novelslam Chapter 212
Chapter 212
Chapter 212
orthopedics,
Inpatient department, orthopedic ward area.
“Are you here specifically to find me again?”
Lin Feng looked at the red-eyed father Mr. Luo and the yellow baby in front of him, and couldn’t help rubbing his eyebrows.
This is the first time you must see yourself?
99 times?
100 times?
People are afraid of being famous and pigs are afraid of being strong.
Many patients now call for Lin Feng. They feel that their illness is very serious, and they can’t handle it without Lin Feng.
As a result, many of these serious patients are minor illnesses of colds and fevers.
“What’s wrong with your daughter?”
“My daughter is now “Hitlin protein deficiency-“! ”
“”Hitlin protein deficiency”? ”
Lin Feng suddenly became serious.
Unexpectedly, only one patient was sent away this morning, and now there is another case.
What a coincidence!
Seeing Lin Feng’s reaction, Mr. Luo was happy: Sure enough, Dr. Lin knew of this disease.
“Come, go to the disposal room…”
All the way to the disposal room.
Put the baby on the bed.
Lin Feng untied the baby’s clothes. The baby didn’t cry and giggled at Lin Feng. There were two dimples.
Lin Feng was happy: “The baby is so cute…”
Mr. Luo: “Maybe it’s because Dr. Lin is too handsome.”
Lin Feng suddenly laughed.
Untie the baby’s clothes, the whole body is yellow in the eyes.
Lin Feng suddenly became serious.
A bit serious!
The eyes of that baby are many times worse than today.
Even the eyes have turned yellow!
Lin Feng is serious: “There was a blood test for genetic metabolism, right? It’s definitely “Hitlin deficiency”, right? ”
Mr. Luo: “It is a genetic test, and it is confirmed that it is “Hitlin deficiency.” ”
Lin Feng nodded.
What kind of genetic testing is actually genetic and metabolic testing.
“Which hospital did you do the checkup?”
“Dabei Hospital…Dr. Lin, Dabei Hospital is too bad and delayed my baby’s condition. I was treated at Dabei Hospital twenty days ago, but it was not found to be “Hitlin protein deficiency.” , I found out later, but my baby has become like this…”
Speaking of this, Mr. Luo was furious.
Lin Feng: “…”
The doctors at Dabei Hospital are still very good, but “Hitlin protein deficiency” is a bit rare, so it is excusable not to find it.
In a word, doctors are not omnipotent.
Even Lin Feng may miss or misdiagnose.
But from the perspective of the patient’s family, this behavior is simply a crime and a murder!
Lin Feng is serious: “Let me see the inspection report…”
Mr. Luo quickly took out the medical record bag, took out a medical record book, and opened it. Inside were various checklists carefully pasted, all glued in chronological order, and it was very comfortable to look at.
Lin Feng looks at the inspection report.
Brows frowned gradually.
The most recent inspection was this morning, and the indicators were already terribly high.
The liver has already experienced symptoms of acute liver failure!
Dabei Hospital’s judgment is correct, it needs a liver transplant!
“Go to the hospital, I will write the rules for you…”
Lin Feng knew that his condition could not be delayed, so he called Wu Zhengye, the director of the hepatobiliary department, and explained the matter again.
Director Wu Zhengye quickly agreed to be admitted to the hospital.
The patient was admitted to the hepatobiliary department, and then Lin Feng gave a doctor’s order. Basically, the plan was deep hydrolysis of milk powder, liver protection, and choleretic treatment.
Besides,
Lin Feng also did 2 things…
·The type of liver transplantation of relatives…
·CT…
The first, liver transplantation, requires matching, and the most probable ones are relatives.
Second, why do brain CT? That is because of acute liver failure, there will be a high probability of blood coagulation dysfunction, resulting in intracranial hemorrhage.
“Why do you have to do CT for the brain?”Mr. Luo panicked.
The liver is the liver, why do brain CT?
Lin Feng comforted: “It’s okay, I just have a little insurance. Now at 17:00, I’m going to get off work. I called the imaging department to have an extra shift, and the results will come out in half an hour. It just happened that the CT result came out…”
Mr. Luo is grateful: “Thank you Dr. Lin.”
Many doctors have to leave work when they are off work. Mr. Luo is very grateful for Lin Feng’s attitude.
Hold the baby and do ct…
…
Half an hour later,
In a flash.
Mr. Luo’s wife, the baby’s grandparents, and the baby’s three-year-old brother all arrived.
Guarding in front of the baby’s bed, waiting anxiously.
At the same time, the nurse draws blood from the baby’s mother, grandfather, and grandmother, and performs blood matching for liver transplantation.
And Mr. Luo has already drawn blood, and he is waiting for the CT results at the imaging department.
Lin Feng returned to the hepatobiliary department again after eating.
soon,
Mr. Luo took the CT results and hurried back out of breath.
“Doctor Lin!”
Pass the CT film to Lin Feng.
Lin Feng put it in the light and started to look at it.
“not good!”
Lin Feng’s heart was tight.
The CT result is very bad!
·Intracranial left temporal lobe hemorrhage!
·Left and right temporal lobe brain edema!
The so-called cerebral edema refers to the pathological phenomenon of increased water and brain volume in the brain due to certain causes, which will cause the symptoms of increased intracranial pressure and damage to the brain tissue.
Lin Feng walked quickly to the hospital bed.
It was found that the baby was already’asleep’ at this time.
Lin Feng shook a few times, but the baby didn’t respond.
A little thumped in my heart!
“When did the baby sleep?” Lin Feng’s voice was serious and urgent.
When my mother heard Lin Feng’s voice was wrong, she panicked.
“It seems… I fell asleep during the CT scan… Dr. Lin, what happened to my baby?”
“Did you wake up midway?”
“No, I have been sleeping until now… Dr. Lin, you were scared of me!” Mother’s voice began to cry.
Lin Feng frowned.
My fingers flicked the soles of my feet, no response…
Flicking the earlobe, no response…
The baby is not “asleep” at all, it is a loss of consciousness!
“Xiao Zhang!”
Lin Feng yelled loudly.
“Doctor Lin~~~”
Xiao Zhang, a nurse girl who had just turned to be, walked over quickly.
“Call the brain department right away, find a few surgeons, surgical nurses, do the operation, I will be in charge of…”
Operation?
Brain?
Boom~~~~
a bolt from the blue!
Mom, Dad, and grandparents felt dizzy on the spot.
The two old people, grandpa and grandma, even weakened their legs and fell to the ground.
“Dr. Lin, why do you need brain surgery?”
“Yes, Doctor Lin, what happened to my baby?”
“Woohoo~~~”
The two old people were in tears, and the mother burst into tears. .
Mr. Luo felt a piercing pain. He didn’t cry, but he kept crying anxiously while holding the baby.
“Wake up baby, wake up~~Don’t scare dad~~~”
The voice gradually turned into crying.
In my mind, the baby’s sweet smile, joyous giggles, reverberated constantly.
Now I am unconscious…
…
soon,
The baby was pushed into the operating room.
Brain doctors also rushed in, and there were seven or eight, all wanting to grab Lin Feng’s first and second assist positions.
Lin Feng explained to the family.
“The baby is not optimistic now, because the problem of liver failure has led to blood coagulation dysfunction, so the brain has cerebral edema, cerebral hemorrhage, and now there is intracranial hypertension, which needs to be brain-opened…”
“Woohoo~~~~”
The baby’s mother is crying harder now.
The heart is cut like a knife, and the heartache is extremely painful!
“My baby is so small, so I should suffer this kind of crime… baby, mom, I’m sorry for you… woo woo woo~~~”
Lin Feng explained for a few minutes,
“That’s it for the specific situation, the condition can’t be delayed…”
Pass the “Notice of Dangerousness”.
“Sign it…”
Mr. Luo wiped his tears and quickly signed the name!
“Doctor Lin, my baby, please!”
Lin Feng nodded,
Turned and walked into the operating room.
…
Operating room,
· Chief Sword: Lin Feng
·One assistant, two assistants: brain doctor + instrument nurse + itinerant nurse
·Onlookers doctor: 5 people.
Condition: Acute liver failure, severe cerebral edema, central respiratory failure, severe anemia and coagulopathy…
·Scheme: removal of subdural hematoma on the left side of the temporal roof + decompressive craniectomy on both sides + implantation of the left rib arch bone flap
General anesthesia first…
The operation begins!
…
The first stage,
First perform “left temporal top subdural hematoma removal”!
The first step is to disinfect, draw lines, and alternately cover three layers of drapes,
The second step is to cut the skin and periosteum…
The third step is to open the bone flap, dura mater…
The fifth step is to expose the surgical field of vision, reveal the location of the hematoma, suck the blood away, find the blood spot, and electrocoagulate to stop the bleeding… Make sure that all bleeding is stopped, and all the exuded blood is removed…
The sixth step is to suture the dura mater, bone flap (fixed with steel nails), suture the periosteum, scalp…
End of the first stage of surgery.
Lin Feng was very fast, completing the whole process in 62 minutes.
…
second stage,
Perform “Left Temporal Lobe Decompression Decompression”!
0 ········Find flowers····
Here, one thing to note is that according to the statistical results of many documents, choosing a larger area of the boneless flap can reduce the mortality rate and improve the prognosis.
Therefore, Lin Feng opened a 50cm2 large-area bone flap for the baby.
The related process is still almost repeated.
Step 1: Disinfect, drape, cut the skin, periosteum, drill to open the bone flap, and dura mater.
Then……
The second step: suture the dura mater, suture the periosteum, scalp…
Note:
During this process, the bone flap was not put in!
In other words, for baby patients, the situation at this time is that there is no bone flap in the left temporal lobe.
Why do you want to do this?
Because the cause of “liver failure” has not been cured, there will be a long period of time that may cause cerebral edema.
Lin Feng only took 30 minutes in this process…
…
The third stage,
Perform “Right temporal lobe decompressive craniectomy”!
It is the same process as the decompressive craniectomy of the left temporal lobe.
Repeat the above procedure.
Finished in 28 minutes…
…
The fourth stage,Perform “bone flap implantation”!
Because the bone flap was taken out, it was not placed in the baby’s head.
Therefore, the bone flap needs to find a safe place to keep it active.
The location chosen by Lin Feng is under the skin of the “Left Costal Arch”.
This operation is not difficult.
It’s just a bit cumbersome. Cut the skin, implant bone flaps, suture blood vessels, suture the skin…
Finish!
……… …. …
At this stage, it takes 48 minutes.
…
So far,
The four stages of surgery are all over.
There were no accidents during the whole operation, and the patient’s physical signs were within a controllable range…
The surgery ended,
Then push the baby out of the operating room.
Hum~~~
The operating room door opened.
The baby’s family rushed over and looked at Lin Feng and baby nervously.
Mr. Luo: “Dr. Lin, how about the operation?”
Lin Feng smiled: “At present, the operation situation is okay, and the patient’s condition is temporarily under control…”
The family breathed a sigh of relief when they heard it.
Lin Feng: “Let’s send him to ICU, you guys together, I want to tell you what to do next!”
“Okay! Doctor Lin!”
“I told you before the operation that in order to decompress the brain, two bone flaps have been removed from the baby’s head…So you should not touch your baby’s head at will. One is afraid of physical damage and the other is afraid of bacterial infection. …”
Upon hearing this, the family cried and nodded again.
After all, the baby is only 3 months and 15 days old!
But to face such pain.
As Lin Feng walked, his family nodded repeatedly.
Soon I came to icu…
Check in,
I told nurse icu again what to do…
“I’m in the dormitory. If you have any emergency, call me right away.”
This patient is special, so Lin Feng will spend more energy here to get the baby to recover quickly.
On the 3rd day after surgery,
The results of the liver transplantation match came out. Fortunately, the blood types of mom and dad are worthy of the baby.
There is hope for a liver transplantation for the baby.
Next, mom and dad started the physical examination.
6 days after surgery,
The baby has recovered well. After removing the ventilator, his limbs reacted, his consciousness recovered, and he was very active with his parents.
However, the baby’s liver failure is already very serious at this time, and he has completely turned into a “little yellow man”. The total bilirubin reaches 635ummol/L, which is 26 times the upper limit of the normal value.
If the liver transplantation is not done in time, Xiao Tiantian will still be unable to escape bad luck.
7 days after surgery,
The new matching result is out.
very lucky!
The mother’s left outer lobe is very suitable for the baby (the liver is very powerful), and the father’s physical examination is not suitable because of fatty liver!
this moment,
Lin Feng breathed a sigh of relief.
The whole ICU and Hepatobiliary Surgery were relieved.
The medical staff in the whole hospital who cared about the baby also breathed a sigh of relief.
Next, Lin Feng began to rush to prepare for surgery!
The condition can’t be delayed any longer!
8 days after surgery,
The Provincial Health Commission approved the liver transplantation…
Got the consent of the superior,
Surgery, proceed now!
This operation can be said to affect the hearts of the entire hospital’s medical staff!
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ps: Today’s update is over: 4700+4400=9100 words (I took the baby to play today, so there are few words, send book friends to kiss mua~~~)
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. Knife.