Afternoon, the emergency room was a rare moment, I was lying on the computer watching those who did not only the plot of bone and meat film.
The United States and small care suddenly stretched out his head and said: "This person's pleural effusion a lot of it!"
I have a habit, that is, when the free time to open the computer, browse the day of each patient's imaging examination, such as X-ray film, CT film and so on. The United States as a small care and my like-minded comrades, and sometimes with all my Huashan sword on the martial arts!
"In fact, I really thought that this person is asthma attack it," the United States and small care secretly said.
Things are like this: five o'clock in the morning, the day is still a black, the corridor of a long time in the lit, infusion room sparse sparse seat of the five infusion of the patient, the emergency just wake up from the hustle and bustle of the night come.
Just when I was asleep, I heard only a small voice in my voice: "Doctor, come to an asthma patient, come over!"
This is a 55-year-old male patient, because chest tightness asthma for an hour and was the family sent to the hospital. The patient was lying on the bed half-lying, restless, flushed, looked very uncomfortable, and because in the non-stop breathing, so I can not communicate.
The son of the patient told me: "My father had no disease, that is, three months ago after the completion of appendicitis surgery, the body has been very virtual, suddenly appeared in the limbs shivering tonight, breathing uncomfortable!
"The patient's finger pulse oxygen in the continued decline, do not have tracheal intubation?" Mei Xiao asked me.
Finger pulse oxygen is an indirect indicator of the use of oxygen in human organs, an indicator, if the continued decline in the existence of patients with serious disease, life and worry, must be through the mask oxygen, tracheal intubation, ventilator-assisted ventilation and other treatment to alleviate.
Because with the restlessness of the patient's remission, finger pulse oxygen indicators have eased, so I did not immediately to the patient tracheal intubation: "first prepared tracheal intubation package, wait for a while!"
The truth of the matter is never so simple, because the patient's lungs are not wheezing, and I have rarely seen asthma acute attack with limb convulsions.
In the surface of asthma, will there be any unknown story?
In fact, the patient of this symptom, in addition to asthma, I am more skeptical respiratory alkalosis, diabetic ketoacidosis, etc.: "beauty care, for patients to measure blood sugar!"
Sure enough, the patient's high blood sugar, 17mmol / l! "Do not say that patients do not have diabetes before?" I am some angry family members before the information provided, but the family also a look of grievance replied: "He is no diabetes, that is, a few years ago when the physical examination said high blood sugar, Back! "
In fact, many people do not understand their own physical health, or do not know for their own illness.
Unexpectedly, the patient 's wife has provided important information: "he had a small acne on his thigh, his own hand scratch, and this will be related to this?
After listening to this sentence, I quickly retreated the patient's pants, and sure enough to have a major discovery. In the patient's right side of the groin at a few pieces of self-attached gauze, opened the gauze can be seen after a pus discharge has been the wound!
A few minutes later, the United States and small care report: "The patient's body temperature 40 degrees Celsius, now calm some"!
In fact, the patient is simply not the so-called asthma, but because of the right side of the groin infection, induced septic shock and severe acidosis. Family members of the limbs shaking is actually fever before the chills, and the so-called asthma is only acid poisoning when the deep breathing fills!
A few days later the United States and small caucus earnestly said to me: "If you have diabetes, then do not easily break your body, it is easy to trouble ah!
Let more people know more!