radicalducati Chapter 171
Chapter 171
Lin Feng connected: "Old Song, what's wrong?" "
Song Ziming's hurried voice sounded: "Lin Feng, first aid, there is a patient who has taken pesticides, just sent to the emergency department, we can't handle it..."
Lin Feng said righteously: "Why don't you look for Director Zhangwu?" He is a veteran doctor in the imperial capital! "
Song Ziming: "After asking, Director Changwu went to the Great Northern Hospital next door for a consultation." "
Lin Feng: "What about Director Zhou and Lao Zhang?" "
Song Ziming: "Director Zhou is resting, Lao Zhang just went out of the ambulance..."
Lin Feng: ".................."
Lin Feng looked at Director Zhang Qia helplessly.
Director Zhang Qia was weak and waved his hand: "Go, it's important to save people." "
Lin Feng: "Thank you, Director." "
Then dashed out of the department.
......
After 5 minutes,
Lin Feng rushed to the emergency room.
Song Ziming was already anxiously waiting.
Lin Fengfeng came in: "Lao Zhang, what is the specific situation?" "
Song Ziming said quickly: "It's like this, there is a 28-year-old young man, I don't know why he was poisoned, it's a pesticide, and the test result is: acute organophosphorus pesticide poisoning... After gastric lavage, the patient continues to be confused and even shocked! "
Lin Feng walked quickly into the emergency operating room.
I saw the patient lying restlessly on the operating table.
(Note: Sedatives and analgesics are different, and patients who are restless should be sedated with sedatives.) Some sedatives have analgesic effects, but conversely analgesics have no sedative effect. ）
Lin Feng stepped forward to check.
Flashlight..
"Sensitive to light reflex, superficial lymphadenopathy, slightly purple lips, enlarged tonsils, central trachea, slightly enlarged thyroid!"
Lin Feng roughly made a judgment.
It is indeed very similar to acute organophosphorus pesticide poisoning, and the test results are the same.
Lin Feng quickly ordered:
"Propofol 80mg, carmanin 25mg, rapid induction of endotracheal intubation!"
The nurse followed Lin Feng's instructions, and after injecting the medicine, the patient entered a coma.
"Intubation, mechanical breathing of the anesthesia machine, maintenance of anesthesia!"
"Intermittently add 12.5mg of carmanin, continue to add atropine, and continue to inhale 2% isoflurane!"
Lin Feng is preparing for the operation.
Pesticide poisoning, this type of surgery, he is also the first.
"Continuous monitoring of heart rate, blood pressure, blood oxygen saturation!"
......
The operation begins,
"Supine position!"
The nurse straightens the patient in the surgical position.
Lin Feng took out a disinfectant towel and wiped it repeatedly on the patient's lower abdomen and stomach.
"Local anesthesia!"
"Scalpel!"
After the patient was successfully anesthetized, Lin Feng took the scalpel.
Surgery!
Location: intercostal of the lateral wall of the chest wall, incision.
(The stomach is below the sternum, so this is the only surgical incision outside of laparoscopic minimally invasive to avoid sawing the sternum)
Make a 10cm cut.
Expose the field of view.
The stomach is exposed.
First of all, before cutting the stomach, it is necessary to bandage the stomach.
"#6手术线!"
Lin Feng manipulated the surgical needle on the front wall of the patient's stomach to make a purse suture.
Immediately afterwards, the stomach wall is cut directly.
Peristaltic gastric mucosa, as well as gusts of gastric juice.
It emits an extremely unpleasant stench.
The pesticide is highly acidic and extremely corrosive to the stomach.
In addition, there was already a gap of 2 hours, the mucous membrane of the stomach was burned, and the pesticide components were mixed with gastric juice, turning dark green.
Fortunately, the doctors and nurses in the emergency department have gone through a big battle.
Remain calm!
"Suction catheter!"
Suction sucks ~~~
Soon, the liquid in the stomach was filthy and all was sucked dry.
But
Due to the contents of the stomach in the stomach volume, it is already semi-coagulated.
The suction catheter simply cannot pull out the filth.
I saw Lin Feng frowning and directly reaching into the patient's stomach wall with his hand.
Lumps of solidified stomach contents were pulled out with their bare hands.
The disgusting smell, coupled with this disgusting color, Lin Feng's actions at this moment looked.
It's like digging with your bare hands.
Heavy taste!
Finally, the stomach contents were finally cleaned up, and Lin Feng used a suction catheter to clean up the remaining gastric juice.
"Mix 4% sodium bicarbonate solution!"
The general gastric lavage machine uses warm boiled water.
Can be used for gastric lavage for toxic poisoning without specific antagonists.
However, this surgery does not work!
But the patient is acute organophosphorus pesticide poisoning.
It is necessary to rely on sodium bicarbonate solution to neutralize the damage of pesticides to the stomach.
Sodium bicarbonate solution is injected into the patient's stomach, accompanied by bursts of unconscious stomach cramps.
A large amount of dirt, from the folds of the stomach, is shaken down.
The originally colorless and transparent sodium bicarbonate solution turned dark green when it went on in the patient's stomach.
The stench inside the operation was so intense that some doctors couldn't open their eyes.
Spicy eyes!
Lin Feng was also a little unbearable.
But his professional ability, which made his hand steady, was not affected in the slightest.
Sodium bicarbonate solution is continuously injected, the stomach is cleansed, and then pumped out.
Dozens of repeated operations were carried out to consume 50L of sodium bicarbonate solution.
"Inject atropine!"
Atropine, an anticholinergic drug, is racemic hyoscyamine extracted from the nightshade plants belladonna, mandala or hyoscya. It is mainly to relieve smooth muscle spasm, and a large amount can relieve small blood vessel spasm, improve microcirculation, and inhibit gland secretion.
Side effects can easily reduce sweat secretion and affect heat dissipation, so use with caution in summer.
In addition, pregnant women and children should be used with caution.
This drug is commonly used for organophosphorus poisoning.
Finally, the sodium bicarbonate solution injected into the stomach no longer changed color, and Lin Feng withdrew the liquid.
"#8 surgical sutures!"
The surgical scissors gently interrupt the bag-like sutures previously made on the anterior wall of the stomach.
This is the end of the operation.
Lin Feng put down the surgical scissors.
Then begin to suture the stomach incision...
Rinse and disinfect...
Shut the belly...
End surgery!
Time: 1 hour and 24 minutes.
......
Lin Feng finished the operation and hurried back to the urology department.
At this point,
The two regular training doctors who rotated with Lin Feng had already begun to do miscellaneous work under the orders of all the main doctors and chief physicians.
"Director, I'm back!"
"Go to the outpatient clinic, it's busy over there!"
"Okay..."
Lin Feng quickly went to the outpatient clinic again.
As soon as the number was released, in less than 10 minutes, Lin Feng's number was robbed.
......
......
3 km away.
Chiron Tower.
White-collar Wang Zhenye is in a meeting.
Buzz...
Buzz...
Buzz...
His phone kept vibrating and calls came in.
During the meeting, he did not dare to take out his mobile phone.
Then, more than a dozen more calls came in...
After half an hour,
The meeting was finally over.
Wang Zhenye returned to his seat, and only then did he have time to open his mobile phone.
Unfamiliar missed calls: 23...
Buzz ~~~
At this time, a mobile phone text message pops up.
Click on SMS:
"Hello! I don't answer your phone all the time. You're panda blood, right? Please save my daughter, my daughter is only 5 years old and has severe Mediterranean anemia and is now in urgent need of a blood transfusion, in the Great Northern Hospital..."
Wang Zhenye rose with anger.
Snap quickly wrote:
"Why should I save? Does it have anything to do with me? I saved so many people before, what did I get in the end? I'm sorry.... Now I'm still at work, and I have to deduct 200 for my leave ... Please don't call me again. "
Buzz ~~~
"Please, the child really can't hold on. If you have any request, please do it as long as we can. "
Wang Zhenye looked up to the sky.
He gritted his teeth!
He promised himself that he would never donate blood again and never save people again!
He has donated more than a dozen times, four of them, all of them taking their own plane tickets, taking leave and deducting money.
Four thousand yuan back and forth at a time, a monthly salary of more than five thousand.
After several pumps, no one gave you a bottle of water, no one asked you if you ate or not, and my heart was chilled ever since!
Buzz ~~~
"Please, save my daughter, she is only 5 years old ~~"
"Please~~"
Wang Zhenye stood up abruptly,
Boom~~~
Slap the table!!
Stepping on a horse!
Hate yourself for not being hard enough!
"I'll go over now... Great Northern Hospital, right..."
Alas.. You can never escape soft-heartedness...
Wang Zhenye quickly asked the leader for leave, and then rushed out of the building...
Boom~~~~
Because it's too urgent,
A car rushed out and hit him directly.
Wang Zhenye only felt that his body was knocked into the air, his eyes were black, and then he didn't know anything.
"Hit someone!"
"Oh my God, it's bleeding!!"
"Kombat 110!!"
"Don't call 110, hurry up and send it to the first courtyard of the city, there is the closest!"
"Yes, hurry up and send it to the first courtyard of the city!"
——————
ps: three changes, 4000+3200+2800=10000 words.
Just downstairs came down an ambulance, the same building, I don't know what happened to the patient.
。