bookmarkrole Chapter 191
Chapter 191
Chapter 191
finally,
The emergency department called Lin Feng.
It is already night, and the doctors left in each department are divided into three levels (Regular training (resident), attending (generally absent), and deputy director (basically absent)). The doctors who come are most likely to be doctors.
Therefore, it is best to find Lin Feng directly.
4 minutes later…
Lin Feng rushed into the emergency department.
“Where is the patient?!”
“what’s the situation?!”
Originally, Lin Feng was on the rooftop, chatting with Liu Shiran and spanking…
As a result, a phone call came and said that there was a dangerous patient, so Lin Feng hurried down.
“Patient, female, 23 years old, more than 10 minutes ago, there was heavy bleeding in the vaginal area. I don’t know what happened now…”
“I went with an ambulance to pick her up. She was in shock along the way. She has been replenishing fluids and blood. More than 2,000 milliliters of blood has been refilled!”
Song Ziming explained the situation quickly.
“Female? Bleeding?”
If it is traumatic bleeding, it is obvious at a glance, but if it is bleeding from that location, there are more things to consider.
It may be: neck cancer, endometrial cancer, miscarriage, ectopic pregnancy, etc.
It may also be: the kind of disease with blood clotting problems, such as the last time the leukemia of the little girl who ate hot peppers, thrombocytopenia, blood clotting dysfunction, etc., or rare games that are too intense, causing damage and bleeding.
“Where are the family members?”
“there……”
Song Ziming pointed to Zhang Jian.
“Handsome guy!” Lin Feng asked Zhang Jian loudly.
“Huh? Doctor Lin…”
“Did you guys play a game just now?”
Zhang Jian understands in seconds.
Then his face flushed like a butt.
“No, no…”
“Then do you know what kind of leukemia, cancer, etc., she has?”
“Not sure.”
Lin Feng: “…”
I don’t know anything, how did you become a boyfriend?
“Is she pregnant?”
Zhang Jian panicked: “Huh? I don’t know…”
930 Lin Feng: “Aren’t you his boyfriend? Why don’t you know?”
Lin Feng is a little angry!
Now in a critical condition, Lin Feng needs to know what she was doing before the incident? Is she pregnant? What are the underlying diseases? Do you take any medicine?
Too many questions…
Zhang Jian: “I…I…”
I don’t know why, when Lin Feng called him her boyfriend, Zhang Jian was a little bit happy.
Then Zhang Jian couldn’t help but feel ashamed.
I feel like a licking dog!
at this time,
The patient’s physical signs are constantly ringing sirens.
Shock is constantly in progress.
Song Ziming and the medical staff were all sweating profusely.
If the cause is not found quickly and the bleeding is stopped, the patient may die at any time.
Lin Feng: “Have you checked the blood pregnancy test?”
“The blood was taken for examination, and the report has not come back. I guess it’s not that fast.”
“What about urine? Urine pregnancy test?”
“Unsuccessful, it’s all blood, the operation is difficult, you can’t get urine!!”
At this time, push the CT room for fear that time is too late.
Only B ultrasound.
The B-ultrasound machine is relatively small.
“What about B-ultrasound?”
“It’s coming soon…”
At this moment, the B-ultrasound doctor colleagues flew in a hurry~~~ The pushing B-ultrasound machine flew quickly.
Everyone works together!
Quickly set up the B-ultrasound…
The inspection begins…
Soon Lin Feng frowned.
I can’t see clearly, it’s a mess inside, it’s probably all blood.
If it is Ct, it may be more accurate, but the B-ultrasound has a relatively large error in this regard.
Lin Feng was helpless.
“The old way, take a 50ml syringe!”
Just like the last junior high school student,
Puncture, draw blood!
See if it is blood!
Soon, the 50m syringe was handed over.
disinfect.
Lin Feng, tie!
anaesthetization?
The patients fainted and there is no need for anesthesia. (aicc)
The feel is very familiar, and as expected, the whole tube of bright red blood is drawn!
Abdominal bleeding is correct!
It is estimated to be bleeding from a certain segment of artery or vein.
In this case, it is necessary to find the bleeding point quickly and stop the bleeding quickly.
“Forget it, send it to the operating room!”
“Open abdomen, find the reason!”
Lin Feng made a decisive decision!
“Handsome guy, sign immediately!”
“what?”
“Ah what? Hurry up and sign, or you will die.”
“But…but…I’m not her family, nor her boyfriend, I’m just her shared roommate, I can’t sign!”
Zhang Jian said flusteredly, wiping the sweat from his forehead.
“Puff~~~”
At this time, Lin Feng, Song Ziming, and other medical staff all sprayed.
f*ck,
It turned out not to be a relative or a boyfriend.
Lin Feng: “Did you bring the patient’s cell phone?”
“Take it.”
“Use your fingerprint to unlock immediately and call her parents!”
result,
A few minutes later, the phone calls of two relatives marked with “Dad” and “Mom” could not be reached at all. It is estimated that it was at night and I went to bed.
What to do then?
Only another procedure can be adopted.
The report was approved by Dean Wang Chang or the authorized person.
Domestic laws have clear provisions in this regard: For emergency situations such as rescuing dying patients, the opinions of the patient or their close relatives cannot be obtained, the medical staff shall immediately implement corresponding medical measures upon the approval of the person in charge of the medical institution or the authorized person in charge . If the patient therefore requests the medical institution to bear the liability for compensation, the people’s court will not support it.
This provision can well protect doctors and can safely rescue emergency patients.
soon,
The above approved and agreed to rescue!
“Go, take it to the operating room!”
Lin Feng and the doctors and nurses rushed into the emergency operating room pushing the operating cart.
“Handsome guy, go and pay the money…”
“Okay!”
Zhang Jian, pay the money quickly at this moment.
At this moment, he was happy and anxious.
The good news is that this time, the beautiful female roommate is bleeding heavily. I am considered a hero to save the beauty. I don’t know if I can be moved by the female roommate and be my girlfriend.
Urgently, he was worried about the life of his female roommate and feared that it would not be possible to rescue him.
“However, Dr. Lin’s medical skills are very good, should he be able to get it back?”
“You must be rescued!”
Quickly pay money.
“Please pay 10,000 yuan first!”
“What? So expensive?”
Zhang Jian was taken aback, but thinking that he spent 10,000 yuan and moved back to a girlfriend, it must be great.
…
Lin Feng still doesn’t know the rich inner drama of that handsome guy.
Push the female patient into the emergency operating room!
anaesthetization!
at this time……
Didi didi~~~~~
The rapid alarm of the ECG monitoring sounded!
“No, the blood pressure is gone!”
The blood pressure is gone, which means it can’t be measured. There is only one situation. The heart cannot pump blood and supplies the whole body. All blood is much less, and there is no fluidity, and the pressure is very low.
Everyone was taken aback!
Lin Feng flew forward.
Keep pressing, and continue to give female patients cardiopulmonary resuscitation.
“Adrenaline, hurry!”
“Intravenous bolus, 1mg!!!”
The brain stops supplying blood for three minutes, and the brain cells are damaged; five minutes, the brain cells die!
And adrenaline can strengthen nerve conduction, especially in cardiomyocytes.
After the injection of epinephrine, the bioelectrical conduction of the myocardium is strengthened, which is conducive to reactivating the heartbeat. It is the first choice for the rescue of cardiac arrest.
The nurse quickly pushes quietly!
At this time, Lin Feng thought of a question,
Can’t wait for an open stomach!
Even if the pressure comes back, and the bleeding continues over there, people will still die.
So you have to press while opening the service.
“Wu Haoming, you come and press for me!”
Wu Haoming is Gui Peisheng, except for Lin Feng, the youngest physically strong.
“good!”
Wu Haoming quickly took over.
“I call the countdown, you pick it up!”
“good!”
“3, 2, 1…Start!!”
The two successfully docked seamlessly!
For the rescue of cardiac arrest, chest compressions should not be interrupted as much as possible. Interrupting compressions will waste all previous efforts.
This is critical to a successful recovery.
Lin Feng got out of the hospital bed and then began to direct everyone to prepare for surgery.
disinfect……
anaesthetization……
Continue to disinfect, spread towels…
The equipment nurse quickly prepares various surgical equipment…
On Lin Feng’s side, he washed his hands quickly, put on surgical gowns, and put on sterile gloves…
Everything is extremely fast.
Fortunately, the emergency department has become accustomed to this efficiency, and is still orderly in the rush.
At this moment,
A nurse rushed in.
“The blood is detected!”
“Report!”
“The coagulation index is no problem, the hemoglobin is only 55g/L, and I have severe anemia…”
“Hemorrhagic shock!”
…
The operation begins!
Turn on the shadowless light!
Scalpel!
Lin Feng took a scalpel and cut his lower abdomen with a knife.
Pull out a 10cm long opening directly.
As soon as I opened my abdomen,
The expected blood kept pouring out.
The aspirator works continuously to draw blood into the container.
The entire abdominal cavity is a mess, full of blood.
The field of vision is not very clear.
Soon, a lot of blood was drawn, and the vision became clearer.
Lin Feng’s experience in gynecology, obstetrics and gynecology is MAX, and it is easy to judge that the bleeding point is at the position of the ovary.
Touch it.
“wrong!”
“Is this embryo implantation?”
Lin Feng’s face was aside.
The location is the tube location!
This position is in a mess at this time, it’s broken, and it’s bursting!
“Ectopic pregnancy”!
The so-called “ectopic pregnancy” means that the embryo develops to a certain stage in the tube, which will erode the muscular layer of the tube, and even the serosal layer, and finally cause the tube to rupture.
Because the tubal vascular plexus is “very abundant”, once it ruptures, a large amount of intra-abdominal hemorrhage occurs, and the patient can suffer shock in a short period of time and even die quickly.
This can explain why this female patient had so much blood all at once, and she couldn’t make it up no matter what, she was still in shock and stopped jumping.
At this time, Lin Feng didn’t know why, so he couldn’t help but think of the boy outside the operating room…
At this time, a nurse came in.
“Doctor Lin, the parents are here, they happen to be nearby!”
Lin Feng: “Tell the parents, it’s an ectopic pregnancy, let the parents sign…”
Nurse: “Yes!”
…
at this time,
Outside the operating room,
A pair of parents waited anxiously, and the mother was crying…
The nurse came out.
The father said anxiously: “Girl, how is my daughter?”
The nurse said: “Dr. Lin said, it was an ectopic pregnancy, which caused massive bleeding…”
Ectopic pregnancy? ! !
The parents felt that their heads suddenly exploded! !
His father looked at Zhang Jian next to him, raging to the sky.
Slap directly over!
Slap~~~
“You beast, return my daughter!!”
Zhang Jian covered his face with a fierce pain, his expression stunned!
He yelled wrongly: “Uncle, I have nothing to do with your daughter, I just sent her here!”
Father:”……………………………………”
Ready to continue beating the fist, all froze in the air at this moment!
Do evil!
And Zhang Jian was wronged even more.
The dream of a beautiful hero saving the beauty and embracing the beauty is shattered!
It turned out to be an ectopic pregnancy, that is, she already has a boyfriend!
Thinking about the silly fantasy that I just had, I feel like I am a fool!
————————
ps: This harmony is too miserable, it has been changed for a long time… finally passed…
. .