mtl008 Chapter 644
Chapter 644
「644」
"Okay, Doctor Lin, I'll go right away..."
At this time, the young patient was also flustered, listening to Dr. Lin's meaning, this disease is estimated to be very unusual.
He took his girlfriend, raced to the CT room, and then lined up...
I waited more than an hour for the CT to be done.
When he gave the result to Lin Feng, Lin Feng took a look and determined that it was "intussusception"...
· CT shows: concentric circles...
Lin Feng: "Adults generally do not intussussusception for no reason, plus the patient has "pJ syndrome", it is clear that there should be a lot of polyps in your intestines..."
"Let's have surgery..."
Lin Feng said.
The young patient only nodded in agreement at this time.
Admission to the hospital,
Then call the family and ask the family to check it, family members and relatives may have this hereditary "PJ syndrome".
This disease cannot be delayed.
Because polyps (similar to small mushrooms) may 'evolve' into tumors once they are not cut off for a long time.
As for the surgical method?
That is, a hole in the abdomen, an abdominal probe, one by one, to cut off the polyps.
......
......
A new day,
Night shift,
The God of Continuing the Night Shift blesses, there are no patients.
Lin Feng was chatting and farting with a group of people, doctors and nurses.
Then I talked about the 'sick woman' who has been popular recently.
However, it is clear that most doctors and nurses do not resist makeup in the ward, because the hospital is not a stereotypical place, and makeup is the patient's own freedom. There are many female patients in the emergency department ward who wear makeup, and because Lin Feng is there, they are very 'attracting butterflies', and often come to Lin Feng with makeup.
In this regard, Lin Feng was also helpless.
Bell bell bell ~~~
At this moment, the telephone that seemed harsh at night began to ring.
All the doctors and nurses looked at each other,
It's coming!
really
Soon after the nurse answered the phone, she said to Lin Feng and others:
"There was a patient, with advanced liver cancer, who suddenly fainted at home, and then 120 went to pick it up and is now coming over... About 5 minutes or so..."
Lin Feng was idle: "I'll go... If any of you are free, help together..."
The doctors laughed haha: "Well..."
5 minutes later...
The sound of an ambulance came from afar, speeding to the emergency door.
The door opened and the patient was carried down.
Lin Feng took a look,
The patient is probably in his 50s, very thin, like a bamboo pole.
But what is particularly conspicuous is the bulging belly.
Cold hands and feet, pale face...
"Go to the rescue room..."
"The doctor helped introduce the situation..."
The doctor in the car said quickly.
"The patient's liver cancer was advanced, and when we rushed to the patient's home, he had been in a faint for ten minutes, his hands and feet were cold, his face was pale, and he was obviously in shock..."
"On the road, the measured blood pressure is constantly falling, before getting off the car, it is 90/50, it is obvious that the shock period, although we have tried to supplement the salt sugar, but the effect is not obvious, it is still falling..."
Lin Feng: "Doctor, do you have any opinion?" What is the problem with the patient? "
Doctor in the car: "Pressed the patient's abdomen, no pain, but the stomach bulged, 10 minutes on the way here, the stomach seems to have become larger, combined with the patient's shock, the feeling should be heavy bleeding..."
Lin Feng nodded.
Liver cancer, generally liver ascites, can cause bloating in the abdomen.
However, there are other cases.
For example, this time, consider more "liver cancer nodule rupture and hemorrhage" + "hemorrhagic shock".
"Family, ask, which stage of liver cancer is it?"
The family is the patient's wife, but at this time, she is still calm and does not cry.
"Dr. Lin, it is already advanced liver cancer, and it was found to be advanced liver cancer 1 year ago... Entered the ICU 2 times later, and the rescue came back..."
Lin Feng was abrupt.
This family member is no wonder so calm, obviously experienced.
At this time, outside the emergency department, another group of people came, sons, daughters, and family members.
At this time, Lin Feng actually felt that this patient had "advanced liver cancer and heavy bleeding", and the treatment value was not great.
But
Of course, Lin Feng would not say that.
Will be beaten by the family.
Sent to the rescue room.
"ECG monitor!"
"Oxygen tube!"
"Build 2 vein channels!"
"Rehydration!!"
"Draw blood, check blood routines, see the degree of anemia..."
"Call the blood bank, take the blood down..."
With Lin Feng's orders, the experienced nurses had already begun to busy.
soon
Connect the ECG monitor.
Blood pressure 80/40mmHg, (shock decompensation, late)
Breath 32 breaths/min,
Heart rate 120 beats / minute, (if it does not fall, there is still hope of salvation, once it enters the next stage (heart rate begins to fall), it may soon be cardiac arrest)
Oxygenation: 80%, (very severe, representing extreme hypoxia of the patient)
But the overall situation,
The patient is serious and can die at any time!
soon
The blood routine results are in:
Hemoglobin is only 40g/L (normal value 120-150), severe anemia.
With this result,
It is possible to infer a result:
• Hemorrhagic shock!
Lin Feng picked up a needle, directly pressed the position of the bulging stomach, and pierced it directly.
One draw.
It's all blood!!
At this time, another doctor does other tests for the patient:
Calling his name loudly, no response.
He patted him on the shoulder and didn't respond
・ Looking at both pupils, although symmetrical, but slow to reflect light
soon
Another doctor gave anesthesia to the patient and inserted an oxygen tube.
If Lin Feng was alone, the operation speed was not as fast as the collective strength, and the rescue would definitely not be so fast.
At this point,
Xiao Ru walked in from outside the rescue room.
"Teacher..."
"What is the opinion of the family?"
"The family said, active treatment."
Lin Feng sighed in admiration.
This family is much better than the families who fly separately when the disaster is imminent.
However, Lin Feng actually wants to say: the treatment value is not much, and it is easy to hang up if it is saved, the quality of life is not good, and money is wasted. More treatment is not good for the patient, and it is not good for the family.
(Doctors see many patients, see more life and death, generally will be more indifferent, and the starting point of looking at things is different from that of relatives)
"Well... Tell the family that the fastest way at present is to go to the interventional department and do interventional surgery... But this patient's condition is too serious, in danger, not to mention the transfer to the operating room, it is said that it may not be able to bear it now... But you can get them to sign first, get all the formalities ready, and once you want to go, you can do it right away! "
"Good teacher!" Small as nodding,
Quickly grab various signatures and go out.
soon
Lin Feng saw the patient's wife, son, and daughter, all crying and signing.
Without the slightest hesitation, consultation, or phone calls.
With a high flow of pure oxygen injection, followed by rapid rehydration, dopamine use...
But
The patient's condition is still not good.
・Blood pressure is still dropping!
At this time, it has dropped to only 60/40mmHg!
And blood oxygen, only about 85%, can not live or die.
What does this say?
It means that there may be a problem with the lungs, so oxygenation does not go up.
。。