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「疯传」北大医院医生鬼门关自救笔记 !

2016-08-19 佚名 医学之声

医生自救的记录,非常少见的宝贵资料:北大深圳医院同行手记,真人真事,分享心得,为了让非医学专业的朋友看懂,用加粗字体把重点部分标志出来。   15日,惊险时分。几天过去了,随着身体的逐渐痊愈,对紧急事件的回忆总结,也许对己对人均有好处。15日上午,因咳嗽,家中无其他备用药品可选,服用一片莫西沙星片,早年不过敏,近期有过一次皮疹,自恃艺高人胆大。十分钟后,耳朵里奇痒,逐步感觉牙龈

医生自救的记录,非常少见的宝贵资料:北大深圳医院同行手记,真人真事,分享心得,为了让非医学专业的朋友看懂,用加粗字体把重点部分标志出来。

  

15日,惊险时分。几天过去了,随着身体的逐渐痊愈,对紧急事件的回忆总结,也许对己对人均有好处。


15日上午,因咳嗽,家中无其他备用药品可选,服用一片莫西沙星片,早年不过敏,近期有过一次皮疹,自恃艺高人胆大。十分钟后耳朵里奇痒,逐步感觉牙龈肿胀。


本想象上次一样服用氯雷他定之类,等待好转,可自我感觉明显不同上次。急服氯雷他定。专业的天性让我提高警惕,不敢偷懒。立即通知太太,并大胆让孩子一个人待在家里,胃部已不适,火烧,为防应激性溃疡、消化道大出血,立即服用一片法莫替丁。


 立即下楼,前往医院,不敢开车,怕晕在车中,或进医院堵车。时间就是生命。打的!边走边想:不能进小区卫生站,万一需要气管插管那就死路一条!现在需要第一时间进医院急诊科,因为那有呼吸机。我需要肌注非那根,我需要静脉推注地塞米松,糖钙制剂等。


我边走边打120,准确地告诉120我的诊断及病因,因为这是最重要的。一边拦的士及私家车,均遭拒,虽然我已告知对方我身处险境。终于有一辆营运蓝牌车被我发现。


车上,我眼睛肿得几乎看不见了,耳朵及脸肿胀得厉害,现在我最担心的就是我一直担心的:气道窒息,我已明显感到气不够了,气管内粘膜的肿胀致死率100%(无医疗器械及药品情况下)。


 距离医院附近红绿灯约100米左右,大堵车,我没有选择,必须在窒息前最后一刹那进入急诊科。跑步前进,过了红灯的人行斑马线,距急诊约200米,我心肺功能已明显不够用了。强撑着,只有一个信念,我要到急诊科!


终于,看到急诊科黄医生,我直奔ElCU,满床!黄医生将我扶进抢救室,护士长推来抢救车。我拼尽力气说了一句:莫西沙星过敏。躺在床上,趁着我没昏迷,还不忘下了一次口头医嘱:地米、非那根、糖钙,呼叫lCU。


两位黄医生说你不用操心,都执行了。此时神志淡漠的我还想知道血压值,被安慰过去了,事后知道70/40mmHg。之后我迷迷糊糊看见了ICU科主任、护士长及各位小兄弟姐妹们,我知道,我活下来了


总结


诊断

过敏性休克。


病因

药物过敏。


经验1

凡可能过敏的物质一定要远离,哪怕你从来都不怎么过敏。


经验2

抓紧一切时间就近入院。


再次感谢各位同仁的大力抢救!


鬼门关上走一遭,幸亏淼哥的这位同事身经百战,救人无数,这次充分运用自己的专业技能救了自己一命。经常有报道某某门诊患者输液后出现死亡,大家关注的可能是一条生命的逝去,至于过程,不是每个人都有机会知道的。

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  1. 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time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2017-03-18 zhangph
  2. 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time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-09-18 1e10c84am36(暂无匿称)

    不错哦继续关注

    0

  3. 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  4. 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time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-08-30 李东泽

    牛,这篇咨询不错哦,值得学习

    0

  5. 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time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-08-26 李东泽

    这篇资讯写的真好,带给我们新知识,启发新思维,不论是科研还是临床工作都有很大的帮助。。。

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Aug 30 17:42:00 CST 2016, time=2016-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=104410, encodeId=85d5104410a1, content=这篇资讯写的真好,带给我们新知识,启发新思维,不论是科研还是临床工作都有很大的帮助。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Aug 26 11:30:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=103557, encodeId=518310355ef9, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 25 13:17:00 CST 2016, time=2016-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=103556, encodeId=93731035564c, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 25 13:17:00 CST 2016, time=2016-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102597, encodeId=541e10259e2e, content=值得学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Tue Aug 23 18:20:00 CST 2016, time=2016-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102265, encodeId=01fc10226583, content=值得介借鉴一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLPeNmuNF9ibgMfMOAs7Iic5MpiaU8RLmRH67xCKuk5wzfhb7G4ib7ia6z9lrnsTicj1nAUfEOMecZDtvvu/0, createdBy=d7f91939785, createdName=186****0580(小山羊), createdTime=Mon Aug 22 14:54:00 CST 2016, time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-08-25 doctorJiangchao

    继续关注

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Aug 30 17:42:00 CST 2016, time=2016-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=104410, encodeId=85d5104410a1, content=这篇资讯写的真好,带给我们新知识,启发新思维,不论是科研还是临床工作都有很大的帮助。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Aug 26 11:30:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=103557, encodeId=518310355ef9, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 25 13:17:00 CST 2016, time=2016-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=103556, encodeId=93731035564c, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Thu Aug 25 13:17:00 CST 2016, time=2016-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102597, encodeId=541e10259e2e, content=值得学习!, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160821/IMG57B9667502B1F9208.jpg, createdBy=7a291940143, createdName=茶马古道, createdTime=Tue Aug 23 18:20:00 CST 2016, time=2016-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=102265, encodeId=01fc10226583, content=值得介借鉴一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLPeNmuNF9ibgMfMOAs7Iic5MpiaU8RLmRH67xCKuk5wzfhb7G4ib7ia6z9lrnsTicj1nAUfEOMecZDtvvu/0, createdBy=d7f91939785, createdName=186****0580(小山羊), createdTime=Mon Aug 22 14:54:00 CST 2016, time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-08-25 doctorJiangchao

    继续学习

    0

  8. 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time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-08-23 茶马古道

    值得学习!

    0

  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Aug 30 17:42:00 CST 2016, time=2016-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=104410, encodeId=85d5104410a1, content=这篇资讯写的真好,带给我们新知识,启发新思维,不论是科研还是临床工作都有很大的帮助。。。, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Aug 26 11:30:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=103557, encodeId=518310355ef9, content=继续关注, beContent=null, objectType=article, channel=null, 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time=2016-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=101969, encodeId=09ec10196903, content=学习一下!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Sun Aug 21 15:45:00 CST 2016, time=2016-08-21, status=1, ipAttribution=)]
    2016-08-22 186****0580(小山羊)

    值得介借鉴一下

    0

  10. 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    2016-08-21 1e0d99ddm02(暂无匿称)

    学习一下!!!

    0

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