Chapter 1083

Emergency allergic patients may be one of the most common diseases.

As a frequently occurring and common disease in emergency, Chen Cang can handle it skillfully even if he has no skills.

Seeing Chen Cang coming, the child's parents asked anxiously, "doctor, look at the child. What's the matter?"

The middle-aged man held the boy. The situation seemed very wrong and he was sleepy.

Chen Cang frowned when he saw this!

This is not sleep

Is this... Anaphylactic shock?

Thinking of this, Chen Cang directly took the little boy to the rescue room. If it was really allergic, it would be very troublesome for allergic shock to break out once it was serious.

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

He quickly lifted up his clothes and saw a lot of red rashes on his stomach and chest.

Chen Cang was about to ask the little boy. He suddenly fell into a coma. Suddenly, the child's mother was scared and cried.

"Doctor, help the child, he... What's the matter with him?"

The little boy's father was also flustered.

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

Turning to his parents, "what's the matter with him?"

The little boy's mother was already sobbing, and the man was also a little distracted. Hearing Chen Cang's words, he hurriedly said, "after dinner in the evening, he was playing mobile games, and suddenly began to say that his chest was stuffy. I thought it was the game that lost, so I ignored him."

"After a while, he suddenly told me that he had a stomachache and didn't feel angry. When I saw that he was wrong, I sent him to the community. The community asked us to hurry 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: "did you eat a kiwi in the evening?"

At this time, the alarm sound of the monitor remembered.

"Dr. Chen, the blood pressure is only 8040mmhg!" Cheng Yi connected the ECG monitor and hurriedly said, "breathe 31 times per minute! The blood oxygen protection is 89!"

When Chen Cang heard this, he guessed that he would never leave.

Anaphylactic shock!

"Prepare endotracheal intubation!"

Now oxygen is choking. The little boy's respiratory tract must be blocked and his throat edema is serious!

Open the airway first, then give oxygen!

"Adrenaline 0.5 ml subcutaneously."

"5% glucose drip to maintain smooth intravenous administration!"

Here, Chen Cang turned to his family and said, "the little boy may be allergic to kiwi fruit!"

When the little boy's mother heard this, she immediately said: "... Impossible?"

"After eating kiwi fruit last week, he said he liked it very much. I bought some on Saturday today. If he was allergic... Was he allergic last time?"

Chen Cang has no intention to explain now, because the situation of the little boy has not been significantly alleviated.

Chen Cang turned to Cheng Yi and said, "intravenous injection of 0.2 ml adrenaline."

Adrenaline is the dad level in emergency medicine!

Can deal with many complex acute diseases!

It is also the first choice for anaphylactic shock.

Can pass β Receptor effect causes bronchospasm to relax rapidly through α Receptor effect causes peripheral small blood vessels to contract.

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

It can be repeated several times in the course of the disease.

But... Generally speaking, after 1 ~ 2 adrenaline injections, most patients' shock symptoms can gradually recover within half an hour.

Chen Cang looked at the situation of the little boy and was also a little uneasy.

Not very old, only ten years old, and the adrenaline is almost the same.

If the shock continues to improve, it is a serious case and dexamethasone is needed.

The little boy's parents are also worried. They don't dare to speak loudly in the rescue room, but they are still full of curiosity. Why is it okay to eat kiwi fruit for the first time and allergic for the second time?

And

After allergy, why hasn't it improved yet?

Could it be misdiagnosis?

"Doctor, I don't doubt... Can I give you a suggestion? Is it allergic? I ate kiwi fruit well last time. This time, I suddenly became allergic. I always feel a little hung up..."

Now, all the patient can do is wait.

At this time, another doctor on duty came in: "Dr. Chen, please help me see what's going on with this ECG?"

Chen cangzheng wanted to explain. Seeing the doctor on duty Zhang Yuan running in, he picked up the ECG and looked at it carefully.

At this look, Chen Cang immediately frowned.

"S1q3t3?" Chen Cang said suddenly, "have you ruled out pulmonary embolism?"

After hearing this, Zhang Yuan was stunned: "pulmonary embolism?"

Chen Cang nodded: "well, this ECG is a typical s1q3t3, plus sinus velocity and right bundle branch block. Nine times out of ten, it is a pulmonary embolism. Please let the patient improve the examination!"

"By the way, you first inform the thoracic surgery consultation. I guess the patient's condition is not very good. Make a diagnosis as soon as possible! Don't delay."

After hearing this, Zhang Yuan quickly got up and ran out: "thank you, Dr. Chen!"

Here, Cheng Yi was immediately happy: "Dr. Chen, the patient's blood pressure is up! The blood oxygen protection is also recovering!"

Chen Cang breathed a sigh of relief. It seems that he doesn't need too many anti allergic drugs.

When the blood pressure rises and the shock turns, the condition can basically stabilize.

Chen Cang turned around and explained, "the patient should have Kiwi allergic constitution, and the symptoms belong to rapid allergic reaction.

This allergic constitution usually occurs in 5 ~ 20 minutes, no more than half an hour. "

"Fortunately, you came in time. If you don't pay attention to the symptoms or delay the time of medical treatment, it is likely that the major organs will cause great impact and harm, and even life-threatening."

"You must pay attention to it in the future!"

Chen Cang thought of the child. His father said that the little boy might have lost his temper playing games. He couldn't help sighing.

The little boy here suddenly turned over and opened his eyes.

The little boy's parents suddenly felt relieved!

An uneasy heart was finally put into his stomach.

If the child is really anything else... Neither of them dare to imagine that picture.

"Thank you, doctor! Thank you so much." the woman said quickly, "I'm scared to death!"

With that, the woman hurried over and touched the child's face with trembling hands.

Chen Cang nodded; "It's all right."

After that, Chen Cang looked at the little boy as if he had no problem. Here he was going to go out to see Zhang Yuan, who might be a patient with pulmonary embolism.

Just got up, Chen Cang suddenly remembered another thing.

That is, the patient doesn't seem to know much about allergies.