blenderwars Chapter 209
Chapter 209
Chapter 209
soon,
The X-ray results came out.
“How can it be?”
“It’s not a stomach rupture?”
Seeing this result, the doctors of Dabei Hospital were all dumbfounded!
Several doctors previously speculated that hemorrhagic shock caused by a ruptured gastric pouch.
However, the X-ray results clearly showed that the gastric pouch did not rupture except for overeating.
Lin Feng frowned. Except for the stomach, there was nothing wrong with it.
If the cause cannot be determined, the next step of treatment cannot be carried out.
Subsequently,
The urine routine also came out.
·Creatinine, urea, uric acid are all higher than normal…
Lin Feng considers the following diseases:
·Inflammatory myopathy
·Renal colic
·hematuria
Sudden,
Lin Feng’s inspiration flashed, and he thought of a disease!
“Rhabdomyolysis”!
·This is a syndrome caused by severe damage to muscle tissue. Patients may have obvious myalgia, fatigue, and darken urine. In severe cases, acute kidney injury, arrhythmia, and even death may occur.
From Lin Feng’s sign-in experience, crayfish has a probability of causing “rhabdomyolysis.”
What is the specific reason?
There is no definite answer yet.
It may be related to the ‘washing shrimp powder’ or the breeding environment of the crayfish.
at this time,
Everyone in a hospital in the city is at a loss. It can be said that this fat man’s disease is a bit complicated and has many complications, but they don’t know which disease is the root cause.
They looked at Lin Feng one by one.
Here, Lin Feng’s strength is widely recognized.
Lin Feng did not immediately come to the conclusion of “rhabdomyolysis”, but began to give orders.
“Go and do a few checks right away:”
“First, determination of creatinase level!”
“Second, complete red blood cell count!”
“Third, kidney function!”
The emergency department director nodded: “Okay, I’ll order someone to do it right away!”
Lin Feng: “By the way, the crayfish shells I brought back are also taken for testing. I see if there are any germs, I think it may be an infection caused by bacteria.”
The nurse quickly took the crayfish and sent it to the laboratory.
…
at this time,
the other side,
A community 3 kilometers away.
Qian Yuan, the director of the Department of Cardiac Surgery of Dabei Hospital, is having dinner at home.
08 Qian Yuan, one of the 100 support teams in the last metal factory explosion, is quite familiar with Lin Feng.
Today, he is off work and enjoys family warmth with his wife and son.
Sudden,
He felt a pain in his chest.
Shaking his hand,
Clang~~~crack~~~~
The bowl fell straight down, smashing many pieces on the ground.
The whole person fell on the dining table all at once.
Wife, son, mother were taken aback.
“Old money, old money!”
“dad!!”
“what’s up!”
“No, it may be a heart problem. The old Qian said that his heart hurts a few times!”
At this time, although Qian Yuan had a pain in his chest, his consciousness was still sober.
“Quickly… call… to Xiao Liu (Qian Yuan’s student), he is on duty, saying…I may have a heart attack, send an ambulance…come here!”
Qian Yuan finished with difficulty.
“Good, good, I’ll fight right away.”
The wife was very familiar with the students, and picked up the phone and quickly called Xiao Liu, who was on duty.
At the heart surgery, after receiving the call, it fryed all of a sudden.
“Mother, don’t worry, I’ll rush over right away!”
With a few nurses, Xiao Liu quickly went downstairs, got into the ambulance, and rushed to the community where Qian Yuan was.
Beep Beep Beep Beep~~~~The ambulance rushed to the community within 7 minutes.
He took Qian Yuan downstairs and pushed him into the ambulance.
“Quickly, go to Dabei Hospital!”
Beep Beep Beep~~~
Speeding to the Dabei Hospital.
Qian Yuan said in a hurry, “Quickly, give me an ECG.”
In ambulances, there are often equipment such as electrocardiographs and defibrillators.
Connected,
Soon, the ECG results came out,
Qian Yuan glanced at the ECG!
It really is a heart attack!
Qian Yuan: “Give me some morphine (pain relief, sedation), nitroglycerin (dilation of coronary arteries)!”
“Yes!”
As the drug is pushed into the vein.
Qian Yuan felt a little relieved.
but,
Or not!
He still felt unbearable burning in his throat, and the pain extended to his stomach!
Moreover, consciousness is not as clear as it was when it started.
Qian Yuan: “Who is on duty now outside of my heart?”
Xiao Liu: “I (Deputy Chief Physician), and Xiao Chen (Attending Physician), but Xiao Chen went to the emergency department, and an emergency patient came over there, and he is in consultation and treatment…”
Money is far away.
That’s it!
This kind of medical power is not strong enough!
Qian Yuan feels that he may have a blocked coronary artery, and ordinary doctors can’t handle it.
Qian Yuan: “Call the interventional department and ask who are the interventional doctors?”
Xiao Liu quickly called the Intervention Department, and quickly reported that only the attending officer was there, the deputy director was not…
Qian Yuan: “………………”
Pit! !
“Teacher, I immediately called the director of intervention and several deputy directors outside my heart…”
“Okay, as soon as possible!”
Qian Yuan felt that his condition was getting worse and worse.
6 minutes later,
The ambulance arrived at Dabei Hospital.
Qian Yuan knew his condition and ordered.
“Don’t go to the ordinary operating room, send it to the interventional operating room…”
“Yes!”
Qian Yuan was quickly sent to the interventional operating room.
Connect the ECG monitor…and other testing instruments.
·Electrocardiogram diagnosis: cardiac ischemia
·Low heart rate…
·Insufficient blood oxygen…
·Pulse pressure decreased…
“Director Qian!”
“The Anesthesiology Department is here to report!”
“Cardiology, here!”
Doctors in anesthesia, intracardiac, extracardiac, ICU, interventional, and emergency department, one after another, rushed into the operating room anxiously.
consultation!
However, among all these doctors, they are relatively low-level, and treat the most cases, with the deputy director being the only one.
And Qian Yuan is regarded as the biggest doctor in it, and the director of the department.
Fortunately, Qian Yuan was still conscious at this time, and diagnosed for himself:
“I should have had an acute myocardial infarction… Do it for me immediately…”
Before he finished his words, he suddenly rolled his eyes.
Beep…………
The ECG becomes a straight line!
The breath is gone!
The condition took a turn for the worse!
“Director Qian!”
“Director Qian!”
“Defibrillator, cardiopulmonary resuscitation, fast!!!”
Doctors are in a mess.
Fast cardiopulmonary resuscitation rescue.
but!
Except for cardiopulmonary resuscitation, many of them can’t do it, or dare not do it.
Anxious and anxious, sweating profusely.
They are about to cry, they are just little doctors, this kind of rescue mission has not been done yet!
The only deputy director is the deputy director of the emergency department, and his strength is very average.
Faced with such a situation, he can only do a little routine operation.
“Call the chief physicians immediately and see who can come over!”
“Quick tracheal intubation and general anesthesia in the anesthesiology department!”
“Mechanical Ventilation!”
The deputy director of the emergency department ordered one by one,
“By the way, just now Director Qian said, give him a radiography…Interventional department, can you do it now?”
Indications of Intervention Department: “Yes!”
Soon, while doing cardiopulmonary resuscitation, the interventionalist was doing radiography.
However, because the radiation of the radiography machine is too large and a specific lead suit is required, other doctors are pushed outside the operating room.
Only doctors and nurses who do cardiopulmonary resuscitation and imaging are left in the interventional operating room.
1 minute……
5 minutes……
10 minutes……
20 minutes……
Through constant heart compression, and used the defibrillator 4 times…
finally,
“Heartbeat!”
“good!!”
“Stay steady!!”
All the doctors and nurses cheered.
However, there is also bad news.
The contrast agent has penetrated into the heart, and after the projection of the contrast machine, a culprit has been discovered:
·The coronary artery on the right side of the heart is completely blocked!
· Accompanied by a large number of thrombosis!
“OMG!”
Everyone felt broken on the spot!
My scalp is tingling!
This disease is too exaggerated, right?
We are only minors, so how can we face such a serious illness?
Although Director Qian Yuan’s heartbeat has recovered, his physical signs are almost like stepping on the edge of a cliff, and the huge “complete blockage” will kill Director Qian at any time!
now,
The only way: You must immediately perform interventional surgery for Dr. Qian Yuan, remove the thrombus, put it in a stent, prop up the artery, and re-circulate the blood vessel.
And time is tight!
It’s not an exaggeration to say that you race against time!
but!
In these 20 minutes, one phone call was made, but none of the good news was received.
Very few doctors can rush back in half an hour! !
“How to do?”
“Do you want us to go?”
“But we don’t have the ability!”
A group of attending, extremely guilty.
They didn’t dare to undergo this super-difficult operation at all.
Sudden,
“Lin Feng!”
The deputy director of the emergency department thought of Lin Feng who was still rescuing the fat patient in the emergency department!
Slap~~
The deputy director of the emergency department patted himself on the head.
upset!
How did you forget Lin Feng!
Lin Feng’s abilities have long been spread here from the First City Hospital. I heard that Lin Feng is also very good at interventional surgery!
“Don’t panic, everyone, Lin Feng rescues the patient at the emergency department of our Dabei Hospital. I will call immediately and ask him to come over!”
The deputy director of the emergency department shouted excitedly.
The others were taken aback.
“What? Doctor Lin is in our hospital?”
“Great, Dr. Lin should be able to!”
“Quickly, call him right away!”
They urged one by one.
…………
at this time,
On the first floor, the emergency department,
Time passes bit by bit,The big fat patient continued to show various symptoms, but fortunately, they were all controlled by Lin Feng’s medication.
But fortunately, the results of various inspections have been released one after another.
The first result is:
· Creatase level: more than 2000 times the upper limit of normal!
This is outrageous!
2000 times!
Lin Feng immediately decided that this is definitely “rhabdomyolysis”!
Because the level of creatinase is an important feature that distinguishes rhabdomyolysis from other diseases!
Afterwards, complete red blood cell count check, kidney function check…
The results of various inspections support this conclusion!
Not long after,
The addition of crayfish also came out!
·Salmonella and Streptococcus index in crayfish are seriously exceeded!
Rhabdomyolysis caused by bacterial invasion!
…
After Lin Feng’s explanation,
Many doctors at Dabei Hospital have come to understand.
“It turned out to be “rhabdomyolysis”! ”
“This is the first time I have encountered this disease!”
“Doctor Lin, great!”
Next,
940 Lin Feng began to reduce the cause of the disease.
First of all, antibacterial medicine was used in the past to eliminate germs.
Second, because a large amount of fluid accumulated in the muscle tissue, it caused the previous shock (misdiagnosed as hemorrhagic shock at the time).
This shock has been stopped by the previous emergency infusion.
Soon, a symptom appeared before him.
“No urine!”
This is a complication of rhabdomyolysis: “kidney failure”!
“Mannitol is injected intravenously.”
(Mannitol: also known as a diuretic, a dehydrating agent. It can diuresis, reduce intracranial pressure, intraocular pressure, dehydration drugs. Hypertonic dehydration drugs.) “Inject sodium bicarbonate solution to increase myoglobin in the urine Dissolve!”
Through dehydration, diuresis, rapid urination, alleviate renal failure.
Lin Feng assessed that he has not yet reached the level of hemodialysis.
“No, there is another complication, right arm compartment syndrome!”
An emergency doctor yelled when he noticed the symptoms.
“Bone Fascial Compartment Syndrome”: The interosseous membrane, muscle compartment, and deep fascia form the muscles and nerves of the fascial compartment. Due to acute ischemia and hypoxia, hematoma and tissue edema increase the volume of the indoor contents. And a series of early symptoms and signs.
Lin Feng: “Measure the pressure!”
Dr. Gui Pei: “4.7kPa!”
high pressure!
If the fascia ruptures because it cannot withstand high pressure, there will be big troubles.
Lin Feng calmly: “Scalpel!”
Holding a scalpel, make a clean cut from the outside of the biceps tendon above the elbow fossa of the patient’s right arm to the fossa of the elbow.
The deep fascia is exposed in the line of sight. At this moment, it can be seen intuitively that the patient’s fascia is bulging and has become convex.
Lin Feng raised the knife with his hand and cut directly through the fascia.
The original gray ischemic fascia immediately restored blood supply and appeared reactive hyperemia.
Suture the cut fascia quickly.
“Increase the amount of plasma injected!”
…
at this time……
A nurse broke into the rescue room.
“Dr. Lin Feng!”
“What’s wrong?”
The nurse panted and said quickly: “In the interventional department, director Qian Yuan, the director of cardiac surgery, acute myocardial infarction, all coronary arteries are blocked…”
“Director Qian Yuan?”
Lin Feng was taken aback.
acquaintance!
In the last emergency rescue of the big explosion, I supported the No. 1 Hospital of the city. I knew Lin Feng very well. He had done seven or eight operations and often wanted to fool Lin Feng to jump to the Dabei Hospital.
Not bad for Lin Feng.
It’s a friend you made in the past year.
The nurse said anxiously: “Now that the Interventional Department says no one can do interventional surgery, can you go and see it? The situation is urgent… Uh…”
Not finished yet,
Lin Feng rushed out of the rescue room.
“You can handle this patient…I’ll go to the intervention department…”
After speaking, he has rushed out of the emergency department.
. .