bookpower Chapter 515
Chapter 515
"How could it be blood!"
"Not pus!"
Moreover, this bright red blood definitely just came out.
"Is it pulmonary edema?"
Lin Feng exclaimed in surprise.
What is pulmonary edema?
That is, when heart failure, blood will accumulate in the lung circulation, after the pressure increases, blood components will ooze out to the alveoli, once the amount is enough, it may gush out from the airway, we call this pink foamy sputum.
It is a specific manifestation of heart failure.
But it's not right, it's not pink frothy phlegm, it's bright red blood!
Is it lung cancer?
What trauma does the lung have that causes massive bleeding in the pulmonary arteries or large veins?
It is now too late to pursue the cause.
Hurry up negative pressure!
Suction sucks ~~~~~
Whoops, see blood constantly being drawn out of the suction tube!!
All at once ran to the 100ml scale.
"Quick, rehydration, saline, glucose first!"
"Also, go to the blood bank and get blood!!"
Lin Feng shouted loudly.
And then
Soon the blood in the airway was 'clean'.
Lin Fengmali inserted the oxygen tube, and the ventilator directly injected the high-flow in.
Steady.
It dropped to 83% of the blood oxygen and finally stabilized.
Lin Feng breathed a sigh of relief.
At this point,
The live broadcast room is already fryer.
The rare emergency rescue made many people frightened.
"I'm going, it's so thrilling!"
"Fortunately, Dr. Lin reacted quickly and immediately pushed back to the rescue room..."
"But what is the reason?"
"Such a large hemorrhage, obviously not ordinary small blood vessels coming out..."
At this time, Lin Feng was frowning.
What exactly causes blood spraying?
Lung cancer?
Trauma?
Or is it congestion and edema of the bronchial mucosa caused by bacteria and viruses, and then blood vessels rupture and bleeding?
Or tuberculosis?
Last time, it was tuberculosis hemorrhage, and then sprayed many people, almost infected, but the patient was eventually rescued.
soon
The blood is back.
Fortunately, in this process, the patient's bleeding does not seem to be large, and it is finished after sucking a few times.
Blood oxygen increased to 91%...
Lin Feng assessed his condition and seemed to be good.
"How about going to the intervention operating room?"
There are two methods of hemostasis: drug and intervention.
Intervention is actually the best way, because there are many side effects of drugs, and the root cause of the disease is not yet known.
Decision!
Go to the interventional operating room!
With a portable oximeter, ventilator, push it directly ...
......
After 10 minutes,
Enter the interventional operating room and start the operation...
The patient was very lucky that there were no accidents along the way.
Injected with contrast ...
soon
The cause of bleeding was found by contrast:
Lung cancer!
A 3X2cm lung cancer!
Lung cancer has abundant blood flow, and then a gap appears, causing heavy bleeding.
Just find the reason.
Lin Feng spent 40 minutes to give all the blood vessels that supply blood to lung cancer, and gambled it!
blood
Stopped.
Then Lin Feng operated the suction device again and sucked out the blood in the lung cavity.
Coupled with the continuous pumping of the ventilator, the patient's blood oxygen began to be too high, and finally returned to 94%...
Lin Feng breathed a sigh of relief.
Smile.
It worked!
Finally saved the patient!
Although the 2X3cm lung cancer is still a big problem, and it is possible that cancer has grown with the spewed blood, at least it has passed the current difficulty.
Next, it's time to send the ICU...
In the afternoon,
The patient Zhao Feng's wife and son rushed over.
After understanding what happened, he thanked Lin Feng repeatedly, but he was full of worry about the tumor.
......
......
After getting the patient Zhao Feng,
Back to the consultation room,
There are more patients lining up Lin Feng.
Lin Feng: ".................."
Turn on Quick Consultation Mode!
The first patient,
Male, Yu Jianzhong, 25 years old, short and fat,
"Dr. Lin, I always wake up in the middle of the night recently, usually I fall asleep with my head upside down, sleep as soon as I sleep, no dreams in the middle, no pee, sleep well..."
Yu Jianzhong said with a distressed expression.
"Woke up inexplicably?"
Lin Feng glanced at the appearance of patient Yu Jianzhong.
Obesity...
Short neck, thick ...
Lin Feng said silently: "At present, it is considered "apnea syndrome", bring an instrument back today, and do a sleep monitoring at night... If it's sure it's apnea... Well...... Forehead...... Forget it, your appearance, surgery is not very useful, you should wear a ventilator..."
Yu Jianzhong said very stinkily: "How? Looking good or prone to this kind of problem? "
The corner of Lin Feng's eyes twitched.
"No, it's because the neck is thick and short, it's easier to have this problem..."
Yu Jianzhong: ".................."
Shhh
Knife to the heart!!
Lin Feng quickly opened an order, borrowed an instrument for him, and carried it home at night to do a sleep monitor.
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ps: End today ~~
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