bookmarkrole Chapter 130
Chapter 130
Chapter 130
The second step,
Take thorns under digestive endoscopy!
Digestive endoscopy is divided into many types. According to the attributes of the endoscopy used in the examination, it can be divided into esophagoscopy, gastroscopy, duodenoscope, colonoscopy, and so on.
The one used this time is naturally an esophagoscope.
Dive into…
All the way to the vicinity of the fishbone…
Find and find…
1 minute……
5 minutes……
10 minutes……
Continue to search and search, Lin Feng can’t find where the fishbone is…
However, according to the precise positioning of the fishbone before the operation, it should be in this position!
Lin Feng: “…”
obviously,
The fishbone has penetrated deeper, leaving no ‘long tail’ in the esophagus.
The reason may be the peristalsis of the esophagus, or the strong impact of blood flow in the aorta, making this fishbone deeper into the aorta!
The danger of fishbone is even higher!
At this time, it is obviously impossible to take out the fishbone with an endoscope for minimally invasive surgery.
Only the surgical plan can be adjusted!
…
The third step is the surgical replacement plan!
Open your chest!
Fortunately, before the operation, Lin Feng had thought of this possibility and communicated with the patient early.
Lin Feng took off his lead clothes and left the operating room.
The patient’s wife and family members quickly greeted him.
“Doctor, how is the operation?”
“Did you make it?”
Looking nervously at Lin Feng.
Lin Feng shook his head: “I’m sorry, I just used the digestive endoscopy, but no fishbone was found. It may have penetrated into the wall of the esophagus, and there is no way to complete the operation with the first option.”
Wife: “In other words? Open your chest?”
Lin Feng: “Yes, you decide that you can’t open it.”
Again, in order to avoid disputes, Lin Feng only clarified the matter, but would not ask the patient’s family to do anything…
“Open your chest!”
The patient’s wife thought for a while, and finally agreed to open the chest.
Then sign.
Lin Feng returned to the operating room.
…
third step,
Open your chest!
Lin Feng picked up the scalpel,
·From the right side, along the position of the esophagus, incise the epidermis of the thoracic cavity…
·Open the sternum: According to the positioning of the radiography, the position of the fishbone, saw a sternum obstructing the field of vision. (Considering the risk of aortic hemorrhage, Lin Feng finally chose to saw a sternum to expand the surgical field of vision, which is more secure.)
·Exposing the surgical field, exposing the internal heart, lungs, aorta, esophagus…
· Free, carefully loosen the adhesions of the chest cavity, rinse, sucked away by the aspirator…
·Explore…
According to the positioning of the radiography, Lin Feng quickly found the culprit-the fishbone!
A big one!
It’s almost 4cm long!
Moreover, the fishbone is almost the whole root, plunged into the aorta!
Only 3 mm is exposed outside (it is already out of the esophageal wall)!
Song Ziming shook his head and sighed: “No wonder the digestive endoscopy can’t find the fishbone, so they all went in… But how can one swallow such a long fishbone?…Great! ¨¨!”
Huang Ziqian frowned: “This position, to be honest, is a bit dangerous…”
Lin Feng did not rush to direct the visiting nurses: “Sister Chen, take a picture, and show them to the family later…”
“Good~~~” Xiao Chen snapped a photo with his hands and feet.
Next,
Lin Feng began to use pliers to pull out the nearly 4cm fishbone bit by bit.
It’s easy, no surprises.
The fishbone was successfully removed!
Next, repair the aorta.
Because the chest is opened and the surgical field of view is relatively large, it is easy to repair. For Lin Feng, this is the basic exercise.
It’s done in 10 minutes…
Then withdraw the arterial stent and withdraw the interventional guide wire.
…
Next,
Rinse, disinfect, close the chest…
End the operation.
Look at the time, a total of 1 hour and 23 minutes.
Throughout the operation, the patient’s condition was stable, and all signs fluctuated within the normal range.
…
To end the operation,
Push the patient out of the operating room.
“Congratulations, the operation was successful.”
Qi Qi, the patient’s family member, breathed a sigh of relief
“Thank you doctor!”
“The doctor’s medical skills are really amazing!”
They all praised.
The patient’s wife saw that Lin Feng was so powerful and handsome, and she couldn’t help it at once: “Doctor Lin, do you have a girlfriend? I have a niece who looks very beautiful…Balabara~~~”
The nurses beside: “…”
Lin Feng madly sweats: “Sister Chen, show the pictures to my aunt…”
The itinerant nurse Xiao Chen turned on the phone, clicked on the photo, and showed it to his family.
“Let me see……”
“My God, the fishbone is so long!”
“It’s all pierced into the blood vessels, no wonder the esophagus can’t be found!”
After seeing the photo of the fishbone, the family members were even more afraid.
“Fortunately, I didn’t send it to the provincial capital, otherwise the whole fishbone would fall into the aorta, and it would be a big trouble!”
“Doctor Lin is still great!”
Thanks again.
Lin Feng thought for a while and solemnly handed the “fishbone” to the patient’s wife.
“Go home, frame it…it cost tens of thousands…”
Puff~~~~
There was a burst of laughter in the audience!
“I dare not eat fish anymore…”
…
After the operation was completed, it was already 22 o’clock in the evening.
On New Year’s Eve, surgery is still to be done!
It’s tragic! !
Lin Feng sent a message and shared the operation case with fans on Weibo.
“A fishbone on New Year’s Eve is worth tens of thousands! 》
I wrote about the process in detail.
“I just had a fishbone stab into the thoracic aorta. The patient went through like this…”
Finally, I wrote some precautions:
· Fishbone stuck in the throat, do not swallow it, seek medical attention as soon as possible.
·Using rice, vegetables, drinking vinegar and other soil methods are extremely wrong, it is easy to aggravate the condition, and even esophageal perforation, mediastinal abscess, etc., if it enters the aorta, it will be life-threatening.
Click,
release.
Then many fans took a look.
“｀” Fuck! ”
“F*ck! Scary!”
“I was so scared that I spit out all the fish in my mouth.”
“Don’t dare to eat fish!”
“Fishmonger: It’s over, there are fewer people buying fish!”
“Go back and mount it, 23333, male god, are you going to laugh at me to death?”
Of course, many fans have noticed another thing:
“Is the male god still at work on the night of the New Year’s Eve? Distressed~~~”
“I have ordered a takeaway and sent it to Dr. Lin for a supper…”
Then, that night,
In the emergency department of a city hospital, more than 300 takeaways were received, all of which were given to Lin Feng by fans.
Emergency: “…………??????”
This New Year’s Eve dinner seems to be very rich?
There are more than 300 late-night snacks, and the emergency room will definitely not finish.
In the end, all the departments of the hospital came to share Lin Feng’s supper.
The doctors and nurses yelled out one by one~~
“Wow, Lin Feng’s treatment is really good~~ There are still so many fans sending supper!”
“Fuck, I saw the Buddha jumping over the wall!”
“Woo woo woo~~~ (Qian Nuo good) This is my favorite seafood bawang pot……”
“Moved to tears, Lin Feng, I love you~~~”
“Envy makes me look like a mosaic~~~”
“In order to commemorate this unforgettable New Year’s Eve, we took a group photo!!”
eggplant!
Click~~~
Photo freeze frame,
New Year’s Eve commemorative photos of doctors and nurses in all departments·jpg
Lin Feng: “………………”
He posted on Weibo just to persuade everyone to be careful when eating fish during the Chinese New Year.
Why is the style of painting crooked?
Turned into a snack for fans?
Have a group midnight snack?
Lin Feng secretly posted a Weibo: “Please don’t send me a late night snack, more than 300 servings, I didn’t eat much, I will feed all these pigs (group photo)…”
Photo·jpg
Click,
Release tool.
(All medical staff colleagues: “………………Who is a pig! You are a pig!”)
(Other hospitals: “………… Lift the table (╯‵□)╯︵┻━┻, don’t show it off, OK, we can’t eat our pig food on New Year’s Eve!”)
. .