Lin Feng lifted the patient's clothes and clearly saw the bulge in his lower abdomen.

Gently press the swollen lump in the patient's lower abdomen.

Just touched.

The patient screamed twice.

"No, no!

However.

Lin Feng did not stop.

Hit the lump lightly twice.

All voiced sounds are heard.

It can be concluded that it is full of liquid, and it must be the bladder.

At this time, the most reliable way is to do a bladder B ultrasound directly, and you can see at a glance whether it is a bladder full of urine.

However, at this time, there is no B-ultrasound in hand, and can only rely on experience such as visual touch and listening to judge.

Then he asked, "How long have you not peed?"

"Probably... Drink a lot of water today .... Pulled, not pleasant. "The patient still speaks intermittently, and there is no way to finish it in one breath.

"Prostatic hyperplasia?" Lin Feng thought of what the patient had just said about the prostate gland problem.

"Yes... Yes!" the patient nodded.

The patient's wife on the side hurriedly said: "I have always taken medicine and taken Baoleghi." "

"Did you sleep until midnight before breathing and panting?" asked Lin Feng again.

The patient nodded slowly.

"Was it a urinary urgency that woke up?" asked Lin Feng.

The patient continued to nod, and sweat began to appear on his forehead.

"Is it that you can't pull out, so the chest tightness and wheezing are more serious!" asked Lin Feng.

The patient continued to nod and said softly: "Can't pull out.... Really.. It's so hard!"

Lin Feng nodded.

At this moment, it is already clear that Lin Feng has also found the reason why the patient has heart failure.

The patient's own heart may not be very good.

Of course, with high blood pressure and coronary heart disease, it will definitely not be good.

For no reason, the heart does not fail, there must be a trigger.

It was thought that the patient might be pneumonia-induced heart failure, but now it seems that it may not be.

Then said softly: "The patient should not be the heart failure induced by pneumonia, but the heart failure induced by urinary retention!"

Everyone's eyes widened.

The patient and his wife do not understand what it means!

Several doctors around him said they did not understand, they had not seen this situation.

Lin Feng immediately explained: "The patient has prostatic hyperplasia, usually may not urinate smoothly, urine accumulates in the bladder, normal adult bladder capacity may only be about 500ml, but if urine retention, the capacity may exceed 1000ml, it is possible!"

"After this happens, the patient will be very uncomfortable, unable to urinate, and the blood pressure will rise, causing various nerve reflexes and eventually heart failure. "

"Yes... Right... I want to pee.... Help me.... Use some medicine!" As soon as Lin Feng's words fell, the patient struggled to speak.

"Catheterization!" said Lin Feng immediately.

If the patient's urine can be excreted in time to relieve the patient's discomfort, perhaps the blood pressure can be dropped immediately, even nitroglycerin does not need to be used, and the heart failure itself will be fine.

Why direct catheterization.

The main thing is that the patient has tried several times but has not taken it out, and so much urine is stagnant, indicating that the patient must not urinate smoothly, so there is no need to try to let the patient urinate independently.

When he heard Lin Feng say that he wanted to catheterize him, he was frightened at that time, because he heard that it hurt!

Lin Feng said softly: "Either suffocate and hold until the bladder explodes, or catheterize, the pain will be all at once!

The patient's wife also rushed to reassure and let the patient cooperate.

At this time.

The nurse on the side had already prepared the catheter.

The patient's wife couldn't help but ask Lin Feng: "Doctor, why does my husband have urinary retention?

Lin Feng said: "Fina Xiongan is not a miracle medicine, it can be treated for a while, but it can not be controlled for a lifetime! Many people, after taking a few years of medicine, the effect is not good, and then they are facing a surgical situation, minimally invasive surgery to cut off part of the prostate.

Surgery!!!

Hearing Lin Feng's words, the patient's face immediately changed.

The patient's family asked nervously, "Is surgery dangerous?"

"All operations must have risks!" Lin Feng said softly: "But tonight is not the time to talk about surgery, now should the patient's urine be drained first!"

The nurse on the side had prepared everything, the urinary catheter was lubricated, and slowly entered the patient's urethra, but after entering part of it, it could not enter again.

I tried several times without success.

"Dr. Lin, Dr. Lin!" the nurse shouted.

Hearsay.

Lin Feng turned his head to look.

The nurse hurriedly told Lin Feng about the situation.

Lin Feng put on gloves and went over to operate it himself.

However, no matter how to change the direction, adjust the angle, or even replace the smaller catheter, there is no way to insert the catheter smoothly.

The patient is screaming in pain at the moment.

Breathing immediately became more rapid.

Normally, the general catheterization is not too painful, it should not be very ethical, and many attempts will not work, which will cause the patient to feel pain.

In the end, Lin Feng also gave up.

Don't dare to put it anymore, and if you put it again, you will bleed.

The patient was tossed, and his wife was also distressed.

At this moment, the patient endured the pain and opened his mouth and threw the female nurse out.

At the same time, he threw his wife out.

Looked at.

Lin Feng immediately said: "We are a hospital here, there is nothing embarrassing about the men and women in the rescue room and this part!

However, the patient decided to let the nurse go out with his wife, and although he was breathless, his attitude remained resolute.

Seeing the patient's attitude, Lin Feng also found some clues.

The patient's request was also granted.

After everyone is out.

The patient let Lin Feng get close to him, and then gasped and said, "Doctor, I've been off Baoleg for a month!"

What the!!

Hearing this, Lin Feng was very surprised!

Discontinued!

He immediately asked, "Why did you stop taking !!the drug?"

The patient said hesitantly, "That... That medicine... Can affect sexual function.... Below... No more!"

Lin Feng instantly understood.

Immediately, his face sank: "Then you can't stop the medicine casually!

Although he blames, he can also understand.

For a man, if it really affects sexual function, no one will be willing to continue taking medicine!



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