Chapter 913 Viral Myocarditis!
Chen Tianlin, who was about to turn around and leave, heard Dr. Yang's shout, subconsciously stopped, and asked suspiciously, "Doctor Yang, do you have anything else?"
When Dr. Yang heard Chen Tianlin's inquiry, he thought of the symptoms of the little girl before, and introduced it with a stern face: "Director Chen! Not long ago, I helped a doctor see a doctor, but until now, I don't have any bottom in my heart. ”
Dr. Yang's introduction immediately aroused Chen Tianlin's curiosity, and he asked with a smile: "Dr. Yang! We help patients treat their diseases, in line with the principle of seeking truth from facts, what is the situation of the patient you just mentioned? Why do you feel uncertain?"
When Dr. Yang heard Chen Tianlin's inquiry, he recalled the process of helping patients see patients, and introduced with a frown: "Director Chen! ”
In order to find out the cause of the little girl's illness, I asked the little girl about her condition at that time, but the little girl looked weak from beginning to end, and she was unwilling to speak, and all the questions were answered by her mother. ”
When Chen Tianlin heard Dr. Yang's introduction, perhaps because of his preconceived notions, he instinctively thought that the little girl was a mute, and blurted out, "Doctor Yang, could that little girl be deaf and mute?"
When the little girl first entered my office, the little girl couldn't even sit on a chair steadily, so her mother let the little girl lean on her body, and I heard the little girl hum weakly. Hearing Chen Tianlin's inquiry, Dr. Yang recalled the situation at that time, subconsciously shook his head, and told Chen Tianlin about the scene that happened at that time.
When Chen Tianlin heard Dr. Yang's introduction, his brows furrowed slightly, and he asked curiously, "Doctor Yang, what is that little girl's illness?"
Hearing Chen Tianlin's inquiry, Dr. Yang opened his mouth and introduced, "Director Chen! In order to find out the cause of the little girl, I suggested the little girl's mother to take the little girl to do the first check-up according to the diagnosis process of our hospital, but the little girl's mother was afraid of spending money, so she denied my suggestion, and insisted that the little girl had a stomach cold, and kept urging me to help the little girl prescribe medicine according to the stomach cold, and I found that the little girl had no major problems except for a little shortness of breath, so I arranged for her to go to the infusion first. ”
When Chen Tianlin heard Dr. Yang's introduction, out of the doctor's intuition, he immediately felt that something was wrong with this patient's condition, and hurriedly said to Dr. Yang: "No! Doctor Yang! That little girl definitely doesn't have a stomach cold, let's go to the infusion room immediately." ”
As he spoke, Chen Tianlin immediately turned around and walked quickly towards the infusion room.
When Chen Tianlin and Dr. Yang came to the infusion room, they immediately saw a little girl gasping for breath and leaning back on the chair with her whole body weak.
Seeing this scene, Chen Tianlin immediately realized that something was going to happen, and hurriedly rushed into the infusion room, but when he rushed in front of the little girl, the little girl's body was crooked, and the whole person fell into shock.
When Chen Tianlin saw this scene, without saying a word, he directly closed the infusion tube, took the infusion bottle off the shelf, and then picked up the little girl who was in shock and rushed towards the rescue room.
Just when Chen Tianlin was rushing towards the rescue room with the little girl in her arms, the little girl's mother walked to the door of the infusion room with the medicine she had just retrieved in her hand, and when she saw the daughter Chen Tianlin was holding in her arms, her face couldn't help but change, and she asked Dr. Yang who was following Chen Tianlin: "Doctor, what's wrong with my daughter?"
Dr. Yang had already realized that something was wrong the moment he saw the little girl in a state of shock, although he repeatedly asked the little girl's mother in advance to take the little girl to have a check-up, but because of the opposition of the little girl's mother, he finally did not insist on his own opinion, in this case, if the little girl had three strengths and two weaknesses, his career would definitely be stained because of this.
Faced with the patient's mother's inquiry, Dr. Yang replied very angrily: "When I helped your daughter see a doctor just now, I asked you to go for a check-up, but you didn't agree with anything, and insisted that I be prescribed medicine according to the symptoms of gastrointestinal colds. ”
Chen Tianlin took the little girl to the rescue room quickly, he put the little girl on the rescue bed, and instructed the nurse who followed closely: "Immediately draw blood for the patient, and then send it to the laboratory for examination. ”
Just when Chen Tianlin instructed the nurse to draw blood for the patient, Chen Tianlin quickly installed the life monitor on the patient, and found that the patient's heart rate reached 18 and the blood oxygen saturation reached more than 90.
Seeing this scene, Chen Tianlin immediately realized that the patient's condition was very critical, and he could die suddenly due to arrhythmia at any time, and while cutting the patient's clothes with scissors, he did not forget to tell Dr. Yang who followed closely behind: "Doctor Yang, prepare a defibrillator immediately!"
When Chen Tianlin saw Dr. Yang pushing the defibrillator into the emergency room, he immediately instructed him: "Synchronous electric conversion to 100 joules!"
"Director Chen! Synchronous electroconversion to 100 joules! Received!" Doctor Yang, who was in a nervous mood, heard Chen Tianlin's order, and immediately adjusted the defibrillator according to Chen Tianlin's request, and then handed the defibrillator to Chen Tianlin.
Chen Tianlin took the defibrillator from Dr. Yang's hand and immediately performed cardiac resuscitation on the patient, only to find that the patient did not respond at all, and immediately instructed the nurse: "Immediately perform a central venous catheter on the patient and prepare to pump dopamine." ”
After seeing the nurse run out of the emergency room, Chen Tianlin immediately reached out to hold the patient's wrist, and did not forget to activate the human image scanning system to scan the whole body of the patient who was in shock.
"Master! This patient has viral myocarditis! This disease is difficult to detect at all if it is not carefully examined!" Just as Chen Tianlin was helping the patient to make a diagnosis, he suddenly received a message from the medical assistance system.
A variety of viruses can cause myocarditis, among which the viral infection that causes intestinal and upper respiratory tract infections is the most common, and because the clinical manifestations depend on the extent and location of the lesion, it is a very easy case to cause misdiagnosis.
After learning the cause of the patient's illness, Chen Tianlin did not immediately state the result, but asked the patient's family who was standing anxiously at the door of the emergency room like ants on a hot pot: "Patient's family, did your child have a history of upper respiratory tract or intestinal infection before the onset of the disease?"