novelslam Chapter 242
Chapter 242
Chapter 242
The first is anti-shock rehydration.
Lin Feng listed the medication plan according to the data feedback from the ECG monitor and asked the nurse to refill fluids.
After doing this,
“Send for an X-ray!”
Quickly pushed to the imaging department.
When the X-ray female doctor saw Lin Feng, she happily asked Lin Feng to jump in the line.
Lin Feng operated the machine and quickly took an X-ray.
Found the needle!
It’s gone to the pulmonary vein!
And the cause of the bleeding has also been found!
In a large part of the vein from the arm to the pulmonary vein, due to the needle-sharp touch,
Cut the vein and bleed in 4 places!
Therefore, the amount of bleeding will increase, which will lead to-shock!
Lin Feng couldn’t help being shocked when he saw it!
And now,
Lin Feng needs to solve two problems as soon as possible (the sooner the better):
·Take out the needle!
· Block up multiple venous bleeding ports!
How to do?
Two surgical options!
·Surgery?
·Or interventional surgery?
Lin Feng thought for 3 seconds and decided immediately!
Choice: interventional surgery!
The reason is that interventional surgery causes less harm and burdens patients with less!
“Xiao Ai, contact the Interventional Department, I want to lend them an interventional operating room… Also, help me contact an anesthesiologist!”
“what?”
Xiao Ai was shocked!
Will Dr. Lin Feng be involved in surgery?
“What are you doing in a daze? Go ahead, the slower it is, the more troublesome it is!!”
“Yes!”
Xiao Ai ran out.
Lin Feng ordered another nurse:
“Find the family members immediately and sign the agreement!”
“Yes!”
…
Intervention Department.
“What? Dr. Lin wants us to intervene in the operating room?”
Zhang Huaicai, the director of the intervention department, was stunned!
“He will be involved in surgery?”
In the recent period, Lin Feng can be said to have stirred up the situation of Harmony Hospital, with the most news and the most attention.
Director Zhang Huaicai knows something.
“Since he wants to borrow, we will lend it to him. In addition, let Xiao Liu (Doctor Gui Pei) help, and Xiao Jie and Xiao Hong (apparatus, itinerant nurse) will also help!”
“Yes.”
The nurse quickly left the director’s office.
This scene happened to be heard by Zhu Zhian, Lin Feng’s soy sauce master, with a look of surprise.
Lin Feng needs interventional surgery?
real or fake?
Will Lin Feng be involved in surgery?
Alright Zhu Zhian, please say:
“Director, let me go and see, Lin Feng is my junior…”
“Are you his senior brother?…Okay!”
…
Here in the emergency department,
The doctors in the emergency department were shocked again!
“Lin Feng is going to the interventional department for surgery?”
“Lin Feng will still be involved in surgery?”
“impossible?”
“The brain, extracardiac, digestive, orthopedics… are all okay, how can you get involved?”
“unacceptable!”
“I do not believe!”
“Medicine is scientific, it takes time to accumulate! I don’t believe anyone is so awesome!”
“Hahaha~~ all fake, all fake (crazy laugh)…”
The three views of emergency doctors are constantly falling apart.
Three views are hurt +1000+1000+1000+1000……
…
Lin Feng pushed the patient Xu Jin, all the way to the intervention department, and rushed quickly.
When the family members heard that the needle had fallen in, it might go to the heart and cause heavy bleeding, which was frightened.
Signed without saying anything!
Based on the success of the three-ankle surgery, the two parents of Naive believe in Lin Feng’s strength.
“Doctor Lin, it’s signed!”
“good!”
Lin Feng was overjoyed.
His most fear is that it is difficult to sign, which delays the operation time!
5 minutes later,
Arrived in the interventional operating room!
In the interventional department, a regular doctor, anesthesiologist, instrument nurse, and visiting nurse have all arrived.
Zhu Zhian also came.
“Lin Feng…”
Say hello.
However, Lin Feng had forgotten Zhu Zhian, after all, it was too long.
Therefore, Lin Feng ignored him directly.
Push the patient onto the operating table quickly!
“Quick, radiography!”
“Connect the ECG monitor…”
“quick!”
Soon, new data appeared in the ECG monitor.
The shock progressed and changed.
Lin Feng quickly ordered the nurses in the emergency department to adjust the medication.
“Increase furosemide…”
“Adrenaline…”
Lin Feng finished giving orders,
At this time, the doctor has already started to inject the contrast agent.
The radiography machine starts to work…
The contrast agent begins to travel along the bloodstream and into the chest cavity.
Because interventional surgery is a minimally invasive surgery, only the puncture site will have pain.
soon,
The display result of the contrast agent came out.
“Found 6 bleeding mouths!”
“There are 2 more bleeding mouths than at the beginning!”
However, Lin Feng did not pay much attention.
His eyes fixed on the position of the pulmonary veins and pulmonary arteries…
He needs to find the needle quickly!
The first step is to remove the needle.
The second step is to intervene to stop bleeding.
This is the correct order!
“found it!”
Lin Feng found the needle, and it has reached the tip of the pulmonary artery!
Lin Feng immediately ordered:
“catheter!”
“Foreign body catcher!”
“Right femoral vein puncture!”
Lin Feng will guide the wire all the way through the blood vessel.
It extends to the position of the pulmonary artery…
Then insert the catheter, the catcher…
The catcher reaches the pulmonary artery…
One twist, one grasp…
Lift weights lightly!
Lin Feng easily covered the exfoliated needle, then tightened the catcher, and salvaged the exfoliated catheter into the catheter sheath…
Finally, drag out of the body through the catheter sheath…
This needle is about 4 mm,
The needle is extremely sharp!
However, the needle was finally taken out.
The “bomb” was successfully dismantled!
…
Next,
It is intervention to stop bleeding!
The principle of interventional hemostasis is very simple, that is, the interventional substance is delivered to the bleeding port through a catheter, and the bleeding port is blocked to achieve the purpose of hemostasis.
The most commonly used hemostatic substance is “gelatin sponge”.
Gelatin sponge: It belongs to the protein collagen sponge. It is one of the commonly used embolization materials in interventional therapy. It is used to strengthen the embolism and can also play a certain role in blood clotting.
Lin Feng quickly used a catheter to continuously transport the gelatin sponge particles through the guide wire path and sent them into 6 bleeding ports.
Block these 6 bleeding ports in turn.
Eventually the goal of hemostasis was successfully achieved.
So far,
Surgery, the two steps of “taking the needle” and “stop bleeding” are all over!
Achieved hemostasis,
Before long, the patient’s shock ceased and his vital signs began to gradually recover.
All functions are normal and the operation is over!
After looking at the time,
It only took 36 minutes before and after!
And the process of getting the foreign body was only 15 minutes!
This is a super fast operation!
The brother Zhu Zhian who was helping next to him was completely stunned at this moment!
Lin Feng’s interventional surgery is much faster than he does it himself. The intervening strength (young generation) that I am proud of is a scumbag in front of Lin Feng!
and,
“Heart-lung foreign body retrieval”, that is a fourth-level surgery outside the chest!
Is it so easy?
Four-level surgery, is it worthless?
(Level 4 surgery: Uhhhh~~~My face was beaten and swollen!)
…
To end the operation,
Push the patient Xu Jin back to the emergency department.
Emergency doctors and nurses saw Lin Feng pushing the patient back to the emergency ward.
“???”
“What’s the matter? Come back so soon?”
“Failed?”
“Still not done?”
One by one was curious, wondering.
Soon, the nurse who had undergone the operation told them the truth:
The operation was successful!
All doctors and nurses: “……………………”
Three views are hurt +1000+1000+1000+1000……
Bang~~~~
Shattered! !
“I don’t believe it, hahaha, how could it be possible to end the operation in less than 50 minutes?”
“It’s all fake, it’s all fake!”
“I’m not crazy, haha~~~~~”
The poor group of emergency doctors collapsed one by one, crying and crying.
Then,
Lin Feng emergency department status +1+1+1+1+1+1……
…
In the afternoon, continue to visit.
Outside Lin Feng’s clinic, it was full of patients.
It is still full.
Many patients are famous.
In the past, in the eyes of these patients, Harmony Hospital had only [experts and professors], and all the deputy chief physicians and attending physicians were ‘other doctors’.
And now, after the “expert professor”, there is a “Dr. Lin Feng” added, and then the other doctors.
Been busy until 6 o’clock in the afternoon,
get off work,
At this time, an unexpected person came.
Director of Orthopedics, Director Lu!
0 ········Find flowers····
“Doctor Lin!”
“Director Lu…you are…”
“That’s it, I want to invite you to the orthopedics department to give a lecture on surgery.”
“That’s it…” Lin Feng groaned for a moment, and finally nodded, “Yes…when there is a suitable patient, send me the information…”
Director Lu was happy: “Hahaha, well, then we are looking forward to Dr. Lin’s operation!”
…
the next day,
Lin Feng completed an interventional operation and the details have been spread throughout the emergency department.
Early today,
Lin Feng came to the emergency department, and the emergency doctors became more enthusiastic.
“Dr. Lin, good morning~~”
“Dr. Lin, I heard that I had an interventional operation yesterday. It’s amazing!”
“Doctor Lin, have a meal together tonight~~~”
“Doctor Lin…”
Enthusiasm +10+10+10+10……
Status +1+1+1+1……
Lin Feng seemed to have returned to the First City Hospital.
After all, there are not so many grievances and feuds, and the department is overwhelmed.
Lin Feng likes this atmosphere very much.Rounds,
Then go to the clinic to diagnose the patient.
…
In a flash, the whole morning passed.
noon,
Go to the dining hall for dinner.
The aunt gave Lin Feng a pot of warm rice.
And a full spoonful of braised pork, a braised fish…
“Eat more, see if you are thin!”
The aunt said with a smile.
Other doctors: “……………………”
……… …… …
Shocking and cold!
When will the ugly stand up!
Lin Feng just sat down,
Director Lu took the lunch box and walked all the way.
“Hello, Director Lu…”
“Director Lu…”
Along the way, many doctors respectfully greeted Director Lu, the big man.
Director Lu smiled and nodded, and then came to the seat opposite Lin Feng.
Sitting down in the surprised eyes of many doctors.
“Director Lu!” Lin Feng respectfully said.
Director Lu smiled: “Dr. Lin, yesterday you said that you gave us an operation class in the orthopedics department. Last night, our orthopedics department selected three cases, one is an ankle fracture, one is a pelvic fracture, and the other is a spine fracture… Give you……”
“good.”
Many doctors with sensitive ears were shocked when they heard it!
“Let me go, is Lin Feng so awesome? Director Lu personally invited to do surgery lessons?”
“Yeah, what rank is Director Lu? You even invited Lin Feng?”
“Don’t you know? (Despise the face)”
“The village is connected to the Internet!”
“Ah? What do you mean? Did something extraordinary happen? (blank face)”
“Lin Feng had an operation the day before yesterday. It is said to be awesome. The entire orthopedics department has been studying. No one has to submit 1,000 words for learning!”
“Yesterday, Lin Feng gave a lecture to the whole department of orthopedics, which was said to have received rave reviews!”
A group of doctors whose news is blocked and who don’t know the truth are shocked at this moment! !
Looking at Lin Feng, he showed an incredible expression!
Sudden……
An exclamation came out from the kitchen.
“It’s not good, Aunt Zhang fainted!”
“Come on!”
Exempt! !
Lin Feng stood up abruptly.
Aunt Zhang?
Isn’t it the kind-hearted aunt who always takes good care of herself and serves herself a lot of dishes?
Called Zhang Jinhua.
Lin Feng rushed to the kitchen.
At this time, the other doctors reacted.
…
Lin Feng rushed into the kitchen,
I saw Aunt Zhang lying on the ground at this time, and the other kitchen staff did not dare to move her, panicking.
Lin Feng quickly came next to Aunt Zhang.
Check your breathing, no problem…
Check the pupils, no problem…
Check other, no symptoms like bleeding…
Lin Feng breathed a sigh of relief.
Nothing serious!
However, what caused Auntie Zhang to faint suddenly?
Lin Feng picked up Aunt Zhang and sent it directly to the emergency department.
…
Emergency Department,
Lin Feng put Aunt Zhang into the flat car.
Then ordered the nurse who came.
“Quickly, go to the data system and check Aunt Zhang’s medical records, whose name is Zhang Jinhua, and see what medical history she has!”
“Yes!”
soon,
The medical records were brought up.
·Zhang Jinhua, 49 years old,
·Cervical radiculopathy,
·Multiple conservative treatments, the effect is not obvious, the symptoms are serious, recurring, and often accompanied by repeated symptoms of dizziness in the brain! ”
……………………Knife.