blenderwars Chapter 379
Chapter 379
Chapter 379
Finally, the gastroscopy doctor thought of a way to push the coin into the stomach, and then slowly took it out with the help of the foreign body net bag.
this moment,
Everyone breathed a sigh of relief.
“Thank you Doctor Lin!”
“Thank you doctor!”
For the rest of their lives, the parents thanked Lin Feng and the doctor of gastroscopy.
…
Lin Feng returned to the clinic,
Just when Lin Feng wanted to sit down and turn on the calling machine,
“Dr. Lin, there is an accident with Dr. Liu Fen, the director will let you go and have a look!” A nurse found Lin Feng with an anxious expression.
“What happened?”
Dr. Liu Fen, a surgeon in the emergency department, has had several contacts with Lin Feng, an enthusiastic big sister.
The nurse explained quickly,
It turned out that the patient was sent to Harmony Hospital because of bleeding from the inferior vena cava (the venous channel connecting the heart and the venous blood inlet).
The surgeon in charge of the operation is Dr. Liu Fen,
“It was originally a case of balloon dilation and diversion. I didn’t expect the operation to fail. Now the patient is dying, and his family has blocked Dr. Liu Fen in the operating room!”
“Dr. Liu Fen has performed hundreds of large and small operations over the past year. This type of operation is not difficult for Dr. Liu. This is the first time that such a medical accident has occurred.”
The two of them walked and ran,
The nurse explained…
“Partial resection of the inferior vena cava with artificial blood vessel replacement!” Lin Feng immediately made a judgment in his mind.
…
soon,
Lin Feng and the nurse came to the waiting hall of the operating room,
08
at this time,
The waiting hall was in chaos.
Related patient family members, doctors and nurses, and the family members of the patients who were onlookers.
“My son was fine before entering the operating room. Now there is an accident. If Harmony Hospital doesn’t give an explanation today, none of us will have a better life!”
The patient’s family (presumably his mother), holding a pair of scissors in his hand, stared at the doctors viciously.
“If you don’t want your child to die on the operating table, just get out of the way and we will go in for rescue immediately!”
At this time, a doctor shouted, sweating profusely, and wanted to let Lin Feng into the operating room.
“Are you Lin Feng?”
As soon as the aunt saw Lin Feng, her mood finally eased.
“Hello, my aunt, my name is Lin Feng…” Lin Feng had to stand up at this time: “I have already understood the matter, now time is everything, I will go to the surgery first…”
Auntie thought for a while, and finally said fiercely: “Go, I believe you… But if my son is not saved, don’t blame me for not giving you face!”
Lin Feng nodded and quickly walked into the operating room.
Other doctors and nurses, hurry in to follow up.
The chaotic surgery waiting hall suddenly became quieter.
…
Inside the operating room,
“Give me the information…”
Lin Feng rushed in, quickly washing his hands, dressing, and wearing gloves…
Then carefully and carefully read all the patient’s medical records…
The patient’s current situation is:
·Inferior vena cava bleeding…
·There is a problem with the interventional balloon… The bleeding did not stop, but the bleeding was even greater…
·The patient is undergoing a mad blood transfusion to maintain life stability…
·The patient is in hypotension and is using blood pressure medicine…
·Because the rehydration is timely, there is no shock…
And now,
What Lin Feng needs to do:
·Open the chest immediately to stop the bleeding of the inferior vena cava…
·Use artificial blood vessels to connect and restore the blood circulation of the inferior vena cava…
“Scalpel!”
Lin Feng walked onto the operating table,
Without any hesitation.
Make an incision along the right side of the patient’s abdominal cavity through the standard chest of the sixth and seventh ribbed beds.
Place the retractor, push open the right lung, cut and ligate the lower right lung ligament.
The palm of the hand is inserted into the free right phrenic nerve, and the open heart bag is cut longitudinally.
Free the inferior vena cava in the pericardium and wrap it with a traction belt, and incise the diaphragm and phrenic nerve hiatus along the inferior vena cava to fully expose the bare liver area.
At the two transverse fingers below the diaphragm plane, a ring-shaped lesion is exposed.
Then the inferior vena cava was blocked at the proximal end of the lesion, and the inferior vena cava above the lesion was cut longitudinally.
“Major bleeding in collateral vessels!”
Lin Feng immediately inserted a Fogarty catheter into the end of the blood vessel to stop the bleeding.
Insert the diversion tube upwards into the right atrium, tighten the proximal inferior vena cava blocking band, and insert the balloon diversion tube at the distal end.
Pass the obstructed segment to the normal inferior vena cava, fill the balloon with saline and pull it proximally to compress and stop bleeding!
The connecting tube connects the bypass tube, the inferior vena cava and the hepatic vein.
Soon, the blood flow passes through the bypass tube and enters the right atrium.
“Surgery forceps!”
Lin Feng cut off the diaphragm completely along the wall of the inferior vena cava, peeling off the adhesion thrombus.
Push the balloon to the distal end to further explore the patient’s hepatic veins.
“There is no stenosis in the venous cavity.”
“5-0 vascular anastomosis line.”
Lin Feng started to withdraw the proximal bypass tube, quickly gentle the inferior vena cava, and suture the center above the incision.
“Ear pliers!”
Immediately aspirate the balloon, withdraw the distal drainage tube, and block the unsutured part of the inferior vena cava.
Complete the last few stitches of continuous suture, loosen the blocking forceps, and tighten the suture ligation.
The operation is here, almost over.
Then fix the bones again…
Close your chest…
Suture the incision…
The operation is over.
time,
80 minutes…
Throughout the operation,
Doctor Liu Fen stayed aside, not daring to get out of the air.
The failure of the operation without any warning made her head dizzy.
Looking at Lin Feng on the operating table, there is a complex emotion in my heart: gratitude, frustration…
…
This critically life-saving operation,
Lin Feng is only regarded as an ordinary operation,
but,
Dr. Liu Fen is undoubtedly very grateful to Lin Feng.
I asked Lin Feng to go to her house for dinner and wanted to introduce Lin Feng to his daughter, hoping to become a son-in-law… Lin Feng quickly refused because… Dr. Liu Fen’s appearance is very ordinary.
After learning about the successful outcome of the operation, the patient’s family also gave Lin Feng a lot of face and did not continue to make things difficult for Dr. Liu Fen.
A pennant was also sent to Lin Feng.
…
After Lin Feng had the operation,
Continue back to the outpatient clinic and turn on the number calling machine.
Broadcasting: “Wang*lu, please go to the No. 5 clinic for treatment…”
soon,
A pair of parents walked into the clinic with a 10-year-old girl.
“I’m sorry, I have been waiting for a long time, but an operation suddenly asked me to pass…”
Lin Feng apologized.
“It doesn’t matter, Dr. Lin, you are saving people…”
Politely,
The couple began to talk about their daughter’s condition.
·Patient, female, Wang Lu, 10 years old,
·Patient symptoms: abdominal pain, anorexia, nausea…
·The time lasted for a month…
·In one month, I lost 8 catties, and now it is 50 catties…
Lin Feng combined the above symptoms,
Probably think of the following reasons:
·Gastroesophageal reflux…
·Digestive tract diseases…
·Lack of trace elements…
·Endocrine diseases…
certainly,
Digestive diseases are very complicated. Just like guessing, they need to be checked slowly.
Lin Feng asked about the little girl’s medical history and daily life.
3 minutes later,
060 concluded:
·Eat healthy, there should be no food poisoning…
·No special medical history…
Then start the physical examination:
I looked carefully from top to bottom, and after listening, there was nothing unusual.
“Doctor, how is it?”
Lin Feng shook his head: “It is still unclear. Digestive system problems are likely to be caused by other diseases, such as blood, endocrine… Generally, in this case, don’t save the checkups. Sometimes it’s easy if you are not careful. It’s a big mistake…So, there may be a lot of inspection items…”
The parents were very nervous about the little girl’s illness and nodded repeatedly.
“Dr. Lin, I believe you, do not hesitate to prescribe any test!”
“good!”
Then, Lin Feng gave the child some necessary examinations.
·Blood routine is a must-do…
·Because of digestive system problems, you can make a gastroscope…
·Glucose and blood gas analysis, because the results can be obtained in one minute, give priority to…
·If possible, perfect abdominal ultrasound……
·Metabolic problems of liver and kidney…
Do blood sugar first…
A prick of your finger will come out immediately.
This tie,
That’s terrible!
Shocked everyone!
Blood sugar: 18.9mmol/L (normal value: 3.9-6.1mmol/L)
Lin Feng was taken aback!
three times! !
“I’m going? Why is blood sugar so high!!”
Then quickly let the couple bring their children:
“Go and save urine right away and make a urine routine!”
.
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ps: The three shifts are over… Can you guess the last case, what is the disease? Follow the existing clues.
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