47.
"" Ye Feng was already being conservative.
He didn't want them to be overly suspicious. Actually, he could have been more detailed.
The patient had a fracture of the L2-L5 vertebrae, a fracture of the L1-L5 lateral processes, multiple rib fractures, traumatic wet lung, and multiple soft tissue contusions all over the body.
If he were to say it out loud, it would definitely be too shocking, so he naturally could not say it.
The abnormality of the cells was already known from the other party's cell voice.
Ye Feng's mind was filled with the screams of his cells.
He could also realize how critical the patient's condition was.
Actually, the surgery this time was not optimistic.
Ye Feng also felt the pressure.
Because this was his friend's father, he wanted to save him even more!
Therefore, he finally felt a sense of mission.
This surgery was very difficult! Due to the patient's age, he was about 60 years old.
If multiple vertebrae were seriously injured, the injury would be severe if it was only a full-level lumbar spine surgery. There was a possibility that the patient would lose the ability to move the lumbar spine after the surgery.
The patient also had senile dementia, and after the implant was fixed, it was easy to be accompanied by loosening and displacement of the implant, which would lead to serious complications.
However, there was a risk of complications if he did not perform surgery!
If conservative treatment was chosen, the patient would need to stay in bed for 3 to 6 months. The patient was old and bedridden for a long time. It was difficult to care for the multi-segment fracture of the lumbar spine, which could easily cause complications such as pressure sores, hypostatic pneumonias, and lower limb venous emboli. In serious cases, it could be life-threatening!
"The patient is so old, and the surgical risk is also very high.”
"I suggest you do a full-body CT scan first to avoid any mistakes.”Hu Yuanfeng thought so too.
"No need, trust me!" Ye Feng could not explain anything.
However, he really couldn't waste time on all kinds of examinations.
With Ye Feng's determination, Chen Hai and Hu Yuanfeng could not persist any longer.
It was fine to wait for the patient's physical signs to stabilize before doing it.
However, the worst thing was that he would miss the best treatment if he suffered a fatal injury.
Ye Feng pondered.
He already had a complete train of thought in his mind.
They decided to perform open reduction and internal stabilization for the patient's lumbar fracture.
Since the patient's L3-L5 were all injured vertebrae, the conventional surgery required the fixing of L1-Sacrum. There were complications of excessive surgery and loss of movement of the lumbar spine.
Thus, after careful consideration, Ye Feng had a definite idea after a comprehensive and systematic evaluation.
"Help me prepare the cement nails! Start the anesthesia!"
"The surgery should be done in three stages. If we finish it all at once, I'm afraid the patient won't be able to hold on.”
Ye Feng said seriously.
"Yes, that's what I was about to say.”
Chen Hai was still very confused, how did Ye Feng know the details of the illness?
Hu Yuanfeng received the notification and started the anesthesia.
After the anesthesia was completed.
The main treatment for lung contusions and lacerations was generally to maintain respiratory and circulatory functions, including maintaining a unobstructed respiratory tract, providing oxygen, and if necessary, performing a incision on the trachea and a mechanical breather to assist in breathing, as well as blood transfusion, fluid replacement, anti-shock treatment, and other treatments.
However, this patient obviously did not have such a simple injury.
Ye Feng was the first to perform a thoractomy and deal with the lungs.
As expected!
"It's hemopneothorax. We need to do closed drainage of the chest immediately!”Ye Feng's chest surgery was very smooth.
This was a very dangerous situation, but fortunately, Ye Feng's surgery was done in time.
The breathing machine was also in place.
He immediately stopped the bleeding, used antibiotics to prevent infection, and dealt with other organ injuries.
Because of the laceration of both lungs, it was a bleeding situation, and the bleeding had to be stopped urgently.
Otherwise, his life would be in danger.
"There is one thing to note. Due to the main contradiction of the patient's lung injury at different stages, we must always pay attention to adjusting the pressure of the breather, the oxygen concentration, and the humidity. Under the condition of ensuring adequate ventilation, try to reduce the breathing conditions and create conditions that are conducive to the healing of the lung tissue.”
Ye Feng reminded, Doctor Liu who was beside him could not help but be surprised.
He actually thought of such a small detail.
He was a little distracted just now.
The main reason was that Ye Feng's surgery was too fast and accurate!
At this moment, he quickly realized his mistake and began to adjust.
Ye Feng stopped the bleeding in both lungs and repaired them, luckily, although both lungs were bleeding, it was not too serious.
However, if the surgery was not carried out in time, it would gradually become very difficult.
This surgery that was completed in one go shocked the doctors present once again.
It was smooth and perfect without any extra movements.
"Fortunately, the bleeding was stopped in time.”
"Two of his ribs are broken. He'll be performing a chest surgery today.”
"In a few days, we'll perform open reduction and internal fixation for the lumbar spine fracture.”
"I've also decided on the surgery plan. We'll use the bone cement nail to fix the L3 and L5 vertebrae. The advantage is that it can better fix the injured vertebrae and help the patient move early while preserving the mobility of the lumbar spine.”
The surgical team members were all stunned.'Brother, when you were performing the thoracotomy, you already thought of the next surgery?'
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