bookmarkrole Chapter 314
Chapter 314
Chapter 314
“Lie down first…”
Lin Feng finished shouting outside and then came back to the clinic.
Hurry up and tell the young patient to lie down first.
In patients with myocardial infarction, the heart is blocked, causing the myocardium to die.
That will naturally reduce the load on the heart.
And lying flat is the method with the lowest load on the heart.
If the person is standing, the heart needs to overcome the huge blood gravity, and the heart load is the greatest.
The young patient lay down quickly.
He was a little flustered.
“Doctor, what’s the problem with me now?”
“Small question, don’t move, don’t get excited, and breathe slowly…you know?”
“But, I’m even more panicked like this…”
“…”
“Lie down and calm yourself down. Your illness is a minor illness. You’ll be fine after you get over…”
Lin Feng did not dare to speak to stimulate the patient.
The patient nodded again and again: “Okay, okay…”
soon,
The patient left the emergency department all the way, and then pushed to the CT room of the imaging department…
…
Lin Feng judged it was myocardial infarction,
There are three general treatment methods:
·Use drugs to expand blood vessels…
·Thrombolysis…
·Interventional surgery (balloon dilation, or stent surgery)
Under normal circumstances, “thrombolysis” will be ruled out.
Because the side effects of thrombolysis are very serious, it is easy to cause bleeding everywhere, especially cerebral hemorrhage, which is easy to be fatal.
so,
It is not a last resort, and thrombolytic methods must not be used.
And interventional surgery,
Compared with thrombolytic therapy, interventional therapy has a higher blood vessel opening rate, wider indications, and fewer bleeding complications.
Therefore, for patients with acute myocardial infarction, it is more recommended to give priority to interventional therapy.
certainly,
The disadvantage of interventional surgery is that the cost of treatment is relatively high.
Therefore, if the patient’s condition is not serious, the first method is still selected: drugs to expand blood vessels.
so,
At present, the most important thing is to judge whether the myocardial infarction of young patients is serious or not.
Push into the CT room,
Do enhanced CTA…
…
10 minutes later……
The result is out! !
·Myocardial infarction 08, OK! !
·A large coronary artery is blocked!
After Lin Feng saw it, he was a little surprised.
This blockage is a bit serious!
What does this patient usually eat? There will be such a large blood vessel stasis.
Moreover, Lin Feng looked at the degree of blockage and needed interventional surgery as soon as possible…
…
Next,
Introduced to the interventional department for a “balloon dilatation” operation.
“Balloon dilatation”: It is to use a guide wire catheter to insert a balloon (not inflated) into the blocked section of the blood vessel, and then inflate it to press all the accumulated material around the blood vessel wall to expand the blood circulation channel.
It is mainly suitable for some vascular diseases that cause distal ischemia due to local stenosis of arteries. The common ones are coronary artery, lower extremity artery, cerebral artery…
Young patient: “Dr. Lin, where are we going?”
Lin Feng: “Go to the operating room… What about your current illness… Don’t get excited… Steal your emotions… Your illness is that one of the arteries in the heart is blocked. Now, I have to give you this blood vessel. Get through…understand?”
The young patient panicked: “Does surgery have to be done?”
Lin Feng: “You have to…but you don’t need to be afraid, you don’t need anesthesia, just make a hole in your arm, then insert a thread, all the way to the heart, give a breath, and then come back…”
The young patient was dumbfounded.
So simple?
How is it like a joke?
“I have communicated with you, sign it…”
Lin Feng handed over a copy of the “Informed Consent”.
Young patient: “………………”
But he cherished his life and signed it quickly.
…
Advance the operating room…
Put on lead clothes…
· Anesthetics: Lidocaine!
·Anesthesia: local injection at the radial artery of the right arm!
Puncture a hole in the radial artery of the right arm, and then pass through the artery of the right arm
The young patient felt cold, and then it was gone.
Use a dermatome to make a small opening in the radial artery of the right arm…
Then the puncture needle punctures…
Lin Feng pulled out the puncture needle and followed the puncture guide wire…
Lin Feng is very familiar with this operation, as familiar as eating and drinking.
The contrast guide wire and the contrast catheter enter the blood vessel through the outer sheath that has just been placed…
Complex blood vessels.
Lin Feng manipulated the guide wire and walked a little bit…
From the radial artery of the right arm, after a long and slow path, it twists and turns to the destination, the coronary ostium.
Next, push in the contrast agent…
Radiography machine (X-ray) radiography…
The shape of the blood vessels of the young patient can be clearly seen.
Find the blocked blood vessel…
That is the culprit of myocardial infarction!
Pull out the angiography guide wire, angiography catheter…
Insert the guide wire…
Then put the balloon (unexpanded) along the guide wire…
When the balloon reaches the blockage, the outside presses it with a pressure pump.
The balloon opens…
Squeeze the blocked road section away…
Not once, open it a few times…
Until a big path is opened…
Withdraw the balloon, guide wire…
The blood flow officially began to circulate…
At the entrance of the radial artery, press to stop bleeding…
…
Half an hour later,
The operation is over.
The young patient was pushed out of the interventional operating room…
Young patient: “…Is the operation completed?”
Confused!
Lin Feng: “Otherwise, what do you want? Give you a knife?”
The young patient shook his head quickly: “No need, no need…”
Lin Feng: “Call and ask your relatives to come over. Next, you have to stay in the hospital for a few days to see the situation… Within three days, you will lie in bed and cannot stand…”
Young patient: “Okay, okay…”
Get hospitalized.
Lin Feng prescribed nitroglycerin to dilate blood vessels, bisoprolol to reduce myocardial oxygen consumption, aspirin to prevent thrombosis, and atorvastatin to lower blood fat…
…
…
noon.
Several young doctors in the emergency department,
Arranged to go to an internet celebrity pastry for lunch.
“Doctor Lin, go…”
“go……”
The noodle shop is very close,
Everyone walked for 20 minutes,
Came to an online celebrity noodle shop in Pengshi.
“Brother Feng, now this noodle restaurant is very popular on the Internet. My appointments are only scheduled one week in advance. It is said that Internet celebrities who can often run into millions of fans eat noodles here!”
Inpatient Zhou Dehua introduced to Lin Feng enthusiastically.
Zhou Dehua, in his own words, is the combination of Zhou Rfa and Liu Dhua, handsome.
I used to be the school grass of Peking University. Later I studied Ph.D. and then worked as a training program for Harmony Hospital.
However, he is very enthusiastic about Lin Feng because he knows that his strength is worse than Lin Feng.
He was older than Lin Feng, but he called Lin Feng “Brother Feng”.
“When did you become a leek, a million internet celebrities, brother, I am a 40 million internet celebrity, why haven’t you seen enough?”
Lin Feng glanced at the surrounding environment, which was not very atmospheric, and couldn’t help but jokingly.
Everyone took their seats.
“Huh, it’s Doctor Lin!”
The boss was overjoyed when he saw Lin Feng.
Run over and greet Lin Feng personally.
“Dr. Lin, here’s the order!”
Proud!
The doctors were shocked.
“Wow, there is still such a good thing?”
“I knew I had brought Dr. Lin here soon…”
“Regret~~~”
Every doctor has spent a lot here, beating his chest and his feet!
The appearance of Lin Feng also attracted the attention of many diners.
“It’s Doctor Lin!”
“I have seen Dr. Lin, it is very good…”
“Wow, the first time a real person, so handsome!”
One after another looked over.
Lin Feng is popular jpg~~~
Other young doctors are envious…
Why isn’t Dr. Lin handsome?
Not as popular as Dr. Lin?
soon,
“coming!”
The boss came in a trick and brought the shop’s signature pork bone noodles.
Lin Feng took a sip of a thick purine, um, it tastes good…
At this time,
There was a noisy sound outside the door.
“Let’s give way, let’s give up!”
I saw,
A fashionable young man walked in surrounded by a few bodyguards.
There was also a photographer holding a camera in front of him.
“I heard that the owner of this noodle restaurant said that as long as anyone can challenge their Big Mac Tonkotsu Ramen in ten minutes, they can get a lifetime free order!”
“Come on, let’s teach the young boss a lesson!”
Mighty…
Come in!
The noodle shop is very large, so it is not crowded.
“Fuck, isn’t that classmate Xiao Yi, the internet celebrity with 4 million fans on Douyin eats and broadcasts!”
“I didn’t expect to see a real person today, and sure enough there is no false propaganda in this store!”
…
After recording the first segment,
The young man sat down not far from Lin Feng.
“Brother Yi, your body is getting worse and worse. Why don’t you try to take a mouthful and spit, and then edit later.” The assistant on the side asked with some worry.
“no!”
Net celebrity Xiaoyi shook his head: “It’s hard for fans to fool around now. There was an up master who analyzed my video frame by frame, and almost fell into his hands. I’m going to fight it out, you help me get ready The emetic is really bad, so I’ll make an excuse to go to the toilet, otherwise it’s too fake!”
The internet celebrity frowned.
Lin Feng couldn’t help sighing.
These internet celebrities are really hard at work in order to make money.
“Boss, I heard that your specialty here is Big Mac Tonkotsu Ramen and 300 times spicy hand-rolled noodles. What if I finish eating it?”The internet celebrity said with a smile in front of the camera.
“No one has ever been able to finish it. If you can’t finish it, pay for it obediently. If it’s finished, I will give you a lifetime waiver!”
The boss cooperated quite tacitly, presumably this kind of thing has not been done less.
“The old rule, the first fan eats first!”
The internet celebrity picked up a chopstick ramen from the bright red noodle soup, and then showed his signature smile.
Looking at the three-hundred-fold spicy ramen, Lin Feng felt a bit spicy in the air through a booth.
“Brother Feng, how much money can this internet celebrity make? With such a fight, can people eat the three hundred times spicy noodles, or should I change my job as an internet celebrity?”
Zhou Dehua suddenly forgot that he was here to eat noodles, and focused on the net celebrity.
Lin Feng can only shook his head helplessly. Anyway, he didn’t make a cent from fans, but he should have made a lot of money. Look at those Internet celebrities, all of them are luxury cars and villas.
After taking the first bite, the net red’s face flushed directly to the roots of his ears, and fine beads of perspiration appeared on his forehead, but he resisted in front of the camera and took a few big mouthfuls one after another.
“Just this, this can also be called 300 times hotter, I don’t think so, let’s continue 007!”
After finally finishing a bowl of noodles, watching the internet celebrities look embarrassed and even a little funny.
next moment,
The net celebrity gritted his teeth, picked up the noodle soup, and poured it in abruptly.
As the photographer shouted, the celebrity couldn’t sit still and ran towards the bathroom. It took a full twenty minutes before he ran out of the bathroom.
At this time, the noodles of Lin Feng and Lin Feng were also served on the table.
“Let’s continue to challenge, this Big Mac Tonkotsu Ramen!”
A bowl full of a washbasin occupies most of the table.
The net celebrity went on abruptly for half a bowl.
“It seems that this kid really has two brushes. This half bowl of noodles is enough for me to eat for a day or two, but the capacity of a person’s stomach is limited, and I don’t know how to practice it!”
Zhou Dehua instigated a mouthful of noodles and continued to look at the internet celebrities.
I saw the internet celebrity knocked on the table and signaled the photographer to stop shooting.
“I’ll go to the bathroom first, thank you for your support, I always want to go to the bathroom if I drink too much soup.”
The net celebrity got up and bowed to the crowd, and then walked towards the toilet.
“Help!”
Suddenly there was an exclamation in the toilet, and then the assistant of the Internet celebrity ran out.
“Hurry up and hit 120, Brother Yi is out!”
The assistant urged to several staff members.
Exempt~~~
Lin Feng and the other doctors stood up abruptly.
His face was serious.
As a doctor, you are very sensitive to this matter.
Lin Feng rushed towards the toilet, followed by Zhou Dehua and other doctors.
Before Lin Feng looked at the dark spots on the net celebrity’s face that could not be covered by powder, he knew that this person’s body was extremely poor.
Came to the bathroom,
I saw the Internet celebrity lying on his back, twitching uncontrollably, and gastric mucus mixed with food dripped from the corners of his mouth.
Lin Feng squatted down,
Check.
“Severely faint… Combined with his eating so spicy food, it may be hemorrhage in the digestive tract…”
“If you postpone further, you may still experience a state of shock…”
Lin Feng made a preliminary judgment after checking the internet celebrities.
“Go, who has a car? Take it to the hospital!”
“Doctor Lin, I have a car~~~”
One of the diners shouted that it was someone who had been ‘saved’ by Lin Feng.
At this moment, extend a helping hand.
soon,
Everyone got on the car and rushed to Harmony Hospital.
…
Studio.
The pan is already fried at this time!
Countless live viewers talked about it.
“what happened?”
“It seems that something happened to Brother Yi…”
“I seem to have seen Doctor Lin!”
“I saw it too…”
“It seems… Brother Yi, fell on the ground and sent to the hospital…”
“Something happened!!”
..