bookmarkrole Chapter 273
Chapter 273
Chapter 273
When Lin Feng and others pushed the patient to the imaging department,
There are many patients undergoing CT.
The whole corridor is full of patients.
“Let one let, let one let…”
Flat car propulsion,
Many patients gave way.
Some patients were dissatisfied and said: “I’m jumping in line again…”
However, this kind of patients is still a small number, and many of these rescued patients still express their understanding.
One after another gave way.
Advance the CT room…
At this time, the old man felt that his mental state was even more unbearable, but his blood pressure did not drop and remained at 87/46mmHg.
“Water… drink water…”
At this time, the old man said a word.
Lin Feng was surprised.
This is a bad sign. It means that you are in shock, your body’s blood volume is insufficient, and your survival instinct urges the patient to drink water.
but,
Lin Feng looked at the suspender, and was dripping glucose and plasma intravenously while in rehydration.
At this time, there is still water shortage?
Is it really a ruptured aortic dissection bleeding?
However, the blood test results have not come out yet, it will take a long time
If the blood loss is in shock, the blood routine and hemoglobin will definitely be horribly low!
Get on the CT machine…
Contrast injection…
Five minutes later…
The CT results are out!
·No aortic dissection
·There is no pulmonary embolism (judgment: the effect picture of embolism: one section is black (contrast agent is flowing) and one section is white (blocked, no contrast agent))
· No pneumothorax.
· There is no pericardial effusion. (Pericardium: The membranous sac covering the surface of the heart.)
Lin Feng was stunned!
Why is it nothing?
The entire CTA looks like there are no problems at all!
but!
This old man, why does he have chest pain?
Lin Feng’s inspiration flashed.
Needle tingling!
That should be the location is a point, not a region.
Lin Feng’s gaze turned to the location of the acupuncture pain that the old man said: one of the positions on the center line of his chest.
Then!
Lin Feng saw a high-density white object in the CT.
The length is about 2cm…
“This position… esophagus? Arteries?”
“Could it be… a fishbone!!”
Suddenly!
The whole person shook wildly!
Lin Feng was overjoyed. He didn’t run away. It was definitely a sharp object such as a fishbone. It pierced the esophagus and then pierced the artery, causing arterial bleeding!
“Found it, it’s a fishbone!”
Lin Feng laughed.
“Huh? Fishbone?”
“where?”
Lin Feng pointed to the dense white shadow on the CT.
“I’m going, it really looks like it!”
“It may really be a fishbone, this location is the esophagus, artery…”
“Why didn’t you find it just now?”
“Doctor Lin’s eyes are sharper than ours…”
All the interns were surprised.
Lin Feng shook his head. In fact, this fishbone is quite big, and you can find the reason if you pay attention to it.
As for interns, nurses, CT doctors…just now, everyone’s attention was focused on whether there was aortic dissection, whether there was pulmonary embolism, and the esophagus cavity was missed.
As for myself, it was a flash of inspiration, and I realized this only after thinking of this.
At this time, look at the radiography again, there is indeed blood (contrast) leaking out of the fishbone and spreading around it.
“If it’s a fishbone, it makes sense!”
“Acupuncture usually hurts!”
“It pierced the artery and bleeds, causing low blood pressure, but it’s not serious…”
A person was excited at this moment.
Lin Feng asked the elderly: “Abo, have you eaten fish or swallowed fish bones recently? Or other sharp things…”
The old man was weak: “Yes, I ate fish yesterday and there was a fishbone. When I swallowed vegetables, I swallowed it…”
Lin Feng: “…”
All interns: “…”
It’s swallowing again!
However, as long as it is not for diseases such as myocardial infarction and pulmonary embolism, this fishbone is also good news.
So here comes the problem,
Why didn’t it hurt yesterday, but it hurts today?
It may be that the fishbone just pierced the mucous membrane of the esophagus a little bit yesterday, and did not fall. Today it may be pushed in further by the food, and the ground has become deeper, so it hurts even more…
…
Soon, the patient was pushed back to the emergency department.
When the old man’s son heard that it was a fishbone, he suddenly realized that his father did eat a fishbone yesterday.
It can be considered a sigh of relief.
Now that the condition is confirmed, it is treatment.
·Shock: Anti-shock rehydration…
·Bone: Take the fishbone through the gastroscope…
Lin Feng thought for a while.
This old man is now in his 60s. He is not too young, and his blood pressure is a little low. Besides, he is afraid that a fishbone will pierce the artery too deep, and a lot of blood will come out if it is pulled out.
So, sent directly to the operating room!
…
Operating room,
Minor surgery.
Anesthesia……
The gastroscope penetrates…
Find the fishbone…
Then pull out…
The fishbone is about 2cm…
Put it in the basin…
End the operation.
After half an hour, the patient woke up…
After an hour, the blood pressure finally stabilized and the shock was over…
…
At this time, Lin Feng has begun to receive other patients.
…
…
at this time,
The 7th floor of the hospital building,
Outside,
Two cleaning staff, sitting on the safety ladder, were wiping the glass of the building.
“Uncle Jun, quickly finish wiping this side and take advantage of the noon break to rest…!”
Xiaoyoung used his sleeve to wipe the fine sweat from his forehead and complained.
“Just say a few words, it’s not easy to make some money these years. It’s better to do more work if you have this lazy time.”
The older Junjun gave Xiaoyoung a glance, and used a mop to clean the window in front of him.
Soon, a piece of glass in front of him was cleaned up by Jun Jun, and he turned the lifting rope to rise higher.
On the top floor platform, the rope used to fix the lifter quietly broke apart a bundle of wire harnesses.
With each rotation of the rope by Uncle Jun, the knots of the rope at the fixed place fell apart more quickly.
The moment Uncle Jun bent over to wash the mop, losing gravity, the whole person blatantly fell from the fourth floor.
“Uncle Jun!”
The young man suddenly panicked and roared.
In just a few seconds, Jun Jun fell into the flowerbed in front of the emergency department of Harmony Hospital.
He smashed the green plant into a big hole.
“Ah~~~~~~”
“Someone jumped off the building!”
“Come on!”
The people on the first floor were in chaos.
Panic,
Worry,
Because it happened to be at the door of the emergency department.
So the emergency department also heard the news.
“No, something happened!”
“Someone jumped off the building!”
Lin Feng is at the No. 3 consultation room near the door at this time, the closest to the door 0 ……..
Heard the news.
At this moment, the heartbeat speeds up!
Boom~~~~
Pushing away the chair, passing the patient, and rushing out of the emergency room.
When he rushed out, he happened to see a group of people watching from a few meters away.
The center of the crowd,
A middle-aged man is lying on the ground.
“Give way……”
“Bring a stretcher right now!”
Lin Feng shouted.
The flat car cannot be used at this time because the ground is grassy and uneven.
Lin Feng quickly ran to the patient.
Inspection of.
· Lose consciousness, have been unable to respond,
·Falling down from the fourth floor, it is estimated that there must be something wrong with the bones, head and internal organs…
soon,
Other doctors and nurses arrived, put him on a flat car, and rushed to the imaging department.
Need to do CT and other inspections first…
halfway,
Encountered the clean guy.
“Doctor Lin, I know you, you must save my master, he is still young, and there is a family in the family. If this is all gone, then the sky will really fall!”
Xiaoyoung recognized Lin Feng and immediately grabbed Lin Feng’s arm, pleading with snot and tears.
“Please don’t disturb our work and leave it to Doctor Lin to handle it!”
Upon seeing this, the intern Wang Rui hurriedly pulled the young man away.
…
Soon, the examination results of the imaging department came out.
· Compression fracture of the lumbar spine, and cause hemorrhage
·The internal organs are less injured and can be left alone for the time being
Fortunately in misfortune!
Just do orthopedic surgery!
…
Rushing all the way,
Fast forward to the operating room…
Quickly connect to the ECG monitor…
Lin Feng looked at the data,
“Shock, rehydration immediately!”
Then the nurse was ordered to start dispensing medicine, bolus injection, intravenous intravenous drip… Let’s go!
“Prone position, head tilted to one side, upper limbs on the side of the head…”
“Intubate, give oxygen, get on the ventilator!”
“General anesthesia…2.2 The medication is…”
At this time, the anesthesiologist has not yet come.
Lin Feng has a wealth of experience as an anesthesiologist and directly instructs nurses to prepare for anesthesia…
…
at this time,
The fall accident has spread throughout the hospital.
director’s office,
The dean’s expression changed, and he stood up suddenly.
“Falling? How did it happen!”
“What about people?”
Secretary: “Dr. Lin from the emergency department was rescued. Now it has been sent to Operating Room 8…”
When the dean heard this, he couldn’t help but breathe a sigh of relief.
Lin Feng,
Have strength!
However, he was still worried and went out quickly.
“go!”
…
Besides,
This incident also alarmed many outsiders.
Harmony Hospital is so “starlight shining”, naturally there are countless lights staring at it.
What’s more, this fall is a bit shocking in the imperial capital!
soon,
It began to spread on the Internet and aroused a lot of discussion.
There were also reporters from Imperial TV Station who heard the news and were on their way.
A storm is brewing.
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ps: For the time being, I will try if I can make another chapter in the evening (??)
. .