blenderwars Chapter 160
Chapter 160
Chapter 160
At this time, Lin Feng did not know what others thought.
He fixed his eyes on the ECG monitor.
Adjust the dosage at any time.
After 30 minutes…
Cvp (central venous pressure) is high and bp is low.
Lin Feng: “Rehydration is too much, reduce the drip rate by half, use diuretics…”
10 minutes later……
bp (blood pressure) returned to normal levels.
Lin Feng shouted: “Continue to reduce the drip rate…”
The nurse executed it quickly.
10 minutes later,
The cvp is still very high, but the bp is normal, indicating vasoconstriction.
Lin Feng: “Another 30mcg of dopamine (vasodilator)…”
The nurse continued.
…
Just in the constant busy…
1 hour later…
The elderly’s physical signs, blood pressure, central venous pressure, pulse rate, urine output…returned to normal levels.
And the patient’s expression turned from dull to sober and quiet.
The fingers and lips turned from pale to rosy, and the extremities turned from clammy to warm.
Lin Feng breathed a sigh of relief.
shock!
Stabilize!
However, Lin Feng did not dare to leave, because he just stabilized, not resolved, as long as the acute peritonitis in the elderly body has not resolved, shock may occur at any time.
At this time, the provincial leader walked up to Lin Feng and looked at Lin Feng with a smile:
“You were the rescue student from the accident at the East Railway Station more than a year ago-Lin Feng?”
“Good leadership, I am Lin Feng.”
“Not bad……”
The provincial leader patted Lin Feng’s shoulder and praised happily.
In fact, at the moment Zhang was shocked, the leader realized that he had neglected his work. He only called the oncologist from the Imperial Capital, but did not call doctors from other departments over, so that when Zhang was shocked, no one could control it.
If the old man’s life is really gone like this, he will feel guilty in his heart, and I am afraid that he will be criticized from above.
Fortunately, Lin Feng appeared and controlled the shock in time!
It happened that the leaders had heard of Lin Feng’s name twice. One was in an accident and the other was a national clinical competition for college students. Lingnan Province had never won a championship in that competition. Winning the championship this time naturally allowed the leaders of Lingnan Province. There is light on the face.
Therefore, I have another impression of Lin Feng.
Lin Feng didn’t know this, so he was a little surprised, the big leader remembered himself?
…
2 hours later…
Following the cars, they continued to drive into the county hospital.
The county hospital became lively.
One by one, the doctors from the Provincial Duck Hospital got off the car quickly.
All of them are at the chief physician level, and most of them are above department directors.
The chief physician of gastrointestinal surgery, Zhang Fan, happened to be here.
In addition, a large number of equipment, ecmo machine, interventional equipment, radiography machine, laparoscopic equipment… are being moved down continuously.
Great battle!
At this time, Lin Feng just came out of the operating room to breathe and take a break.
Then, he saw the familiar Zhang Fan.
“Huh, Lin Feng¨¨!”
“Old Zhang!”
Zhang Fan was surprised: “Lin Feng, why are you here?”
Lin Feng: “The dean went to the City No. 1 Hospital and recruited me as the deputy dean…”
Hiss~~
Zhang Fan sucked in air: “This dean is so courageous. You are the only one who dares to hire you as the vice dean. How many days? How much is it?”
Zhang Fan has seen more of this kind of external employment, but it is the first time that Gui Pei has seen it as the deputy dean.
Lin Feng: “30 days, 500,000…”
Zhang Fan: “…”
Shocked,
I almost wanted to cry! !
Lin Feng: “What’s wrong?”
Zhang Fan cried miserably: “Do you know how much I am going to hire outside a hospital in Guangxi?”
Lin Feng: “Don’t sell Guanzi…”
Zhang Fan cried poorly: “It’s also 30 days, with an annual salary of 400,000… it’s even lower than you!”
Lin Feng patted him on the shoulder: “It’s okay, I’ll buy you a food stall later… I will comfort you…”
Zhang Fan: “It’s just a food stall…”
Lin Feng: “What’s delicious in this county? The food stalls are probably the best…not right. I heard that there is a Shankeng fish shop here, which is very sweet…”
Zhang Fan: “We have time to eat…”
at this time,
An old director of the big duck shouted: “Zhang Fan, what are you doing… a meeting…”
Zhang Fan: “Okay, here comes it!”
The consultation begins!
Bring together the experts from the Duck University Hospital to see if the disease can be solved.
In fact, not only the doctors at the Duck University Hospital, but also three top domestic experts in gastrointestinal and external heart disease arrived overnight from the Imperial Capital, but it took at least 5 hours to get here.
It can be called: a group of heroes!
…
…
after an hour,
Various more detailed inspections are out!
The conference consultation also officially started.
“Lin Feng, what are you doing? Being lazy? You should also listen to the consultation…”
The provincial leaders saw that Lin Feng wanted to sleep lazily, so he hurriedly stopped.
The leader likes Lin Feng very much.
So let Lin Feng, a little doctor, go to the auscultation, and then gain knowledge and experience in the ocean of knowledge taught by many experts.
It would be even better if the old doctor at the Duck University Hospital took it seriously and accepted it as a student.
Cultivate Lin Feng!
Hmm… The leader thought Lin Feng was a cute newbie.
Lin Feng sweats violently and is embarrassed to say that he wants to sleep and rest. After all, he has been busy for 15 hours without rest.
“Thank you leader…”
Then go in through the back door of the conference room, find a corner, and prepare to keep a low profile Voldemort.
result,
When Zhang Fan saw Lin Feng, he waved his hand and shouted, “Lin Feng, come here…there are vacancies…”
all of a sudden,
Experts and professors in the audience, look over.
I go!
So pretty!
Lin Feng: “…”
I want to keep a low profile and go to sleep…
With a helpless look, Lin Feng came to Zhang Fan and sat down in the countless light.
soon,
The conference diagnosis officially begins!
The senior director of the gastrointestinal department of Yada University, as the keynote speaker, started to talk with Zhang Lao’s various examination results.
“Lao Zhang is currently suffering from secondary peritonitis. Due to the impact, the bullet breaks away from the original wrapped tissue and perforates, causing exudate containing bacteria and toxins to seep into the abdominal cavity, and severe infections on the front and back walls of the abdomen. ”
“The puncture examination found E. coli, anaerobic Bacteroides, Streptococcus, and Proteus, mixed infection, severe toxicity.”
“Two hours ago, shock occurred. We must praise Dr. Lin Feng for this. He controlled Zhang Lao’s shock and bought us time…”
Lin Feng was once again attracted attention.
Many doctors recognized Lin Feng at this time.
“So it was him!”
“I remember it too, I said, why is the name Lin Feng so familiar…”
Last time, Lin Feng went to the Provincial Duck Hospital and had an operation for acute pancreatitis. The operation video became the teaching video of the Provincial Duck Hospital.
Because the operation was very powerful, it left a deep impression on many surgeons, and the surgeon in charge of this operation was Lin Feng.
“Is it so young?”
“I’m going, so young, and the operation is so powerful!”
Many surgeons who have watched the video of the operation have a different look at Lin Feng at this moment.
From ‘seeing cute new’, to watching ‘peer’.
The old director continued: “｀” At present, Zhang Lao is still in water and electrolyte disorders, plasma protein reduction, anemia, pus soaking and paralytic intestinal obstruction…”
…
Half an hour later…
Senior Director: “Most of the illnesses have been introduced… Next, let’s discuss the surgery plan… Let’s express your own opinions, don’t be too restrictive…”
Then, one by one doctors began to speak enthusiastically:
“I made an assessment and felt that it is necessary for Mr. Zhang to have an operation…”
“I think it’s better to try drug treatment first to see if it can be controlled. At present, the old man is 95 years old, and I am afraid he is not suitable for surgery…”
“The 95-year-old is actually not inoperable. Someone at the Imperial City has tried several cases of abdominal cancer removal for the super-elderly. An 81-year-old patient with sigmoid colon cancer with Parkinson’s disease, and a 70-year-old patient with rectal cancer with asthma. There is also an 80-year-old patient with colon cancer and severe diabetes…”
“That’s the imperial capital. We have not tried it at Duck University. It is very risky…”
“Yes, from a medical point of view, it is not necessarily difficult for elderly patients to undergo radical surgery, but because elderly patients are often accompanied by various chronic diseases, it increases the difficulty and risk of surgery.”
“However, without surgery, the first acute peritonitis is difficult to control, and the second recurrence is very likely…”
“I still disagree with the operation, (good promise) to be on the safe side…”
soon,
The focus of the conference room is on whether to do surgery or not.
·Do: old age, high risk!
·Don’t do it: It is difficult to control, because the disease is still there and it will happen at any time!
As for the oncologist Director Zhou Jianguo… He himself has never been an elderly person of this age. He can handle the bullet + wrapped tissue, but he can’t handle the accompanying exudative peritonitis.
Discussed for an hour,
Duck University Hospital dare not make a decision!
Very stressful!
Then report to the big leader.
When the big leader heard this, he also did not dare to make a decision…
The pressure is also very great!
“Or, wait for the surgical professors of the Imperial Capital to arrive here, and listen to their opinions…”
“I agree……”
“I agree……”
…
And at this time,
The doctors found a troublesome thing:
Over time, Zhang’s acute peritonitis has not been effectively controlled, but has become more serious.
More exudate, with all kinds of bacteria, invades all parts of the abdominal cavity, making the condition worse.
“Try your best!”
“The professors are still in the imperial capital. I heard they were blocked on the viaduct…”
“It’s been three hours, and there’s still a traffic jam…”
The big leader is simply angry and anxious…
. .