Chapter 1084 The Reaction Mechanism of Allergic Patients

Emergency allergy patients may be one of the most common.

As a frequently-occurring and common disease in the emergency department, even if Chen Cang has no skills, he can handle it proficiently.

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

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

Seeing this, Chen Cang immediately frowned!

This is not sleep...

Could this be... anaphylactic shock?

Thinking of this, Chen Cang took the little boy directly to the emergency room. If it was really allergic, it would be very troublesome if anaphylactic shock occurred if it was serious.

Taking his family to the rescue room, Chen Cang suddenly saw a rash on the boy's body.

He quickly took off his clothes and saw a lot of red rashes on his stomach and chest.

Just as Chen Cang was about to ask the little boy, he suddenly passed out in a coma, and the mother of the child was so frightened that she burst into tears.

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

The little boy's father also panicked.

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

Turning to his parents: "What's wrong with him?"

The little boy's mother was already weeping, and the man was a little helpless. Hearing Chen Cang's words, he quickly said, "After dinner, he was playing mobile games, and suddenly he started to say that his chest was tight. I thought it was because I lost the game, but I didn't. Take care of him."

"After a while, he suddenly told me uncomfortable, saying that he had a stomachache and felt out of breath. When I saw that something was wrong with him, I sent him to the community, and the community asked us to quickly send it to the emergency center."

Chen Cang frowned: "The child may be allergic, has he eaten anything or been exposed to any special allergen?"

The man suddenly remembered: "Does it count to eat a kiwi at night?"

At this time, the monitor alarm sound remembered.

"Dr. Chen, the blood pressure is only 80/40mmHg!" Cheng Yi's ECG monitor was connected, and he said quickly, "Breathe 31 times per minute! The blood oxygen protection degree is 89!"

After Chen Cang heard it, he also guessed the same.

Anaphylactic shock!

"Prepare for endotracheal intubation!"

Now that the oxygen is enough, the little boy's airway must be somewhat blocked, and the larynx is seriously edema!

Open the airway first, then give the oxygen!

"One percent epinephrine 0.5 ml subcutaneously."

"5% glucose drip to maintain smooth intravenous administration!"

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

After the little boy's mother heard it, she immediately said, "...Impossible?"

"After he ate kiwi fruit last week, he said he liked it very much. I bought some for this Saturday. If you are allergic... Did you have an allergy last time?"

Chen Cang has no intention of explaining now, because the little boy's situation has not eased significantly.

Chen Cang turned to Cheng Yi and said, "Inject 0.2 ml of 1% epinephrine by venipuncture."

Adrenaline is the father of emergency medicine!

Can deal with many complex acute diseases!

It is also the drug of choice for anaphylactic shock.

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

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

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

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

Looking at the little boy's situation, Chen Cang was also a little nervous.

Young, only ten years old, the adrenaline is about the same.

If the shock persists and does not improve, this is a serious case and drugs such as dexamethasone are required.

The parents of the little boy were also anxious. They did not dare to speak loudly in the rescue room, but they were still full of curiosity. Why was it okay to eat kiwi fruit the first time, but allergic to it the second time?

and……

After the allergy, why is it still not getting better?

Could it be a misdiagnosis?

"Doctor, I'm not doubting... May I give an opinion? Could it be an allergy? Last time I ate kiwi fruit and it was fine, but this time I have a sudden allergy, and I always feel a little overwhelmed..."

Now, all the patient can do is wait.

At this time, another doctor on duty ran in outside: "Dr. Chen, please help me, what's the matter with this electrocardiogram?"

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

Seeing this, Chen Cang frowned.

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

After Zhang Yuan heard it, he was stunned: "Pulmonary embolism?"

Chen Cang nodded: "Well, this electrocardiogram is a typical S1Q3T3, plus sinus tachycardia and right bundle branch block, it is probably a pulmonary embolism, you quickly ask the patient to complete the examination!"

"By the way, you should notify the thoracic surgery consultation first. I guess the patient's condition is not very good. Make a diagnosis as soon as possible! Don't delay."

After listening to Zhang Yuan, he hurriedly got up and ran out: "Thank you, Dr. Chen!"

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

Chen Cang breathed a sigh of relief. It seems that there is no need for too many anti-allergic drugs.

The blood pressure has risen, the shock has improved, and the condition can basically be stabilized.

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

This allergy generally occurs within 5 to 20 minutes, but not more than half an hour at most. "

"Fortunately, you came in time. If the symptoms of this disease are not taken seriously, or the time for medical treatment is delayed, it is very likely that the major organs will have a very large impact and harm, and may even be life-threatening in serious cases."

"You must pay attention in the future!"

Chen Cang thought of the child's father saying that the little boy might have lost his breath playing games, and couldn't help sighing.

The little boy here suddenly turned over and opened his eyes.

The little boy's parents felt relieved at once!

An uneasy heart was finally put into the stomach.

If the child is really anything but... Neither of them dared to imagine that scene.

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

After speaking, the woman hurried over and touched 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, the patient who might be suffering from pulmonary embolism.

Just as he got up, Chen Cang suddenly remembered another thing.

It's that patients don't seem to really know much about allergies.