Doctor Started a Plug-in

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Emergency allergy Patient may be one of the most common diseases.

As a frequently-occurring and common disease in the emergency department, Chen Cang can handle it skillfully even without skills.

Seeing Chen Cang coming, child’s parents anxiously asked: “Doctor, look at child, what’s wrong with this?”

The middle-aged man hugged the male child, the situation seemed very wrong, and was already drowsy.

Chen Cang saw this, and immediately frowned!

This is not sleep…

Is this…allergic shock?

Thinking of this, Chen Cang took the little boy directly to the rescue room. If it is really allergic, once severe, anaphylactic shock is also a very troublesome thing.

Bringing his family to the rescue room, Chen Cang suddenly saw a rash on the little boy.

I quickly lifted the clothes and saw a lot of red rashes on my stomach and chest.

Chen Cang was about to ask the little boy, but he suddenly fell into a coma. The child’s mother suddenly cried out in shock.

“Doctor, save the child, he… what’s wrong with him?”

The little boy’s father also panicked.

Chen Cang quickly asked Cheng Yi on duty to connect to the ECG monitor.

Turned to his parents: “What’s the matter with him?”

The little boy’s mother was crying, and the man had some 6 gods. Hearing Chen Cang’s words, he quickly said, “After eating at night, he is playing a mobile game, and suddenly he starts to say that his chest is tight. I thought the game was lost. , Just ignore him.”

“After a while, he suddenly told me uncomfortably, saying that his stomach hurts, and he felt uncomfortable. When I saw that he was not right, he sent it to the community. The community sent us to the emergency center.”

Chen Cang frowned: “The child may be allergic. Have you eaten anything or been exposed to any special allergens?”

The man suddenly remembered: “Is it ok to eat a kiwi at night?”

At this time, the monitor alarm sounded.

“Dr. Chen, the blood pressure is only 8040mmHg!” Cheng Yi’s ECG monitor was connected and said quickly, “hu sucks 31 times per minute! The blood oxygen protection degree is 89!”

Chen Cang heard pretty close after hearing it.

Allergic shock!

“Prepare for tracheal intubation!”

Oxygen is enough to choke now, the little boy’s airway must be blocked, and his throat edema is serious!

Open the airway first, then give oxygen!

“0.5ml of epinephrine is injected subcutaneously.”

“5% glucose infusion to maintain smooth intravenous administration!”

Here, Chen Cang turned to his family and said, “The little boy may be allergic to kiwi!”

When the little boy’s mother heard it, he said, “…impossible, right?”

“After he ate kiwi last week, he said he liked it. Today I will buy some of it on Saturday 6. If I have an allergy…Is it allergic last time?”

Chen Cang has no intention of explaining now, because the little boy’s condition has not been significantly alleviated.

Chen Cang turned to Cheng Yi and said, “Intravenous puncture with 0.2 ml of epinephrine.”

Epinephrine is a father level in emergency medicine!

Can deal with many complex acute diseases!

For anaphylactic shock, medicine is also the first choice.

It can rapidly relax bronchospasm through the β receptor effect, and contract small peripheral blood vessels through the α receptor effect.

It can also resist the release of some type Ⅰ allergic mediators, so it is the first choice of medicine for the treatment of this disease!

It can be applied several times during the course of the disease.

But…generally speaking, after 1 or 2 injections of epinephrine, most patients can gradually recover from the symptoms of shock within half an hour.

Chen Cang looked at the little boy’s situation, but also a little uneasy.

Young, only ten years old, almost adrenaline.

If the shock does not improve, this is a serious case and you have to go to medicines such as dexamethasone.

The little boy’s parents are also anxious. They didn’t dare to speak loudly in the rescue room, but they were still curious. Why was it all right to eat kiwi for the first time, and allergic for the second time?

and……

After allergies, why hasn’t it improved now?

Is it a misdiagnosis?

“Doctor, I am not doubting…I would like to make an opinion? Will it not be allergic? The last time I ate kiwi fruit was okay, this time I was allergic suddenly, I always feel a little dangling…”

Now, all Patient can do is wait.

At this time, another doctor on duty ran in: “Dr. Chen, can you help and see, what’s going on with this ECG?”

Chen Cang was about to explain that when he saw Zhang Yuan, the on-duty doctor who ran in, he took the ECG and looked at it carefully.

At this point, Chen Cang frowned immediately.

“S1Q3T3?” Chen Cang said suddenly. “Did you rule out pulmonary embolism?”

After Zhang Yuan heard it, he was surprised for a moment: “Pulmonary embolism?”

Chen Cang nodded: “Well, this electrocardiogram is a typical S1Q3T3, plus sinus tachycardia, right bundle branch block, most likely a pulmonary embolism, you quickly let the Patient complete the examination!”

“By the way, you first inform the Department of Thoracic Surgery for consultation. I estimate that the patient is not in good condition. I will confirm the diagnosis as soon as possible! Don’t delay it.”

After listening, Zhang Yuan hurriedly got up and ran out: “Thank you Dr. Chen!”

Here, Cheng Yi suddenly said, “Dr. Chen, Patient’s blood pressure is up! Blood oxygen protection is also recovering!”

Chen Cang relaxed, it seems that you don’t need too much Anti-allergic medicine.

Blood pressure is up, shock is better, and the condition is basically stable.

Chen Cang turned around and explained: “Patient should be a kiwifruit allergy physique, and the symptoms are immediate allergic reactions.

This allergic physique usually appears in 5-20 minutes, and no more than half an hour. “

“Fortunately, if you come in time, if this symptom does not attract attention, or the time for medical treatment is delayed, it is likely that the major organs will cause great impact and harm, and even serious life-threatening.”

“You must value it in the future!”

Chen Cang thought of the child father saying that the little boy might not be able to lose the game, unable to bear sighed.

The little boy turned over suddenly and opened his eyes.

The parents of the little boy felt relaxed at once!

A restless heart was finally put in the belly.

If the child really did anything else… 2 people dared not imagine that picture.

“Thank you doctor! Thank you very much.” The woman said quickly, “Frightened me!”

After that, the woman hurried over and touched the child’s face with shaking hands.

Chen Cang nodded; “It’s all right.”

After finishing talking, Chen Cang looked at the little boy child and seemed to have no problem. Here he was going to go out and see Zhang Yuan’s Patient who might be a pulmonary embolism.

Just got up, Chen Cang suddenly remembered another thing.

That is, the Patient really doesn’t know much about allergies.