"what happened?"

"Why do you suddenly become so powerful?"

Blood oxygenation,

Low blood pressure,

What is the first reaction?

Heart and lung function!

Soon I found the stethoscope and listened to the patient's heart and lungs.

This listen,

Intended Zhang was shocked!

He found that the patient's lungs were full of wheezing~!

Quickly rehydration-, anti-shock...

Then use adrenaline, adrenal cortex hormone and norepinephrine-and other rescue drugs...

The operation cannot be continued, the root cause must be found before the operation can be continued...

The wet gauze covered the surgical field and the operation was stopped.

Then rescue...

Then consider "wheezing in both lungs"...

The first reaction is "bronchial spasm" (similar to the breathing shock sound of a patient's acute attack of asthma or throat edema).

"It must be an allergy. The allergy caused bronchospasm, and then anaphylactic shock..."

"Is the patient allergic to something?"

"That's not right. During the perioperative period, didn't you have an allergy test? How can you still be allergic?"

"Before the operation, did you ask the patient what he was allergic to?"

"I have asked, the patient said no..."

Everyone is stunned...

Full of doubts.

"Xiao Chen, go and ask family members, what are the allergies..."

Doctor Zhang ordered.

One minute later, Xiao Chen walked back quickly: "Family said, there is nothing allergic..."

This is strange.

10 minutes later……

The patient's condition began to'heal', the wheezing disappeared, the blood pressure rose, and the heartbeat was safe.

This shows what?

It shows that the medication given to the patient is effective!

It shows that the diagnosis of anaphylactic shock is correct!

but,

What exactly is the patient's allergen?

The patient is under anesthesia and cannot ask.

Surgery, stalled.

Everyone is Muggle!

Can't find the answer.

I couldn't go through the operation, and I couldn't explain to my family when I went back.

"Or, Dr. Zhang, I call to ask Dr. Lin Feng?"

At this time, a Gui Pei student, a graduate student of Lin Feng, knew Lin Feng very well.

When the chief surgeon Doctor Zhang heard it, his eyes lit up.

He is also one of Lin Feng's fans.

"Okay, you call Dr. Lin to see if he is free..."

...

Human life matters, Lin Feng of course is free...

5 minutes later,

Lin Feng hurried to the operating room.

First, let's learn about the patient's shock process, and finally confirmed that it is indeed allergic shock.

Then I checked all the medicines, and the preparations for the perioperative period... ruled out the possibility of drug allergy.

finally,

Lin Feng looked at the latex gloves worn by the doctors and nurses.

"It should be latex allergy..."

Lin Feng said his answer.

Latex allergy?

The doctors and nurses were dumbfounded and looked at each other.

"No, I had my first operation a week ago. Why was there no allergies at that time?"

"Yes... this operation is a second operation."

They have worked for more than ten years and have not encountered a case like this.

Lin Feng explained: "This is to talk about the "sensitization phase" and the "stimulation phase" of "latex allergy"..."

·『Allergy phase』:

When a patient who is allergic to latex comes into contact with latex for the first time, the B lymphocytes in the body of the allergic patient will produce and release a large amount of IgE, which is specific to the latex, that is, antibodies.

These IgE molecules can be tightly attached to the surface of mast cells distributed in the subcutaneous, nasal cavity, upper respiratory tract mucosa, and digestive tract.

The state of this sensitization can last from six months to several years.

Therefore, people who are exposed to latex, an allergen for the first time, may not show allergic symptoms.

and,

·"Inspiration Phase":

When the patient comes into contact with latex again, the IgE molecules (antibodies) that have been attached to the surface of mast cells and basophils will be bound by latex molecules, which is called antigen-antibody binding.

This combination induces the activation of mast cells and basophils and releases the allergenic substances contained in the cells.

After everyone listened to Lin Feng's explanation,

0 ········Find flowers·····

Suddenly realized.

The young anesthesiologist felt a little ashamed, because as an anesthesiologist, he didn't even understand this, so he shouldn't.

Lin Feng: "Replace latex gloves with plastic film gloves..."

Plastic film gloves are the kind of gloves usually used for Zhou black ducks, gnawing trotters, and peeling lobsters.

The hospital has special film gloves, which are sterile.

But this glove is not as easy to use as rubber gloves, it is easy to break, and it feels bad.

Therefore, it is generally not used on the operating table.

Wear latex gloves first, then plastic film gloves.

Continue surgery...

Doctor Zhang finally asked Lin Feng to perform this operation, because he knew that Lin Feng's operation was of high quality, and the hospital was well-known and precious, so he couldn't miss this opportunity.

. ...... .......

Lin Feng did not decline.

Received the surgeon.

20 minutes later...

The operation is over!

The operation went well, and the patient never developed allergies again.

so,

It was determined that the latex gloves caused the patient's allergies, which further led to shock.

...

Digression:

The meaning of allergies: The immune system misjudges some originally harmless substances as an incorrect overreaction that is a potential threat to us.

...

...

From the operating room back to the emergency department,

On the way,

Ling Ling Ling~~~~

A phone call,

Is a high school classmate.

Lin Feng: "???"

The first reaction is: Is it because I am sick again?

Connected.

"Lin Feng...help me..."

"Huh? What's the matter?"

"One of my uncles went up the mountain and was bitten by bamboo leaf green... The doctor at the county hospital said there was no anti- bamboo leaf green snake venom serum, only anti-viper venom serum. I was afraid that it would not work. Thinking of you..."

Lin Feng: "..."

Cover your face! !

Anti-Bamboo Leaf Green Toxin Serum?

There is no such thing!

The county hospital fucks!

——————————

ps: End of today...

. . . . again.

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