"Mr. Liu, don't shout. It's okay." A voice said in the first class cabin.
It sounded like the patient himself was speaking.
"Isn't there a patient with a more serious condition on board? Send the ambulance to take him to see a doctor first."
is that so? Guo Zihao, who was following behind, felt that since the patient could speak without any effort, his condition did not seem serious. It might be because of his high status that an ambulance was called for him.
Xie Wanying didn't dare to think like that.
Boss Zhang can’t be the kind of person who treats his hospital’s ambulance as a welcoming car. Boss Zhang is a top doctor.
When I walked into the first class cabin, I saw an old man with silver hair half lying on a seat, with a plane blanket covering his thighs to warm his body and feet.
Stop and listen. The old man's breathing rate is normal, he is not wheezing, his face is not rosy but not as pale as the young man outside, but his lip color is OK. Overall, this patient is not like the three outside. He is an old man who seems calm and composed even when he is sick.
It seems that this patient's condition may not really be serious. This is what Guo Zihao thought based on the current situation.
...
...
"Bring another oxygen bag and give the patient oxygen." Xie Wanying gave the same instructions again on the spot.
What? Is this patient also suffering from hypoxia? Guo Zihao blinked twice. This time he really didn't see it.
"It's okay." This time even the patient himself said this, telling the doctor there was no need to make a fuss.
Xie Wanying walked over and persuaded the patient in a serious doctor's tone: "You probably have silent hypoxemia, you must be on oxygen."
Hypoxia does not necessarily result in obvious symptoms. Hypoxia caused by different causes may have different clinical symptoms. Silent hypoxemia is a relatively special type of clinical manifestation. In the early stages, it does not show the obvious symptoms of shortness of breath that normal people usually have due to hypoxia. On the contrary, at first glance, it looks no different from a normal person when not in motion. Therefore, it often causes clinical staff to miss or misdiagnose the patient, and it also makes the patient lose vigilance against problems with his or her body.
Silent hypoxemia is more likely to occur in older people. A major characteristic of elderly patients is that the initial symptoms of many diseases are hidden and not obvious. This may be due to factors such as the aging of the organism and the decline of its own immunity, which causes the body to respond slowly and insensitively to the invasion of diseases.
The old man in front of me also has a fever, but his temperature is not as high as that of the young patients outside. It is a low fever, and it is not easy for medical staff to detect it at the first time.
Guo Zihao took out the forehead thermometer from the medicine box, hurried over to take the patient's temperature, and saw: it was really a low-grade fever, around 38.2 degrees.
"What did you say about hypoxemia? What's going on?" the old man looked up at the doctor and said.
This old man can sit in first class and ask Boss Zhang to send a car. Even if he called the ambulance himself, he was willing to give up his ambulance to other people when he knew there were patients in need outside. What an extraordinary magnanimity he showed. Obviously a very important person.
Therefore, when the pair of old eyes in front of her looked at her as a doctor, there was a gleam of wisdom hidden underneath.
In front of such a smart and wise person, Xie Wanying said that every word must be explained more carefully and professionally. Only in this way can the patient listen to her as a doctor: "When you moved just now, your breath changed. This is a major manifestation of silent hypoxemia."
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