radiothebook Chapter 190
Chapter 190
Chapter 190
obviously,
This middle-aged couple has great prejudice against the hospital.
In their minds, hospitals are synonymous with ‘making black money’, ‘quack doctor’, and ‘no medical ethics’.
They, who had been brainwashed by countless self-media accounts, still hesitated when facing the alarm that their son was already alive.
“Don’t scare us.”
“I understand you doctors, you must find a serious illness casually, and then want to trick us into doing more tests!”
“You are Lin Feng, right? I know you… Just tell me if CT can check the result. If it is 100% possible, then we will pay for it!”
This couple, Balabala said a lot.
Acrimonious.
Lin Feng was very happy.
Want me to guarantee 100%?
Is this your son lying on the bed? Or my son?
Are you sure it’s your own?
Moreover, although Lin Feng is 100% sure, he will not say 100% to his family!
Because doctors must learn to protect themselves!
Lin Feng is very angry!
However, I saw a junior high school patient who was in the good years of his youth and was in the middle of the bed.
The data on the ECG monitor keeps alerting.
Blood pressure is getting lower and lower!
75/45mmHg……
May be dead at any time!
Lin Feng couldn’t help but feel soft.
Parents are ignorant, but they cannot affect their children.
I can’t tell my family any more, and if I drag on like this, it is estimated that the child will die!
Sudden,
Lin Feng thought of a way.
Lin Feng said very quickly: “Well, I think your son may have hemorrhage in his abdomen, so he has to go for a CT examination, but you definitely disagree; then, to compromise, I will use a syringe instead. Check, do an abdominal puncture, a syringe is less than 5 yuan, you should always agree to this?”
“5 yuan?”
“This is good! Let’s talk about it earlier, as long as there is a 5 yuan checkup method, there is no need to delay my son’s condition!”
“That’s right, if there is a case for my son, it must be your fault!”
This parent is another big curse.
Lin Feng: “…”
Director Zhou: “…”
Other medical staff: “…”
Those who stepped on horses, everything was told by these two strange parents.
Lin Feng took a few deep breaths.
Don’t be angry, don’t be angry!
What to care about with pigs!
Hurry up and tell the nurse that a 50ml syringe.
The nurse rushed to the sterile room, then took the syringe, rushed back and gave Lin Feng the ground.
Lin Feng quickly took off his hat,
One pierced the patient’s abdominal cavity.
This feel!
wrong!
Lin Feng, who has extensive experience, felt that after the needle pierced the abdominal cortex muscle, it entered a cavity without the ‘feel’ of piercing the intestines.
Lin Feng stunned!
Have a quick pump!
The dark red blood was continuously drawn into the syringe from the bulging abdominal cavity!
all of a sudden!
50ml is full!
A large amount of hemorrhage in the abdominal cavity!
A lot of blood loss!
Hemorrhagic shock!
Lin Feng took this tube of blood and put it in front of the parents.
Did not speak, but the meaning is already very clear.
The parents were staring at the tube of blood, and they were trembling with fright.
“Doctor, please save my son immediately!”
“CT inspection, we do, money is not a problem!”
They are all panicked!
There is no prejudice against doctors at the beginning!
Lin Feng shook his head solemnly: “No need for CT, it’s already too late! I need to open the abdomen immediately for surgery!”
It takes time to do ct,
It has been half an hour since the child was admitted to the hospital. If you go to CT again, you may die in the CT room at any time!
The parents were scared and nodded repeatedly:
“Okay, operate right away, operate right away ¨¨!”
Lin Feng: “But what I want to say is that now your son has been in shock for too long, and the risk is very high. Even if he has an operation, he may not be able to save it… Moreover, the operation cost will cost tens of thousands. You have to consider this point carefully…”
“what??”
At this time, the parents hesitated again.
Lin Feng sneered and ignored the patient’s parents.
“Go, go to the operating room!”
Called the medical staff, pushing the child to the operating room.
Leave Director Zhou to communicate and sign with the parents.
“My son, is it really hopeless?” The patient’s parents were a bit at a loss and did not immediately agree.
Director Zhou was not angry: “Hehe…you can hesitate any more, if you hesitate again, your son will really be dead!”
When my father heard ‘dead’, he became angry again and yelled at Director Zhou.
“How can you curse my son to death!”
Director Zhou sneered: “Come on, continue to scold…but I want to tell you that the more procrastinated, the greater the chance of death. I stand here and you can scold casually. Anyway, you have been procrastinating for half an hour, you can continue to procrastinate for another hour. …”
Now, the strange parents finally calmed down.
“Okay, I agree to the operation!”
Sign quickly!
Director Zhou received the signature, his face relaxed: “Stay well and wait for the results of the operation.”
Then quickly entered the operating room.
…
Inside the operating room,
Lin Feng and others are busy, preparing for various operations…
“Agree to bookmark, you can start the operation!”
Director Zhou rushed in.
When everyone heard this, Qi Qi breathed a sigh of relief.
“Great, I finally signed it~~~”
“I have never seen a parent with such ink marks!”
…
The operation begins.
·Surgeon: Chief surgeon Lin Feng, first aid Song Ziming, second aid Guipei Wu Haoming
·Surgery plan: laparotomy, abdominal exploration.
·Current situation: The blood transfusion has exceeded 2000ml in the process of rapid rehydration and anti-shock!
anaesthetization……
Open abdomen…
When Lin Feng’s scalpel cut a small opening in his belly,
A lot of blood came out.
Gurgling out~~
“Attractor, fast!”
Two attractors were used, and they all went up together.
Puff puff puff ~~~~
The blood was continuously pumped into the bucket, and the blood scale in the bucket quickly rose to 2500+ml…
You know, the effective blood volume of this child’s body is about 4000ml.
soon,
The blood is emptied.
Lin Feng and others let out a sigh of relief.
It really is bleeding!
Obviously it is arterial hemorrhage, otherwise it is impossible to have so much blood.
Fortunately, it is too late to rescue now!
Lin Feng continued to cut his belly…
Pull the hook, pull both sides of the belly…
Open the abdominal cavity completely…
Expose the vision…
Detect the blood spot…
Because there is bleeding in the guide, it is easy to confirm the approximate range of the bleeding point.
Lin Feng searched for his intestines,
It took 40 seconds to find the bleeding point.
The location of the bleeding was on a section of the intestine, where there was an artery, and on the artery, there was a hard object about the size of a ping-pong ball, about 3 cm in diameter!
Aneurysm! !
There is an aneurysm in the superior mesenteric artery!
It was the aneurysm that broke the artery and caused hemorrhage!
No wonder, this junior high school student did not have any special symptoms, but abdominal pain, which turned out to be an aneurysm.
Unruptured mesenteric aneurysms generally have no obvious symptoms and are difficult to be detected and diagnosed in time. They are often misdiagnosed as gastrointestinal diseases in the early stage. The possibility of visceral aneurysm is often considered when an emergency occurs in abdominal hemorrhage.
The mortality of mesenteric aneurysm after rupture is very high, often accompanied by intestinal ischemia and necrosis
, Shock, and even death!
Lin Feng surveyed his surroundings,
Sure enough, a section of the intestinal tube had begun to die, but the situation was not serious.
…
Find the reason,
Then, there is a formal operation.
·Surgical plan: bowel resection + aortic resection, and re-suturing.
·Surgery principle: The principle of surgical treatment is to remove the aneurysm, rebuild the mesenteric blood vessels, and restore the intestinal blood supply.
This operation is relatively simple.
Generally, if the intestine is not necrotic, then the intestine cannot be cut off, and the arteries and veins are not enough (because a section of the tumor artery and vein has been cut off), then a section of blood vessel needs to be taken from other parts of the body. The method of autologous saphenous vein interposition or bypass transplantation is used to rebuild blood supply.
But for this patient, the intestines were severed and necrotic, so the operation was much simpler.
All you need to do is to cut the intestines, arteries, and veins completely, and then re-suture a new section of intestines, arteries, and veins.
Anyway, the intestines are long enough…
…
Surgical steps:
First bandage the intestines, arteries, veins (front and back ends, all tied)…
Then cut…
Rinse, disinfect…
Re-stitch…
Untie the bandage and restore the blood supply…
Check result: normal blood supply, no bleeding…
After finishing all this, Lin Feng spent 30 minutes…
Next, Lin Feng spent another 10 minutes. Lin Feng carefully explored other parts, and there were no bleeding points.
The operation is here, basically over…
Rinse and disinfect…
Close the abdomen…
End the operation!
Lin Feng was quick, and it took 10 minutes to get it done!
Total duration: 1 hour and 03 minutes!
He took off his gloves and surgical gown, and left the operating room. The parents of the junior high school student greeted him. Lin Feng ignored him and left.
The next thing is that the emergency room is done by yourself.
It was already past 7 o’clock in the evening, and Lin Feng could only go out of the hospital to find food to eat. After eating, he went back to the dormitory to sleep.
The busy day has passed again…
…
…
3 kilometers away from the first courtyard of the city, a garden community,
Rental house.
Zhang Jian, 25 years old, urban white-collar worker.
In the past few days, he has been beaming every day and is full of expectations for every time he leaves work.
Why?
Because he shares a rent with a beauty!
In big cities, the high rents have caused headaches for many young men and women who have just entered the society.
Therefore, a shared rental business was born.
The landlord transformed a house into four or five rooms, each with a bed or even bunk beds, which increased the rental rate and attracted many tenants.
Some even rent mixed men and women.
As a single man, Zhang Jian was shy in college and never talked about a girlfriend, but he didn’t expect to share a house with a beautiful woman after he started working.
It’s so exciting!
This is the starting point to develop romantic love!
Zhang Jian has fantasized about various co-renting plots, such as “Romantic House”, “Co-renting Men and Women”, “Sweet Room”…cough cough, it seems that weird things have been mixed in.
He bought fruit, tidyed up his clothes and hair to make himself more handsome.
Back to the rental house.
Open the door,
Walk into the living room.
Excited and nervously looking forward to the return of the female tenant, looking forward to the female tenant wearing beautiful clothes to look good…
Sudden! !
“｀” Gudong! ! ”
“Oh~~~~”
In the female tenant’s room, there was a fall and a scream.
Zhang Jian was taken aback.
Rushed over.
“Xiaowen, what’s the matter?”
Nothing inside…
“Xiaowen?…Xiaowen?…” (Nuohao)
Zhang Jian kept knocking and yelling, but no one answered.
“Could it be an accident?”
Zhang Jian felt uncomfortable and broke in immediately!
Then,
He saw the female tenant Xiaowen, wearing a skirt, lying on the ground.
And on the ground,
A lot of blood shed!
The position is the best position of the legs!
Zhang Jian was so scared that he quickly dialed 120!
10 minutes later……
Beep Beep Beep Beep~~~~
The ambulance from the City No. 1 Hospital hurried over and came downstairs.
The doctor on duty was Huang Ziming, who was taken aback.
“The body is cold, the face is pale, the heartbeat is fast, but it is weak, and the blood pressure is very low…shock!!”
“Hurry up!”
“Move downstairs right away, rehydration!”
While moving,
Huang Ziming judged the condition, and when he saw the girl, the place of her sex continued to bleed.
Where is the blood coming from?
Preliminary judgment is that only the uterus and urinary system are bleeding, but now the conditions are limited and there is no way to judge.
But even now, the blood still flows out slowly!
Quickly lifted downstairs,
Sent to an ambulance,
The instrument measures the stalk!
Good guys!
· Blood pressure is 70/40mmHg, heart rate is 120 beats/min!
Immediately apply the indwelling needle for rapid rehydration in large quantities.
At this time, the ambulance had already rushed out of the community and drove towards the city’s first hospital.
Huang Ziming called the emergency department:
“Here is a girl who has severe bleeding and the cause is unknown. It is best to consult several departments…or directly ask Lin Feng to come over and take a look!”
Huang Ziming subconsciously felt that Lin Feng=consulted in several departments.
This is Lin Feng’s impression of everyone.
. .