bookpower Chapter 252
Chapter 252
Anesthesiologist, nurse, and Wang Zirui stared at Lin Feng with several pairs of eyes.
The patient's blood pressure is steadily decreasing.
Lin Feng frowned and looked at the imaging image.
Now there are two ways:
・ With interventional surgery, embolization ...
With surgery, direct abdominal opening, hemostasis...
Lin Feng looked at that aortic dissection, it was too big, and the gap that caused the rupture was very large!
Moreover, embolism does not cure the problem!
Without the slightest hesitation.
Lin Feng decisively gave medical advice.
"General anesthesia! Open abdomen! Rescue the patient!"
"Replenish blood!!"
Fortunately, before the operation, Lin Feng anticipated the risk of aortic dissection rupture, prepared blood, and prepared corresponding instruments.
The anesthesiologist heard the sound and moved.
Wang Zirui said timidly, "Do you want me to inform the patient's family outside?"
Lin Feng: "Yes, let Xiao Ai sign the consent form immediately!"
Wang Zirui: "Yes!"
......
Change the scalpel!
The instrument nurse handed it over!
Lin Feng immediately switched from minimally invasive to traditional surgery.
Syllable~~~
The surgical door opens,
Wang Zirui rushed in.
"Doctor Lin, signed!"
Lin Feng: "Good!"
Now that you've signed it, you can start surgery.
Open belly!
Cut......
Hemostasis......
Lin Feng's hand is like a gust of wind.
58 seconds!
Open the abdominal cavity...
At this moment, a large amount of bright red blood gushed out of the entire abdominal cavity.
Hemostasis!
Lin Feng understood that he must stop the bleeding point immediately.
But the surgical field was bloody.
Obscure.
The location of the blood vessels is not obvious.
The upper instrument cannot be accurately positioned at one time.
What to do?
Lin Feng has a trick!
Unarmed!
Lin Feng went up with his bare hands!
Once again, sacrifice his trick!
I saw Lin Feng reach out and directly pinch the abdominal aorta and pinch the upper end of the aneurysm.
Blood like a fountain, all of a sudden, as if the faucet was turned off.
Wang Zirui, anesthesiologists, and nurses were all in shock.
For Lin Feng's hand, stop the bleeding with his bare hands.
There are only three words to describe it.
Vicious!
Permit!
Fast!
Just when everyone was still admiring Lin Feng's divine operation.
Lin Feng had already begun to roar, "What are you doing stunned! Wang Zirui quickly clean up the bruise! Instrument nurse, give me hemostatic forceps!"
"Understood!"
The prince rushed to action.
Hemostatic gauze.
A......
Two pieces...
Three pieces...
More than twenty pieces of hemostatic gauze were used in a row.
Only barely cleaned up the bruise.
On Lin Feng's side, he also clamped the blood vessels with the hemostatic forceps handed by the instrument nurse.
The bleeding stops!
The patient's blood pressure slowly rises.
It's good that there was no shock ...
Everyone in the operating room breathed a sigh of relief.
However, everyone soon fell into another difficult problem.
Now.
The blood vessel has ruptured.
It is no longer possible to put a stent again.
The extent of rupture is relatively large.
Barely stitching is okay.
But considering that the blood vessels themselves are problematic.
Even after suturing, after a while, there is still a possibility of rupture again.
Wang Zirui said, "Doctor Lin, what should I do next? "
Lin Feng frowned.
Suture?
Make do with it?
Let the patient continue to wait for the next time with risk?
This is obviously not Lin Feng's style.
Problems that can be solved with one surgery.
Of course, Lin Feng would not let the patient receive a second or third knife.
Lin Feng made a quick decision.
"Wang Zirui, you inform the family that the surgical plan has changed, and I will build a bridge to replace the artificial abdominal artery blood vessel for the patient!"
When Wang Zirui heard this, his heart froze.
Aortic replacement of artificial blood vessels.
This difficulty is one level higher than the previous bracket.
However, Wang Zirui didn't ask much.
Since Lin Feng said.
That's fine.
Wang Zirui unconditionally believed in Lin Feng's level.
......
Surgery is on hold.
Wang Zirui went out to communicate with Xiao Ai.
Lin Feng was not idle.
Turn off the camera machine...
Evacuation of the guidewire catheter ...
Take off heavy lead clothing.
Lin Feng traveled lightly.
Take on bigger challenges.
But before that, Lin Feng had to ask the vascular surgeon to borrow an "artificial blood vessel".
This thing, find vascular surgery the fastest.
(Separate from extracardial, vascular surgery...) ）
A phone call over.
Vascular surgery exploded the pot.
"Lin Feng came to borrow equipment?"
"I heard that it is an artificial vascular replacement in the abdominal artery. "
"My God, Dr. Lin Feng is going to attack our department!"
"Go? Go onlookers?"
"But... It's a little hard to pull my face. "
"It's okay, it's okay, everyone go in a group! Learn from the big guys, no shame!"
We can give him equipment under the pretext of having an operation casually. "
......
Half an hour later, the operation continues.
Wang Zirui has finished communicating with Xiao Ai.
Then.
There were about a dozen more vascular surgeons in the operating room.
There are main doctors, there are residents, and everyone is waiting for Lin Feng to undergo surgery.
Wang Zirui just returned from Xiao Aina, and when he saw so many people, he didn't know the situation, and he was a little surprised.
"They are..."
Lin Feng said lightly: "Oh, they're from vascular surgery." Just now I called and went to them to borrow blood vessels... They heard about abdominal artery replacement, so they came and took a look. "
Wang Zirui looked at the group of observers.
Soon he saw one of them.
Nima, isn't this his roommate.
Now it's time to steal technology.
The man looked at Wang Zirui, also a little embarrassed.
An embarrassed smile.
Then his eyes immediately looked at Lin Feng greedily.
......
The operation continues.
Manual abdominal aortic replacement.
Lin Feng main knife.
The nurses are on the look.
Wang Zirui was nervous.
A group of doctors from vascular surgery stole the master.
Macrovascular replacement is a "pyramid surgery" in the field of vascular surgery, which is extremely difficult and risky.
This surgery.
It is also rare in Harmony Hospital.
Every time I do it, it is the director of vascular surgery.
Today, Lin Feng was alone to perform this level of surgery.
These young vascular surgeons.
Come and see what you say.
At first, they were afraid that Lin Feng would not give it.
After all, this trip, there are no big guys leading the team, they are completely temporary.
I didn't expect Lin Feng to be extremely talkative.
They were unusually excited.
Watch! Learn!
Surgery begins.
Lin Feng swung his knife up.
Separation of tissues...
Complete exposure of the abdominal aorta exposure...
Blocking blood vessels...
Cut off blood vessels...
Artificial blood vessels on polyurethane...
Completely domestic ...
Quality barred...
An artificial blood vessel is a tube with many branches...
Each branch is connected to a blood vessel.
Lin Feng first connected a branch of the artificial blood vessel to the common iliac artery...
And then block the thoracic aorta...
Cut off blood vessels...
The severed blood vessel anastomoses with the artificial blood vessel ...
......
Blocking, anastomosis, opening, blood supply...
Lin Feng operated in an orderly manner.
Wang Zirui's nervous mood slowly relaxed.
Lin Feng is really reliable!
My happiness will be preserved!
The young doctors of vascular surgery are even more excited.
"MMP, Lin Feng is powerful!"
"Learn from the big guys!"
"The last time I saw this level of replacement surgery was half a month ago!"
"Yes, the last time the director did 3 hours, Dr. Lin Feng did it alone. "
"This trip did not come in vain. "
"Dr. Lin Feng66..."
......
This operation.
Straight to 8 a.m., and it continues.
The bigwigs of vascular surgery are going to work one after another.
I saw the department that was a little more empty than usual.
The big guys are weird.
When I learned that the apprentices all went to watch Lin Feng perform surgery.
The big guys were curious.
What surgery, so many people went to observe.
So.
The big guys also flocked to the operating room.
When they see.
The artificial blood vessels, which are nearly 30 centimeters long, have all been replaced in the patient's body.
And it worked smoothly.
Big guys: ".............................."
What happened?
There was such a wonderful operation.
That's not right!
Lin Feng would actually do this operation?
Sure enough, is it to extend the evil hand to our vascular department?
......
The operation lasted 1 and a half hours.
Postoperatively.
Everything works fine.
The patient's signs are stable.
There are no serious complications.
After three days of ICU observation.
Xiao Ai's mother was transferred to the general ward.
Wang Zirui was really grateful to Lin Feng.
Wang Zirui wanted to invite Lin Feng to the restaurant.
But in recent days.
There has been no chance.
Because Lin Feng is too busy.
Wang Zirui expressed understanding.
After all, the emergency department has the most patients!
......
......
New day,
Keep seeing a doctor...
"Knock knock!"
Wang Zirui pushed the door and walked in,
He also supported an old man.
The old man was about seventy years old, his face was sallow, and he seemed to be a little abnormal, followed by a middle-aged man.
"What is the situation?" asked Lin Feng.
"My mother quarreled with someone in the community yesterday, and accidentally swallowed her dentures, thinking that she could spit them out, and then did not come to the hospital, so she stayed up all night, and when she woke up in the morning, she found that she couldn't stand the pain when she spoke, and she couldn't eat anything, and asked Dr. Lin to take a look." "
The middle-aged man sighed.
Lin Feng couldn't help but be a little handsome, he had seen it with coins, and he had also seen it swallowing pesticides, but this denture was swallowed for the first time.
"Old lady, tell me about the current situation. Lin Feng asked.
"Even when eating, the pain is not good, even swallowing saliva is a kind of torture, and there is a feeling that I can't breathe. "
The old lady said with a look of grievance.
"It should be dentures stuck in the esophagus, you take your mother to take an X-ray first!" Lin Feng signed a list.
As soon as the middle-aged man went out, Wang Zirui directly laughed out loud.
"Can this be endured, so quarreling that I swallowed my dentures!?"
In Wang Zirui's words, we are professional and don't laugh easily, unless we can't help it.
Lin Feng also shook his head helplessly.
Half an hour later, the middle-aged man helped the old lady into the consultation room.
"The dentures stuck at the level of the old lady's aortic arch, in the middle of the esophagus. "
"Wang Zirui, you laugh again and get out of here!"
Lin Feng put down the X-ray film, his face was a little stunned, and he smiled in front of himself, and now the patient is here.
If this is spread, wouldn't it be someone who lost the Union Hospital.
"I'll go!" Wang Zirui held his abdomen and hurriedly walked out of Lin Feng's consultation room.
Who can endure this, the dentures swallow and get stuck at the level of the aortic arch.
"Sorry, that's an intern, don't mind. Lin Feng shook his head.
"My mother is indeed a little embarrassed, it's good that he doesn't smile, and I can't hold back this smile." The middle-aged man actually laughed heartlessly.
The old lady wanted to scold her mother, how did she give birth to such a dog mongrel as you.
"Sloppy!"
Lin Feng's face was full of black lines.
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ps: Update complete...
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