bookpower Chapter 375
Chapter 375
Finally, the gastroscopist came up with a way to push the coin into the stomach and slowly remove it with the help of a foreign body net pocket.
At this moment,
Everyone breathed a sigh of relief.
"Thank you, Dr. Lin!"
"Thank you doctor!"
The parents died for the rest of their lives, and thanked Lin Feng and the gastroscopist.
......
Lin Feng returned to the consultation room,
Just when Lin Feng wanted to sit down and turn on the calling machine,
"Doctor Lin, Dr. Liu Fen has an accident, the director asked you to go over and take a look!" A nurse looked anxiously looking at Lin Feng.
"What happened?"
Dr. Liu Fen, a surgeon in the emergency department, has had several contacts with Lin Feng, a passionate big sister.
The nurse quickly explained,
It turned out that the patient was sent to Harmony Hospital because of inferior vena cava bleeding (venous passage connecting the heart, venous blood entrance).
The surgeon in charge of surgery is Dr. Liu Fen,
"It was originally a case of balloon dilation and diversion, but I didn't expect the operation to fail, and now the patient's life is in danger, and the family has blocked Dr. Liu Fen in the operating room!"
"Dr. Liu Fen has done hundreds of large and small surgeries in the past year, and this kind of operation is not difficult for Dr. Liu, and now it is the first time that this kind of medical accident has occurred."
The two of them walked and ran half,
The nurse explained while explaining...
"Partial vena cava resection with artificial vascular replacement!" Lin Feng immediately made a judgment in his heart.
......
soon
Lin Feng and the nurse came to the waiting hall of the operating room,
At this point,
The waiting hall was in chaos.
Concerned patient families, doctors and nurses, and those onlooker patient families.
"My son was fine before entering the operating room, now there is an accident, if Harmony Hospital does not give an explanation today, none of us will think about it!"
The patient's family (presumably the mother), holding a pair of scissors in their hands, stared viciously at the doctors.
"If you don't want your child to die on the operating table, get out of the way, and we'll go in immediately!"
At this time, a doctor shouted, sweating profusely, and wanted to let Lin Feng into the operating room.
"Are you Lin Feng?"
As soon as the aunt saw Lin Feng, her mood finally eased up.
"Hello this aunt, my name is Lin Feng..." Lin Feng had to stand up at this time: "I have made things clear, now time is everything, I will go to surgery first..."
The aunt thought for a while, and finally said viciously: "Go, I believe you... However, if you don't save my son, don't blame me for not giving you face! "
Lin Feng nodded and quickly walked into the operating room.
Other doctors and nurses, hurry up and follow.
The chaotic waiting hall for surgery suddenly became a lot quieter.
......
Inside the operating room,
"Give me the information..."
Lin Feng rushed in and quickly washed his hands, dressed, and put on gloves...
Then carefully and carefully read all the patient's medical records...
The patient's current condition is:
Inferior vena cava bleeding ...
Something went wrong with the intervention balloon... The bleeding did not stop, but the bleeding was even greater...
The patient is undergoing a blood transfusion to maintain a stable life...
The patient is hypotensive, is on vasopressor medication...
Because the rehydration is timely, there is no shock ...
And now,
What Lin Feng needs to do:
Immediately open the chest and stop the bleeding of the inferior vena cava...
・Use artificial blood vessels to connect and restore blood circulation in the inferior vena cava...
"Scalpel!"
Lin Feng walked up to the operating table,
There was no hesitation.
An incision is made along the right side of the patient's abdominal cavity through the standard chest of the sixth and seventh ribbed beds.
Position a retractor, push open the right lung, and cut and ligate the lower ligament of the right lung.
The palm of the hand is probed into the free right phrenic nerve, and the pericardium is cut longitudinally.
Swim the inferior vena cava in the pack and wrap around the traction belt, and cut the diaphragm and phrenic nerve hiatus along the inferior vena cava to fully expose the naked hepatic area.
Two transverse fingers below the diaphragmatic plane reveal the annular lesion.
Obstruction of the inferior vena cava is immediately made proximal to the lesion, and the superior inferior vena cava above the lesion is incised longitudinally.
"Heavy bleeding in the collateral vessels!"
Lin Feng immediately inserted a Fogarty catheter at the end of the blood vessel to stop the bleeding.
Insert the diversion tube upwards into the right atrium, tighten the proximal inferior vena cava occlusion band, and insert the sac diversion tube distally.
Through the obstruction segment to the normal inferior vena cava, the balloon is filled with normal saline and pulled proximally to stop bleeding!
The connecting tube connects the diversion tube, inferior vena cava, and hepatic vein.
Soon, blood flows through the diversion tube and into the right atrium.
"Surgical forceps!"
Lin Feng completely cut the diaphragm along the inferior vena cava wall and peeled off the adhesion thrombus.
Push the balloon distal to further probe the patient's hepatic veins.
"There is no stenosis in the venous cavity."
"5-0 vascular anastomosis."
Lin Feng withdrew the proximal sewer tube, quickly gentled the inferior vena cava, and sutured it in the center above the incision.
"Ear clamps!"
Rapidly flatten the balloon and withdraw the distal drain to block the unclosed inferior vena cava.
Complete the final stitches of successive sutures, loosen the blocking forceps, and tighten the suture ligation.
The operation is here, almost over.
Then re-fix the bones ...
Close the chest...
Suture the incision...
End of surgery.
Time
80 minutes...
The whole surgical process,
Dr. Liu Fen stayed on the side, and the atmosphere did not dare to come out.
The operation failed without warning, leaving her head dizzy.
Looking at Lin Feng on the operating table, there was a complicated emotion in his heart: gratitude, frustration...
......
This life-saving operation,
Lin Feng only regarded it as an ordinary operation,
But
Dr. Liu Fen is undoubtedly very grateful to Lin Feng.
Yo Lin Feng went to her house for dinner, and wanted to introduce Lin Feng's daughter, hoping to become a son-in-law... Frightened, Lin Feng hurriedly refused, because... Dr. Liu Fen has a very average appearance.
After learning about the successful results of the operation, the patient's family also gave Lin Feng face and did not continue to embarrass Dr. Liu Fen.
He also sent a pennant to Lin Feng.
......
After Lin Feng's surgery,
Continue back to the clinic and turn on the call machine.
Broadcast: "Please ask Wang Lu to visit the No. 5 consultation room..."
soon
A pair of parents, with a 10-year-old girl, walked into the consultation room.
"I'm sorry, I've been waiting for a long time, but there is an operation that suddenly requires me to pass..."
Lin Feng said apologetically.
"It's okay, Dr. Lin, you're saving people..."
Politely,
The couple began to talk about their daughter's condition.
Patient, female, Wang Lu, 10 years old,
Patient symptoms: abdominal pain, anorexia, nausea...
Time lasted a month...
In a month, I lost 8 pounds, and it is currently 50 pounds...
Lin Feng combined with the above symptoms,
Probably think of the following reasons:
Gastroesophageal reflux...
Digestive tract lesions...
Trace element deficiency...
Endocrine diseases...
Of course
Digestive diseases are very complex, just like guessing, to be examined slowly.
Lin Feng asked about the little girl's medical history and daily life.
After 3 minutes,
Conclusions:
Eat healthy and should not have food poisoning or the like...
No special medical history...
Then begin the physical examination:
I looked carefully from top to bottom, listened, and found nothing abnormal.
"Doctor, how's it going?"
Lin Feng shook his head: "It's not clear yet, digestive system problems are likely, and it may also be other diseases, such as blood and endocrine... In general, in this case, the inspection that should be done should not be saved, and sometimes it is easy to make a big mistake if you are not careful... So, in terms of checking items, it may be a bit much..."
The parents were nervous about the little girl's illness and nodded repeatedly.
"Dr. Lin, I believe you, what examination, you can open it!"
"Good!"
Then, Lin Feng prescribed some necessary examinations for the child.
Blood routine is a must...
Because of digestive problems, you can do a gastroscopy...
Blood glucose and blood gas analysis because it can produce results in one minute, priority is done...
If you can, perfect the abdominal ultrasound...
Liver and kidney function metabolic problems...
Do blood sugar first...
As soon as you prick your fingers, it comes out immediately.
This za,
Disastrous!
Shocked everyone!
Blood sugar: 18.9mmol/L (normal value: 3.9-6.1mmol/L)
Lin Feng was taken aback!
Thrice!!
"I'm going? Why is blood sugar so high!! "
Then quickly let the couple take the child:
"Go and urinate right away and do a urine routine!"
。
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ps: Three more ends... Can you guess the last case, what kind of disease it was? Follow the existing clues.
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