Chapter 482
Chapter 482
Chapter 482
“There are bullae, surgery is needed…”
When my mother heard it, her face turned pale.
Does the operation mean that my daughter will suffer a lot?
“Dr. Lin, is it caused by a fall?” Mom asked in disbelief.
“Not necessarily, it may have existed before… Does the child have a cough before or something?”
When my mother heard this, she was suddenly suffering.
“Yes, she has always had asthma…”
“The bullae of the lung should have been there before… If the bullae are small in diameter, it will not cause any symptoms and is not harmful to the human body, but the bullae of your child is a bit big and it is close to the outside. Layer, there is a risk of spontaneous pneumothorax caused by rupture, so it is best to remove it surgically…”
Removal of bullae is not difficult.
There is no need to open the sternum and saw bone, just need a laparoscope, pass through a few rib gaps, and open 2 holes (observation hole + operation hole).
In layman’s terms of the operation process, “One, Three Zero” can imagine the alveoli as a balloon, cut off the root of the balloon, suture the root, and then take the discarded balloon out of the body, and then check the ventilation. After the test passes, the suture and evacuation are closed, and the operation is closed. Hole, the operation was successful.
Arrange admission,
Surgery in 2 days…
…
…
3 kilometers away, a house.
A quarrel about the house is ongoing.
One side is the homeowner’s parents and daughter, and the other side is the son, daughter-in-law, and in-law parents.
The reason was that the son was planning to sell the house without his father’s knowledge, so that he could sell the wedding house.
The father was furious.
When his son got married and his old parents were driven out of the house, he endured it for his son.
When the son took his father-in-law and mother-in-law to live there, when Dove occupied the magpie’s nest, he also endured it for the sake of his son.
It’s alright now, my son is telling him to sell the house!
This is his roots!
“In the beginning, I lived with you as a wedding house, but now I am still carrying our seller. Do you still have my parents in your eyes.”
“Laoguan, you let the house out as a wedding room at the beginning. The whole family was there at the time. You are the head of the family. Now you don’t regret it… You have to drive away the intermediary and the buyer. You let our family. How embarrassed.”
“I am the owner of this house. When did I let you not sell it? You are selling it secretly! Get out of here now!”
“My family, everything is for the children, or you can ask your son… Leilei, tell your parents, are we kind!”
“Laoguan, when we met at the beginning, I said that Leilei should be the door-to-door son-in-law. At that time, it was you who wanted to save face and came to this step… Leilei, now you have to make a decision. If this house is not sold, our two families will never be sold. Cut it off!”
After speaking, the father-in-law and mother-in-law turned around and left.
When the son saw it, he was anxious and hurried to catch up.
Bang~~
Kneel down with your legs directly.
Holding the hand of the father-in-law and mother-in-law.
“Sell, I’m in charge of this house, I’ll sell it!”
When the father saw his son like this, his heart aches with anger on the spot.
“You unfilial son, I have never seen you kneel before me…”
But the son ignored him and chased his father-in-law out of the house.
Father sees this,
Angrily attacking the heart.
He fainted with a direct pain while covering his heart.
Fell to the ground.
“Dad~~Dad~~~~”
The daughter yelled anxiously, why didn’t she wake up.
Call 120 and call for an ambulance.
After the phone call, I hurried to find the antihypertensive medicine and feed it to my father.
Then called his sister: “Dad passed out, maybe a heart attack…”
10 minutes later,
The 120 ambulance arrived, the doctors and nurses carried him into the car and rushed to Harmony Hospital.
…
Harmony Hospital.
Emergency Department.
Lin Feng is seeing a patient who has undergone a total gastrectomy.
·Male, 32 years old,
·Because of the spread of malignant cancer cells in the front of the stomach, a “total gastrectomy” was performed one month ago.
Yes,
The stomach can be completely cut off.
It is not a necessary organ like the heart and lungs, it can be cut off.
However, the side effects of gastrectomy are not small, usually leading to many changes in lifestyle and eating habits, as well as some adverse reactions.
For example, oral medication:
Ordinary solid preparations such as tablets and capsules usually need to disintegrate and dissolve in the acid environment of the stomach, and then reach the intestines for absorption, but in the absence of the stomach, they can only be crushed, dissolved in liquid, and swallowed.
In addition, there are problems with swallowing:
For normal people, the stomach can store 2L of drinking water, which is partially digested before entering the small intestine, and gradually enters the small intestine in small amounts. After the stomach is missing, all food directly enters the intestine without any digestion. When the intestine finds it difficult to accept this kind of food, not only does it become difficult to enter the intestine, digestion is also more difficult, and nutrients are also lost seriously.
In response to this situation, doctors often prescribe some drugs to accelerate bowel movement. These drugs should be taken 20 minutes before meals.
And the patient in front of him,
The condition is heartburn 0 ……..
The patient is very painful: “I feel that here (in the middle of the breastbone) feels burning and uncomfortable…”
Lin Feng said: “This is a normal phenomenon, because after food enters the intestines, the human body will begin to secrete digestive juice and bile, which will cause the digestive juice in the small intestine to reflux, and lack the stomach as a transfer station, acidic digestion. The fluid will flow back directly to the esophagus, which will eventually lead to inflammation.”
Patient: “What should I do?”
Lin Feng: “When you have a heartburn, you can eat some warm drinks, or snack biscuits, which can neutralize it… If necessary, you can prescribe a medicine, enamine, a medicine that binds bile acid, Take half a tablet 20 minutes after each main meal, and take it before going to bed…”
The patient thanked distressedly.
Then I took the medicine list prescribed by Lin Feng and went to pay.
Just as Lin Feng was preparing for the next patient,
The nurse at the nurse’s station ran in.
“Dr. Lin, there is a patient suspected of myocardial infarction. He is coming by the 120 ambulance. The director said that you will be picked up…”
“Myocardial infarction? Okay, leave it to me!”
This disease is more urgent,
Lin Feng didn’t dare to neglect, and soon arranged preparations for picking up…
…
6 minutes later,
The 120 ambulance felt the door of the emergency department.
“Tail number 543, it’s this car!”
“quick!”
The ambulance door opened,
The doctor inside jumped out, then pushed the patient out, the bed went to the ground, and the tripod was lowered.
“Doctor Lin!”
After seeing Lin Feng, the patient’s family was pleasantly surprised.
Lin Feng serious 2.3: “What’s the situation of the patient?”
The doctor with the car quickly said: “The patient is 63 years old. The patient has a history of coronary heart disease (coronary atherosclerosis), and a history of hypertension. Because of anger, the blood pressure rises. It is still unclear what the situation is, but the electrocardiogram shows that there is a heart muscle. Infarctions, clogged coronary arteries, main arterial diseases, etc., are very troublesome…”
Lin Feng’s face changed.
“Show me the electrocardiogram…”
The ambulance is on the road and has already pulled the electrocardiogram, which is what this kind of patient must do.
“This is an electrocardiogram…”
Lin Feng took a look at the electrocardiogram.
A mess!
Very bad!
“Quickly, send it to the CT room!!”
It is too late to send to the emergency room. In this case, it is best to get an enhanced CT as soon as possible to see what the blood vessels are inside.
“Contact the operating room, if necessary, get an operation right away!”
…
. .
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