A hundred days after signing in, the first surgery shocked the world!

Hearing this, the patient's face was full of wry smiles, and he was just about to quibble.

Lin Feng opened his mouth again and asked: "In addition to diarrhea, are there other symptoms?" stomach pain, abdominal distention, nausea and vomiting, fever, chest tightness, panic, or something?"

Hearing this series of questions, the patient frowned and replied: "No, it's diarrhea, it's about to kill me!"

Seeing the patient's dry lips, Lin Feng couldn't help but be vigilant in his heart.

People with diarrhea pulled into shock are not for nothing.

And be very careful.

Diarrhea itself will not be a big problem, and people will not die.

But if long-term severe diarrhea, it is possible to drain some potassium ions, calcium ions, everything in the body, the human body will have electrolyte disorders, serious electrolyte imbalances will be fatal, such as hypokalemia, manifested as limb weakness, and even arrhythmia.

There is also a strong pull, resulting in dehydration, it will also be fatal.

Severe diarrhea, Lin Feng has also seen a lot, but most of them are cholera.

Cholera is scary, but cholera is almost never seen today.

Seeing that Lin Feng had not prescribed medicine, the patient was a little anxious, heard that glucose can replenish energy, thought that he had not eaten well for a few days, and was more worried about his body, and immediately said to Lin Feng: "Doctor, give me some glucose first!

"Don't worry, understand it first. Lin Feng said, and then asked, "How is your physical condition usual?"

The patient replied, "It's all fine, nothing sick!"

Lin Feng nodded slightly.

In view of the fact that the patient has eaten unclean food (pickled pepper claws) before diarrhea, and the diarrhea is so intense, the first thing to consider is acute gastroenteritis.

First do an electrocardiogram, routine stool test, abdominal ultrasound, and finally use some antibiotics to observe.

An electrocardiogram is routine.

No matter what the problem, as long as it is an adult, the abdomen and chest must be done.

Soon.

The results of the electrocardiogram came out, there was no problem, just the heart rate was on the fast side.

Then the patient went to pay the fee, left the stool, and then went for an abdominal ultrasound.

The results of the color ultrasound also came out quickly.

Hepatobiliary, pancreatic, and spleen are basically normal.

These are in line with Lin Feng's prediction, diarrhea patients, in addition to acute gastroenteritis, but also consider whether there are other diseases, such as kidney stones, appendicitis, etc.

Kidney stones don't just cause back pain, appendicitis doesn't just have abdominal pain.

These diseases can cause diarrhea, and similar to gastroenteritis, there is no way to diagnose it without testing.

However, Lin Feng believes that the possibility of gastroenteritis is the highest.

At the time of the examination, the pain of percussion in the kidneys was negative, and the examination for appendicitis was also negative.

All the emergency department has to do is be foolproof and make sure nothing goes wrong.

The examination is not expensive, but the results are valuable.

Protect not only the patient, but also the doctor himself.

Soon under Lin Feng's arrangement, the patient was first given levofloxacin injection, which is a relatively broad-spectrum antibiotic, the treatment of infectious diarrhea has a good effect, and blood was drawn before the drug, routine laboratory tests, no problem.

At this time, the patient cried and asked Lin Feng: "Doctor, is there a need to give me some antidiarrheal medicine?

"Don't worry, let's observe it after using the medicine, diarrhea is not always a bad thing! It can shoot out all the unclean things in the stomach, just drain it clean, I will give you more water, electrolytes, energy, if diarrhea is not good, I will give you some antidiarrheal drugs!" said Lin Feng softly.

Hearing Lin Feng's words, the patient went to the toilet with confidence.

After 1 hour, the medicine has just run out.

The situation suddenly changed.

The patient found Lin Feng and said nervously: "Doctor, my chest is uncomfortable, uncomfortable!"

Hearing this, Lin Feng thought of drug allergies.

But the idea was quickly denied.

The patient said that he usually has no drug or food allergies.

In addition, almost all drug allergies occur during the use of drugs, especially 30 minutes before medication, and I have never heard of allergies after using drugs.

After ruling out the drug allergy, Lin Feng also relaxed a little, otherwise I am afraid that the patient will have to be rescued.

However, looking at the patient's frowning appearance, the chest should be very uncomfortable.

Immediately listened to the patient's heart with a stethoscope.

My heart suddenly jumped.

As soon as the stethoscope touched the patient's chest, a frenzied rhythm was heard, and the heartbeat was very fast.

Puff flutter flutter flutter ~~~

At least more than 200 times / minute, no wonder the patient is so uncomfortable, such a fast heartbeat change no one can stand ah!

With such a fast pace, the heart simply cannot pump blood normally.

The brain and heart will also be ischemic, chest tightness is inevitable, and if it is serious, the patient may be coma.

"What happened!!"

"Why do patients have arrhythmias!"

Lin Feng suddenly gave birth to two doubts.

Immediately, he remained silent and asked the regular doctor on the side to pull the ECG for the patient again.

He used words to reassure the patient and said, "You have a bit of an arrhythmia and need to deal with it!

See the patient shake his head.

It means that this is the first time that the patient has an arrhythmia!

Soon.

The ECG is done.

Arrhythmia, a rapid type of atrial fibrillation.

It shows that the heart has beaten messily at this time, and it can barely pump blood, but it must be planted as soon as possible to plant this atrial fibrillation, otherwise the consequences are unimaginable.

At this moment, the patient is sweating profusely on his forehead, but his blood pressure is fine.

Lin Feng immediately asked, "Chest pain?"

The patient's expression was extremely uncomfortable, and his voice was low: "A little." "

"Push amiodarone injection!" Lin Feng immediately ordered the nurse.

Amiodarone is an antiarrhythmic drug that can often turn atrial fibrillation into a normal rhythm.

It turned out that Lin Feng's handling was very correct.

Amiodarone worked very well, and in less than 20 minutes, the patient's heart rate finally returned to normal.

Back to 100 beats per minute, the patient's brow finally stretched a little.

It's not as uncomfortable as before.

It's also a thrill.

Although the patient's crisis is lifted, why does the patient develop arrhythmias!

She has no heart disease, is not old, has no high blood pressure, why does she have arrhythmia!

Regarding this problem, Lin Feng's speculation is caused by gastroenteritis stress, and may also be caused by quinolone antibiotics.

This is not unusual!

A patient had previously developed atrial fibrillation after taking moxifloxacin.

Lin Feng immediately said: "It seems that the patient needs to be replaced with cephalosporin antibiotics!"

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