Chapter 341
Chapter 341
Chapter 341
【339】
Harmony Hospital,
The ambulance rushed into the Harmony Hospital and stopped outside the emergency building.
Push to the emergency department
It happened that Lin Feng took over…
Lin Feng looked at the patient’s condition,
Have a general understanding.
Quick diagnosis:
“The elbow joint is completely dislocated to the outside, and the avulsed bone is brought to the outside of the humerus!”
“Seriously comminuted fracture of the articular surface!”
“Prepare for surgery now!”
Lin Feng naturally has his own team.
Without Lin Feng calling anyone, the whole team immediately started to move.
The patient was pushed into the operation book by the flat car,
Lin Feng signed the operation record and then walked into the operating room with Yan Haoyu and others.
At this time, intern Yan Haoyu and others can already be alone.
“General anesthesia for tracheal intubation!”
“Airbag tourniquet!”
“Scalpel!”
Lin Feng picked up the scalpel and made a two-horizontal wide surgical incision from the outside under the olecranon process of the patient and vertically downward along the lateral edge of the ulna.
Then cut the skin, subcutaneous tissue and deep fascia…
Cut the periosteum along the outer edge of the ulna, and peel the periosteum downward…
Pull the posterior elbow muscle extensor carpi ulnaris and supinator muscle to the outside, and the deep finger flexor to the inside of 027, thoroughly revealing the posterior lateral joint capsule and fractured end of the elbow joint…
The sharp blade, under Lin Feng’s dexterous skills, flashed a cold light.
Quickly remove the blood coagulation at the fractured end…
high speed!
Orthopedics came to watch the training and interns,
Shocked!
“Fuck, just this scalpel, the 30-year old butcher is not as skilled as Doctor Lin!”
Some doctors swallowed subconsciously.
I feel that Dr. Lin is really scary!
30 minutes later……
Lin Feng bends the patient’s elbow joint to ninety degrees, and inserts a triangular intramedullary nail retrogradely from the proximal medullary cavity of the fracture…
In the olecranon of the patient, make a small incision to make the intramedullary needle penetrate the skin…
Then use a bone hook to reduce the fracture of the pubic bone, and then antegrade the intramedullary needle into the medullary cavity of the distal fracture…
1 hour……
2 hours……
…
The operation came to an end,
Broken bones, broken bones, rebuilt…
The tendons, blood vessels and nerves are all sutured…
“Isotonic saline!”
Lin Feng picked up the pulse gun and flushed the patient’s surgical wound with isotonic saline.
Finally, suture the subcutaneous tissue and the skin…
End (aicd) beam surgery!
The lights in the operating room went out with a pop.
Lin Feng and his party pushed the patient out of the operating room…
As for the result of the operation?
Lin Feng made an assessment. I am afraid that most of the patient’s life will be spent in a wheelchair.
Yes,
The elbow injury was too serious. Even though Lin Feng used a lot of force, he still couldn’t heal it.
…
at this time,
This “bungee fall” incident also caused heated discussions on the Internet.
Because of the mischief of a friend, he kicked out, causing the victim to fall off the bungee jumping and fall from high altitude…
“My God, what kind of friend is this?”
“Where is this friend? It’s murder!”
“Must be severely punished!”
“It could also be a joke, and then passed the fire…”
“What kind of joke kills?”
There is a heated discussion on the Internet.
Afterwards, the news of Lin Feng’s surgery, I don’t know who passed it out, which caused the news to be even hotter.
Lin Feng pushed the patient back to the emergency department,
At this time, the police officer came early and waited there…
“Dr. Lin… We are following this case (pointing to the patient). Is it convenient to make a transcript?”
“No problem, are you going to the police station?”
“Dr. Lin joked and asked you to go to the police station. I am afraid that the patients will not be willing to…”
The policeman said very politely.
soon,
Lin Feng made a transcript.
At this time, the patient’s family also rushed over, and when they learned that the operation was over, it was very likely to be a wheelchair in the second half of their life, they cried and screamed.
Next, it is the event qualitative.
As for murder, or unintentional…
None of this is Lin Feng’s business.
…
…
Lin Feng continues to receive treatment…
“Doctor Lin!”
Lin Feng looked up,
A sleek middle-aged man with a big back combed into the consulting room.
but,
This middle-aged man has a tired face and is obviously very uncomfortable.
His face was still pale.
“Doctor Lin, my stomach hurts, and I have vomited several times…”
Lin Feng’s mind was tense.
Have abdominal pain, vomiting…
The first thing to be wary of is acute gastroenteritis.
“How long did it hurt?”
Lin Feng warned;
“It’s been painful for several hours.” When speaking, the young patient frowned and covered his stomach with a painful expression.
Still bent over, unable to straighten up…
“How many hours are it? One hour? Nine hours?”
“Five hours…”
When talking, Lin Feng could see the sweat oozing from the forehead of the young patient, which should be really painful.
Lin Feng first considered acute gastroenteritis.
“Did you eat anything unclean?”
“No…no, eating at home is normal…”
“Lie down, let me see…”
Lin Feng pointed to the examination bed in the clinic…
Physical examination.
Touch the belly.
First of all, the hand feel is soft, not hard, which excludes intestinal obstruction, peritonitis, perforation…
Didn’t check what was wrong.
“Come on, take your blood pressure…”
Soon, the results came out.
Blood pressure: 98/60mmHg,
Blood pressure is a little low.
As for the heart rate, Lin Feng measured it and felt that the heart rate was 102 beats per minute.
Still didn’t find any big problems,
Then check the ECG…
Patient age 43…
Abdominal pain, check the electrocardiogram.
The purpose is to be alert to the possibility of myocardial infarction, a small electrocardiogram can sometimes make a big discovery.
Soon, the ECG results came out.
· ECG: No myocardial infarction.
These are items that can be checked quickly, and the rest are B-ultrasound, blood draw, CT and the like.
“Let’s refill fluids first, vomiting, stomach pains, there may be electrolyte disturbances, inflammation should be indispensable, so…rehydration electrolyte + anti-inflammatory antibiotic therapy…”
Lin Feng prescribes medicine…
After the patient has paid the fee, the nurse has prepared the needle.
While rehydrating with a needle,
Lin Feng opened a B-ultrasound order and asked the patient to do a B-ultrasound…
Because of the urgent condition, Lin Feng directly asked the patient to jump in the queue.
10 minutes,
The B-ultrasound results came out.
Liver, gallbladder, pancreas, spleen, urinary tract, no problem…
All organs, no stones etc…
The appendix also looks normal, not like appendicitis…
Acute abdomen such as acute cholecystitis, acute cholangitis, acute appendicitis, kidney stones, intestinal obstruction… and it does not look like…
Lin Feng looked at this middle-aged patient strangely…
its not right,
Very healthy!
However, the healthier the test result, the more dangerous it is!
——————————
ps: The three shifts are over…
. .
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