bookpower Chapter 240
Chapter 240
The first is anti-shock rehydration.
According to the data feedback from the ECG monitor, Lin Feng listed the medication plan and asked the nurse to rehydrate.
After doing this,
"Send for X-rays!"
Speeding away from the imaging department.
The female doctor on the X-ray saw Lin Feng and very happily directly let Lin Feng cut in line.
Lin Feng operated the machine and quickly took X-rays.
Found that needle!
It has already run to the pulmonary veins!
And the cause of the bleeding was also found!
In a large section of vein from the arm to the pulmonary vein, due to the touch of the needle sharp instrument,
Cut the vein, 4 bleeding!
Therefore, the amount of bleeding will become larger, which will lead to shock!
Lin Feng couldn't help but be shocked when he saw it!
And now,
Lin Feng needs to solve two problems as soon as possible (the sooner the better):
Fish out the needle!
Block multiple venous bleeding openings!
What to do?
Two surgical options!
Is it open surgery?
Or interventional surgery?
Lin Feng thought for 3 seconds and decided immediately!
Option: Interventional surgery!
The reason is that interventional procedures are less harmful and less burdensome to the patient!
"Xiao Ai, contact the interventional department, I want to borrow them an interventional operating room... Also, help me get in touch with an anesthesiologist! "
"Huh?"
Xiao Ai was shocked!
Will Dr. Lin Feng also intervene in surgery?
"What are you doing stunned? Go quickly, the slower you drag, the more troublesome it will be!! "
"Yes!"
Xiao Ai ran out.
Lin Feng instructed another nurse:
"Find the family immediately and sign the agreement!"
"Yes!"
......
Interventional Section.
"What? Dr. Lim wants to borrow our interventional operating room? "
Zhang Huaicai, director of the intervention department, was stunned!
"Will he intervene in surgery?"
Recently, Lin Feng can be said to have stirred up the storm of Harmony Hospital, with the most news and the most attention.
Director Zhang Huaicai has some understanding.
"Since he wants to borrow it, we will lend it to him, in addition, let Xiao Liu (Doctor Guipei) help, and Xiao Jie and Xiaohong (instruments, itinerant nurses) will also help!"
"Yes."
The nurse quickly left the director's office.
This scene happened to be heard by Lin Feng's soy sauce master brother Zhu Zhi'an, and he was surprised.
Lin Feng wants interventional surgery?
Really fake?
Will Lin Feng intervene in surgery?
Okay Zhu Zhi'an, please instruct:
"Director, I'll take a look too, Lin Feng is my junior brother..."
"Are you his senior brother? ...... Good! "
......
On the emergency department side,
The doctors in the emergency department were shocked again!
"Lin Feng is going to the interventional department for surgery?"
"Lin Feng will also intervene in surgery?"
"Impossible, right?"
"Front brain, extracardiology, digestion, orthopedics... It's all okay, how to intervene? "
"It's too much!"
"I don't believe it!"
"Medicine is scientific and takes time to accumulate! I don't believe anyone is so awesome! "
"Hahaha~~ It's all fake, it's all fake (crazy laughter)..."
The three views of emergency doctors are constantly collapsing.
Sanguan takes damage +1000+1000+1000+1000...
......
Lin Feng pushed the patient Xu Jin, all the way to the intervention department, and rushed quickly.
When the family heard, the needle fell into it, and they might run to the heart to cause heavy bleeding and frightened.
Without saying a word, I signed it directly!
Based on the success of the three-ankle surgery, the two parents of Simplicity believe in Lin Feng's strength.
"Doctor Lin, sign it!"
"Good!"
Lin Feng was delighted.
What he was most afraid of was that it was difficult to sign and delay the operation!
After 5 minutes,
Arrive at the interventional operating room!
A regular training doctor from the interventional department, a doctor from the anesthesiology department, a device nurse, and an itinerant nurse have all arrived.
Zhu Zhi'an also came.
"Lin Feng..."
Say hello.
However, Lin Feng had already forgotten Zhu Zhi'an, after all, it had been too long.
Therefore, Lin Feng directly ignored him.
Push the patient onto the operating table at a fast pace!
"Quick, Image!"
"Connect the ECG monitor..."
"Quick!"
Soon, new data appeared on the ECG monitor.
Shock progressed, there was a change.
Lin Feng quickly instructed the nurses in the emergency department to adjust the medication.
"Increase furosemide..."
"Adrenaline..."
Lin Feng finished ordering,
At this time, the doctor has begun to inject the contrast agent.
The contrast machine began to work...
The contrast agent begins to flow along the bloodstream and into the chest area.
Because interventional surgery is minimally invasive, only the puncture site will have pain,
soon
The results of the contrast agent display came out.
"Found 6 bleeding holes!"
"2 more bleeding holes than at the beginning!"
However, Lin Feng did not pay much attention.
His gaze was glued to the pulmonary veins, the position of the pulmonary arteries...
He needs to find the needle quickly!
In the first step, remove the needle.
The second step is to intervene to stop the bleeding.
This is the correct order!
"Found it!"
Lin Feng found the needle and had already run to the front end of the pulmonary artery!
Lin Feng immediately ordered:
"Catheter!"
"Foreign object catcher!"
"Right femoral vein puncture!"
Lin Feng passed the guidewire all the way through the blood vessels.
All the way to the pulmonary artery position...
Then insert a catheter, a grabber ...
The catcher reaches the pulmonary artery...
One twist, one grab ...
Lift as much as you want!
Lin Feng easily caught the detached needle, then tightened the grabber and salvaged the detached catheter into the catheter sheath...
Finally, dragged out of the body through the catheter sheath ...
This needle, about four millimeters.
The needle is extremely sharp!
However, the needle was finally removed.
"Bomb" defused successfully!
......
Next
It is to intervene to stop the bleeding!
The principle of interventional hemostasis is very simple, that is, through the catheter, the interventional substance is transported to the bleeding port, blocking the bleeding port, and achieving the purpose of hemostasis.
The hemostatic substance is commonly used as "gelatin sponge".
Gelatin sponge: belongs to protein collagen sponge, is one of the commonly used embolization materials in interventional treatment methods, used to strengthen embolism, can also play a certain coagulation effect.
Lin Feng neatly used a catheter to continuously transport gelatin sponge particles through the guidewire path, and sent them into 6 bleeding ports.
The six bleeding openings are blocked in turn.
In the end, the purpose of stopping the bleeding was successfully achieved.
So far
Surgery, "needle removal" and "hemostasis" two steps, all over!
hemostasis achieved,
It didn't take long for the patient to stop shock and begin to gradually recover vital signs.
All functions are normal, the operation is over!
Looking at the time,
It took only 36 minutes!
And the process of getting involved in the removal of foreign objects is only 15 minutes!
It was a super-fast operation!
Senior brother Zhu Zhi'an, who was helping next to him, was completely stunned at this moment!
Lin Feng's intervention surgery speed is much faster than he did it himself. The intervention strength (young generation) that he is proud of is a slag in front of Lin Feng!
And
"Heart and lung foreign body removal", that is chest surgery level 4!
So easy?
Fourth-level surgery, don't you want to lose face?
(Fourth-level surgery: Hmm~~~ My face is swollen!) ）
......
End of surgery,
Push patient Xu Jin back to the emergency department.
The doctors and nurses of the emergency department saw Lin Feng pushing the patient back to the emergency ward.
“？？？？"
"What's going on? Coming back so soon? "
"Failed?"
"Still didn't do it?"
One by one, curious and puzzled.
Soon, the nurse who underwent the operation told them the truth:
Surgery, successful!
Doctors and nurses: "...................................."
Sanguan takes damage +1000+1000+1000+1000...
Boom~~~~
Crack to pieces!!
"I don't believe it, hahaha, how can the operation be finished in less than 50 minutes?"
"It's all fake, it's all fake!"
"I'm not crazy, haha~~~~~"
A poor group of emergency department doctors, one by one, shattered, crying and screaming.
And then
Lin Feng Emergency Department Status +1+1+1+1+1+1+1...
......
In the afternoon, continue the call.
Outside the door of Lin Feng's consultation room, it was full of patients.
It's still full.
Many patients are famous.
In the past, in the eyes of these patients, Harmony Hospital only had [expert professors], and what deputy chief physicians and attending doctors were 'other doctors'.
Now, after the "expert professor", a "Dr. Lin Feng" has been added, and then other doctors.
Busy until 6 p.m.,
Work
At this time, an unexpected person came.
The director of the orthopedic department, Director Lu!
"Doctor Lin!"
"Director Lu... You are..."
"Well, I would like to invite you to the orthopedic department for an operation lecture."
"In this way..." Lin Feng pondered for a moment, and finally nodded, "Yes... When there is a suitable patient, pass on the information to me..."
Director Lu was happy: "Hahaha, okay, then we are looking forward to Dr. Lin's operation!" "
......
The next day,
Lin Feng's completion of an interventional surgery and the details have spread throughout the emergency department.
Early this morning,
Lin Feng came to the emergency department, and the emergency department doctors were even more enthusiastic.
"Doctor Lin, good morning~~"
"Dr. Lin, I heard that I did an interventional surgery yesterday, it's amazing!"
"Doctor Lin, let's have a meal together in the evening~~~"
"Doctor Lin..."
Passion +10+10+10+10...
Status +1+1+1+1...
Lin Feng seemed to have returned to the First Courtyard of the City.
In the end, there are not so many grudges and grudges, and the department is striking.
This kind of atmosphere, Lin Feng likes it very much.
Rounds
Then go to the clinic to diagnose the patient.
......
Suddenly, a morning passed.
midday
Go to the canteen to eat.
The aunt gave Lin Feng a basin of hot rice.
And a full spoonful of braised pork, a braised fish...
"Eat more, look at your skinny!"
Auntie said with a smile.
Other doctors: ".............................."
Chilling and cold!
When will the ugly stand up!
Lin Feng just sat down,
Director Lu carried the lunch box and walked all the way.
"Director Lu is good..."
"Director Lu..."
Along the way, many doctors respectfully greeted Director Lu, the big guy.
Director Lu smiled, and then came to the seat opposite Lin Feng.
Under the astonished gazes of many doctors, sit down.
"Director Lu!" Lin Feng said respectfully.
Director Lu smiled: "Dr. Lin, yesterday I said that you gave our orthopedics department an operation class, and last night our orthopedics department selected three cases, one was an ankle fracture, one was a pelvic fracture, and the other was a spinal fracture... I'll send you the information later..."
"Good."
There were many doctors with sensitive ears around who heard it and were shocked!
"I'll go, this Lin Feng is so awesome? Unexpectedly, Director Lu personally invited to do the surgery class? "
"Yes, what is Director Lu's rank? Unexpectedly invited Lin Feng? "
"You don't know? (disdainful face)"
"Village Tong Net!"
"Huh? What do you mean? Did something terrible? (dazed face)"
"The day before yesterday, Lin Feng had an operation, which is said to be very awesome, the entire orthopedics department has been studied, and no one has to submit 1,000 words of learning insights!"
"Yesterday, Lin Feng also gave a lecture to the entire department of orthopedics, and it is said that the rave reviews!"
A group of doctors who are closed in news and do not know the truth are shocked at this moment!!
Looking at Lin Feng, he showed an incredible expression!
Suddenly......
An exclamation, over the kitchen, came out.
"It's not good, Aunt Zhang fainted!"
"Come on!"
Clear!!
Lin Feng stood up abruptly.
Aunt Zhang?
Isn't it the kind aunt who has always taken good care of herself and cooked a lot for herself?
It's called Zhang Jinhua.
Lin Feng rushed to the kitchen.
Only then did the other doctors react.
......
Lin Feng rushed into the kitchen,
I saw Aunt Zhang lying on the ground at this time, and the other kitchen employees did not dare to move her, panicking.
Lin Feng quickly came to Aunt Zhang's side.
Check your breathing, no problem...
Check the pupils, no problem...
Check the others, there are no symptoms such as bleeding ...
Lin Feng breathed a sigh of relief.
Not serious!
However, what exactly caused Aunt Zhang to faint suddenly?
Lin Feng picked up Aunt Zhang and sent her directly to the emergency department.
......
Emergency Department,
Lin Feng put Aunt Zhang in the flat car.
Then instruct the nurses who arrived.
"Quick, go to the data system, check Aunt Zhang's medical record information, name Zhang Jinhua, and see what medical history she has!"
"Yes!"
soon
The medical records were brought up.
Zhang Jinhua, 49 years old,
Cervical radiculopathy,
Multiple conservative treatment, the effect is not obvious, the symptoms are serious, repeated attacks from, accompanied by repeated vertigo symptoms in the brain! "
........................