Chapter 371 Addison's sudden death

"What's the situation?" Lu Gang was stunned for a long time before asking in confusion.

Meng Qingfei sighed deeply.

Ji Xiang's performance is even more experienced than an experienced emergency department doctor, especially when he finally jumped up, knelt on the patient's abdomen, and did external heart compression with both hands. He saw Meng Qingfei's slippery old cannon.

All were ignited with passion.

But the question immediately came to Meng Qingfei's side, what was the patient's situation!

"Director Lu, you didn't have a diagnosis?" Meng Qingfei asked cautiously.

Lu Gang shook his head and signaled that he didn't know.

He wanted to go and take a look, but as soon as he raised his legs, he stopped again, looking blankly at the end of the empty corridor in the distance, at a loss.

"Doctor Meng, do you know the patient's condition?" Lu Gang asked.

After free, Meng Qingfei told Lu Gang about the patient's illness.

Middle-aged men take a lot of calories orally and experience symptoms such as nausea, vomiting, abdominal pain and other symptoms half an hour after oral administration.

Everything is proof that it is caused by the caloric water. As long as you have stomach washing, there is no abnormality in the physical examination.

Similar patients are very common.

wrong!

A meteor flashed through Meng Qingfei's mind, tearing the dark side through.

"The patient's body temperature is high! His body is red and hot!" Meng Qingfei said in a deep voice.

He remembered what the emergency physician said casually, so that's it!

"Body temperature...irritability..." Lu Gang said to himself in confusion.

"Director Lu, remember..." Meng Qingfei only said one beginning, and Lu Gang continued, "Three years ago, an emergency department in the Department of Gastroenterology."

"right!"

That was a past event three years ago.

A patient with abdominal pain came to the emergency department. His body temperature was above 40 degrees Celsius, nausea and vomiting accompanied by tenderness, and no backlash pain.

Considering it was acute abdominal disease, the gastrointestinal surgery department did not know what the diagnosis was, because the abdominal pain was getting worse and worse, so they could only explain to the patient's family and do a laparotomy examination.

result!

I opened my stomach and had no problems. I stroked my intestines and confirmed that there was no strangular intestinal obstruction and that other internal organs were fine.

Ask for consultation on the stage. Since it has been opened, let all departments come and take a look at this time, so as not to explain some things after going down.

The final problem was solved by Lu Gang - the patient diagnosed the adrenal crisis. After symptomatic treatment, the patient's condition improved and he was finally discharged from the hospital smoothly.

That "medical accident" was not technically qualified, and the gastrointestinal surgery department communicated with the patient's family smoothly. The family was not held accountable, so the matter was settled.

Meng Qingfei and Lu Gang thought of this at the same time.

The patient has fever, accelerates his heart rate and shows irritability.

The digestive system also has anorexia, nausea, vomiting, etc., which are often early symptoms.

Yes! And blood pressure!!

Meng Qingfei and Lu Gang thought at the same time that the patient's heart rate increased and his blood pressure dropped. When he finally pushed it away, the patient's high pressure had reached about 85 mm work.

Drinking calori water will not cause hemorrhagic shock, the symptoms of rising heart rate and lower blood pressure, and other symptoms, which are increasingly consistent with the diagnosis of adrenal crisis.

"I understand!" Lu Gang clenched his fist with his right hand, slammed it on the palm of his left hand, and slammed it.

"It's Addison's disease!" Meng Qingfei said at the same time.

"Yes, it's Addison's disease. The sudden death just now was Addison's sudden death!"

The two looked at each other and smiled, as if they had solved an extremely difficult math problem.

But in a flash, both of them were a little embarrassed.

This is not an examination, but a clinical emergency emergency. The diagnosis of post-consciousness has no meaning for the patient. Ji Xiang just defibrillated, external chest heart compression, and contacted the ICU bed in advance. These are the keys to solving the problem.

.

If Ji Xiang is not available, I would not say whether I can get the correct answer. Even if I have the correct diagnosis of Addison's sudden death, the patient will probably be out of salvation.

Meng Qingfei smiled embarrassedly, "Xiao Ji is really amazing."

Lu Gang was still a little dissatisfied, but the repeated blows within a few months made him feel a little lonely.

The only strand of hair on the top of his head drooped and was listless.

The bald head also lost its shiny light and was gray.

Lu Gang pondered for a few seconds and said hatefully, "I came late this time. The patient was in trouble just after he arrived at the emergency room. Next time, it will definitely be!"

Meng Qingfei glanced at Lu Gang in surprise. He understood that Lu Gang was competitive and wanted to compete with Ji Xiang for some strengths.

Does it make sense?

Lu Gang's approach is meaningless at all.

"Director Lu, forget it." Meng Qingfei smiled, "Stop, take a break, I feel like my whole body is hurting now."

This is a side reaction after stress, and Lu Gang also understands.

"Wait a minute, I'll have an ultrasound." Lu Gang said, "Since it's an adrenal crisis, then there must be problems with the adrenal glands. Xiao Ji, he may not know."

As he said that, Lu Gang took out his cell phone and made a call.

“Iciu?”

There was a noise from the other side of the phone, and it was obvious that emergency room was in emergency room.

Lu Gang understood that this is not a good time to talk long and have to tell a long story.

"I just sent the patient, I was considering that it was an adrenal crisis, so I immediately asked for a B-ultrasound at the head of the bed."

"Director Lu, the B-ultrasound is being performed, the patient... Oh oh oh, the patient has calcification on the right adrenal gland, consider adrenal tuberculosis." The doctor of icu replied.

It was obvious that he was answering the phone while watching the rescue.

"Then you can hurry up." Lu Gang hung up the phone in a loss.

Lu Gang knew the severe ill strength of the Second Affiliated Hospital. He was indeed the best in the province, but a patient with inexplicable cardiac arrest was sent to him, and they could detect the adrenal crisis as soon as possible...

Ahem, a figure of someone appeared in Lu Gang's heart.

No, if you want to say that rescue is timely, you can also explain it by Ji Xiang’s young reaction quickly.

However, adrenal crisis is very rare in clinical practice, and every time it occurs, it will basically be misdiagnosed. Every misdiagnosis will most likely lead to the death of the patient in the end.

Few families in China agree to undergo autopsy, so there is no diagnosis for patients who died inexplicably, which leads to lack of experience in clinicians.

It was also because of the incident three years ago that Lu just established a general understanding of the adrenal crisis, so he and Meng Qingfei were the first... and could give a diagnosis in the second time.

Where is Ji Xiang?

Where did his diagnosis come from?

Where did his clinical experience come from?

Lu Gang was wearing his bald head, and the strand of drooping hair became more and more listless.

"Is it really Xiaoji diagnosed it? It's too fast." Meng Qingfei was a little surprised.

Although Lu Gang didn't say anything, his expression said everything.

Ji Xiang obtained the correct diagnosis at the moment of flash fire and the emergency treatment was successful.

It's really a fucking thing, Meng Qingfei also cursed in his heart.

Ji Xiang actually diagnosed the adrenal crisis while drinking calories. How deep is this clinical experience to do so.
Chapter completed!