bookpower Chapter 504
Chapter 504
"Doctor Lin, then my hand... What to do? If there is one less artery, won't it be abolished? "
The patient Xie Yao looked worried.
Lin Feng: "Don't panic first... Although arterial blockage will cause insufficient blood supply to the distal limb of the blockage, weakness, pain, numbness, color whitening and other symptoms, severe blockage can lead to necrosis, arterial vascular wall damage, or emboli move to other places, causing tissue necrosis..."
Saying that, the patient Xie Yao's face became even more bitter.
"Doctor Lin, is there any way?"
Lin Feng nodded: "There are still many ways... In the early stage, it is not serious can be treated with drugs, generally with anticoagulation, blood circulation, thrombolysis, expansion and other drugs... If the medication does not improve the symptoms, it is recommended to do surgical treatment, thrombectomy... If the blood vessel damage is severe, you may need to have a vascular transplant..."
"Then I..."
"In your case, it seems that you still get up early, have a certain blood supply, and are not completely occluded... You can try anticoagulation, blood activation, and volume expansion therapy first..."
Xie Yao was delighted.
"Hospitalized, do a coagulation function test first, see if there are any conditions for conservative treatment..."
"Okay, okay..."
Patient Xie Yao nodded repeatedly.
"If it doesn't work, I can only do thrombectomy for you, either cut the blood vessel, remove the thrombus, or intervene to remove the thrombus..."
Here we want to talk about a concept: "perioperative period".
It refers to the whole process around surgery, from the time the patient decides to undergo surgery, through the surgical treatment until basic recovery, including a period of time before, during and after surgery.
......
......
At this point,
A university nearby.
A group of students are eating.
suddenly
Whoops~~~
I don't know what happened, the dishes on the dinner bowl of a male classmate were directly hit and poured onto another female classmate.
"Ah~~~"
The female classmate herself loves to be beautiful, and then she was drenched like this, and suddenly screamed.
The boyfriend of the female classmate looked at it and was angry.
"What's going on with you? Want to find death? "
Pushed a 'murderer' male classmate.
The 'murderer' male classmate was pushed to the ground and was very embarrassed.
Both men were very hot-tempered people, so they quarreled like this.
Noisy and noisy, hands on.
The two of you come and go, you punch me, I punch you.
Suddenly
The canteen was in chaos.
All the students who were cooking and eating looked over.
suddenly
Whoops~~~
"Ah~~~~"
The 'murderer' male classmate, fell violently to the ground, and then severe pain.
It hurts so much that I want to struggle, but I can't get up, it hurts.
"Aaaaa
While screaming, cold sweat broke out on his forehead.
The boyfriend of a female classmate was taken aback.
"You... Do you want to touch porcelain? "
However, the 'murderer' classmate still fell to the ground, in so much pain that he couldn't answer at all.
At this point, everyone realized that something was wrong.
"Quick, call 120..."
"Notify the school doctor to come over..."
"Quick!"
At this moment in the dining hall, there was chaos.
......
Harmony Hospital.
After Lin Feng diagnosed a patient,
A nurse walked in.
"Dr. Lin, there is a patient who is coming in the 120 ambulance, and the director said to let you come and pick it up..."
"Good!"
......
After 6 minutes,
120 ambulances arrived at the emergency door.
"It's this car!"
"Quick!"
The ambulance door opens,
The doctor inside jumped out and then pushed the patient out, the bed went to the floor, and the tripod was lowered.
"Doctor Lin!"
"Send it to the rescue room..."
Lin Feng quickly understood the situation.
Patient Huang Zheng, a college student, suddenly fell to the ground during a fight, suffering pain in his abdomen and chest.
The entourage, Chen Zheng, because he wanted to get justice for his girlfriend, he angrily taught Huang Zheng a lesson, and as a result, he beat Huang Zheng into the hospital, and now he is panicking.
Entourage, school doctor Lei Fang...
"You punched a few times and fell to the ground, right?"
"Yes..."
"What exactly was the position?"
"I don't know, I'm just beating..."
Chen Zheng explained in a panic, he was almost crying.
Lin Feng looked at Chen Zheng,
The man is tall and big, 180 tall, and his arms are quite muscular at a glance.
These punches are estimated to be not small.
Lin Feng opened Huang Zheng's clothes and found several bruises, which further showed that his strength was not small.
Location of bruises: xiphoid position, liver, precordial area, left lower abdomen...
Lin Feng gently pressed the patient's abdomen, and the patient immediately screamed.
In the process of sending to the rescue room, Lin Feng already had the first guess:
Liver, spleen... Punched and broken...
These two organs are large, especially the liver, which occupies almost half of the upper abdomen and is prone to injury.
And the spleen, although the position is relatively deep, but the most brittle, Lin Feng has encountered many because the pancreas is broken due to external forces, resulting in heavy bleeding, and then directly shocked to the ground...
Now the patient Huang Zheng has obvious abdominal pain, has clear abdominal trauma, pale face, painful expression, and the first suspicion of liver and spleen rupture is the correct clinical thinking.
Soon came to the rescue room.
Change bed.
The nurses and doctors worked hard together to carry it over.
Patient Huang Zheng was embarrassed: "I'll come by myself, I'll come by myself..."
However, he was seriously rejected by Lin Feng.
"Your situation is not clear now, don't move..."
Lin Feng's seriousness made Huang Zheng and Chen Zheng panic.
Connect to an ECG monitor.
Blood pressure: 134/62mmHg
Blood oxygen: 96%...
Lin Feng breathed a sigh of relief.
This blood pressure does not have the blood loss, hypotension, and hemorrhagic shock that Lin Feng worries about.
But
Lin Feng was still not at ease.
Because if you miss it, you may die at any time.
"Go for CT and see if there are any fragments..."
Lin Feng made a decision.
And then
"Wait......... Let's do an electrocardiogram first..."
Lin Feng's considerations are as follows:
The two fought and had a bruise on their left chest, most likely hitting hard, causing mechanical damage to the heart.
furthermore
Due to severe abdominal pain, it is also possible that the patient may cause cardiac ischemia and infarction?
Pull the ECG first...
While pulling, Lin Feng held a stethoscope.
Heart: No murmur, healthy...
Lungs: There are no crackles, etc., and it is very healthy...
Abdomen... It doesn't seem to be a problem...
soon
The electrocardiogram is also out.
Electrocardiogram, nothing is wrong ...
Lin Fengxin breathed a sigh of relief.
Another dangerous possibility is ruled out.
"Do you feel anything but pain now?"
"It's a little disgusting, I want to vomit..."
Lin Feng: "??? "
。