Chapter 3417: 【3417】Accurate judgment
Some things need to be carefully recalled, studied and studied.
Big Brother Zhang\'s heart is like a needle in the bottom of the sea, and Brother Shen\'s heart seems to be almost like a sea fishing.
After receiving everyone\'s questioning gazes, Shin Woo-hwan asked, "What\'s your judgment?"
Senior brother is waiting for the performance of the little sister.
Xie Wanying immediately replied: "Both lungs have thick breath sounds, there are scattered moist rales, the heart sounds are fine, the heart rate is fast, 110 beats per minute, and the lips are a little cyanotic. The patient is young, in his thirties, not an elderly person, and his body is not very tall. Fat or thin, no unhealthy medical history is estimated. Excluding possible previous cardiopulmonary diseases, the first preliminary diagnosis is considered to be acute smoke inhalation lung injury. There should be pulmonary edema in the upper lobes of the lungs, and further CT examination is required. Targeted glucocorticoids and antibiotics to prevent infection."
This little junior sister, telling her to tell the truth, is to say all the things that should be said, including the diagnosis based on the medical history examination guidelines and treatment guidelines.
Shen Youhuan\'s smiling eyebrows raised, the corners of his eyes squinted, but he could see Cao Dong\'s startled eyes next to him, and his mind wandered, thinking of the person who had discovered the capital when he went to Pinghuai last time, and his younger sister. interested. Also, someone broke the news to them this morning, saying that his juniors and juniors went to visit and study at the Heart and Lung Research Institute in Guodu.
asked him to say that it would be better to run the Cardiovascular Research Institute in the capital rather than the Cardiovascular Research Institute in the capital. Feelings, little junior sister doesn\'t know Zhang Da Zhang\'s email address, can you take her to the Guozhi Research Institute at any time?
After listening to her diagnosis, Cao Dong and Shen Youhuan picked up the stethoscope and listened to the patient again. The two of them had already expected, and the situation they heard would not be different from what she said.
Speaking of acute smoke inhalation lung injury, it is different from carbon monoxide poisoning. It can only be said that it is related to carbon monoxide.
This correlation is manifested in that, on the one hand, carbon monoxide can be the main factor in this lung injury, and on the other hand, systemic carbon monoxide poisoning will aggravate the development of this lung injury.
What is acute smoke inhalation lung injury, as the name suggests, is the lung injury caused by the process of dense smoke entering the respiratory tract to the lungs. Thick smoke contains not only carbon monoxide, but also various chemical components that cause chemical irritation and damage to the respiratory tract. At the same time, the smoke particles in the thick smoke can cause physical damage to the airway.
The most conventional therapy is glucocorticoids to counteract inflammatory cell responses, and antibiotics are added for prophylaxis because glucocorticoid therapy may reduce the body\'s defenses. Other adjunctive treatments include antioxidant supplementation with vitamin C and vitamin E.
Little Junior Sister\'s answer is 100% correct, no need to be surprised at all.
The two teachers nodded, expressing their approval of her opinion: this patient needs to be taken to the hospital for examination, and it cannot be taken lightly.
Shin Woo-hwan stood up, raised his hand to greet the fellow ambulance from another hospital, and shouted, "Come here, there is a patient here with acute inhalation lung injury, send him to your hospital."
When it comes to ambulances in hospitals, no one likes to take critically ill patients if the circumstances allow, and they are most afraid that critically ill patients will die on the transfer road.
Now seeing that the patient is in a suitable condition, the hospital opposite happily pushed the stretcher bed and took the patient away.
(end of this chapter)