bookpower Chapter 190
Chapter 190
Inside the operating room.
At this time, CPR has changed 2 people, and the pressure has been pressed for a total of 5 minutes, exceeding the 5-minute cordon.
Everyone was sweating profusely with rapid and powerful presses, and they also used a defibrillator.
However, despite the hard work, the patient's heartbeat did not recover!
And Lin Feng's side is quickly processing the bleeding mouth.
The rotten position, there is no way to keep it, it needs to be cut off.
Start with hemostatic forceps to clamp the proximal distal vein/arterial vessel.
Stop bleeding.
Then, the entire bleeding focus is cut off.
Then suture and re-suture the tubes, nests, veins, arteries...
(If the condition is too severe to suture, you can only cut off the entire side of the tube, because the girl has the left and right sides of the tube, and cutting off one side will not affect subsequent fertility.) ）
Many doctors simply choose to cut off the bandage.
Lin Feng was confident in his strength and felt that the tube in front of him was still saved, so he chose not to cut it off, but to stitch it up.
Although it will be more cumbersome and time-consuming, it is still that sentence - the conscience of the healer.
Now the only thing Lin Feng is worried about is the patient's heartbeat.
At this time, the emergency department medical staff are in unison, constantly taking turns to press and connect seamlessly.
Just the 15th minute...
suddenly
Song Ziming, a doctor who was pressing, suddenly felt that the hand that was pressed was rebounded with a certain force.
Instant joy!
"Heartbeat beat!"
Didi ~~~~
The curve of the ECG monitor suddenly appeared a different waveform.
Heart rate 130 beats per minute!
Familiar waveforms, which are definitely the waveforms of the patient's own heart beating.
"Recovered!"
"Hahaha, good!"
"I'm amazing!"
"Awesome!"
Inside the operating room, cheers!
One by one, excited!
In fact, at 5 minutes, many hospital doctors will stop pressing and declare the patient dead.
Because after 5 minutes, it is too difficult to save it.
But there are many cases that tell medical staff that even an hour can save a patient's life.
Therefore, many medical staff did not give up.
Until the 15th minute now!
Almost all the medical staff have already gone up and pressed!
And now, finally, the dawn of victory has arrived!
Patient, live!
At this time, all the medical staff breathed a sigh of relief, only to find that they were already soaked all over, and the pressure just pressed was too tense, it was like a roller coaster.
Lin Feng, who was stitching up, couldn't help but feel a gust of heat in his heart at this time!
Save someone's life and win the seventh-level floating slaughter!
"Come on, keep stitching!"
Lin Feng was full of power at this time, and had just finished suturing the arteries and veins, and continued to suture the tubes...
The bleeding stopped.
On the other side, rehydration is constantly underway, salt, sugar, as well as red blood cells, plasma, platelets, etc...
The shock stopped.
The patient's blood pressure gradually stabilized, and the shock disappeared.
The data on the newly created monitor has also been restored to a controllable range.
Call~~~~
Everyone breathed a sigh of relief!
Lin Feng continued to suture the tube, and then stitch the nest...
The whole process lasted more than 30 minutes.
Wait until the end of the operation,
A nurse walked in quickly.
"Dr. Lin, the laboratory department called, and the patient's blood "pregnancy test" results have returned!"
"How's it going?"
"Positive!"
The medical staff nodded repeatedly.
In other words, I am really pregnant!
Then it is definitely an "ectopic pregnancy".
"Did the family sign it?"
"Signed."
"Good!"
At this point, the operation is almost over.
Lin Feng probed and found no other problems.
Rinse and disinfect, close the abdomen...
End surgery!
When Lin Feng saw the sutures in his abdomen, he suddenly thought of the terrier of "long scar in the abdomen, a cut in cooking, and miscarriage".
A gentle smile.
"Send the ICU to the ICU, 12 minutes of stopping, brain hypoxia and ischemia, it is estimated that it will cause some irreversible damage..."
"Yes..."
Take off the surgical coat and push the patient out of the operating room.
"Daughter!"
"O my daughter!!"
The parents saw their daughter being pushed out, stunned, and had several tubes inserted in her body (internal jugular vein channel, femoral vein channel, arm indwelling needle...). ）
Burst into tears!
Lin Feng: "Don't worry, the person is rescued, but the heartbeat stops for a few minutes halfway, there may be irreversible damage, and you need to send it to the ICU for monitoring..."
When my parents heard this, they cried even more.
Lin Feng thought for a while, and then said: "You guys have to thank this little handsome guy (pointing to his roommate Zhang Jian), if it weren't for his speed, I'm afraid I wouldn't even be able to save his life..."
Father: "........."
Thinking of the slap he gave Zhang Jian just now, he couldn't help but look at Zhang Jian apologetically.
Zhang Jian felt that he was a stupid licking dog, and he just wanted to get back the 10,000 yuan and leave quickly.
......
The day after that,
The female patient remains in an ICU coma.
At this time, her parents finally found the girl's boyfriend, called the boyfriend, and was hung up directly.
Then turned 10,000 over, and it was blackened.
It turned out that the 'boyfriend' was a rich second generation of the sea king, and this girl was just one of his fish.
Unexpectedly, I was pregnant and almost died.
And father?
On the spot, the blood pressure of anger increased, and he fell!
This matter soon spread throughout the hospital's internal group, and many doctors and nurses shook their heads one after another, the little girl was too young to cherish herself.
On the third day,
The female patient finally woke up.
I did an intelligence test and found that it didn't have much effect.
Obviously, the emergency department doctors and nurses' hard relay CPR compressions worked.
Although the heart stopped beating for 12 minutes, each compression effectively pumped blood into the brain without causing significant brain damage.
Unfortunate luck!
......
midday
Eat in the canteen.
Zhang Yuan carried the dinner plate and sat next to Lin Feng.
"Lin Feng, have you heard? A doctor at Great Northern Hospital..."
"What's wrong?"
"The doctor's 2-year-old son got sick, developed a large number of basic bacteria infection, and then pneumonia, and died!"
"Huh?"
Lin Feng was surprised.
As a doctor, you should be able to prevent this?
How did you get pneumonia in your son?
Zhang Yuan sighed and said: "You don't know how perverted that doctor is, I heard that he came from experimental research, and then he has a very strong sense of sterility, and every time he goes home and enters the door, he has to change his clothes... The nanny also has to change clothes when she comes back from grocery shopping, alcohol disinfection ... The things inside the house are also often wiped with alcohol..."
Lin Feng was shocked!
Groove!
It's almost a sterile room at home!
Live like this, not tired?
Zhang Yuan continued: "After his child was born, he basically stayed in the house and never went out... Then, the first time out of the neighborhood to play... Hit, a large number of bacterial infections appeared... You know! "
Lin Feng nodded.
Got it!
From the beginning of birth, children will be exposed to various bacteria in this world, and then in the continuous adaptation, they will constantly strengthen their immunity, and finally immunity to these bacteria.
And this doctor?
Think that creating a sterile/bacteria-free environment will protect your child?
Wrong!
This is a harm to the child!
The child lives in a sterile/low-bacteria environment, immunity will be very low, and once exposed to a large number of bacteria, something big will definitely happen!
Children face bacteria with two difficulties:
・Kindergarten!
・Hospital!
The kindergarten has a very large number of children and carries all kinds of bacteria.
This leads to a phenomenon: 1-2-year-old children are healthy at home and rarely get sick, and as a result, they often get sick as soon as they go to kindergarten.
And what about hospitals?
Just more bacteria!
Tens of thousands of patients come and go every day, what bacteria do not have?
If you take a child to the hospital because of a minor illness, you are likely to come back with a serious illness.
So, go to the hospital less often, go as little as possible!
Wear a mask, try to wear one.
(It is said: since the beginning of the Yi relationship, everyone has worn masks every day, resulting in a reduction of at least 60% of the number of patients in the respiratory department of the hospital!) ）
Zhang Yuan: "In the end, the doctor took the baby to the hospital for rescue, and finally the ICU treated it for more than 10 days, and finally the baby still went." "
Lin Feng sighed.
This doctor, I'm afraid that reading is stupid.
After eating,
Back in the neurology department, I happened to see a group of doctors and nurses gathered in a group, as if chatting about something.
"What's wrong?"
"Doctor Lin!"
"What are you talking about?"
"Talking about that smelly hand..."
Lin Feng was surprised: "Zhang smelly hand? What's wrong? Dead again? "
This smelly hand is a relatively special doctor of the First City Hospital, according to the rank, it is the chief physician, but his surgical ability is really super smelly, and the patients he handles will either die or enter the ICU.
So people give the nickname: 'Zhang Smelly Hand'!
In the hospital, this person is a god-hater, and many doctors and nurses are afraid of his surgery, feeling that every time he operates, it is a disaster.
But why was he able to upgrade to chief physician?
It is because he has strong scientific research strength and many high-quality papers, so he has risen all the way to the chief physician.
And many doctors, who can only treat diseases, cannot write papers, have not been promoted to deputy director.
Of course, the rank promotion system is no problem, because scientific research is very important for medical development.
The only bad thing is that this chief physician Zhang smelly hands, often there are patients who do not understand after seeing the "chief physician", think it is very powerful, ask him to do surgery, and then often rush to the street.
(When registering, do not be superstitious about the identity of "chief physician", and learn more about the specific information of the doctor)
Lin Feng: "How are things going now?" "
To be honest, Lin Feng didn't like this kind of colleague either
There is no pressure at all, the hands smell like hands, and they go to surgery? Isn't this a joke about human life?
You're comfortable doing scientific research, it's good for everyone, isn't it?
Attending doctor Zhao Chaoming said: "I heard that the patient went directly to the dean's office, and the dean called Zhang Smelly Hand over to criticize. "
"Cut, what's the use of criticizing?"
"This time is different, I heard that the dean is planning to transfer him to the scientific research department..."
"That's good news."
"Not bad..."
......
Just when a group of people were talking about it...
A patient, a man of about 30, cowered and walked in.
"Excuse me, is Dr. Lin Feng there?"
This patient, whose face was covered with a red rash and suppurated, was very disgusting.
Impressive.
Lin Feng walked over: "You looking for me?" "
When the patient saw Lin Feng, his eyes were surprised, and he said excitedly: "Doctor Lin, please help me, I always have these things on my face, all major hospitals in the city have gone, provincial city hospitals have also gone, I have seen many doctors have not been cured, I heard that Dr. Lin you are powerful, so I want to come to you, I hung up the emergency number, the emergency doctor asked me to come here to find you..."
Lin Feng soothed: "Don't worry, talk slowly..."
Bring the sick person to the office.
Sit down.
"Did you have your medical records?"
"Brought it."
"Specifically, what problem..."
"Half a year ago, I don't know why, I started to grow all kinds of rashes all over my body... It's this red (pointing to the face), the face, the body everywhere. Later, every time I went to the hospital, the doctor said that it was allergic dermatitis, and then used some plasters, most of which were "dermatitis ping" and "caritan" (these two are commonly used medicines)..."
Lin Feng nodded,
According to Lin Feng's visual inspection, the rash on the patient's face should be "allergic dermatitis".
The patient spoke bitterly about his tragic life.
"Although the medication has an effect, but the treatment of the symptoms does not cure the root cause, each time it is cured not long after, it will grow again, and various positions are possible..."
"I'm 30 years old, I finally talked about a girlfriend, talked for half a year, and was about to talk about marriage, but because of this dermatitis problem, I broke up."
"Then I went to major hospitals for treatment, and even went to several large hospitals in the provincial capital, and the doctors did not find the cause..."
Lin Feng nodded.
At the age of 30, it is not easy to talk about a girlfriend, and it turns out to fly like this.
It's really miserable.
"I'll take a look at your medical records first..."
At the same time, the cause of "allergic dermatitis" is constantly thinking about in my mind.
"Allergic dermatitis": mainly refers to skin diseases such as redness, itching, wheals, peeling and other skin diseases caused by human contact with certain "allergens".
It is divided into four categories: contact, inhalation, ingestion, and injection into allergens
And then open the medical record.
Watched for more than 10 minutes...
Nothing!
According to the diagnosis of doctors in the provincial cities of Yada and Soy Sauce Hospital: I have done many "skin allergen tests", but I have not found the source of the allergen.
As a result, the patient can only keep prescribing anti-allergic drugs.
However, the reason could not be found, and dermatitis continued to occur, and the drug was constantly prescribed for anti-allergy ...
Dead loop!
Patient: "I heard that Dr. Lin's medical skills are very good, so I came here to find you." "
Lin Feng: "You go for a blood draw and urine test..."
After thinking about it,
"Adding a "skin allergen test"..."
"Skin allergen detection": is a very common clinical test item, people with skin allergies know what substances make them allergic after doing this examination item, which can fundamentally reduce the chance of being allergic
Although these tests have already been done by various hospitals, Lin Feng still wants to try.
Brush brush brush ~~~~
Billing!
"Go, you can come here to find me in the afternoon."
"Thank you, Dr. Lin!"
The patient looked grateful, took the list to draw blood and urine...
......
16:00 pm,
The patient came to the ward with the results of the examination and found Lin Feng.
Lin Feng checked.
Blood routine, no problem!
Urinalysis, no problem!
Skin allergen detection, still no problem!
Lin Feng: "........."
Sure enough, it is not so easy, after all, the strength of the provincial duck is still very strong.
"Huh... Wait..."
Lin Feng suddenly noticed that there was a very peculiar item in the results of the "skin allergen test".
· NA ion content: 20 times!
If it is a general doctor, he will only think that it is the site of dermatitis, and something has been applied, which causes Nagao.
But Lin Feng suddenly thought of a disease!
This disease is relatively rare, few people in China pay attention to it, and many doctors do not know.
That is:
"Salt allergy"!
This disease is also rare abroad, if it is not for Lin Feng's too much experience in signing in, close to 1,000 times, it is estimated that it is difficult to know this disease!
"Edible salt allergy": The main component of table salt is sodium chloride, under the action of sodium chloride, human T cells will be converted into Th2 cells. T cells are the main force of the immune system fighting viruses and can help the body fight infection, but when converted into Th2 cells, they can induce allergic diseases such as atopic dermatitis.
This process is reversible, and when salinity decreases, Th2 cells can turn back into T cells.
At the same time, this "edible salt allergy" will have a characteristic: the sodium content of the inflamed part is dozens of times higher than that of healthy skin!
So
Didn't run!
This disease is definitely "salt allergy"!
Lin Feng did not say his answer, but asked the patient.
"Have you been eating very salty things lately?"
。