I Can See Health

   Chapter 143 Atrial fibrillation at will!

   Diarrhea itself will not cause a big problem, and it will not kill people.

   But if you suffer from severe diarrhea for a long time, it is possible to expel some potassium ions and calcium ions from the body, and the body will experience electrolyte imbalance, and severe electrolyte imbalance will be fatal.

   For example, hypokalemia, manifested as limb weakness or even arrhythmia.

   "I've only seen such severe diarrhea in books." Wang Xiaodong frowned.

   "Cholera?" Lu Chen responded.

   "Yes." Wang Xiaodong nodded, "I heard the director said that they had a lot of cholera at that time, and cholera would be scary. But now cholera is hardly seen. But we must be vigilant."

  Cholera, with rapid onset and rapid spread.

  The main manifestations are diarrhea, "rice-like" stools, and vomiting. It is an international quarantine infectious disease. In my country, cholera is a Class A infectious disease.

"Doctor, give me some glucose first, I'm afraid I will faint." Xiao Yunfei was a little anxious when she saw Wang Xiaodong's delay in prescribing the medicine, "I heard that glucose can replenish energy, but I haven't been well for several days. ate."

  Wang Xiaodong comforted: "Don't worry, just see clearly. How is your physical condition?"

   "It's all fine, nothing sick." Xiao Yunfei replied.

  Wang Xiaodong nodded and turned to Lu Chen.

"In view of the fact that the patient had eaten unclean food before diarrhea, and the diarrhea was so severe, considering that the possibility of acute gastroenteritis is the highest, we will do a routine stool test for him, and then do an abdominal B-ultrasound to see and observe with some antibiotics. "

  Wang Xiaodong finished all the doctor's orders.

   Before leaving, he asked Lu Chen to do an electrocardiogram on the patient.

  This electrocardiogram is routine.

   No matter what the problem is, as long as it is an adult, the first thing to do when you come to the emergency room is to have an electrocardiogram.

  Lu Chen turned on the electrocardiograph and quickly performed an electrocardiogram on the patient.

   "The electrocardiogram is fine, but the heart rate is too fast." Lu Chen said to Xiao Yunfei.

   "Well, thank you doctor."

  Xiao Yunfei paid the money, left the stool, and went for an abdominal ultrasound.

   For patients with diarrhea, in addition to acute gastroenteritis, it is also necessary to consider whether there are other problems.

   Such as kidney stones, appendicitis, etc.

  Don’t think that kidney stones will only cause back pain, and appendicitis will only cause abdominal pain. These diseases may cause diarrhea, and similar to gastroenteritis, there is no evidence without examination.

   The ultrasound results came out soon, and the liver, gallbladder, pancreas and spleen were basically normal.

  Lu Chen looked at the existing auxiliary examinations.

   thinking about the patient's possible diagnosis.

   He has performed a physical examination on the patient just now, and the abdominal examination was negative.

   The most likely diagnosis at present is what Wang Xiaodong said, acute gastroenteritis!

   However, Lu Chen always felt that something was wrong.

   A simple acute gastroenteritis will definitely not make the HP only 64.

   This value has reached a dangerous limit.

   At this time, Wang Xiaodong returned to the emergency ward.

   He also saw the patient's ultrasound results.

   "Junior Brother, I'm still considering gastroenteritis. Please give the patient some levothane."

   "Okay." Lu Chen nodded, currently he can only listen to the doctor's orders.

   Levofloxacin injection, which is a relatively broad-spectrum antibiotic, has a good effect on the treatment of infectious diarrhea.

   "Doctor, is it necessary to use some antidiarrheal medicine? I just took it again." Ms. Xiao asked Wang Xiaodong with a sad face.

"After using the medicine, observe it again. Diarrhea is not always a bad thing. It can expel all the unclean things in the stomach, and it's fine. I'll give you more water, electrolytes, and energy. , if the diarrhea is not good, I will give you some antidiarrheal medicine." Wang Xiaodong explained.

  Xiao Yunfei heard the words and went to the toilet at ease.

  Lu Chen also returned to the doctor's office.

   "Junior brother, what kind of patient came in just now?" He Qin smiled and looked at Lu Chen.

  Lu Chen replied: "The patient with diarrhea, the abdominal ultrasound is normal, it may be acute gastroenteritis."

   "Oh, this season, if you don't eat cleanly, you can easily get gastroenteritis." He Qin said.

  Lu Chen smiled and said nothing.

   He always felt that this patient must not be so simple.

   But now I can only observe it with medication.

   After Xiao Yunfei was dealt with, several more patients came to the emergency department one after another.

   Most of them are patients with abdominal pain, chest pain, fever and cough.

  Lu Chen followed Wang Xiaodong to deal with several patients, and gained 3 points of gratitude.

  …

after an hour.

   Just when Lu Chen was about to forget Xiao Yunfei.

   At some point, she was standing at the door of the doctor's office.

   "Doctor, why do I feel some chest tightness?"

  Xiao Yunfei covered her chest with one hand, with a pained look on her face.

   At this time, Wang Xiaodong just went to the ward to see the patient.

   There are only Lu Chen and He Qin in the office.

  Lu Chen looked a little puzzled.

   Chest tightness?

   She didn't have this symptom before!

  He Qin whispered from the side: "Junior brother, could it be drug allergy? Some people are easily allergic to antibiotics such as levofloxacin."

  Lu Chen frowned, but just now the patient said that he usually has no food allergies.

   "It should not be an allergy. Almost all drug allergies occur during the use of the drug, especially 30 minutes before the drug is used. I have never heard of the allergy after the drug is finished. This is not logical." Lu Chen said.

  He Qin nodded and said, "It's fine as long as it's not a drug allergy, otherwise it's troublesome if the drug allergy causes chest tightness."

   Drug allergy, which is very likely to cause anaphylactic shock, or even laryngeal edema, with the risk of suffocation.

   Then what is the reason?

   Looking at Xiao Yunfei's frown, it seems that her chest is really uncomfortable.

  Lu Chen stepped forward and auscultated Xiao Yunfei's heart with a stethoscope.

"broken!"

   As soon as the stethoscope touched her chest, Lu Chen heard a frantic rhythm, his heartbeat was very fast, hopping!

   No wonder she was so uncomfortable!

   At least he has a heartbeat of 160 beats/min. No one can stand such a fast heartbeat.

   With such a fast rhythm, the heart cannot pump blood normally, so both the brain and the heart will be ischemia, and chest tightness is inevitable!

  He Qin also stepped forward to auscultate her heart, her expression was exactly the same as Lu Chen's.

   Heartbeat is so fast, what happened?

  Why is there an arrhythmia?

  Lu Chen brainstormed right away.

   "Auntie, did you have a heart attack before?"

   Xiao Yunfei shook his head: "No."

  Lu Chen raised his brows, this was the first time arrhythmia appeared!

   "Auntie, then we need to review another electrocardiogram."

   "Okay, listen to you." Xiao Yunfei was very cooperative.

When    came to the ward, Lu Chen and He Qin reviewed an electrocardiogram for her.

   "Rapid Atrial Fibrillation!"

   After getting the electrocardiogram, Lu Chen immediately made a diagnosis.

   A normal human heart beats very regularly, beating at the same time interval.

   But people with atrial fibrillation.

  The heartbeat is irregular, sometimes fast, sometimes slow.

  The heart is free.

   (end of this chapter)