blenderwars Chapter 173
Chapter 173
Chapter 173
Lin Feng connected: “Old Song, what’s the matter?”
Song Ziming’s hurried voice sounded: “Lin Feng, first aid, there is a patient who took pesticides and just arrived in the emergency department, we can’t figure it out…”
Lin Feng righteously said: “Why don’t you find Director Zhangwu? He is a veteran doctor in the imperial capital!”
Song Ziming: “After asking, Director Zhangwu went to the Dabei Hospital next door for a consultation.”
Lin Feng: “What about Director Zhou and Lao Zhang?”
Song Ziming: “Director Zhou has a rest, Lao Zhang just got out of the ambulance…”
Lin Feng: “………………”
Lin Feng looked helplessly at Director Zhang Qia.
Director Zhang Qia was weak and waved: “Go, it’s important to save people.”
Lin Feng: “Thank you Director.”
Then rushed out of the department.
…
5 minutes later,
Lin Feng rushed to the emergency room.
Song Ziming was already waiting anxiously.
Lin Feng came in, “Lao Zhang, what’s the specific situation?”
Song Ziming quickly said: “That’s it. There is a 28-year-old young man who was poisoned by someone. It was a pesticide. The test result was: acute organophosphorus pesticide poisoning… After gastric lavage, the patient continued to be unconscious. , Even shock conditions! “Nine 20″”
Lin Feng quickly walked into the emergency operating room.
I saw the patient lying restlessly on the operating table.
(Remarks: sedatives and analgesics are different. Patients who are irritable should be given sedatives. Some sedatives have analgesic effect, but in turn, analgesics have no sedative effect.)
Lin Feng stepped forward to check.
flashlight. .
“Sensitive to light reflection, enlarged superficial lymph nodes, slightly purple lips, enlarged tonsils, centered trachea, and slightly enlarged thyroid!”
Lin Feng roughly had a judgment.
It is indeed very similar to acute organophosphorus pesticide poisoning, the same as the results of laboratory tests.
Lin Feng quickly ordered:
“Propofol 80mg, Carkinin 25mg, quickly induce endotracheal intubation!”
The nurse followed Lin Feng’s instructions and the patient went into a coma after the injection of the medicine.
“Intubate, connect to the anesthesia machine for mechanical breathing, and maintain anesthesia!”
“Intermittently add 12.5mg carcinine, continue to add atropine, and continue to inhale 2% isoflurane!”
Lin Feng is preparing for the operation.
He was also the first operation of this type of pesticide poisoning.
“Continuously monitor heart rate, blood pressure, and blood oxygen saturation!”
…
The operation started,
“Supine position!”
The nurse straightened the patient according to the posture of the operation.
Lin Feng took out a sterile towel and wiped it repeatedly on the patient’s lower abdomen and stomach.
“Local anesthesia!”
“Scalpel!”
After the patient was successfully anesthetized, Lin Feng took the scalpel.
Surgery!
Location: Intercostal space on the side wall of the chest wall, cut in.
(The stomach is under the breastbone, so this is the only surgical incision that avoids sawing the breastbone except for minimally invasive endoscopic surgery)
Make a 10cm hole.
Expose the field of vision.
Exposed the stomach.
First, before cutting the stomach, it is necessary to bandage the stomach.
“#6 Surgical line!”
Lin Feng manipulated surgical needles to make a purse string suture on the anterior wall of the patient’s stomach.
Then directly cut the stomach wall.
Peristaltic gastric mucosa, and gastric juice bursts.
Exudes an extremely unpleasant stench.
Pesticides are strongly acidic and corrode the stomach extremely seriously.
In addition, there has been an interval of 2 hours, and the mucous membrane of the stomach was burned, and the pesticide ingredients were mixed with the gastric juice and turned dark green.
Fortunately, the doctors and nurses in the emergency department have gone through a big battle.
The face doesn’t change color!
“Attract the catheter!”
Suck~~~
Soon, the liquid in the stomach was filthy and effluent, and all was sucked up.
but,
Due to the stomach contents in the stomach volume, it is already in a semi-coagulated state.
The suction catheter simply cannot extract the filth.
Lin Feng frowned and reached directly into the patient’s stomach wall.
He took out the masses of solidified stomach contents with bare hands.
The disgusting smell, coupled with this disgusting color, looks like Lin Feng’s actions at the moment.
It’s like digging shit with bare hands.
Heavy taste!
Finally, the contents of the stomach were almost cleaned up. Lin Feng used the suction catheter to clean up the remaining gastric juice.
“Prepare 4% sodium bicarbonate solution!”
The general gastric lavage machine uses warm water.
It can be used for gastric lavage without specific antagonist poisoning.
However, this operation will not work!
But the patient is acute organophosphorus pesticide poisoning.
Need to rely on sodium bicarbonate solution to neutralize the damage to the stomach caused by pesticides.
Sodium bicarbonate solution was injected into the patient’s stomach, accompanied by bursts of unconscious stomach cramps.
A large amount of dirt was shaken down from the folds of the stomach.
The original colorless and transparent sodium bicarbonate solution, after walking in the patient’s stomach, also turned dark green.
During the operation, the foul smell was so high that even some doctors couldn’t open their eyes.
Spicy eyes!
Lin Feng can’t stand it either.
But at any rate, his professional ability kept his hands steady, but he was not affected in the slightest.
Continuously inject sodium bicarbonate solution to clean the stomach, and then withdraw it.
Dozens of operations were repeated, and the 50L sodium bicarbonate solution was used up.
“Inject atropine!”
Atropine is an anticholinergic drug, racemic hyoscyamine extracted from Solanaceae belladonna, Datura or Scopol. Mainly to relieve smooth muscle spasm, large amount can relieve small blood vessel spasm, improve microcirculation, and inhibit glandular secretion at the same time.
Side effects are likely to reduce sweat secretion and affect heat dissipation, so use it with caution in summer.
In addition, pregnant women and children should use it with caution.
This medicine is often used for organophosphorus poisoning.
Finally, the sodium bicarbonate solution injected into the stomach no longer changed color, and Lin Feng drew out the liquid.
“8# Surgical suture line!”
Surgical scissors gently interrupt the purse-string suture previously made on the anterior wall of the stomach.
The operation is here, almost over.
Lin Feng put down the surgical scissors.
Then began to suture the stomach incision…
Rinse and disinfect…
Close the abdomen…
End the operation!
The time is 1 hour and 24 minutes.
…
Lin Feng hurried back to the urology department after finishing the operation.
at this time,
The two doctors Gui Pei who had been in the department with Lin Feng had already begun to do the chores under the yelling of the attending and chief physicians.
“Director, I’m back!”
“Go to the clinic, it’s busy over there!”
“OK……”
Lin Feng quickly went to the outpatient clinic again.
Just after the number was assigned, within 10 minutes, Lin Feng’s number was robbed.
…
…
3 kilometers away.
Kailong Building.
White-collar Wang Zhenye is in a meeting.
Buzzing…
Buzzing…
Buzzing…
His cell phone kept vibrating, and a call came in.
During the meeting, he dared not take out his cell phone.
Later, more than a dozen calls came in…
After half an hour,
The meeting finally ended.
Wang Zhenye returned to his seat, and only then did he have time to turn on the phone.
·Unknown missed calls: 23…
Buzzing~~~
At this time, a mobile phone message popped up.
Tap to open the text message:
“Hello! I have never answered my call. You are panda blood, right? Please help my daughter. My daughter is only 5 years old and suffers from severe Mediterranean anemia. She is in urgent need of blood transfusion at Dabei Hospital…”
Wang Zhenye’s anger rose.
He quickly wrote:
“Why should I save? Does it have anything to do with me? I saved so many people before, what did I get in the end? I’m sorry…I’m still at work now, and I have to deduct 200 for leave…please don’t call me again .”
Buzzing~~~
“I beg you, the child really can’t hold it anymore. Just ask if you have any requirements, and we will do it as long as we can do it.”
Wang Zhenye looked up to the sky.
He gritted his teeth!
He promised himself that he would never donate blood and save people again!
I have donated more than a dozen times, four of which were flight tickets on my own.
A round trip of four thousand yuan at the bottom, a month’s salary is only more than five thousand.
After several times of smoking, no one gave a bottle of water, no one asked if you want to eat or not. Since then, I feel chilled!
Buzzing~~~
“Please, save my daughter, she is only 5 years old~~”
“Please~~”
Wang Zhenye stood up abruptly.
Bang~~~
Tap the table! !
On horseback!
Hate yourself for not being hard-hearted enough!
“I’ll be there now… Dabei Hospital, right…”
Alas…I can never escape my heart…
Wang Zhenye quickly asked the leader for leave, and then rushed out of the building…
Bang~~~~
Because it was too urgent,
A car rushed out and hit him directly.
Wang Zhenye only felt that his body was knocked into flight, his eyes were black, and then he didn’t know anything.
“I hit someone!”
“Oh my god, it’s bleeding!!”
“Hot 110!!”
“Don’t call 110, hurry up and send it to the City No. 1 Hospital, it’s the nearest there!”
“Yes, hurry up and send it to the City First Hospital!”
——————
ps: Three shifts, 4000+3200+2800=10000 words.
An ambulance just came downstairs, in the same building, I don’t know what the patient’s condition is.
. .