Gou is practicing medicine in the clinic

Chapter 420 Fatal acute epiglottitis, something happened to the bun shop owner

"Are you a TV host?"

Li Jingsheng didn't think it looked like it either.

Because TV hosts are often very beautiful and have outstanding temperament.

This woman spoke fluent Mandarin, but her image and temperament were still different from those of the TV host.

"Hehe... It would be great if I could be the host of a TV station! I'm just a freelance host. I usually answer any weddings or funerals, or some ceremonies or store celebrations."

It turned out to be a freelance host.

After saying a few words, her breathing became heavy.

There is significant wheezing.

This shows that her breathing is labored.

"Do you have trouble breathing out?"

"Exhaling feels okay, it's a little harder than usual. It's mainly inhaling, as if my nose is blocked. How can I put it, it just feels a bit stuffy."

She struggled to describe her feelings.

Li Jingsheng just casually checked her tonsils and felt that her problem should still be in the throat area.

"Let me check your throat again!"

"Okay, thank you!"

She nodded in agreement.

The pharynx and larynx actually belong to two different parts.

The pharynx is located above and the larynx is located below.

The fish bone is most likely to stick into the pharynx, because when swallowing, there is a compression movement first.

The throat is prone to inflammation or infection.

Sometimes it is necessary to use a tongue depressor to see clearly the condition of the throat.

A laryngoscope may even be required.

Li Jingsheng took out the tongue depressor. Don't worry, it has been sterilized.

Reach into the patient's mouth and press the base of her tongue.

"vomit……"

She retched.

"Relax, be patient for a while, and I'll take a look at your throat. Because it's quite deep, you have to press your tongue to see clearly."

Li Jingsheng comforted the patient.

At this time, he had discovered the situation, and the patient's epiglottis showed obvious redness and swelling.

Under normal circumstances, the gap in the epiglottis is very wide and has an inverted V shape.

Just like a door.

At this moment, the patient's epiglottis was red and swollen, and the gap had become very narrow.The whole thing was deformed, with only a round hole left at the bottom.

This should be the real reason why the patient has difficulty breathing and sore throat.

"Your epiglottis has become congested, red and swollen, blocking the glottis."

Li Jingsheng told the patient about his condition.

Diphtheria, acute laryngotracheitis, foreign body entrapment, etc. may all cause this situation.

The patient's symptoms, as well as the signs of the throat, were not like diphtheria.

Li Jingsheng is not particularly good at otolaryngology, he just knows a little bit.

Is it possible that it is an epiglottic cyst?

Obviously not.

"Dr. Li, does it matter if my epiglottis is red and swollen? Please help me prescribe some medicine! I have one more host this afternoon and three tomorrow."

She is more concerned about whether her job will be affected.

"Serious, this disease can be life-threatening if not treated in time."

Li Jingsheng said solemnly.

"Ah...is it that serious? Don't scare me, please!"

She obviously didn't realize the seriousness of the problem.

"You have epiglottitis. Judging from your description, it should be acute epiglottitis. This is very dangerous and cannot be delayed. It must be treated with medication immediately. Now the glottis is almost completely blocked, and your voice is obviously abnormal. of.

As long as the swelling doesn't go away today, the airway may be completely blocked at any time.Once you get that far, it only takes a few minutes for you to suffocate to death.

It may not be possible to rescue him in time.

I suggest you go to the hospital for emergency treatment immediately and then be hospitalized. "

Li Jingsheng's tone was very serious.

Some diseases may seem serious, but in fact they are nothing serious. You can just get over them and get better.

Some diseases may seem ordinary, but they can easily lead to death.

Throat lesions are extremely dangerous in the eyes of a doctor with rich clinical experience like Li Jingsheng.

"Ah! It's so scary! What should I do?"

She couldn't help but panic when she saw Li Jingsheng speaking seriously.

"Go to the hospital immediately for treatment. This is the safest and most effective way. In your case, you even need to prepare a tracheotomy bag next to the hospital bed to be ready to establish an artificial airway at any time."

Li Jingsheng's clinic is unable to carry out inpatient services.

The patient can only be advised to go to the hospital for treatment.

"Can you prescribe some medicine for me? I was introduced here by Sister Chu Yao. She said that your medical skills and medical ethics are excellent, so she asked me to come to you."

"Chu Yao, a reporter from Metropolis Daily?"

Li Jingsheng felt a little surprised.

When patients come to see him for treatment, if they are introduced by an acquaintance, they will often mention that acquaintance's name as soon as they see him.

The female host didn't mention that it was Chu Yao who introduced her until now.

Li Jingsheng and Chu Yao are good friends.

The Sunshine Clinic has been able to develop all the way to today, and Chu Yao deserves a lot of credit.

"Yes, it's her."

"Since it was introduced by her, I should advise you to go to a big hospital for treatment. In this way, you can go to the Second Hospital for treatment. I am not only the doctor here, but also the doctor of the Second Hospital. Your situation is very dangerous. I I’ll write you a note, take it to the emergency department and see a doctor, and they will arrange hospitalization for you.”

Li Jingsheng naturally has to give some care to the patients introduced by his friends.

The note he wrote worked very well in the Second Hospital.

Director Yan of the emergency department has a good relationship with him.

The doctors and nurses under him also knew Li Jingsheng's status in the Second Hospital.Everyone will be happy to buy it.

"Okay, I'll listen to your arrangement! Do I have to have surgery to cut my trachea? It feels so scary! And after the surgery, there will definitely be an ugly scar on my neck. How can I be a host in the future? People!"

She was filled with all kinds of worries.

"Tracheotomy is a necessary first aid measure. Compared with life, leaving scars is nothing. Besides, although the appearance of the host is very important, I believe that the hosting skills, knowledge, emotional intelligence, field control ability and other professional skills Skills are more important. Do you have any symptoms of chills now?"

Li Jingsheng asked her.

"Maybe not."

She wasn't too sure either.

"That means there are still some opportunities for routine treatment. If you move in today, treatment will be arranged for you that night. If the medication works well, the inflammation is controlled, and the epiglottis no longer swells, then there is no need for surgery. Now. All you have to do is eat nothing but drink water, and cooperate with the doctor’s treatment.”

Li Jingsheng has already written a note to her.

"Take it and take a taxi to the emergency department of the Second Hospital! I will leave you a personal phone number. If there is no bed or you are not admitted to the hospital, you can call me again."

I took a business card and gave it to her.

Private numbers are generally not easily given to outsiders.

It was for Chu Yao's sake that he helped the female host like this.

"Thank you, thank you! My name is Han Xiaoqing. I am very grateful to Dr. Li for his care and help. If you need any hosting in the future, you can contact me! I will just take care of the food."

She thanked her sincerely. "Haha, then I will make a lot of money from seeing a doctor this time. Next time the clinic holds a store celebration event, I will ask you to come and help."

Li Jingsheng secretly thought that it would be great to find her as the wedding master of ceremonies when he gets married next year.

After seeing off the female host, Li Jingsheng's heart was full of blessings, hoping that she could stabilize her condition with timely treatment and wait for improvement.

For epiglottis redness and swelling, if the correct medication is used, initial effects can usually be seen within one or two days.

For those who are more stubborn, you can see the effect within three or four days.

Her condition is already quite dangerous, and what she fears most is that her condition will continue to worsen.

The clinic's business is very busy today, with more patients seeking treatment than usual.After dealing with several difficult cases, the remaining patients were not difficult to treat or diagnose.

For Li Jingsheng now, ordinary patients can basically be handled well.

Patients who are difficult in the eyes of other doctors can only be regarded as ordinary cases when it comes to him.

It's like asking a top student in the third year of high school to answer questions from the third year of junior high school. Not to mention it's extremely easy, at least not how difficult it is.

"Doctor Li, Doctor Li, help, help!"

The proprietress of the bun shop stumbled in.

At this point, her breakfast restaurant should have pulled down the roller shutters long ago and people have gone back to rest.

What's wrong?
Li Jingsheng used to have little presence on this street, but now he has become a brilliant doctor in the eyes of his neighbors.

Everyone would come to Li Jingsheng for treatment if they had a headache or a fever, or even if a relative in his hometown broke a bone.

"Don't worry, tell me clearly what happened!"

Li Jingsheng stood up and looked at the lady owner of the bun shop, whose face was pale and her body was weak.

Her tears couldn't stop flowing.

There was a sad expression on his face.

"I, my husband was repairing the mixer at home just now. I don't know why he got an electric shock. I am a woman and I don't understand. By the time I pulled the switch, my husband was already dead. Please...go and save him. My husband, I’m willing to pay any amount!”

The proprietress of the bun shop is not very old.

He was in his early thirties, running a breakfast shop with his husband, and the business was pretty good.

At least you should be making money.

I didn't expect this to happen now.

Without saying a word, Li Jingsheng immediately ran to the breakfast shop with the first aid kit in hand.

The boss of the bun shop is a man of few words, and he usually does things honestly.Ask him to buy buns, which means filling them up, handing them over, and collecting the money.

Sometimes I ask if the soy milk needs to be heated.

There is an advantage to doing this kind of small business.As long as the ingredients are genuine and the buns are soft and delicious, there is basically no shortage of customers.

At least in a place with a large flow of people like Chengnan Old Street, there is no shortage of customers.

Many migrant workers like to buy a few steamed buns, a cup of porridge or soy milk, and eat them while catching the bus.

It is much more portable than noodles.

It is also convenient to eat, no need to use chopsticks, spoons and other tools.

Li Jingsheng got into the breakfast shop carrying the first aid kit.

There are already many people gathered outside.

The rolling shutter is only half open.

This is how business is done when the door is open. If the door is fully opened, people will come in to buy something and they will not bother to greet you.

In order to save trouble, the door was only opened halfway, so few people came in to inquire.

There was a man lying on the floor in the ingredient room. He was the owner of the bun shop.

There were surrounding shop owners or proprietresses watching, but no one dared to touch him.

When the supermarket owner saw Li Jingsheng coming, he quickly said, "Dr. Li, please take a look! I just touched it and it seemed like I was out of breath."

Hearing this, the bun shop proprietress who was following Li Jingsheng collapsed to the ground.

Pale, not crying.

It's a grief-stricken swoon.

The couple usually runs a breakfast shop together and have a good relationship.

Now that her husband was suddenly electrocuted, she couldn't accept it at all.

The two seemed to have a child, more than five years old.

I haven’t seen it at the moment, so it’s possible that it’s left in the rental house.

Li Jingsheng didn't care about the bun shop owner's wife, because in his opinion, the bun shop owner who fell to the ground after being electrocuted was more dangerous.

The golden rescue time sometimes only lasts a few minutes.

The proprietress of the steamed stuffed bun shop is just overly sad, and she will be fine once she gets over it.

It is said that the greatest sorrow is the death of one's heart.

She has basically reached this state now.

Li Jingsheng knelt down and first unbuttoned the bun shop owner's clothes.

I checked the carotid artery and found no pulse.

This made his heart instantly sink to the bottom.

I checked for breath, but there was nothing.

The site of the electric shock was the right hand.

There were obvious signs of burns, and there were also burn marks on both feet.

It is possible that his right hand came into contact with something charged, and then his feet formed a circuit with the ground.

Judging from the mildness of the burn, it was not particularly severe.

"Don't stand around here. Boss Chen, please help open the windows to keep things ventilated."

After saying that, Li Jingsheng began to kneel on the ground to perform chest compressions and artificial respiration for the patient.

Place the heel of one hand at the junction of the middle and lower 1/3 of the patient's sternum, place the heel of the other hand on the first hand, and try not to touch the chest wall with your fingers.

When pressing, keep your elbows straight and press vertically downward.

The depth of depression is about 5-6cm.

If the patient being rescued is very thin, do not press too hard.Especially children can easily break the patient's ribs.

This is secondary damage.

Although you don't have to bear any responsibility when rescuing people, the ribs are crushed. The consequences are very serious for the patient.

If the patient being rescued is an adult, the compression frequency is 100-120 times/minute.

It is difficult for ordinary people to calculate accurately. When rescuing people, because the situation is critical, they do not have the time and energy to take care of it.

The simplest way is to press thirty times and then perform artificial respiration.

This can help patients achieve cardiopulmonary resuscitation to the greatest extent possible.

Li Jingsheng spread a piece of gauze on the patient's lips, then pinched the patient's nose and gave him artificial respiration.

To be honest, even though the doctor was trying to save lives, he still felt a little uncomfortable while giving artificial respiration to the male patient.

There is also no special feeling when giving artificial respiration to a beautiful female patient.

Even without gauze, it's almost the same.

Because once a person is not revived, the person he comes into contact with is a dead person.

He pressed hard and gave the patient artificial respiration every thirty times.

This was physical work, and he soon couldn't hold it any longer.

After exploring the patient's carotid artery, there seemed to be a weak pulse.

very weak.

If it weren't for his strong bone palpation skills and surgical knife sense, and he was extremely sensitive to this kind of touch, it would probably be difficult to touch it.

"Does anyone know how to do CPR?"

Li Jingsheng pressed the patient's chest hard while asking the people around him.

(End of this chapter)