"Doctor, do you think there is something wrong with this Cefaclor? After taking it, I felt even more serious. I felt chest tightness and palpitations, and my head was a little painful." Li Yuchun said with his head covering.

Cephalosporin?

antibiotic?

Headache?

Zhou Yewu suddenly remembered the disulfiram reaction!

"Cefos and wine, leave as soon as you say it!" Zhou Yewu muttered this joke in his heart.

Could it be that Li Yuchun's chest pain and dizziness are related to the disulfiram reaction?

He looked at Li Yuchun, blinked slightly and said, "Have you drunk?"

Li Yuchun was confused for a while, then quickly waved her hand and said, "I don't drink, I don't drink."

While saying that, she started coughing violently.

Seeing the patient who was coughing, because it was the epidemic again, Zhou Yewu subconsciously pulled his mask to ensure that the mask was tightly covering his mouth and nose.

The reason why Ms. Liang asked whether she had drunk alcohol was because he was considering whether there would be a disulfiram reaction.

In the emergency department, I often meet people like this, taking cephalosporin antibiotics and drinking alcohol at the same time, and then they will experience symptoms such as headache, chest tightness, and palpitations, similar to alcohol withdrawal symptoms.

Zhou Yewu murmured softly: "That doesn't seem to be a disulfiram reaction."

He pinched his fingers, and always felt that the patient's chest pain was related to the antibiotics, but there was no evidence.

Li Yuchun heard the vague words in Zhou Yewu's mouth clearly, and she looked at him in a little shock: "Doctor Zhou, what is the disulfiram reaction?"

Zhou Yewu had a badge on his chest, so when Li Yuchun saw him, he knew that his surname was Zhou!

The difference between disulfiram reaction and disulfiram-like reaction is one word, so the correlation between the two reactions can also be seen.

While thinking about the condition of the patient in front of him, Zhou Yewu explained: "First of all, what is a disulfiram-like reaction? In fact, disulfiram is a kind of alcohol quit alcohol. Anyone who takes disulfiram will drink alcohol. No matter how good the alcohol content is on weekdays, he will feel uncomfortable when he encounters alcohol after taking medicine, which will serve the purpose of quitting alcohol, so it is called a disulfiram-related reaction."

"As for the disulfiram-like reaction with one more word, some drugs are now mainly cephalosporin antibiotics. After taking them, they are similar to drinking alcohol after taking disulfiram, which shows chest tightness, palpitations, unbearable headaches..."

Li Yuchun was also a little slight understanding when he heard this and nodded slightly.

Zhou Yewu's first reaction was whether Li Yuchun would have a disulfiram-like reaction, so he asked her if she had drunk alcohol.

But Li Yuchun never drinks!

So this possibility is almost zero.

However, when I remembered another situation, Zhou Yewu continued to ask: "Have you ever taken other drugs containing alcohol, such as Huoxiang Zhengqi Water, etc. Some drugs contain alcohol."

Li Yuchun was also tired of being asked.

In addition, Zhou Yewu is a young doctor again.

She relied on her chest pain, so she responded impatiently: "Stop asking, if you say nothing, you don't."

As she said that, she sprinkled all the medicine boxes in front of Zhou Yewu to prove that what she said was true.

"Don't be excited." Zhou Yewu saw that Li Yuchun's lips seemed a little cyanotic.

Is this hypoxia?

Is it hypoxia due to air?

Or what's the situation?

Zhou Yewu didn't dare to think too much, so he immediately helped Li Yuchun and lay on the hospital bed.

Then he rang the bed bell and immediately asked the nurse to lead her into the rescue room to inhale oxygen.

In the narrow oxygen-absorbing room, the air is cool and the lights are extremely bright.

Li Yuchun felt relieved after taking oxygen, but she still felt holding her breath. A kind of chest pain that was incomprehensible always appeared on her chest.

She looked at Zhou Yewu and asked for help, "Doctor Zhou, I have chest pain. Can you give me some painkillers?"

Pain relief...

Wouldn't that cover up the condition...

"Wait, observe again." Zhou Yewu didn't say anything and picked up the stethoscope.

She skillfully performed cardiopulmonary auscultation on Li Yuchun.

"Have you really taken cephalosporins before? Is there any drug allergic?" Zhou Yewu was still worried and repeatedly asked the questions he had asked.

Isn't this fucking allergic?

Although it doesn’t look like allergies. If you are allergic, you will first have rashes and skin itching, but it may not be necessary. Some allergies are not typical.

The main reason is that Li Yuchun's symptoms worsen, and it does have a bit of an allergic smell!

And the most important thing is that if some people are not detected in time, if they become worse, they may experience shortness of breath, laryngeal edema or even immediately shock at any time. You must be vigilant at all times.

While Zhou Yewu thought with the clues, he carefully performed Li Yuchun's auscultation.

But as the stethoscope moves toward the chest on the left!

Zhou Yewu's face instantly became extremely ugly.

I'm fucking!

There is almost no breathing sound on the left chest!

It can be a crisis! This is probably pneumothorax!

Zhou Yewu looked at Li Yuchun carefully again. She seemed to be in a bad state.

So in order to confirm again, he quickly listened to Ms. Liang's lungs on both sides of her left and right sides.

Fortunately, the patient's vital signs are quite stable!

After finishing, he put away the stethoscope and Zhou Yewu said calmly: "You must do a chest X-ray examination first to rule out the possibility of pneumothorax. You can hardly hear the breathing sound on your left side now. It is very likely that it is pneumothorax. I will contact you with an emergency chest X-ray immediately."

After saying that, Zhou Yewu immediately prepared to go and start the inspection.

But just as he was about to leave, he found that Li Yuchun's hand had already pulled the corner of his clothes, making him unable to move at all.

"pneumothorax?"

"What is pneumothorax?"

Li Yuchun was a little confused and stared at Zhou Yewu with his eyes.

this……

Just Li Yuchun's strength! It's pneumothorax, Zhou Yewu almost didn't believe it anymore.

"pneumothorax, that is, pneumothorax!" Zhou Yewu took the opportunity to show off his English.

No matter how urgent the condition is, you should not be nervous as a doctor!

What kind of jokes seems too unfair and professional!

But speaking English and pretending to be a slut is the most suitable way to relieve the atmosphere!

Zhou Yewu continued to explain: "Clinically, pneumothorax refers to the state of gas entering the pleural cavity, causing gas accumulation. It is mostly caused by lung diseases or external influences to cause the pleura of the lung tissue and viscera to rupture, or the subtle emphysema near the surface of the lungs rupture, and air in the lung and bronchials escapes into the pleural cavity."

"People who are caused by chest wall or lung trauma are called traumatic pneumothorax, and those who are caused by the disease are called "spontaneous pneumothorax". If air is artificially injected into the pleural cavity due to treatment or diagnosis, it is called "artificial pneumothorax."

"Pneumothorax can also be divided into closed pneumothorax, open pneumothorax and tension pneumothorax. Spontaneous pneumothorax is more common in males who suffer from chronic branches, emphysema, and tuberculosis. It is one of the respiratory emergency diseases. In severe cases, it can be life-threatening and can be cured in a timely manner."

...

Zhou Yewu gently pulled Li Yuchun's hand off, let go of his white coat, and explained seriously.

Li Yuchun was still confused when he heard it.

well.

I asked wildly, but I couldn't understand.

This is also a typical phenomenon between doctors and patients.
Chapter completed!