bookpower Chapter 188
Chapter 188
Obviously,
This middle-aged couple has a great prejudice against the hospital.
In their minds, hospitals are synonymous with 'making black money', 'quacks', and 'no medical ethics'.
Brainwashed by countless self-media numbers, they still hesitate in the face of the alarm that their son has lived.
"Don't scare us."
"I understand that you doctors must be looking for a serious illness at random, and then want to trick us into doing more examinations!"
"You're Lin Feng, right, I know you... You tell me, can CT check the results, if 100% can, then we will pay for it! "
The couple, Balabala, said a bunch of things.
Mean.
Lin was happy.
Do you want me to guarantee 100%?
This is lying in bed, is it your son? Or my son?
Are you sure it's biological?
Moreover, although Lin Feng is 100% sure, he will not tell his family 100%!
Because doctors have to learn to protect themselves!
Lin Feng was angry!
However, as soon as I saw a sick person in junior high school who was lying in bed and was only in junior high school, he was in the good years of his youth.
And the data on the ECG monitor, constant alerts.
Blood pressure is getting lower and lower!
75/45mmHg......
You could die at any time!
Lin Feng's heart couldn't help but soften.
Parents are ignorant, but they can't tie up their children.
I can't talk to my family anymore, and if I drag it on like this, it is estimated that this child will die!
suddenly
Lin Feng thought of a way.
Lin Feng said quickly: "In this way, I think your son's abdomen may have heavy bleeding, so I want to go for a CT examination, but you definitely don't agree; Then to compromise, I will change the method, use a syringe to check, do a puncture of the peritoneum, less than 5 pieces of a syringe, you should always agree, right? "
"5 pieces?"
"This is good! Say it early, say that there is a 5 yuan examination method, there is no need to delay my son's condition! "
"That is, if my son has a case, it must be your fault!"
This parent scolded again.
Lin Feng: "........."
Director Zhou: "........."
Other paramedics: "........."
Stepping on the horse, everything was told by these two strange parents.
Lin Feng took a few deep breaths.
Don't get angry, don't get angry!
What's there to think about with pigs!
Quickly instruct the nurse to get the 50ml syringe.
The nurse rushed to the sterile room, then took the syringe, flew back, and gave Lin Feng the ground.
Lin Feng quickly pulled off his hat,
One pierced the patient's abdominal cavity.
This feels!
Wrong!
Lin Feng, who has rich experience, felt that after the needle pierced the abdominal cortex muscle, it entered a cavity, and there was no 'feeling' of piercing the intestines.
Lin Feng is cold!
Hurry up and draw!
Dark red blood, from the bulging abdominal cavity, is constantly pumped into the syringe!
Suddenly!
50ml is full!
Massive hemorrhaps!
Massive blood loss!
Hemorrhagic shock!
Lin Feng took this tube of blood and put it in front of this parent.
There were no words, but the meaning was already very clear.
The parents' eyes were glued to the tube of blood, and they were also frightened.
"Doctor, please save my son immediately!"
"CT examination, we do it, money is not a problem!"
They all panicked!
There is no prejudice against doctors in the first place!
Lin Feng shook his head solemnly: "No need for CT, it's too late!" Need to open your abdomen right away for surgery! "
CT takes time,
From the time the child was admitted to the hospital, half an hour has passed, and if you go for CT, you may die in the CT room at any time!
The parents were frightened and nodded repeatedly:
"Okay, surgery now, surgery now!"
Lin Feng: "But what I want to say is that now your son is in shock for too long, and the risk is very high, even if the operation may not be able to save it... Moreover, the operation cost needs tens of thousands, you have to think about this clearly..."
"Huh??"
At this time, the parents hesitated again.
Lin Feng sneered and ignored the patient's parents.
"Go, go to the operating room!"
Calling the paramedics, he pushed the child and ran to the operating room.
Leave Director Zhou to communicate with the parents and sign.
"My son, is it really not saved?" The patient's parents were a little confused and did not immediately agree.
Director Zhou was not angry: "Hehe... You can hesitate any longer, if you hesitate any longer, your son will really die!" "
When my father heard 'death is determined', he became angry again and cursed Director Zhou.
"How can you curse my son to death!"
Director Zhou sneered: "Come, continue to scold... But I want to tell you, the more you drag, the greater the chance of death, I stand here, you can scold at will, anyway, you have been dragging for half an hour, you can continue to drag for an hour..."
At this time, the strange parents finally calmed down.
"Okay, I agree with the operation!"
Sign quickly!
Director Zhou got the signature, and his face softened: "Stay well and wait for the results of the operation." "
Then he sped into the operating room.
......
Inside the operating room,
Lin Feng and others are busy, preparing for various operations...
"Agree to bookmark, you can start the operation!"
Director Zhou rushed in.
When everyone heard this, they all breathed a sigh of relief.
"Great, finally signed ~~~"
"I've never seen such an ink-blot parent!"
......
Surgery begins.
Surgeon: Lin Feng, the first assistant Song Ziming, the second assistant Guipei Wu Haoming
Surgical plan: open abdomen, abdominal exploration.
Current status: Rapid fluid replacement anti-shock, blood transfusion has exceeded 2000ml!
Anaesthesia......
Open belly...
When Lin Feng's scalpel cut a small opening in his belly,
A large amount of blood came out.
Gurgling out ~~
"Attractor, quick!"
Two suction devices were used and went up in unison.
Poof~~~~
Blood water is constantly pumped into the barrel, and the blood scale in the barrel quickly rises to 2500+ ml...
You know, the effective blood volume of this child's whole body is about 4000ml.
soon
The blood is sucked out.
Lin Feng and the others exhaled lightly.
Sure enough, it was a hemorrhage!
It is obvious that it is a massive arterial hemorrhage, otherwise it would not be possible to have so much blood.
Fortunately, there is still time to rescue!
Lin Feng continued to cut his belly...
Pull the hook, pull the belly on both sides ...
Open the abdominal cavity thoroughly...
Exposed field of view...
Probing the bleeding point...
Because bleeding is in the guide, it is easy to confirm the approximate extent of the bleeding point.
Lin Feng rummaged through his intestines,
It took 40 seconds to find the bleeding spot.
The location of the bleeding is on a section of intestine, where there is an artery, and on the artery, there is a hard object about the size of a ping-pong ball, about 3cm in diameter!
Aneurysm!!
There is an aneurysm in the superior mesenteric artery!
It was the aneurysm that broke the artery and caused heavy bleeding!
No wonder, this junior high school student has no special manifestations, just abdominal pain, which turned out to be an aneurysm.
Unruptured mesenteric aneurysms generally have no obvious symptoms, are not easy to be detected and diagnosed in time, and are often misdiagnosed as gastrointestinal diseases in the early stage. The presence of a splanchnic aneurysm is often considered only in the presence of an emergency of intra-abdominal bleeding.
Mortality after ruptured mesenteric aneurysms is high, often accompanied by intestinal ischemia and necrosis
, shock, and even death!
Lin Feng probed the surroundings,
Sure enough, a section of the intestine has begun to die, but the condition is not serious.
......
Find the cause,
Then, there is formal surgery.
Surgical plan: intestinal resection + aortic resection, and then resuturing.
Surgical principle: The principle of surgical treatment is to remove the aneurysm, rebuild the mesenteric vessels, and restore the intestinal blood supply.
The procedure is relatively simple.
In general, if the intestinal segment is not necrosis, then the intestine cannot be cut off, then the arteries and veins are not enough (because a part of the tumor arteries and veins have been cut off), then it is necessary to take a section of blood vessels from other places on the body, generally using autologous saphenous vein interposition or bypass grafting to rebuild the blood supply.
But this patient, the intestine is broken and necrosis, and the operation is much simpler.
It is only necessary to cut the intestines, arteries, and veins completely, and then re-suture a new section of intestines, arteries, and veins.
The intestines are long enough anyway...
......
Surgical steps:
First bandage the intestines, arteries, veins (front and back ends, full ligation)...
And then cut off ...
Rinse, disinfect...
Re-stitching...
Unbandage and restore blood supply...
Test results: normal blood supply, no bleeding...
After busy with these, Lin Feng spent 30 minutes...
Next, Lin Feng spent another 10 minutes, and Lin Feng carefully probed other parts, and there were no bleeding points.
The operation is here, basically over...
Rinse and disinfect...
Shut the belly...
End surgery!
Lin Fengmali, it took 10 minutes to get it!
Total duration: 1 hour 03 minutes!
Take off gloves and surgical coats, leave the operating room, the parents of the sick man in junior high school greet him, Lin Fengli ignored it and left directly.
The next thing is that the emergency department takes care of itself.
At this time, it was already past 7 o'clock in the evening, and Lin Feng could only go out of the hospital to find food, finish eating, and then go back to the dormitory to sleep.
A busy day has passed again...
......
......
3 kilometers away from the first courtyard of the city, a garden community,
Rental housing.
Zhang Jian, 25 years old, urban white-collar worker.
In recent days, he has been beaming every day and looking forward to every time he gets off work.
Why?
Because he shared a room with a beautiful woman!
In big cities, high rents are a headache for many young men and women who have just entered society.
So, the business of sharing was born.
The landlord transformed a house into four or five rooms, each with a bed or even a bunk bed, increasing the rental rate and attracting many tenants.
Some even have mixed rents.
Zhang Jian, as a single man, was shy and didn't talk about a girlfriend in college, but he didn't expect to be able to share a beautiful woman after joining the work.
It's so exciting!
This is the starting point for developing romantic love!
Zhang Jian has already fantasized about various plots of sharing a house, what "Full House of Romance", "Shared Men and Women", "Sweet Room" ... Ahem, it seems to be mixed in with something strange.
He bought fruit, sorted out his clothes, hair, and made himself handsome,
Go back to the rental house.
Open the door
Step into the living room.
I am excited and anxious to look forward to the return of the female tenant, and I look forward to the female tenant wearing beautiful clothes to look good...
Suddenly!!
"Boom!!"
"Oh~~~~"
In the female tenant's room, there was a sound of falling and screaming.
Zhang Jian was taken aback,
Hurry over.
"Xiaowen, what's wrong?"
There was no movement inside...
"Xiaowen? ...... Xiaowen? ......"
Zhang Jian kept knocking on the door and shouting, but no one answered inside.
"Couldn't it be an accident?"
Zhang Jian felt wrong and immediately broke into the door!
And then
He saw the female tenant, Xiaowen, wearing a skirt, collapsed on the ground.
And on the ground,
A lot of blood was shed!
The position is the ** position of the legs!
Zhang Jian was so frightened that he quickly dialed 120!
10 minutes later...
Beep beep ~~~~
The ambulance of the first courtyard of the city rushed to the downstairs.
The doctor on duty was Huang Ziming, who was startled when he saw it.
"The body is cold, the face is pale, the heart beats fast, but weak, and the blood pressure is very low... Shock!! "
"Hurry up, hurry up!"
"Move downstairs right away and rehydrate!"
While moving,
While judging the condition, Huang Ziming looked at this girl, and the ** place was constantly bleeding.
Where is the blood coming out?
Preliminary judgment, can only be the uterus and urinary system bleeding, but now the conditions are limited, there is no way to judge.
But even now, ** still has blood slowly flowing out!
Quickly lifted downstairs,
Get in the ambulance,
One amount of instruments!
Boy!
Blood pressure is 70/40mmHg, heart rate 120 beats/min!
Immediately apply the indwelling needle and rehydrate in large quantities quickly.
At this time, the ambulance had already rushed out of the community and sped towards the first courtyard of the city.
Huang Ziming called the emergency department:
"There is a girl here, ** heavy bleeding, the cause is unknown, it is best to consult with several departments... Or directly ask Lin Feng to come and help take a look! "
Huang Ziming subconsciously felt that Lin Feng = consultation in several departments.
This is the impression that Lin Feng gives everyone.
。