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

The father of the little boy who had never spoken was directly furious, "You doctors! Will you see a doctor! Changed one, another! In the end, it will not work! "

After that, he smashed a punch into the iron chair beside him.

Bang bang.

The people in the infusion hall were startled and looked at the little boy.

Zhang Yuan and the others at close range were even more nervous.

A bold nurse with a lot of experience immediately began to comfort her family.

"Uncle, don't be angry first, this is Dr. Zhang is our deputy chief doctor of the emergency department, he must have a way..."

The boy's father, snorted, his face was livid, and he began to be silent again.

At this time, the child's mother began to cry again.

Zhang Yuan's heart was numb.

What's going on?

Wrong judgment?

Drug allergies not caused by infusions?

Is there really a hidden disease?

Zhang Yuan panicked!

Then

A tall, beautiful boy, Yushu Linfeng figure appeared in his mind.

That's right!

That's Lin Feng!

Go to the West and invite the Buddha Lord!

Go and invite Lin Feng!

Zhang Yuan screamed in his heart!

It's not that I'm incompetent! It's that today's case is too weird!

I'm no match for you!

Zhang Yuan almost spewed out a mouthful of old blood!

Two minutes later.

Lin Feng came.

Zhang Yuan hurried to meet him and report to him the current situation...

Lin Feng stepped forward to check the patient's condition.

Song Ziming and Huang Ziqian made way for Lin Feng...

The nurses' vision in their eyes shrunk and shrunk, leaving only Lin Feng's position...

An intern has secretly touched his pocket phone, turned on the camera, and asked to record Lin Feng's diagnosis process on video.

By experience...

Lin Feng will definitely be able to solve the case in front of him.

You have to write it down and study well in the future.

Zhang Yuan: "... That's it, I judged that the patient was allergic to infusion drugs, but anti-allergic infusion treatment, the condition was serious again. Lin Feng, what do you think is going on? "

After Zhang Yuan finished speaking, he stared at Lin Feng, the great god.

Not far away, the family, especially the punch just now, let Zhang Yuan Alexander.

Lord Lin, hurry up and solve the problem in front of you.

My old bones can't withstand the kind of fist just now.

Lin Feng looked calm.

Judging from Zhang Yuan's instructions, it is indeed like an infusion allergic reaction.

But why is anti-allergy treatment bad?

He took a closer look at the little boy.

Then attention was paid to the infusion bag.

First infusion.

Injection: glucose injection

Drug: Huang Shuanglian

Second anti-allergic treatment.

Injection: glucose injection

Drugs...

......

Soon.

In Lin Feng's brain, those strange, thousands of case experiences, swarmed.

Several identical cases flashed through Lin Feng's brain.

Transfusion......

Cyanotic reaction...

Anti-allergic infusions aggravate ...

Exactly the same situation.

soon

Lin Feng was already confident.

Zhang Yuan's judgment was correct.

The little boy is allergic to drugs.

But the allergen is not a drug in the drip.

But the most ordinary injection!

"Remove glucose, change the brine!"

Lin Feng gave medical advice.

Generally speaking.

There are two kinds of injections for dripping, one is glucose injection and the other is normal saline injection.

These two injections themselves have no therapeutic effect, mainly play the role of acting as solvents.

As for the treatment, it all depends on adding other drugs to it. For example, if you have a cold and fever, you can add Qingkailing, double huanglian and so on.

Of course, there are some differences between these two injections.

Glucose, as you can hear the name, in addition to being a solvent, can also replenish some energy.

Normal saline is a sodium chloride solution that balances electrolytes.

This little boy had a cold and fever, and his diet was definitely not good.

That Mengxin Guipei doctor used glucose injection, which was the right choice.

Not only can it treat the little boy, but it can also supplement nutrition.

But......

The problem lies in this most common form of glucose!

This little boy is allergic to glucose!

So

Zhang Yuan also uses glucose to dispense medicine.

This is to give the little boy an anti-allergy while making the little boy allergic...

Of course, Zhang Yuan cannot be blamed for this.

The glucose injection that is used in every hospital every day, the probability of allergy, is simply too small.

One in 100,000, or one in 100,000 probability.

Even Zhang Yuan, who has been in the emergency department for decades, has never seen it.

However, Lin Feng he knew!

No way.

When you're trying to sprint.

Brother was already born at the finish line.

Lin Feng flicked his hair and waited for you at the end.

......

The nurse thought she had misheard: "Only change the injection, not redispense?" "

Lin Feng nodded.

Song Ziming and Huang Ziqian have not yet understood.

Nothing to change the injection?

Idle eggs hurt?

This peerless genius also has a fool's time?

Zhang Yuan is still old-fashioned and spicy.

He had already come to his senses, "Lin Feng, are you saying that there is a problem with this glucose injection? "

Lin Feng nodded, "Yes, Lao Zhang, your judgment is correct, this boy is allergic to drugs." However, I guess he is allergic to glucose. This is rare. I'm lucky I've met it twice before. I'm sure. "

It didn't matter what Lin Feng said later.

You judged correctly.

Zhang Yuan really listened.

These words came out of Lin Feng's mouth.

Let Zhang Yuan be like a spring breeze, even if there is a mistake in front of him, he is not afraid, he breathes a sigh of relief.

Even, he was a little happy.

Oh oh, it seems that I can do it, but I got the allergy wrong.

It turned out to be a glucose allergy.

It's also too rare.

Can't blame me!

......

Replace glucose with normal saline.

Antiallergic therapy continues.

Hang the hanging water again.

Ten minutes later.

The purple color on the boy's face faded, and his breathing steadied.

The little boy's parents were overjoyed.

Around Lin Feng for a burst of thanks: "Thank you doctor, thank you doctor!" "

Nurses: Dr. Lin is strong!

Zhang Yuan pouted: I'm also quite strong, and I'm just a little bit closer to a genius!

Crying chirp~~~

......

June

Soy Sauce University.

Lin Feng, Tan Jianzhao, Wu Jiahao, and Wang Qiang returned to their alma mater, Soy Sauce University.

Receive a diploma.

Take graduation photos.

"Everyone prepare ~~3, 2, 1... Eggplant! "

Click ~~~~

The picture freezes.

The group photo of the whole class, all the students wearing bachelor's uniforms and throwing hats happily will always be remembered in the photo album!

That night, the whole class sang K together, one by one, crying and screaming.

Finally, a song "Friends" said goodbye to each other.

All the classmates had sour noses, and the emotional classmates had even cried loudly.

This may be one of the most precious memories in the hearts of all students!

......

Back to the hospital.

Keep going to work.

In July, influenza was raging and dengue fever soared.

The emergency hall was crowded with people and viruses were flying.

(This year, because there were so many people wearing masks, the number of patients in the respiratory department plummeted to one-fifth, and masks were still useful.) ）

Lin Feng sat in the clinic.

Opposite is a mother + three-year-old boy: "Doctor, my son has a headache, help me prescribe some medicine..."

Lin Feng checked, the little boy was not a big problem, prescribed painkillers (ibuprofen hanging night), and advised: "Don't eat painkillers indiscriminately, don't eat more, especially children, the medicine is three-point poison, you know?" "

In fact, Lin Feng generally has this kind of minor illness, try not to prescribe medicine, and try to let the child carry it by himself.

There are also doctors who like to prescribe a bunch of medicines, lift a large bag, many patients bring it back, find that they can't use it up, each time there is a lot left, and finally throw it all, this is the most hated doctor of patients.

Bao's mother nodded repeatedly: "Understand, understand~~"

Next patient,

Or Baoma + 1-year-old little girl, the little girl's forehead, with a cold compress.

Obviously, it should be a fever, but the little girl is in good spirits, with big eyes and eccentric, looking everywhere, and finally giggling with Lin Feng.

Lin Feng probably had some judgment in his heart.

The patient has a fever and is generally dizzy, but the little girl is so spirited and eccentric.

The 90% probability of this disease is: toddler rash!!

At this time, Bao's mother was so anxious that she was about to cry: "Doctor, help see my baby, what's going on, I've had a fever for two days, and I have been having a high fever, the highest is 40 degrees ~~"

Lin Feng was unmoved.

Picked up the mercury thermometer and handed it to Baoma: "Measure it first, 7 minutes..."

Because the accuracy of electronic thermometers is not as good as mercury thermometers, hospitals will measure mercury thermometers for real fever patients.

Bao's mother took the mercury thermometer and began to put it into the little girl's armpit, and the little girl resisted fiercely and cried.

Helplessly, Lin Feng could only use an ear temperature gun to measure 39.6 degrees.

Lin Feng: "When did you have a fever, did you eat anything or catch a cold before the fever?" "

Bao's mother: "I slept the morning before yesterday, I got up with a fever in the morning, I didn't have a cold, and I ate something normally..."

"That is, a sudden fever." Lin Feng continued to ask: "During this period of fever, is your spirit good?" Is it alive? Drowsiness? "

Bao's mother nodded anxiously: "Good spirits, not drowsy, just always high fever does not subside, I have given children fever medicine, just do not reduce fever, it has been two days." "

After listening to this,

Lin Feng's grasp of judging "infantile rash" has increased to 99%!

Lin Feng nodded: "What about your daughter's situation, it should be a toddler rash." "

Baoma: "...?" Acute rash in young children? What do you mean? "

Lin Feng: "Early childhood rash, children under 2 years old, may appear this disease... It is characterized by: sudden onset of high fever, body temperature 39 °C ~ 40 °C above, in addition to lack of appetite, the general mental state has no obvious change, after the fever, there will be a little red rash all over the body. "

When Bao's mother heard this, she was very nervous: "Then this disease, is it serious?" "

Lin Feng: "It's not serious, you can treat it as if it doesn't exist." "

Baoma: "Ah??? "

Lin Feng explained: "This disease does not need to be treated, it cannot be cured, three or four days have passed, the fever has subsided, the rash has appeared, the rash has receded, and then it will be fine." Of course, you can also take some antipyretic medicine to temporarily suppress the high fever, but soon the high fever will continue again. "

When Bao's mother heard this, she couldn't accept Lin Feng's 'treatment plan'.

She came to the hospital to treat her daughter and get better, but the doctor said that there was no need to treat, and it would take three or four days to be cured? To make my daughter suffer for three or four days?

This made her unacceptable!

Bao's mother was emotional: "Then how do you prove that this is a toddler rash?" And not an ordinary fever? "

Lin Feng: "Fever-reducing rash, this is its characteristic. "

"Wait..." Bao's mother thought very clearly: "You mean, I have to wait for my daughter's fever to subside to prove that it is a toddler rash?" What if it's not? Isn't it a missed treatment time? How do you prove it's an acute rash in young children? "

Lin Feng sweated furiously: "What you just said, sudden high fever, high fever that does not subside, and good mental state, these are the characteristics of acute rashes in young children..."

Baoma argued: "Then other fevers may also have these characteristics..."

Lin Feng: "........."

Baoma: "I have a point, right?" "

Lin Feng: "........."

He didn't refute.

Because this toddler rash is indeed such nonsense. Of course, to check, you can also check the blood routine, young children with acute rash white blood cells will be low. However, this still does not prove that it is an acute rash in young children, because fever of other types can also cause low white blood cells.

This is an unsolvable disease.

"Quack!!"

Bao's mother glanced at Lin Feng, and then left the emergency department with the baby and went to the specialist outpatient department.

Lin Feng: ".................."

At noon, Lin Feng went out of the emergency room to eat, and then met the mother in the hospital lobby, and she was carrying a large number of drugs, plastic bags were bulging, and she was holding the baby down from the upstairs elevator.

Just saw Lin Feng.

Bao's mother said loudly: "I found the deputy director, he is more powerful, and prescribed me medicine..."

Lin Feng was speechless, and couldn't help but persuade: "Your daughter is only one and a half years old, her organs are not yet mature, don't take so much medicine, it will seriously lead to organ failure..."

Bao's mother didn't listen, and shouted loudly: "Quack!! "

Then without looking back, he took the baby out of the hospital gate.

The surrounding patients looked at Lin Feng, quack? Well, remember!

Lin Feng: "........."

......

Originally, Lin Feng thought that this was how things passed.

outcome

Day 3.

The mother held the little girl, followed by her grandparents, rushed into the emergency room, found the chief physician's consultation room, and rushed in.

Bao's mother cried urgently: "Doctor, help me see what's wrong with my daughter!" "

Zhang Yuan was receiving the patient, but the patient was not easy to lose his temper when he saw this mother's eager look.

Zhang Yuan looked at the little girl, there was vomit on her collar, and Bao's mother also had it, and the little girl's feet were swollen, and he was suddenly shocked.

Zhang Yuan hurriedly said, "Say, what's going on?" "

Bao's mother cried: "I don't know, I worked the night shift in the past two days, handed it over to my grandparents to take, and then today it became like this." "

Grandpa was nervous, and argued: "We all take good care of it, we all take medicine on time for the baby..."

When Zhang Yuan heard this, he quickly interrupted: "Take medicine? What medicine to take? "

Grandma was full of tongues: "Antipyretic medicine, the baby has had a fever for several days, the hospital has prescribed a lot of medicine, the baby has not reduced the fever, and then we will give the baby to eat..."

When Zhang Yuan heard this, his face changed.

"How many pills were taken?"

"This... We don't know, we didn't write it down..."

At this time, Lin Feng just knocked on the door and took a bunch of lists to sign for Zhang Yuan.

"It's you!" When Bao's mother saw Lin Feng, she cursed angrily: "Quack! "

Lin Feng: "........."

His gaze subconsciously swept towards the one-and-a-half-year-old girl, his spirit was weak, he didn't see the eccentric spirit he had three days ago, and there was vomit + foot edema on his body...

His face suddenly changed!

Thinking of this mother returning with a bunch of medicines, everything is clear.

Kidney failure!

It was definitely this mother who took the medicine back and gave the baby a lot of medicine, and then the baby's organs did not hold it and failed.

Looking at this little girl, Lin Feng was so distressed that he cursed on the spot in anger: "What's going on with you?" Didn't I say, don't take medicine indiscriminately? Well, I'm afraid the baby has kidney failure. "

"Huh? Kidney failure?! "

Bao's mother, grandparents, they were all shocked!

"Wouldn't you? Isn't it vomiting and edema? "Bao's mother didn't start to be so sharp at this time, and her speech became weak.

Lin Feng sneered: "I already said that your daughter is a toddler with an acute rash, occasionally take some fever-reducing drugs, just survive three or four days, you pour well, give her a bunch of medicines, is it not kidney failure or what?" "

Grandpa said loudly, "But wasn't this medicine prescribed by the doctor in your hospital?" "

Lin Feng sneered: "Then did you eat according to the doctor's advice?" "

After all, the first city hospital is a large hospital, the system is strict, and it is okay to prescribe more medicines, but it must have done strict medical advice.

Bao's mother suddenly felt weak, and her eyes dodged.

When prescribing medicine, the deputy chief physician of the fever clinic originally only prescribed her one ibuprofen (commonly used fever reducers for children: fever and headache), but she asked the deputy chief physician to prescribe others to her, in her understanding, one medicine can not reduce the fever, so change to another drug.

When prescribing medicine, the deputy chief physician did advise not to mix and not feed the medicine for more than 6 hours.

As a result, she went to work, the old man took the baby, saw that the high fever did not subside, panicked, took medicine many times, and used it together.

Lin Feng tensed his face: "You should use diapers, right?" Is it much lighter than the usual diaper change? "

Grandma was weak-hearted: "It's much lighter..."

Lin Feng: "That should be right, kidney failure, oliguria, vomiting, poor spirits, edema... Hurry up and go for a check-up to see if it's really kidney failure..."

Zhang Yuan had already opened the bill at this time.

Blood tests: blood routine, electrolytes, kidney function

Urine test: urinalysis, urine electrolyte and urine creatinine, urine sediment, urine protein quantification.

Lin Feng took the list and handed it over.

"Go, go back quickly!"

Lin Feng was a little worried about the severity of the little girl's kidney failure, if it reached stage 3, it would be a big trouble, and she had to go to the ICU for hemodialysis.

Not only does it cost a lot of money, but it's not enough to do it once, but you have to do it often!

Glared at that mother, the toddler's rash is very easy to deal with, but now it's good, get that kidney failure out!

——————

ps: Children try not to take medicine ~~~ (the characteristics of each doctor are different, some doctors give multiple drugs to cure quickly, and some doctors feel that it is necessary for children to carry it on their own to increase resistance)

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