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

Good news, rule out cerebral hemorrhage!

The next day.

Lin Feng was sitting in the consultation room and had just sent a patient away.

A nurse on duty hurriedly ran in and said, "Dr. Lin, come quickly, just delivered a comatose patient!"

Hearsay.

Lin Feng got up and walked out.

Came to the rescue ward.

An accompanying doctor said to Lin Feng: "The patient suddenly fell into a coma, the carotid pulse was still there, and it was very likely that the heart would stop beating, and there was a possibility of sudden death!"

"It is not ruled out that there may be seizures! Suddenly fell to the ground, and appeared limb twitching, cyanosis of the lips, foaming at the mouth and other manifestations. "

At this point, the patient's head has been moved to one side to prevent suffocation caused by vomit.

Lin Feng nodded.

Comatose patients are common, and there are too many causes.

Common are cerebral hemorrhage, cerebral infarction, seizures, hypoglycemia, hypotensive shock, poisoning, respiratory failure, uremic encephalopathy, hepatic encephalopathy and so on.

Most of these diseases manifest similarly, and if they are not recognized, they may be life-threatening.

"Does the patient have a history of epilepsy in the past?" Lin Feng immediately asked several people who sent the patient, all of them were wearing running sportswear, and they knew at a glance that the patient was an employee of a company participating in a sports competition.

Several of them were sweating profusely and panting, not knowing whether they were nervous and scared, or tired after strenuous exercise.

"Haven't heard of it!"

"I have known him for 3 years, and I have never seen such a situation today, nor have I heard him say that he has epilepsy!"

“....."

Everyone spoke.

To sum up, either I don't know or I haven't heard of it.

There is no way to confirm.

Without getting useful information, Lin Feng frowned slightly, and said softly: "No matter what, do the examination first, especially the head CT! The patient suddenly fell to the ground after strenuous exercise, maybe it was cerebral hemorrhage, because blood pressure will rise sharply after exercise, some people originally have high blood pressure, or brain aneurysm, may cause cerebral hemorrhage due to increased blood pressure, which will lead to sudden fainting or even sudden death!"

Naturally, the crowd had no opinion.

Under normal circumstances, if the patient really has cerebral hemorrhage, there may be weakness or paralysis of one limb, but now the patient is in a coma, it is difficult to judge.

Therefore, head CT is the most direct and can see whether there is cerebral hemorrhage.

Finish speaking.

Lin Feng began to check the patient's condition.

I checked the patient's bilateral pupils with a flashlight, fortunately, it is still equal to the same size, and the reflection of light also exists.

This result made Lin Feng slightly relieved.

If the pupil is large and small, it means that the patient may have a brain herniation.

Immediately, Lin Feng beckoned.

Xiaoru hurriedly stepped forward to help and quickly connected the patient to ECG monitoring.

Blood pressure 160/80mmHg

Heart rate 110 beats / min

22 breaths/min

Blood oxygen saturation 99%

The electrocardiogram was quickly pulled out as well.

There is almost nothing abnormal, that is, tachycardia, no myocardial infarction pattern.

Then there's the measurement of the patient's blood sugar.

In the face of a patient who suddenly falls unconscious, in addition to considering the problem of the head and heart, it is also necessary to consider whether the patient will have the possibility of hypoglycemia and hyperglycemia.

Especially hypoglycemia!

The patient is exercising vigorously, and if energy intake is replenished, hypoglycemia is also likely to occur.

Typical symptoms of hypoglycemia include palpitation, hand tremors, and in severe cases, sudden coma.

If hypoglycemia is misdiagnosed, it is a huge disaster for the patient.

Because the brain is very dependent on blood sugar, if the hypoglycemia is not corrected for a long time, then the brain will be completely played, and severe brain dysfunction and even brain death will occur.

Soon.

The blood sugar results are out!

2.2mmol/L

Really!

It's really hypoglycemia!

Lin Feng immediately said: "Quick! 40ml of high-concentration glucose intravenous injection! immediately! Immediately! Quickly! Quickly raise the patient's blood sugar!"

The voice fell.

Xiaoru took two nurses and hurriedly began to push high concentrations of glucose to the patient.

Normal people's fasting blood sugar is 2.9-6.1mmol/L, and then blood sugar may be higher.

The patient is only 2.8mmol/L, which must be hypoglycemia!

Lin Feng immediately asked the people who were with him, "Did Bin Ren participate in the competition without breakfast in the morning?"

"Nope!"

"Everyone had breakfast!"

"Yes, we ate together!"

“......."

When they heard that the patient was hypoglycemic, everyone was a little surprised.

At this time, the accompanying doctor said: "The patient had limb convulsions shortly after the end, and I didn't see him convulsions after coming to the hospital, but people are still unconscious, and sometimes they make a hmm-huh sound, but they have never woken up!"

"What is strange is that the average person with a hypoglycemic attack will have obvious panic, hand tremor, hunger, the first time must be to find food, like the patient and this directly fell to the ground coma is too rare!"

"It's really rare!" Lin Feng nodded, and then said: "It should be the reason why strenuous exercise consumes too much energy and does not replenish it in time!"

Then.

The person in charge of the event came back after calling, saying that he had notified the senior management of the patient's company, and also notified the patient's family, and the testimony came from abroad!

Lin Feng nodded.

After all, such a big thing happened to the patient, and many medical documents also need to be signed by the family.

Soon.

40 ml of high-concentration glucose bolus is given, and then 10% glucose is continued instilled.

However, a few minutes passed.

The patient still hasn't woken up!

Lin Feng felt a little strange in his heart, but the indicators above the ECG monitoring were relatively stable, and immediately said: "Can't waste time in vain, first do the head CT before speaking! Low blood sugar will lead to coma, but if it is a cerebral hemorrhage, it will be fatal, and you must quickly improve the examination!"

We can sign first!" As soon as the words fell, the person in charge of the activity immediately said categorically: "He is our employee, his family has not yet arrived, and I am his family at this moment!"

"Good!" Lin Feng glanced at the person in charge of the event and nodded.

Xiaoru has already contacted the CT room.

The crowd directly pushed the patient over.

The CT was done very quickly.

The results showed that no bleeding was seen in the skull.

Seeing this result, I can also breathe a sigh of relief, originally worried that the patient room will suddenly have a cerebral hemorrhage due to strenuous exercise.

If it is really a cerebral hemorrhage at such a young age, then this life is a pity!

Even if life is stabilized, it is inevitable to leave sequelae.

。。