bookpower Chapter 149
Chapter 149
The next day,
Yunshan Hot Spring Resort.
Lin Feng woke up from a big bed.
I came here last night and didn't have time to soak in the hot spring, so be sure to take a dip in the so-called hot spring today to see if it is refreshing.
This bedroom is one of the best in the resort and has a thermal pool inside itself.
Lin Feng took off his clothes, revealed 6-pack abs and a mermaid line, and walked into the hot spring...
Hmm~~~Bahi!!
30 minutes later...
......
Bell bell bell ~~~~
The phone rings.
Caller: President Wang Chang.
"Lin Feng, there is another thing to trouble you, the director of the county hospital called me. "
"Wasn't it a flood yesterday, some big fish in the reservoir were washed up in some small pits in the village, and then the village people rushed to rob it, because a small group felt that another person took two fish more than him, but he couldn't get angry, and even stabbed the patient a lot!"
Lin Feng: "........."
Dumbfounding!
This year, there are even more than a dozen stabs in a row for two fish to vent their anger!
Is this Nima life no more than two fish?
Dean Wang: "Now this person is rescuing in the county hospital, I need you to go over and help..."
Lin Feng: ".................."
Vozh!
Again!
Am I unable to go back to the First Courtyard of the City?
Dean, are you the director of that county hospital and made some kind of skin-eye deal!
......
20 minutes later...
Lin Feng, Liu Shiran, and Chen Lizhen hurried to the hospital.
"Doctor Lin, you are finally here!"
"Dr. Lin, the patient is in shock, but it doesn't seem right for us to rehydrate..."
Two doctors were waiting at the entrance of the hospital and saw Lin Feng coming!
"Hurry!"
Lin Feng walked quickly and ran into the operating room!
"Dr. Lin is here!"
"Great!"
The doctors inside were already sweating, and seeing Lin Feng was like seeing a lifesaver.
Cheers!
Wash your hands, get dressed, wear gloves...
Lin Feng looked at the patient while doing this.
The patient's clothes have been cut with scissors, and the patient's abdomen and lower pelvis have been pricked with blood and flesh blurred.
A lump of intestines that were still squirming actually flowed out abruptly.
Doctor's complaint: The pelvic abdominal cavity and many blood vessels are ruptured!
Doctor's v. 3,000ml of blood has been used!
Intravenous access has been established...
Breathing intubations and urinary catheters have been placed...
A doctor quickly shouted:
"Dr. Lin, the patient is in hemorrhagic shock, after I rehydrated, I found that something was wrong!"
Lin Feng looked at the data of the ECG monitor:
cvp (central venous pressure): 140mmH2O
· BP (blood pressure): systolic blood pressure 73, diastolic blood pressure 51
CVP is larger than normal!
BP is smaller than normal!
Lin Feng quickly gave his opinion: "This value, should be insufficient cardiac function, or excessive blood volume... Try cardiotonics and diuretics..."
"Yes!"
Soon, cardiotonics, diuretics go down...
Soon after, blood pressure and central venous pressure gradually returned to normal levels.
Shock, all of a sudden, relieved a lot.
"Dr. Lin is awesome!"
At this time, the sweaty doctors finally breathed a sigh of relief, and their eyes were full of admiration when they looked at Lin Feng.
......
Next
Surgery, officially begins!
Step 1,
Open the abdomen, stop bleeding!!
"Scalpel!"
Liu Shiran was already skilled in sending a scalpel to Lin Feng.
Lin Feng did not draw a line, but directly relied on his sensation to open a straight opening through the patient's right rectus abdominis muscle.
Skin...... Superficial fascia... Deep fascia... Muscles...... Peritoneum......
Open the abdominal field completely!
Dark blood continued to gush out, blurring the entire art field!
"Attractor!"
Suck and suck ............
Soon the vision was cleared...
The 'endless' wounds were revealed!
"Hiss~~~~~"
The doctors in the audience gasped at once.
What a horrible operation!
They haven't seen it!
Lin Feng quickly probed the entire field of vision, and with his own experience, he judged the specific condition.
"Spleen grade three rupture!"
"Liver secondary rupture!"
"Rectum damage!"
"Minor damage to the duodenum!"
"Retroperitoneal hematoma!"
Previously, Lin Feng had a bad premonition, after all, there were more than a dozen wounds visible to the naked eye.
At first, Lin Feng thought that 'a lot of knives' was 'a few knives', and the result was 'a dozen knives'!
Based on the size of the wound, it should be a fruit knife.
When the villagers were angry and committed murder, they had already lost their minds and naturally could not grasp the strength.
Therefore, Lin Feng had already expected that where the naked eye could see it, not a single organ was intact, and tonight was another tough battle.
"Let's go!"
Lin Feng took a deep breath.
Liu Shiran and Chen Lizhen nodded deeply.
......
Step 1,
Repair the spleen!
"Surgical line 4/0, round needle!"
The spleen is the most vulnerable part of the spleen, and an injury can cause irreversible damage.
Liu Shiranfei delivered needle pliers, needles and threads.
Lin Feng carefully picked up the stitch and stabbed it towards the patient's spleen.
Then he pulled out the stitches and pierced them again.
It's fast!!
The doctors in those county hospitals were dazzled.
Sometimes they can't help but look at their hands, full of disgust, too spicy chicken!
The whole stitching process, Lin Feng took about half an hour.
Most of the time is spent on the connection and suture of those small blood vessels inside the spleen.
When the last stitch completely closed and closed the spleen wound,
The repair surgery of the spleen is partially completed!
"Dr. Lin 666~~~~~~~~"
Salted fish are waving the flag!
......
Step 2,
Repair the liver!
"Deep laceration of the liver, rupture of the superior hepatic vein!"
Since the injury time is not short, it is already developing into a secondary liver abscess!
This part of the abscess needs to be cut off.
"Saline!"
Leaning on a low-pressure water gun, the pus on the liver was cleansed.
"Scalpel!"
Lin Feng pinched the patient's liver with one hand and began to remove the deteriorating parts of the liver.
Every time the knife went down, the county doctors' hearts were a little unbearable, and once Lin Feng's hand shook, the consequences were unimaginable.
"Subcapsular hemorrhage in the liver!"
Lin Feng's eyes were quick and he directly cut the liver capsule.
Bleeding is not large.
Lin Feng judged that he did not stab the liver door, otherwise it would be a big trouble!
Next is suturing.
With needle seven, the sections are sutured together, during which the blood vessels are connected.
This step took more than 50 minutes...
End of liver suture.
"Phew~~~~"
Throughout the operating room, everyone exhaled a long breath.
......
Step 3,
Repair the stomach!
Rinse and disinfect first to dilute the outflow of stomach acid.
The suction device sucks away the liquid.
"Electric knife!"
The wound is the corner of the stomach, and the wound is large and has no repair significance.
・Surgical method: "Gastrectomy" to remove this small part!
Sequelae of surgery: First of all, due to the reduction of stomach volume, it will cause a decrease in food intake, which will further affect the digestion and absorption of nutrients, which can cause weight loss, malnutrition, anemia and other related manifestations.
Many people who want to lose weight will use the method of "gastrectomy".
Although the stomach function will be affected to a certain extent, it is better than losing your life!
Therefore, Lin Feng chose to directly cut off this small part.
As one corner of the stomach was removed, Lin Feng picked up the stitch and began to suture the removed part of the stomach.
The speed of threading the needle was dazzling to the county doctors.
The shock in my heart is not diminished in the slightest!
20 minutes...
Stitching complete!
Rinse, disinfect...
......
Step 4,
This is the part that gives Lin Feng the most headache.
Duodenal injury!!
Such a deep part can even be traumatized.
The surrounding anatomical relationships and their complexity are also abnormally difficult to handle.
"Scalpel!"
"T-pipe!"
The common bile duct is cut and a T tube is placed for drainage to drain the pus from the duodenum.
"Scalpel!"
On the outside of the left lower abdominal rectus muscle, 6 cm below the umbilicus, Lin Feng used a scalpel to make a small fusiform incision.
The next piece of skin tissue is removed, as well as the aponeurosis of the external oblique abdominal muscle.
Dig your finger into it to make sure it can accommodate the proximal sigmoid passage.
Immediately after a bloody scene appeared, I saw Lin Feng's two fingers abruptly pull out the proximal sigmoid colon from the small incision.
The proximal sigmoid rectum is pulled out of the incision to a length of roughly five centimeters.
"Surgical line 0. "
The proximal mesentery of the abdominal cavity and the peritoneum of the left abdominal wall are fixed with surgical sutures.
"Vaseline gauze!"
Lin Feng wrapped the ostomy and the part of the Yizhuang colon with petroleum jelly gauze.
"Catheter into the anus into the rectum, drain!"
"Surgical line 10!"
......
Three hours later...
Wounds in the abdominal and intestines, completely repaired, drainage tubes are placed...
So far!
The operation is almost over!
Rinse and disinfect...
Shut the belly...
Lin Feng sutures the abdominal wall incision layer by layer.
The operation, officially over!
As long as the dangerous period of the next seventy-two hours has passed, the patient's life is saved.
"Phew~~~~~"
All the county doctors exhaled one after another.
subsequently
"Boom~~~~~~"
Lin Feng was given warm applause.
"Doctor Lin, awesome!!"
Countless praise was sent to Lin Feng.
At this time, these county doctors have completely become Lin Feng's fans.
More importantly, from Lin Feng's two operations, they didn't know why their eyes were clear and their understanding soared, and they actually gained a lot of experience...
When they digest these experiences, they will definitely be able to take their medical skills to the next level!
Among them, there are several young doctors who have the most understanding, and within a few years, they were influenced by Lin Feng and jumped out of the county hospital and grew into the backbone doctors of the tertiary hospitals in big cities.
Influenced by forest wind all his life,
Honor Lin Fengwei - teacher!
......