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Chapter 1086: Reaction Mechanisms in Allergic Patients

Patients with emergency allergies may be one of the most common diseases.

As a common and common disease in emergency rooms, Chen Cang can handle it proficiently even if he does not have the skills.

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

The middle-aged man held the boy, and the situation seemed to be very wrong and he was already drowsy.

Seeing this, Chen Cang frowned immediately!

This is not sleeping...

Is this...allergic shock?

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

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

I quickly lifted my clothes up, and I saw a lot of red rashes appearing on my stomach and chest.

Chen Cang was about to ask the little boy, but he suddenly fell into a coma. The child's mother suddenly burst into tears.

"Doctor, save the child, he...what is wrong with him?"

The little boy's father was also suddenly panicked.

Chen Cang quickly asked Cheng Yi, who was on duty, to help connect the electrocardiogram monitor.

Turning around to his parents: "What's going on with him?"

The little boy's mother was already crying, and the man was a little confused. When he heard Chen Cang's words, he quickly said, "After dinner in the evening, he was playing mobile games, and suddenly he started to say that he was so tight that he was not good. I thought the game was lost, so I ignored him."

"After a while, he suddenly told me uncomfortable, saying that his stomach hurts and he can't feel angry. When I saw something was wrong with him, I sent him to the community. The community asked us to send him to the emergency center as soon as possible."

Chen Cang frowned: "The child may be allergic. Have you eaten anything or exposed to any special allergens?"

The man suddenly remembered: "Is it okay to eat a kiwi tonight?"

At this time, the monitor alarm sounded.

"Doctor Chen, your blood pressure is only 80/40mmhg!" Cheng Yi's electrocardiogram monitor was turned on and he hurriedly said, "Breathe 31 times per minute! Blood oxygen protection is 89!"

After hearing this, Chen Cang guessed it almost the same.

Allergic shock!

“Prepare for intubation!”

Now it’s so irritating to inhale oxygen. The little boy’s respiratory tract must be a bit blocked and his laryngeal edema is severe!

Open the airway first, then give oxygen!

"Adrenaline 0.5 ml subcutaneous injection."

"5% glucose droplets to maintain unobstructed intravenous administration!"

On this side, Chen Cang turned around and said to his family: "The little boy may be allergic to kiwi fruit!"

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

"After he ate kiwi last week, he said he liked it very much. I bought it some today on Saturday. If you are allergic... I was allergic last time, right?"

Chen Cang is now unintentional to explain because the little boy's condition has not yet been significantly relieved.

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

Adrenaline is the dad-level in first aid medications!

Can deal with many complex acute diseases!

It is also the first choice for allergic shock.

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

It can also resist the release of mediators of some type 1 allergic reactions, so it is the first choice for treating this disease!

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

However... Generally speaking, after 1 to 2 adrenaline injections, most patients can gradually recover within half an hour.

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

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

If shock continues to fail to improve, this is a serious case, and drugs such as dexamethasone must be used.

The little boy's parents were also anxious and did not dare to speak loudly in the rescue room, but they were still curious about why they were allergic to eat kiwi for the first time, but they became allergic to the second time?

and……

Why haven't I improved yet after allergies?

Could it be a misdiagnosis?

"Doctor, I'm not suspicious... Can I give you an opinion? Is it not allergies? I took kiwi fruit last time, but this time I suddenly felt allergic, and I always felt a little uneasy..."

Now, all patients can do is wait.

At this time, another doctor on duty ran in outside: "Doctor Chen, please help me see what's going on with this electrocardiogram?"

Chen Cang was about to explain, but when he saw the doctor on duty running in Zhang Yuan, he took the electrocardiogram and started to look carefully.

When Chen Cang saw this, he immediately frowned.

"s1q3t3?" Chen Cang suddenly said, "Have you ruled out pulmonary embolism?"

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

Chen Cang nodded: "Well, this electrocardiogram is a typical s1q3t3. With sinus speed and right bundle branch block, it is probably a pulmonary embolism. You should ask the patient to complete the examination!"

"By the way, you should inform the thoracic surgery consultation first. I guess the patient's condition is not good, so I will confirm the diagnosis as soon as possible! Don't delay it."

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

On this side, Cheng Yi was immediately happy: "Doctor Chen, the patient's blood pressure is rising! 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.

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

Chen Cang turned around and explained: "The patient should be allergic to kiwi fruit, and the symptoms are allergic reactions in rapid hairstyles.

This allergic constitution usually occurs within 5 to 20 minutes, and at most no more than half an hour."

"Fortunately, you came in time. If this onset symptoms are not taken seriously or the medical treatment time is delayed, it is likely that major organs will cause great impact and harm, and in severe cases, it may even endanger life."

"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 playing games, so he couldn't help but sigh.

The little boy suddenly turned over and opened his eyes.

The little boy's parents suddenly felt relieved!

A nervous heart finally came to my stomach.

If the child really had nothing but something... neither of them dared to imagine that scene.

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

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

Chen Cang nodded; "It's okay."

After saying that, Chen Cang looked at the little boy and seemed to have no problem. He was going out to see Zhang Yuan, the patient who might have been pulmonary embolism.

As soon as he got up, Chen Cang suddenly remembered another thing.
Chapter completed!
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