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

Not a cerebral hemorrhage!

Is it really hypoglycemia?

Lin Feng was skeptical.

Why hasn't the patient woken up yet.

The patient was then pushed back to the emergency room.

At this time, the patient is finally a little awake, his eyes can be opened, and he can simply answer questions.

Seeing this, everyone breathed a sigh of relief.

Lin Feng also began to believe that the patient was in a coma caused by low blood sugar, and now after correcting the blood sugar, the patient woke up.

Why so long!

The main thing is that each person has different severity of hypoglycemia, so the time to return to wakefulness is also different.

Wake up is wake up.

However, the patient is still more irritable, his hands and feet will move, and his breathing is also very short.

Looked at.

Lin Feng is sure that the patient is not in a coma because of low blood sugar, or not only because of low blood sugar, there must be other reasons.

Simple hypoglycemia should not appear shortness of breath, and after returning just now, his blood sugar has risen to 12mmol/L, and there should be no symptoms of hypoglycemia!

Unless it is hypoglycemia, coma is longer, damage to the brain!

Just when Lin Feng was still thinking about what the patient would hide.

The patient again experienced twitching of his limbs.

Breathing became more rapid, and oxygen saturation dropped to 90 percent.

Immediately checked the patient's arterial qi and blood.

Partial pressure of oxygen 80mmHg (normal 90-100)

pH 7.29 (normal 7.35-7.45)

A decrease in pH means that the patient has acidosis.

It may be that because of the lack of oxygen, anaerobic fermentation occurs after ischemia and hypoxia of body organs and tissues, resulting in excessive accumulation of acidic products, and acidosis will occur.

This also explains the past.

Later, Lin Feng found the person in charge of the activity and said to him: "The patient's condition is relatively serious! The cause of the abnormal consciousness is unknown, not necessarily caused by hypoglycemia, maybe hypoglycemia is just a symptom, and there are other diseases behind it!"

"Especially the patient's condition is unstable now, the person is not fully awake, there is still some restlessness, the indicators of blood sampling are not very good, and the breathing is also rapid, it is recommended to be sent to the ICU for observation and treatment!"

"If breathing deteriorates further and the lack of oxygen is severe, you also need to go to a ventilator for supportive treatment!"

Especially the last sentence, which directly frightened the person in charge of the event!

However, he still pretended to be calm and said: "Doctor, everything is subject to your arrangement, and we absolutely cooperate fully!"

Lin Feng nodded.

Soon, the patient was transferred to the ICU.

Now the patient's situation is a little strange, obviously coma and withdrawal after strenuous exercise, originally thought to be caused by hypoglycemia, but after the blood sugar correction consciousness has not fully recovered, and there is shortness of breath, the brain did not see cerebral hemorrhage.

Shortness of breath can be explained by acidosis, because the patient has acidosis, so the body should compensately speed up breathing, the acid is shot out of the breath, which is a self-protection mechanism of the body.

But is the patient's acidosis really caused by collective ischemia and lack of oxygen?

Could there be other reasons?

Will the patient have kidney disease?

Will there be uremia?

Uramic encephalopathy?

Due to severe renal dysfunction, uremia patients have no way to excrete acidic substances, resulting in acidosis caused by the accumulation of acidic substances, and many toxins cannot be excreted, which will act on the brain and lead to coma.

Of course, these are all Lin Feng's speculations.

However, the results will be known soon.

Not for a while.

Xiaoru brought back the patient's blood test results.

Serum creatinine 200 μmol/L

The normal index is lower than 110, which is obviously elevated in the patient, indicating that the patient's kidney function is damaged, but it has not reached the point of uremia.

The average uremia patient has hundreds or thousands of blood creatinine.

For whether the patient has uremia, several colleagues around him are talking about it, and they can't tell.

In the end, the patient himself knows best.

But the patient is not completely awake now, still restless, and there is no way to answer the question accurately.

To this.

Lin Feng thought of another way.

He immediately asked, "Does the patient have urine?"

"I haven't urinated until I was admitted to the hospital!" said the doctor who was traveling before.

In fact, the admission time is not too long, about an hour before and after.

Monitor urine output, if the amount of urine is less, maybe you have to do blood purification!" Lin Feng immediately said to Xiaoru.

The patient's current condition seems to have a tendency to have multiple organ function damage.

Shortness of breath suggests possible pulmonary insufficiency.

High serum creatinine indicates poor renal function.

Lack of consciousness means brain dysfunction.

High in transaminases, there may be some problems with the liver.

Then there may be problems with organs such as the heart.

This situation must be stopped early, and once multiple organ failure occurs, it will be a disaster.

What makes people wonder is how such a young man with good physical fitness, just running, suddenly has multiple organ insufficiency!

At this time, the doctor in the ICU found Lin Feng and asked, "Doctor Lin, have you notified the medical department?"

After all, the patient's family is not there, only the leader of the unit is at the scene.

Lin Feng nodded and said, "It's already reported!"

Now.

The catheter has been inserted, and two people are pressing the patient, and a regular training doctor operates it.

Just got it.

I saw a stream of urine coming out of the catheter.

The amount is not much, only about 100ml.

However, this amount of urine is enough to attract Lin Feng's attention.

The color is very dark, just like soy sauce.

The color of normal people's urine is light yellow, which is a little darker, but the color of the patient's urine in front of him is already as dark as soy sauce, which is too exaggerated.

"Hemolytic !!"

"Does the patient have anemia in his blood routine?"

"Is bilirubin high?"

At this time, the ICU doctor on the side immediately shouted.

The so-called hemolysis is that the red blood cells are destroyed, and the hemoglobin in the cells will flow into the blood circulation, and the hemoglobin will enter the urine, resulting in the urine becoming brown or soy sauce!

This is a very serious disease, the function of red blood cells is to transport oxygen, now red blood cells are destroyed, so who will transport oxygen, so the organ tissue does not get enough oxygen!

However, Lin Feng spoke: "The patient is not like hemolysis!"

"The patient does not have jaundice, if it is hemolysis, then the hemoglobin that runs into the blood will eventually be broken down into bilirubin, and bilirubin accumulates in the skin and will manifest as skin yellowing. "

"And just now the liver function results did not see bilirubin increased, the results do not support hemolysis!"

"In addition to hemolysis, I suspect it's another situation!"

Without waiting for Lin Feng to finish speaking, the ICU doctor hurriedly shouted: "Rhabdomyolysis !!."