Chapter 303 Diabetic Ketoacidosis
At this time, a nurse came over and pricked the girl's finger directly. The pain made her almost cry.
When the results came out, the nurses were stunned.
Because the blood glucose meter has been alarming, the result shows HIGH.
Generally speaking, it can be measured.
But because the blood sugar is too high, it cannot be measured.
Everyone understood what this meant.
So Zhang Yang said, "Don't do the surgery yet! Wait for the results of the venous blood test!"
Although he knew that the result would not be good.
But it is something you need to know, and there are still many values above that are waiting to be confirmed.
If the girl had undergone surgery at this time, the surgery might have been in vain.
At that time, I will have to go back and treat the blood sugar problem.
Waited for a while.
The report is here.
Zhang Yang gave it to Wei Ping to look at first.
He took a look.
Blood sugar was as high as 45mmol/L and white blood cell count was 31x10E9/L.
The fasting blood sugar level of a normal person is 3.9-6.1mmol/L, and it usually does not exceed 10mmol/L unless it is just after a meal.
The patient's blood sugar level is now 45mmol/L even though he hasn't eaten anything. This is incredibly high!
So Wei Ping said: "I suspect it's diabetic ketoacidosis!"
As soon as these words were spoken, the APP gave a prompt.
"Congratulations on diagnosing diabetic ketoacidosis. You'll receive RMB 3,000! Proficiency +300, /"
So, his diagnosis was correct.
Exacerbated diabetes symptoms can affect gastrointestinal symptoms. Children with type 1 diabetes may experience widespread acute abdominal pain, accompanied by abdominal muscle tension and weakened bowel sounds, which can easily be misdiagnosed as acute abdomen.
In order to provide a basis for treatment, he had to ask someone to check other things.
"Check the arterial blood gas, blood ketones, urine sugar, and urine ketones again!" Wei Pingchan.
At this time, everyone started to move.
At this time, they felt that Wei Ping was their leader.
Because he stopped an operation in time, otherwise it would have been too late to see the results after the operation.
The blood gas results came out in 2 minutes, pH 7.1, it's a metabolic acidosis
When everyone learned the result, they expressed great respect for Wei Ping.
Other results followed.
The blood ketone bodies were significantly elevated and the urine sugar was also 4 plus signs.
In this way, Wei Ping’s judgment is undoubtedly correct.
"So the intestinal obstruction is caused by diabetes?"
"I can't say it's the cause, but it does affect gastrointestinal function. If the intestinal obstruction isn't caused by mechanical or adhesion factors, then surgery may be ineffective. Lowering blood sugar and replenishing fluids may be the most critical. Therefore, I think the priority should be treating diabetes! Gastrointestinal decompression, anti-infection, and maintaining water and electrolyte imbalances. And then the surgery should be aborted now!"
At this time, everyone looked at Zhang Yang again. After all, he was the surgeon in charge. If he wanted to perform the operation, everyone had to agree.
"I agree to stop the operation!" Zhang Yang said at this time.
"Okay, then arrange for the girl to be hospitalized first, and I will prescribe medicine!" Wei Ping said again.
"Okay, push the patient out of the operating room!"
Zhang Yang said again.
Then, Zhang Yang asked, "Doctor Wei, how did you make that judgment?"
"Doesn't typical diabetic ketoacidosis have the smell of rotten apples on the breath? I smelled it when I came in. Didn't you guys smell it?"
Wei Ping said at this time.
It was the smell of rotten and fermented apples, sour and smelly.
Everyone was silent at this time.
Because they really didn't notice it, and they were just saying they didn't smell it.
"Combined with some physical symptoms and finally the blood sugar level, we can basically make a conclusion."
After Wei Ping said this, everyone began to admire him very much.
And then everyone cleaned up.
Pushed the girl out.
At this time, both her parents were stunned.
"Doctor Wei, what happened? Are you okay?" the man asked.
"Yeah, it can't be that fast." The woman asked.
But the child didn't look like he had undergone surgery.
"Did something happen?" the woman asked again.
"According to Doctor Wei's diagnosis, your child suffers from diabetic ketoacidosis. We will arrange for hospitalization for treatment first, and then see the situation. If the condition is relieved, surgery will not be necessary." Zhang Yang said at this time.
But when these words came out, the couple was shocked.
How could a child so young get diabetes?
Wei Ping then asked, "Did she eat more recently than before?"
"Yes, indeed!"
"So, I peed more, drank more, but never gained any weight?"
At this time, the couple seemed to realize something.
"I was wondering why her appetite had improved. I thought she was growing up. Oh, and she kept complaining about being thirsty. She drank at least two liters of water a day, but she still felt thirsty."
"This is a typical symptom of diabetes, but you just ignored it!"
"At first I thought it was because the child was under too much pressure from studying, so I bought her a lot of supplements. But she became like this after only taking the supplements for a few days. It turned out to be diabetes!" the woman said again.
At this time, the man asked: "What if it is diabetes? Can it be cured?"
"For type 1 diabetes, you need to keep your blood sugar under control and not let it get too high. Generally, there's nothing to worry about."
The first characteristic of this disease is that it often occurs in children or adolescents. Besides children, type 1 diabetes can actually occur at any age, especially during menopause.
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