Zhu Tao opened his chest. At first, he did not care much, thinking that it was just ordinary echinococcosis.
After a careful inspection, he gasped.
"This is big trouble!"
He began to regret accepting this surgery!
After opening his field of vision, he saw that inside the chest cavity, the sac occupied most of the right side of the chest cavity, accompanied by a large area of lung collapse, and the mediastinal displacement was obvious…
His scalp went numb just by looking at it!
However, in this situation, he could only brace himself and continue.
Fortunately, he knew how to perform surgery for such a serious illness-lung disc-shaped surgery!
"Let's begin…"
The surgery began!
……
Outside the operating theater,
One hour…
Two hours…
Three hours…
The family member's expression changed from relaxed to calm and then nervous…
Four hours…
Five hours…
The family members were already waiting anxiously.
It had been too long, making them feel uneasy.
……
In the operating theater,
Dr. Zhu Tao was sweating profusely!
The surgery went wrong because the wall of the tumor was relatively thin and it was located deep in the lungs, so the exposure was poor.
Then, he pierced through it.
When the sac fluid leaked into the pleura cavity, it caused a severe allergic reaction and shock.
It wasn't easy to save them, but a lot of the fluid had leaked to the other lungs, liver, and bronchi. The fluid carried the reproductive sac and protoscolices, and their reproductive ability was extremely strong.
Dr. Zhu Tao made up for it in a panic.
He used 3% hydrogen peroxide-based scrubbing.
Then, he rinsed it with Metronidazle and normal saline.
After repeating this process seven to eight times and repeatedly rinsing the residual cavity.
Tao Zhu sighed.
"This is all I can do."
Close the abdomen.
The surgery ended.
Duration: 8 hours and 34 minutes.
At the same time, he was thinking, If it was Lin Feng, could he really handle the surgery? I'm afraid it's also very difficult, right?"
……
……
Emergency.
Ring ring ring ~~~
At this moment, Xiao Li received a call from the nurses 'station.
"Hello, this is the emergency department."
"Hello, I'm a nurse from the Cardiothoracic Surgery Department. There's a patient who fainted for unknown reasons. He was sent here from a lower-level hospital. The Cardiothoracic Surgery Department is organizing triage for all departments.”
"Okay, I'll ask Doctor Lin immediately. As for Doctor Zhang Yuan, he went to a lower hospital to pick up a patient.”
"Alright, thank you."
Lin Feng was treating an old lady with a headache.
"Doctor Lin, the Cardiothoracic Department has invited you to perform triage. Are you free?"”
"Sure," Lin Feng replied.
Then, he quickly finished seeing the patient and left the consultation room.
He quickly walked to the inpatient department's Cardiothoracic Surgery Department.
The intern behind him looked envious.
"Doctor Lin went for another consultation…"
"When can we go for a consultation…"
" Probably in another seven or eight years…"
"Not to mention being invited to a consultation, even when I enter the operating theater now, the doctors will say,'Don't mess around, stand further away, and don't touch me'.”
"Heart-piercing!"
The interns cried in the corner and hugged each other to keep warm.
……
……
Inpatient Department, Chest Surgery Ward.
In the conference room.
Lin Feng walked into the meeting room and attracted many gazes. Many doctors had interacted with Lin Feng before and greeted him.
Soon, the meeting began.
The director of the Cardiothoracic Department, Chen Changming, switched on the X-ray scan.
"Patient, female, 64 years old, farmer. He was sent to our hospital for emergency treatment by his family due to "repeated fainting episodes for half a month".”
"Half a month ago, the patient suddenly felt dizzy and blackened when he went to farm on his bicycle. Then, he lost consciousness and fell to the ground. About a few minutes later, he woke up on his own. After waking up, he felt chest tightness…"
"At that time, his family brought him to the local hospital for a check-up. Blood routine, biochemistry, head CT, and electrocardiogram showed no obvious abnormalities..."
"Just three hours ago, he fainted again and was sent to our hospital…"
A series of introductions:
Physical examination at admission:
Electrocardiology: …
Blood routine: …
Tumors: …
The result of the CT scan of the lung artery was: …
(Omit more than a dozen…)
It took him a full 40 minutes to finish explaining all the results.
Lin Feng pondered as he watched.
After combining all the world-class experience points, Lin Feng's ability to read all kinds of reports was also world-class.
The patient's heart color ultrasound showed filling defects in the main lung artery and the initial segments of the left and right lung arteries.
From Lin Feng's point of view, it should be a blood clot.
Moreover, the fact that UCG was able to find a clot meant that the clot was in the main trunk and was already very large.
At this moment, Director Chen Changming clapped his hands.
"Alright, all the examinations are here. Everyone, express your opinions.”
The doctors did not refuse and expressed their opinions.
"This is a very rare medical record. It has opened my eyes." I think it might be a blood clot."
Chest Surgery: " I have a different opinion. I saw the mural devouring sign, and I think it should be a pneumonic endomyospasm.”
The surgeon from the Department of Hepatobiliary and Pancreatic Surgery: " CTPA shows that the pathological lung artery is obviously dilated, and the filling defect extends from the main lung artery to the distant lung artery, involving the initial segments of the left and right lung arteries…We'll give priority to the possibility of finding a lung artery sarcomas, but we can't rule out the possibility of a blood clot.”
" Syncope," Li Yuan said." The typical SCT on the electrocardiography showed that D-Dimer was elevated. Echo showed filling defects in the main trunk of the lung artery and the initial segments of the left and right lung arteries, and it was considered that they had formed a clot.”
One by one, they were eager to discover and contribute to the treatment of patients.
Liang Guomin from the Department of Blood Surgery: " I also think it's a clot. As for the treatment method, according to the main points in the guidelines, only cases with unstable hemodynamics should be considered for chemotherapy. This patient's blood pressure was high when he was admitted, so he could not be treated with chemotherapy. He could only be treated with conventional chemotherapy.”
Liang Guomin then looked at Lin Feng."Lin Feng, do you have any ideas?”
There was encouragement in his eyes.
The other doctors looked over.
Lin Feng chuckled." I'm thinking about blood clot. Director Liang said that we can't dissolve the clot, but there's still a problem if we only use the blood clot…"?
Everyone was stunned.
Was he refuting Liang Guomin?
Looking at Liang Guomin's reaction, he wasn't unhappy. Instead, he looked encouraging.
It seemed like the rumor about Lin Feng saving Liang Guomin's life was true.
Some of them were shocked when they thought about how Director Qian brought Lin Feng to the Eighth City Hospital.
This Lin Feng was amazing!
A mere intern could actually receive the support and nurturing of so many big shots.
"Lin Feng, do you have any ideas?" Liang Guomin asked.”
Lin Feng nodded." There's still a way. The patient's blood clot is in the main artery, and it's very large. It's very likely that he will faint again or even have a cardiac arrest." "Therefore, we should be prepared for both. On the one hand, we should be able to coagulate, but on the other hand, we should be prepared to dissolve the clot at any time. Actually, our hospital is strong enough, so we can consider directly dissolving the clot.”
All the doctors had a thought.
Eh, this idea seemed to work.
She instantly looked up to Lin Feng.
As expected, his reputation was not false!
This Lin Feng was quite skilled.
。
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