Chapter 252: The Eye of a Needle Under the Collarbone!
What he meant was that Lin Yi said that it was an allergy without careful observation, which was too hasty.
When the young doctor wearing glasses said this, many doctors at the scene also felt reasonable.
Lupus erythematosus does have this symptom as well.
Maybe Director Liu really isn't allergic!
At this time, the doctors and nurses on duty in the emergency department also rushed over.
They ran all the way with stretchers and various medical supplies.
In the conference room, everyone also consciously made way for them.
"We're here."
"Huh? Dr. Lin, are you here too? ”
The emergency doctor who took the lead was called Yang Hang, and he looked at Lin Yi and said.
"Hmm."
Lin Yi nodded and greeted him.
"Hurry up and save people first!"
Director Chen hurriedly pointed to Director Liu who was lying on the ground and said.
"Good!"
Yang Hang immediately stepped forward and squatted next to Director Liu.
After some examination, the nurse gave ECG monitoring.
Blood pressure 98/64 hg, breaths 29 breaths per minute, heart rate 115 beats per minute, body temperature 37.8.
Judging by the vital signs, there are no major problems.
But often the problem that doesn't see the big problem is the problem!
The young doctor with glasses said to Yang Hang:
"Dr. Yang, my preliminary inference is lupus erythematosus, Director Liu often stays up all night for surgery, and his low immunity is invaded by the virus and infected, so there are so many red spots on his body."
Yang Hang observed the red spots on Director Liu's chest and abdomen, nodded, and said:
"It does look a bit like it, while Director Liu's symptoms are still relatively mild, let's send it back to the emergency department for an examination first."
"If lupus erythematosus is true, it can be treated directly with non-steroidal anti-inflammatory drugs plus antimalarials."
"You don't have to worry, Director Liu will leave it to us."
Just as several medical staff were about to carry Director Liu onto a stretcher and take him away.
Lin Yi suddenly stopped with a voice:
"No, it can't be treated with NSAIDs! Director Liu is not lupus erythematosus, he is allergic! And it's a contrast allergy! ”
"What? Contrast allergy? ”
"Director Liu is allergic to contrast media? How can it be! The red spots on his body are very similar to lupus erythematosus. ”
"Where is Director Liu going to inject contrast media? Don't talk nonsense! ”
Many doctors at the scene were skeptical of Lin Yi's judgment.
There are also patients with contrast allergies, and a small number of patients will have allergic reactions such as nausea, vomiting, itchy skin and erythema after cardiovascular angiography.
That's because most of the contrast agents on the market today are of two types.
One is an ionic contrast agent, such as 60%-76% gastrografin.
There is also a non-ionic contrast agent, such as Youweixian, iohexol, Ionapex, etc., as well as hypotonic ionic contrast agents.
The first type of contrast agent, gastrografin, requires an iodine allergy test before use.
If the patient is allergic to the first type of contrast medium, it cannot be used and only the second type can be used.
However, in the second case, a small number of patients will experience symptoms such as nausea, vomiting, and itchy skin.
So it's not impossible for Lin Yi to say this.
However, where did Director Liu go to lose the contrast agent?
Could it be when you go to the imaging department?
A small number of doctors at the scene who chose to believe Lin Yi couldn't help but think about where Director Liu lost the contrast agent.
Did you lose it during the examination in the imaging department?
What kind of contrast agent is entered? And what is the dose?
Yang Hang was stunned for a moment, looked at Lin Yi, and hesitated:
"Won't you, Dr. Lin?"
"No, I think Director Liu is more likely to have allergies, don't use drugs to treat Director Liu."
"In this way, it will not only delay the condition and cause anaphylactic shock, but also easily cause damage to other organs."
"This ........."
Yang Hang frowned and couldn't help but hesitate.
Because Lin Yi was a person in the independent consultation room of their emergency department, Yang Hang naturally knew his level.
"Forget it, anyway, let's do the inspection first."
Followed by. Yang Hang said directly, and then beckoned someone to carry Director Liu away.
But just when a few people were about to carry Director Liu onto the stretcher, suddenly, a rapid alarm sounded on the ECG monitor!
Drip! Drip! Drip!
Blood pressure is dropping, directly down to 83/52hg!
The breath is starting to drop, too!
Just now it was 29 times/min, now it's 14 times/min!
And the heart rate, which was above 110 just now, has now dropped to 85 immediately!
And it's not all, it's still declining!
Sudden descent, it must be abnormal!
"One epinephrine, plus one hydrocortisone, intravenous!"
"Director Liu is definitely allergic! If you look under his collarbone, it's clear that there's a needle's eye! ”
"How can you get the eye of the needle here with normal infusion?!"
"It must be a heart problem, so I put the puncture point here, which is the closest to the aortic arch."
"Therefore, Director Liu must have gone to the imaging department for a cardiovascular examination!"
As soon as they heard Lin Yi's analysis, the people around him were stunned.
It was the head of the word, as if he had seen it with his own eyes.
A doctor also took a closer look under Director Liu's collarbone and found that there was really a needle's eye!
"I think it should be allergies, let's use epinephrine plus glucocorticoids to treat them with anti-allergies first to avoid the symptoms of shock."
The doctor couldn't help but say, but the medical staff were still hesitant.
Do you listen to them or not?
What if something happens?
Director Liu, who was lying on the ground, was still dropping his blood pressure and heart rate!
The few people who came with Yang Hang just couldn't take the medicine!
Lin Yi couldn't help but say anxiously:
"Hurry up and save people! Can't you confirm that it's an allergy? Do you have to wait until you have anaphylactic shock to tell if it's allergic? ”
At this time, Director Chen on the side suddenly spoke:
"Just do as he says! Follow the anti-allergy treatment! I immediately called the imaging department to see if Director Liu had done a check-up in the morning! Save people first, save people is important! ”
Since Director Chen has said it, they have no choice but to do it.
One dose of epinephrine plus one dose of hydrocortisone is given intravenously.
Expand blood volume and rehydrate abundantly.
"Two more adrenaline!"
Immediately afterwards, Lin Yi said again.
"Injections?"
"Yes, injection!"
"Promethazine, diphenhydramine."
"Okay, then diphenhydramine, intramuscular."
Diphenhydramine is an antihistamine and is a drug used to treat severe allergies.
Yang Hang immediately asked the nurse to administer intramuscular injection.
At this time, Director Chen came back after making a phone call.
I saw that he frowned, and the look in his eyes when he walked in looked at Lin Yi was very strange.
"How about Director Chen? Did the director really do a cardiovascular imaging examination? ”
A doctor asked curiously.
Director Chen forcibly suppressed the shock in his heart and said:
"Well, Director Liu, he did a cardiovascular angiogram!"
"This ...... What?! ”
"Really?"
"It seems that Dr. Lin is right!"
Suddenly, the entire conference room resounded with an exclamation!
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Chapter 252: The Eye of a Needle Under the Collarbone! Free to read.