cured well?"

"It's cured well, you need to use anti-allergic medicine.

But the problem of allergies is mainly because everyone's constitution is different. If you say it is mild, it is also mild, but if you say it is serious, it can be serious.

The best treatment is to never exercise after eating such whole grains.

Otherwise it is very likely that this will happen again.

This time, I came to the hospital in time, so I came back after being rescued.