When a doctor opened a plug-in

Emergency allergy patients 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 if he has no skills.

Seeing Chen Cang coming, the child's parents asked anxiously: "Doctor, look at the child, what's wrong?"

The middle-aged man was holding the boy. It seemed that something was wrong and he was drowsy.

Chen Cang frowned upon seeing this!

This is not sleeping...

Is this... anaphylactic shock?

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

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

I picked up my clothes quickly, and saw many red rashes on my belly and chest.

Chen Cang was about to ask the little boy, but suddenly he passed out into a coma, and suddenly the child's mother started to cry.

"Doctor, save the child, he...what happened to him?"

The little boy's father was also panicked.

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

Turning to face his parents: "What's the matter with him?"

The little boy’s mother was already crying, and the man was also a little bit arrogant. Hearing Chen Cang’s words, he quickly said: “After eating dinner at night, he was playing mobile games and suddenly started saying that his chest was tight. I thought it was because the game was lost. Pay attention to him."

"After a while, he suddenly told me uncomfortably, saying that his stomach hurts, and he didn't feel irritable. I saw that there was something wrong with him, so I sent it to the community, and the community asked us to rush to the emergency center."

Chen Cang frowned: "The child may be allergic. Did he eat anything or come into contact with any special allergens?"

The man suddenly remembered: "Does it count if I 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 switched on, and he said quickly, "Breathe 31 times per minute! The blood oxygen protection degree is 89!"

After Chen Cang heard it, he guessed it.

Anaphylactic shock!

"Prepare for tracheal intubation!"

Now that the oxygen is enough, the little boy’s airway must be somewhat obstructed, and the throat is severely edema!

Open the airway first, then give oxygen!

"0.5ml of adrenaline is injected subcutaneously."

"5% dextrose solution drip to keep the intravenous administration unblocked!"

Here, Chen Cang turned to his family and said, "The little boy may be allergic to kiwis!"

After hearing this, the little boy's mother said immediately: "...Impossible?"

"After he ate kiwi fruit last week, he said he liked it very much. I bought some for this Saturday. If he is allergic...Is it allergic last time?"

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

Chen Cang turned to Cheng Yi and said, "Venous puncture injects 0.2 ml of adrenaline."

Adrenaline is the father's level in emergency medicine!

Can deal with many complicated acute diseases!

For anaphylactic shock, it is also the drug of choice.

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

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

The application can be repeated several times during the course of the disease.

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

Chen Cang looked at the little boy's situation and was also a little nervous.

He is young, only ten years old, and his adrenaline is almost the same.

If the shock persists and does not get better, this is a serious case, and you have to take drugs such as dexamethasone.

The parents of the little boy were also more anxious. They didn't dare to speak loudly in the rescue room, but they were still full of curiosity. Why was it okay to eat kiwi for the first time and allergic the second time?

and……

After allergies, why hasn't it improved?

Could it be a misdiagnosis?

"Doctor, I'm not skeptical...may I make an opinion? Could it be an allergy? The last time I ate kiwi, it was fine, but this time I was suddenly allergic. I always feel a little suspicious..."

Now, all patients can do is wait.

At this time, another doctor on duty came in from outside: "Doctor Chen, can you help me see, what's the matter with this ECG?"

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

At this look, Chen Cang suddenly frowned.

"S1Q3T3?" Chen Cang said suddenly, "have you ruled out pulmonary embolism?"

After Zhang Yuan heard this, he was taken aback: "Pulmonary embolism?"

Chen Cang nodded: "Well, this electrocardiogram is a typical S1Q3T3, plus sinus tachycardia and right bundle branch block, it is a pulmonary embolism in all likelihood, please let the patient complete the examination!"

"By the way, you first notify the thoracic surgery consultation. I think the patient is not well, and the diagnosis is made as soon as possible! Don't delay."

After listening, Zhang Yuan hurriedly got up and ran out: "Thank you, Doctor Chen!"

Here, Cheng Yi was overjoyed: "Doctor Chen, the patient's blood pressure is up! The blood oxygen protection is also recovering!"

Chen Cang breathed a sigh of relief. It seemed that there was no need to take too many anti-allergic drugs.

The blood pressure has come up, the shock has improved, and the condition can basically stabilize.

Chen Cang turned and explained: "The patient should be allergic to kiwi, and the symptoms are immediate allergic reactions.

This kind of allergies usually occurs within 5-20 minutes, not more than half an hour at most."

"Fortunately, you are here in time. If this symptom is not taken seriously, or the time for medical treatment is delayed, it is likely that the major organs will cause a very large impact and harm, and it may even be life-threatening."

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

Chen Cang thought of the child's father saying that the little boy might have lost his breath while playing games, and 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 in his stomach.

If the child really had nothing but to do...the two of them couldn't imagine the scene.

"Thank you doctor! Thank you so much," the woman said quickly, "It scared me to death!"

After speaking, the woman hurried over, touching the child's face with trembling hands.

Chen Cang nodded; "It's okay."

After speaking, Chen Cang looked at the little boy and it seemed that there was no problem, and he was going to go out to see Zhang Yuan's patient who might be pulmonary embolism.

Just getting up, Chen Cang suddenly thought of another thing.

That is, the patient does not seem to know much about allergies.