bookpower Chapter 271
Chapter 271
When Lin Feng and others pushed the patient and rushed to the imaging department,
There are many patients who have CT done.
The whole corridor was full of patients.
"Let one, let one..."
flat car propulsion,
Many patients gave way.
Some patients were dissatisfied and said, "It's time to cut the queue again..."
However, this kind of patient is still a minority, and many patients still understand this kind of rescued patient.
One after another, give way.
Advance the CT room...
At this time, the old man felt that his mental state was even more unbearable, and his blood pressure did not drop, maintaining it at 87/46mmHg.
"Water... Drink water..."
At this time, the old man said a word.
Lin Feng was shocked.
This is a bad signal, indicating that there is really shock, the body's blood volume is insufficient, and the human survival instinct urges the patient to drink water.
But
Lin Feng looked at the boom, and was quietly dripping glucose, plasma, etc., in the rehydration solution.
At this time, there is still a shortage of water?
Is it really aortic dissection rupture bleeding?
However, the results of the blood routine have not yet come out, and it will take a long time
If you really have hemorrhagic shock, your routine hemoglobin will definitely be ridiculously low!
On the CT machine...
Injecting contrast ...
5 minutes later...
CT results are out!
No aortic dissection
No pulmonary artery embolism (judgment: effect map with embolism: one of the segments is black (contrast agent circulation), one is white (blocked, no contrast agent))
No pneumothorax.
No pericardial effusion. (Pericardium: A membranous sac that covers the surface of the heart.) ）
Lin Feng was stunned!
How is it nothing?
The whole CTA looks as if there is no problem at all!
But!
This old man, why does he have chest pain?
Lin Feng's spirit flashed.
Needle prick!
That should be the part is the point, not the area.
Lin Feng's gaze looked at the location of the needle prick that the old man said: one of the positions of the center line of the chest.
And then!
Lin Feng was inside the CT and saw a high-density white thing.
Length about 2cm...
"The location... Esophagus? Artery?"
"Could it be... Fish bones!!"
Enlightenment!
The whole person shook wildly!
Lin Feng was overjoyed, did not run, it was definitely something sharp such as fish bones, pierced the esophagus, and then pierced the artery, causing arterial bleeding!
"Found it, it's a fish bone!"
Lin Feng laughed.
"Huh, fish bones?"
"Which?"
Lin Feng pointed to the high-density white shadow of the CT.
"I'm going, it's really like that!"
"It may really be fish bones, this location is the esophagus, artery..."
"Why didn't you find out just now?"
"Dr. Lin's eyes are sharper than ours..."
One by one, the interns were surprised.
Lin Feng shook his head, in fact, this fish bone is still quite large, and a little attention can find the reason.
And interns, nurses, CT doctors... Just now, everyone's attention was focused on whether there was aortic dissection, whether there was pulmonary embolism, and the esophageal lumen was missed.
And myself, it can be regarded as a flash of inspiration, thinking of this, only to find out.
At this time, looking at the imaging again, there is indeed blood (imaging) 'leaking' from the place of the fish bone, spreading around.
"If it's a fish bone, it makes sense!"
"It hurts like pinpricks!"
"Bleeding pierced the artery, causing hypotension, but not severe..."
A person, this moment is excited.
Lin Feng asked the old man: "Abel, have you ever eaten fish or swallowed fish bones recently, or other sharp things..."
The old man was weak: "Yes, yesterday I ate fish, there was a fish bone, when I swallowed the vegetables, I swallowed it..."
Lin Feng: "........."
Interns: "........."
Swallow again!
However, as long as it is not myocardial infarction and pulmonary embolism, this fish bone is also good news.
So here's the problem.
Why didn't it hurt yesterday, it hurts today?
It may be that yesterday the fish bones only pierced the mucous membrane of the esophagus a little and did not fall, today it may be pushed further into the food and pierced deeper, so it hurts more...
......
Soon, the patient was pushed back to the emergency department.
When the old man's son heard that it was fish bones, he suddenly realized that his father had indeed eaten fish and swallowed fish bones yesterday.
It's also a relief.
Now that the condition is determined, it is time for treatment.
Shock: Anti-shock rehydration...
Fish bones: Gastroscopic fish bones...
Lin Feng thought about it.
This old man is now in his 60s, not young, his blood pressure is still a little low, and he is afraid that the fish bones will pierce the artery too deeply, and a lot of blood will be plucked out.
So, send it directly to the operating room!
......
operating room
Minor surgery.
General anesthesia......
Gastroscopy probed...
Find the fish bones...
Then pull out...
The fish bones are about 2cm...
Put it in a basin...
End surgery.
Half an hour later, the patient woke up...
After an hour, the blood pressure finally stabilized and the shock ended...
......
At this time, Lin Feng had begun to receive other patients.
......
......
At this point,
7th floor of the hospital building,
outside
Two cleaning staff, sitting on the safety ladder, wiped the glass of the building.
"Uncle Jun, quickly wipe this side, take advantage of the noon break to rest...!"
The young man wiped the fine beads of sweat from his forehead with his sleeve and complained.
"Just say two words, it's not easy to make some money this year, it's better to do more work with this lazy time." "
The older uncle Jun gave the younger one a blank look, and cleaned the window in front of him with a mop.
Soon, a piece of glass in front of him was cleared by Uncle Jun, and he turned the rope and lifted the rope towards the height.
The top platform, the rope used to secure the elevator, silently broke a bundle of wires.
With every turn of the rope by Uncle Jun, the knot of the rope in the fixed place fell apart faster.
At the moment when Uncle Jun bent down to wash the mop, he lost gravity, and the whole person fell from the height of the fourth floor.
"Uncle Jun!"
The little young man suddenly panicked and roared.
In just a few seconds, Uncle Jun fell into the flower bed in front of the emergency department of Harmony Hospital.
Forcefully smash the green plant into a big pit.
"Ah~~~~~~"
"Someone jumped off the building!"
"Come on!"
The people on the first floor were suddenly in chaos.
afraid
Lose sleep over something
Because it's right at the door of the emergency department.
So the emergency department also heard movement.
"It's not good, something happened!"
"Someone jumped off the building!"
Lin Feng was in Consultation Room 3 near the door at this time, closest to the door.
Hear the message.
At this moment, my heart beat faster!
Rumble~~~~
Push away the chair, skim past the patient, and speed outside the emergency door.
When he rushed out, he happened to see a group of people, watching from a few meters away.
The center of the crowd watching,
A middle-aged man lies on the ground.
"Let a let..."
"Bring the stretcher right away!"
Lin Feng shouted.
The flat car cannot be used at this time, because the ground is grassy and uneven.
Lin Feng quickly ran to the patient.
Examine.
loss of consciousness and inability to respond,
The fourth floor fell from a high altitude, and it is estimated that there must be a problem with the bones, head, and internal organs...
soon
Other doctors and nurses arrived, loaded him onto a flat car, and rushed him to the imaging department.
Need to do CT and other examinations first...
halfway
Met the clean lad.
"Doctor Lin, I know you, you must save my master, he is still young, there is still a family at home, if it is so gone, then the sky will really fall!"
The little young man recognized Lin Feng, and immediately grabbed Lin Feng's arm, pleading with a handful of snot and tears.
"Please don't disturb our work, leave it to Dr. Lin to handle!"
Seeing this, intern Wang Zirui hurriedly pulled the young man away.
......
Soon, the results of the imaging department came out.
Compression fractures of the lumbar spine that cause massive bleeding
・ There are fewer injuries to internal organs, and you can leave it alone for the time being
Lucky in misfortune!
Just do orthopedic surgery!
......
Running all the way,
Speeding through the operating room...
Quickly connect to the ECG monitor...
Lin Feng looked at the data,
"Shock, rehydrate immediately!"
Then instruct the nurse to start dispensing medicines, boluses, and drips of meridian channels... Together!
"Prone position, head to one side, both upper limbs on the side of the head..."
"Intubate, give oxygen, get on a ventilator!"
"General anesthesia ... The medication is..."
At this time, the anesthesiologist had not yet arrived.
Lin Feng has rich experience as an anesthesiologist and directly instructs the nurse to prepare anesthesia...
......
At this point,
The fall accident has spread throughout the hospital.
Office of the Dean,
The dean's face changed, and he stood up abruptly.
"Fell from the building? How did you do it!"
"What about people?"
Secretary: "Dr. Lin from the emergency department has been rescued, and now he has been sent to the No. 8 operating room..."
When the dean heard this, his heart couldn't help but breathe a sigh of relief.
LIN Feng,
There is strength!
However, he was still not at ease and quickly went out.
"Go!"
......
Besides
This incident also alarmed many outsiders.
How 'star-studded' Harmony Hospital is, naturally there are countless lights staring.
What's more, this fall, in the imperial capital, looks a little appalling!
soon
It began to spread online, causing a lot of discussion.
There are also reporters from Didu TV who heard the news and are on their way.
A storm is brewing.
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ps: For now, I'll try to see if I can add another chapter (??)
。