bookpower Chapter 600
Chapter 600
After deciding on the foundation with colleagues in the department.
Lin Feng went to Zhang Guofeng.
"Fund? There is already a fund in the yard, do we need to get another one? When Zhang Guofeng heard this, he asked in surprise.
"Teacher, the fund in the hospital needs to be approved at every level, the speed is too slow, where are our emergency patients waiting for this time, so I think it is better for our department to set up a fund for emergencies!" Lin Feng said immediately.
"Okay, I see! What about applying for funds for patients before that? Zhang Guofeng asked.
"I have to apply for that too!" Lin Feng said immediately.
"Okay, I'll go to the dean to apply!" Zhang Guofeng said immediately.
For Lin Feng's desire to establish a fund, he still agrees with it.
The emergency department is different from other departments, everything is urgent!
Seeing that Zhang Guofeng had no opinion, Lin Feng went out.
Just walked to the emergency hall.
A nurse ran over and said to him, "Dr. Lin, there's a patient in the emergency room, they want you to take a look!" "
"Okay, I'll pass!" Lin Feng nodded.
Go straight to the rescue room.
As soon as I entered the emergency room, I saw that the patient in bed 2 was surrounded by two people, arguing with the doctor about something.
"Doctor, we don't do CT!"
"It's my grandson in his belly, he can't stand CT!"
"Anyway, we don't do CT!"
"Doctor, I tell you, it must be my grandson!"
"Be sure to protect my grandson!"
“..."
"Auntie, what is she? What is your fertility machine? Even the machine needs to be overhauled! The nurse on the side couldn't listen anymore and said to the patient's family.
The patient's family suddenly stopped talking.
Lin Feng walked straight over.
He glanced at the patient's ECG monitoring and asked, "What's the situation?" "
"Dr. Lin, the patient is 16 weeks pregnant and has a stomachache. And then a series of checks were checked.
Blood urine amylase, obvious changes...
· B-ultrasound excludes pancreatitis, cholecystitis, etc...
There is free gas,
Plate-like abdomen...
"My diagnosis was intestinal perforation... In addition, after intestinal perforation, bacteria and viruses spread to the outside of the abdomen, causing septic shock...! The doctor on the side said very fluently.
"So, I think it's better to do a CT and confirm it..."
"Well, I'll take a look...!" Lin Feng nodded.
Ready to examine the patient.
Seeing this, the patient's mother-in-law hurriedly stepped forward and said, "Doctor, doctor! I told you that we don't do CT, the child in the belly can't stand it..."
Hearsay.
Lin Feng frowned and skimmed the doctor next to him.
The doctor also has an eye and stops the patient's mother-in-law when he comes forward.
Then it was purified.
Press on the patient's abdomen.
A noticeable feeling of pronounced tension and slight hardness of the abdominal wall is pronounced.
And with the compression of Lin Feng's fingers, the patient obviously felt throbbing.
Plate-like abdomen, rebound tenderness.
Very obvious.
Immediately afterwards, Lin Feng began to examine the patient's limbs.
Everything is normal in the upper limbs, there are no obvious symptoms.
As soon as I lifted the pant leg of the patient's left leg, I saw that it was densely packed with red spots.
"Systemic red wolf spots?"
Lin Feng asked the patient: "Are you systemic red lupus spots?" "
Female patient pregnant woman: "Yes, I have rheumatism, but I insist on taking medicine..."
Lin Feng nodded.
This disease will affect the stomach and intestines.
It can be manifested as nausea, vomiting, abdominal pain, diarrhea and other discomfort, severe cases may have gastrointestinal bleeding, and even develop into acute abdomen such as intestinal necrosis and intestinal perforation.
So
Lin Feng's judgment is the same as that of the attending doctor - acute intestinal perforation, viral shock of viral infection!
Lin Feng shook his head and said: "The patient is critically ill, acute intestinal perforation, viral shock!" Prepare for surgery! "
"Okay, Dr. Lin!" The nurse hurriedly answered.
The patient's mother-in-law, who had been quiet, heard Lin Feng's words.
Immediately excited, he said to Lin Feng: "Doctor, let me tell you!" We don't do CT! He can't stand the child in his belly..."
Hearing that the patient's mother-in-law still had this attitude, Lin Feng's face immediately turned pale and said in a deep voice: "At this time, please cooperate with our doctor's treatment, all examinations and tests must be done!" "
In fact, CT is not very necessary to do now.
Although Lin Feng feels that the amount of CT is not enough to radiate the baby, he can not do it as much as possible.
However, Lin Feng can't say that, at this time, Lin Feng needs to explain all the most serious things to the family, so as not to make things happen afterwards.
"At this time? When! I tell you, you must protect my grandson first! "The patient's mother-in-law still does not adhere to it, and the patient's husband does not dare to say a word.
Lin Feng didn't bother to care, and said directly: "When human life is at stake!" And it's two lives, pregnant women are now acute intestinal perforation, and viral shock, the situation is very dangerous, you must be mentally prepared! "
"How is this possible! How is this possible! I've been taking good care of her! Hearing this, the patient's mother-in-law began to panic.
"Dr. Lin, the patient's blood pressure has been dropping, and the shock has worsened!" Then a doctor said.
"Rehydration, hurry up!!"
Lin Feng looked at the data of the ECG monitor,
Then said a bunch of rehydration formulas.
The nurse quickly took note.
The patient's mother-in-law surrounded her again and said to Lin Feng: "Doctor, in an emergency, you must protect the child first, in the protection of adults, in our family children are more important than adults..."
"Can't you hear anything? Now their mother and son are in the same boat through thick and thin, the boat has capsized, and no one can save it! Lin Feng said immediately, and then continued to check the patient's condition and ignored it.
"What is it that no one can keep it! Oops, don't scare me! I'm someone who has given birth..." Hearing this, the patient's mother-in-law became even more excited.
The nurses and doctors on the side hurriedly pushed out the family members, closed the curtains, and prepared for rescue.
"Check the blood gas first to see if it is acidosis!"
"Do a belly color ultrasound right away!"
"Inform the obstetrics and gynecology, and let them come over to a doctor to prepare for the joint operation!"
Lin Feng then instructed the nurse: "Establish central venous access and replenish fluids at full speed!" Then give the patient a urinary catheter! "
Good for a while.
Only then did the patient's condition stabilize.
Family members stood by.
Subsequently.
A deputy director of the Department of Obstetrics and Gynecology rushed over, saw Lin Feng, walked straight over, and said, "Doctor Lin, what's the situation?" They even called me out! "
The emergency department asked for joint surgery, but it had not happened since Lin Feng's arrival.
Seeing the person coming, Lin Feng smiled and said, "Director Wu, you are here!" Let's take a look at the situation first! "
After speaking, he handed over the patient's situation report in his hand.
Director Wu is also unambiguous.
After reading it, he pulled Lin Feng aside and said, "Doctor Lin, what are you planning?" "
"What else can I do! You planed children, we repair our intestines! Lin Feng said.
"Acute intestinal perforation, maternal mortality rate is 33%, fetal mortality is as high as 60%! We can only do our best to treat, have you discussed this with the patient's family? Director Wu said in a deep voice.
Speaking of which.
The patient's mother-in-law immediately got up and shouted: "Don't move my grandson!" This marriage has been five years, has not been pregnant, this time spent hundreds of thousands, to do this artificial one. It's hard to get pregnant, don't move! "
This time, the patient always spoke openly, pulled his mother and said: "Mom, don't make trouble, you have to listen to the doctor!" Again.. Let's talk about Xiaolan her..."
Speaking of which, suddenly there was no sound.
The patient's mother-in-law directly lay in front of the patient and cried: "Xiaolan! My good daughter-in-law, you must keep my grandson for me! You must hold on, hold on! In the future, I will repay you by making cattle and horses!! "
Looked at.
Lin Feng was quite helpless, and stepped forward and said: "Family, you must make a decision immediately!" The patient is in a dangerous condition and must be operated on immediately! "