bookpower Chapter 189
Chapter 189
At last
The emergency department called Lin Feng.
It is now evening, and the doctors left in each department are divided into three levels (regular training (resident), chief (generally absent), deputy director (basically absent)), and the doctors who come are most likely regular training doctors.
Therefore, it is still the safest to find Lin Feng directly.
4 minutes later...
Lin Feng's rushing figure rushed into the emergency department.
"Where is the patient?!"
"What's the situation?!"
Originally, Lin Feng was on the rooftop, chatting and farting with Liu Shiran...
As a result, a phone call came, saying that there was a dangerous patient, so Lin Feng quickly rushed down.
"The patient, female, 23 years old, more than 10 minutes ago, the ** site hemorrhage, I don't know what the situation is now..."
"I followed the ambulance, went to pick her up, went to shock along the way, has rehydrated, replenished blood, has replenished more than 2,000 milliliters of blood!"
Song Ziming quickly explained the situation.
"Female? Massive hemorrhage?? "
If it is traumatic bleeding, it is obvious at a glance, but if it is heavy bleeding in that position, there are more things to consider.
It may be: attacking neck cancer, endometrial cancer, miscarriage, ectopic pregnancy, etc.
It may also be: diseases with blood clotting problems, such as leukemia of the little girl who ate chili peppers last time, thrombocytopenia, coagulation dysfunction, etc., or rarely, there are too intense games, causing damage and bleeding and so on.
"What about the families?"
"There..."
Song Ziming pointed at Zhang Jian.
"Handsome guy!" Lin Feng asked Zhang Jian loudly.
"Huh? Dr. Lin..."
"Did you just play a game?"
Zhang Jiansec understood.
Then his face suddenly turned red like his butt.
"No, no..."
"Then do you know what kind of leukemia, cancer and other diseases she has?"
"I don't know."
Lin Feng: "........."
It's not clear what to do, how do you become someone's boyfriend?
"Is she pregnant?"
Zhang Jian was flustered: "Huh? I don't know..."
Lin Feng: "Aren't you his boyfriend?" How is it not known to know anything? "
Lin Feng is a little angry!
Now that her condition is urgent, Lin Feng needs to know what she was doing before the incident? Is she pregnant? What are the underlying diseases? Did you take any medicine?
Too many questions...
Zhang Jian: "I... I..."
I don't know why, when Lin Feng called him her boyfriend, Zhang Jian was a little happy in his heart.
Then Zhang Jian couldn't help but be ashamed.
Think like a licking dog!
At this point,
The patient's signs are constantly sounding alarms.
Shock is constantly ongoing.
And Song Ziming next to him and the medical staff were sweating profusely.
If the cause is not quickly found and the bleeding is stopped, the patient may die at any time.
Lin Feng: "Have you checked the blood pregnancy test?" "
"The blood was drawn and sent for testing, but the report has not come back, it is estimated that it is not so fast."
"What about pee? Urine pregnancy test? "
"It didn't work, it's all blood, it's hard to operate, you can't get urine!!"
At this time, push the CT room for fear of running out of time.
Only B ultrasound.
The machine of B ultrasound is relatively small.
"What about B-ultrasound?"
"Soon it came ..."
At this moment, the doctor colleagues of the B ultrasound were anxious and roared all the way ~~~ The B-ultrasound machine pushed quickly flew in.
Everyone in unison!
Quickly put B Chao in place...
The check begins...
Soon Lin Feng frowned.
I can't see clearly, it's a mess inside, and it's estimated that it's all blood.
If it is Ct, it may be more accurate, but B ultrasound has a relatively large error in this regard.
Lin Feng was helpless.
"The old way, take a 50ml syringe!"
Just like the last junior high school student,
Puncture, draw blood!
See if it's blood!
Soon, the 50m syringe was handed over.
Disinfect.
Lin Feng, Za!
Anaesthesia?
The patients fainted and did not need anesthesia.
The feel is very familiar, sure enough, as soon as I pumped, the whole tube of bright red blood!
Abdominal bleeding is exact!
It is estimated that it is a certain arterial and venous bleeding.
In this case, it is necessary to quickly find the bleeding point and stop the bleeding quickly.
"Forget it, send it to the operating room!"
"Open the belly, find the reason!"
Lin Feng made a decision immediately!
"Handsome guy, sign it now!"
"Huh?"
"Ah what? Sign it quickly, or your life will be gone. "
"But... But...... I'm not her family, I'm not her boyfriend, I'm just her roommate, I can't sign it! "
Zhang Jian said in a panic, wiping the sweat on his forehead.
"Poof~~~"
At this time, Lin Feng, Song Ziming, and other medical staff all sprayed.
Nima,
It turned out to be neither a relative nor a boyfriend.
Lin Feng: "Did you bring the patient's mobile phone?" "
"Brought it."
"Unlock it with your fingerprint right away and call her parents!"
outcome
A few minutes later, the two phones marked "Dad" and "Mom" and other relatives could not be reached at all, it was estimated that it was at night, and I went to sleep.
So what to do?
Only one other procedure can be taken.
Report and obtain the consent and approval of President Wang Chang or the authorized person.
Domestic law has clear provisions in this regard: for emergencies such as rescuing dying patients, where the opinions of patients or their close relatives cannot be obtained, medical personnel shall immediately implement corresponding medical measures with the approval of the person in charge of the medical institution or the person in charge of authorization. If the patient requests the medical institution to bear the liability for compensation, the people's court will not support it.
This provision can protect doctors well and can safely rescue emergency patients.
soon
The above approved down, agreed to rescue!
"Go, send to the operating room!"
Lin Feng and the doctors and nurses pushed the operating cart and rushed into the emergency operating room.
"Handsome man, you go and pay the money..."
"Okay, okay!"
Zhang Jian, at this moment, quickly went to pay the money.
At this time, his heart was happy and anxious.
Happily, this time the beautiful girlmate bleed, and he is also a hero to save the beauty, I don't know if I can move my girlfriend and promise to be my girlfriend.
Anxiously, he was worried about his girlfriend's life and was afraid that he would not be able to save it.
"However, Dr. Lin's medical skills are very powerful, and he should be able to save him, right?"
"We must save it!"
Pay quickly.
"Please pay 10,000 yuan first!"
"What? So expensive? "
Zhang Jian was taken aback, but it must be excellent to think that he spent 10,000 yuan to move back a girlfriend.
......
Lin Feng still didn't know the handsome man's rich inner drama.
Push female patients into the emergency operating room!
Anaesthesia!
Just then...
Didi ~~~~~
The alarm sound of ECG monitoring is urgent!
"Not good, blood pressure is gone!"
Blood pressure is gone, which means that it cannot be measured, there is only one situation, the heart cannot pump blood, supply the whole body, all blood is much less, and there is no mobility, the pressure is very low.
Everyone was flabbergasted!
Lin Fengfei stepped forward.
Keep pressing, constantly giving CPR to female patients.
"Adrenaline, quick!"
"Intravenous bolus, 1mg!!"
The brain stops supplying blood for three minutes, and brain cells are damaged; Five minutes, brain cells die!
Adrenaline can enhance nerve conduction, especially in cardiomyocytes.
After epinephrine injection, myocardial bioconduction is enhanced, which is conducive to reactivating the heartbeat and is the first choice for the rescue of cardiac arrest.
The nurse pushes quietly!
At this time, Lin Feng thought of a question,
Can't wait!
Even if the pressure comes back, if the bleeding continues over there, people will still die.
So press while opening the service.
"Wu Haoming, you come to replace me!"
Wu Haoming is a regular trainee, except for Lin Feng, the youngest and most physically strong.
"Good!"
Wu Haoming quickly took over.
"I shout countdown, you pick up!"
"Good!"
“3、2、1...... Begin!! "
The two successfully and seamlessly!
For rescue of cardiac arrest, chest compressions should not be interrupted as much as possible, and interruption of compression will be lost.
This is critical for a successful recovery.
Lin Feng got out of the hospital bed, and then began to instruct everyone to start preparing for the operation.
Disinfect......
Anaesthesia......
Continue to disinfect, spread the towel ...
Instrument nurses quickly prepare various surgical instruments...
Lin Feng's side, quickly wash his hands, put on surgical coats, put on sterile gloves...
Everything is extremely fast.
Fortunately, the emergency department is accustomed to this efficiency, and it is still methodical in the rush.
At this time,
A nurse rushed in.
"The blood test is out!"
"Report!"
"The coagulation index is no problem, the hemoglobin is only 55g/L, and I am severely anemia..."
"Hemorrhagic shock!"
......
The operation begins!
No shadow light on!
Scalpel!
Lin Feng took the scalpel, lower abdomen, and slashed down.
Directly pull out a 10cm long opening.
Open the abdomen,
The expected blood kept pouring out.
The suction device, constantly working, draws blood into the container.
The entire abdominal cavity was a mess and full of blood.
The vision is not very clear.
Soon, a lot of blood was drawn, and the vision was a little clearer.
Lin Feng's gynecology, obstetrics and gynecology experience is MAX, and it is easy to determine the location of the bleeding point in the ovaries.
A touch.
"That's not right!"
"This is embryo implantation?"
Lin Feng's face turned pale.
The location is the tube location!
This position is already a mess at this time, sparse, and burst!
"Ectopic pregnancy"!
The so-called "ectopic pregnancy" refers to the development of the embryo in the tube to a certain stage, which will erode the muscular layer of the tube, and even the serous layer, and finally lead to the rupture of the tube.
Because the catheter plexus is "very rich", once ruptured, a large amount of intra-abdominal bleeding occurs, and the patient can go into shock in a short period of time or even die quickly.
This can explain why this female patient will produce so much blood at once, no matter how to make up for it, or shock, stop jumping.
At this time, Lin Feng didn't know why, and he couldn't help but think of the boy outside the operating room...
At this time, a nurse walked in.
"Doctor Lin, the parents are here, and they happen to be nearby!"
Lin Feng: "Tell the parents, it is an ectopic pregnancy, let the parents sign..."
Nurse: "Yes!" "
......
At this point,
Outside the operating room,
A pair of parents waited anxiously, and the mother cried even more...
The nurse came out.
The father said anxiously: "Girl, how is my daughter?" "
The nurse said: "Dr. Lin said that it was an ectopic pregnancy, which then caused heavy bleeding..."
Ectopic pregnancy?!!
Parents felt their heads exploded suddenly!!
The father looked at Zhang Jian next to him and was furious.
Just slap it over!
Syllable~~~
"You beast, return my daughter!!"
Zhang Jian covered his face, hot pain, a look of confusion!
He shouted unjustly: "Uncle, I have nothing to do with your daughter, I just sent her over!" "
Father: "........................
The fists that were ready to continue to beat wildly, at this moment froze in mid-air!
What a crime!
And Zhang Jian was even more wronged.
The beautiful dream of a beautiful hero saving beauty and holding a beautiful return has been shattered!
It turned out to be an ectopic pregnancy, that is, she already has a boyfriend!
Think about the silly fantasy you just had, and feel like a fool!
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ps: This harmony is too miserable, it has been changed for a long time ... Finally passed...
。