Chapter 36

Zhu Tao opened his chest and didn’t care much at first, thinking it was just ordinary echinococcosis.

After a closer inspection, he took a breath.

“This is a lot of trouble!”

Begin to regret the operation!

After opening the field of vision, I saw inside the thoracic cavity, cysts occupy most of the right thoracic cavity, accompanied by a large area of ​​lung collapse, and the mediastinum was significantly displaced…

Seeing that the scalp is numb!

However, in this situation, we can only bite the bullet and go on.

Fortunately, he knows how to perform surgery for this serious type of disease-lung dish surgery!

“let’s start……”

The operation begins!

Outside the operating room,

One hour……

Two hours…

Three hours……

The expressions of the family members, lightened from the beginning, gradually become calm, and then become nervous…

Four hours…

Five hours…

The family members have already begun to wait anxiously.

The time is too long, making them feel uneasy.

In the operating room,

Doctor Zhu Tao sweats profusely!

The operation went wrong because the cyst wall was relatively thin and located deep in the lungs, which was poorly exposed.

Then he stabbed through.

When the cyst fluid leaked into the pleural cavity, a severe allergic reaction occurred and shock occurred.

The rescue was finally completed, but a lot of cyst fluid had already leaked to other lungs, liver, and bronchi. The fluid carried fertility sacs and protocercaria, which was extremely capable of reproduction.

Doctor Zhu Tao made up in a panic.

Scrub repeatedly with 3% hydrogen peroxide.

Then rinse with metronidazole and saline.

After going back and forth seven or eight times, after repeatedly washing the residual cavity.

Doctor Zhu Tao sighed.

“This can only be done.”

Close the abdomen.

End the operation.

The time lasted for 8 hours and 34 minutes.

At the same time, he was thinking: “If you switch to Lin Feng, can you really get this operation? I’m afraid it will be difficult, right?”

Emergency.

Ling Ling Ling~~~

At this time, Xiaoli at the nurse station answered a call.

“Hello, this is the emergency room.”

“Hello, I am a nurse in the thoracic surgery department. Here is a patient who fainted for unknown reasons. He was sent from a lower-level hospital. The thoracic surgery department is organizing the triage of various departments. May I ask Dr. Zhang Yuan and Dr. Lin Feng to be free now? ?”

“Okay, I will ask Dr. Lin immediately. As for Dr. Zhang Yuan, he has gone to a lower-level hospital to pick up a patient.”

“OK, thanks.”

Lin Feng is seeing an old woman with a headache at this time.

Xiaoli: “Dr. Lin, the thoracic surgery department, invite you to triage, are you free?”

Lin Feng replied: “Yes.”

After seeing the patient quickly, he left the clinic.

Walk quickly to the thoracic surgery in the inpatient department.

The interns at the back looked envious:

“Dr. Lin went to the consultation again…”

“When can we go to the consultation…”

“It is estimated that in seven or eight years…”

“Don’t say that I was invited to the consultation. Now I enter the operating room. The doctors are all’don’t mess around, stand far away, don’t touch me’ and dislike Sanlian. Don’t mention it’s too tragic.”

“Put the heart!!”

Interns, crying in the corner, hugging each other to keep warm.

Inpatient department, thoracic surgery ward.

meeting room.

Lin Feng walked into the conference room and greeted many eyes. Many doctors had dealt with Lin Feng and greeted them one after another.

Soon, the meeting began.

Chen Changming, the director of thoracic surgery, turned on the lamp for replacement.



“Patient, female, 64 years old, farmer. She was sent to our hospital by her family for “repeated syncope for half a month”. ”

“Half a month ago, the patient suddenly felt dizzy and dark when he was riding a bicycle to farm farmland. Then he lost consciousness and fell to the ground. After about a few minutes, he woke up on his own and felt chest tightness after waking up…”

“At that time, I was taken by my family to the local hospital for examination. The blood routine, biochemical, head CT, and electrocardiogram examinations showed no obvious abnormalities…”

“Just three hours ago, I fainted again and sent to our hospital…”

A series of introductions:

Admission physical examination:…

ECG:…

Blood routine reminder:…

Three tumors:…

Pulmonary artery CTA:…

(A dozen items omitted…)

It took 40 minutes to introduce all the results.

Lin Feng watched and thought.

Integrating many world-class experiences, Lin Feng is also world-class for the ability to read various reports.

Color Doppler ultrasound of this patient’s heart: filling defect of the main pulmonary artery and the initial segment of the left and right pulmonary arteries.

In Lin Feng’s view, it should be thrombosis.

Moreover, UCG can find thrombus, indicating that the thrombus is in the main trunk and is already very large.

At this time, Director Chen Changming patted his palms:

“Okay, all the inspections are here, and everyone has their own opinions.”

The doctors did not evade and expressed their opinions.

Director Qian: “This is a very rare medical record, which opened my eyes. I think it might be a blood clot.”

Outside the chest: “I have a different view. I saw the wall phagocytosis sign and thought it should be a pulmonary artery endometrial sarcoma.”



Hepatobiliary surgeon: “CTPA shows that the diseased pulmonary artery is significantly dilated, and the filling defect extends from the main pulmonary artery to the distal pulmonary artery, involving the initial segments of the left and right pulmonary arteries… Pulmonary artery sarcoma is given priority, and thrombosis is not excluded.”

Cardiovascular extern Li Yuan: “Syncope, ECG typical SQT appearance, increased D-dimer. Ultrasonic pulmonary artery main trunk and left and right pulmonary artery filling defects, consider thrombosis.”

One by one enthusiastically discovers and contributes to the treatment of patients.

“I also think it is a thrombosis. As for the treatment method, according to the guidelines, thrombolysis should only be considered for cases with unstable hemodynamics. The blood pressure of this patient was high when he was admitted to the hospital, so thrombolysis was not possible. Routine anticoagulation.”

After speaking, Liang Guomin glanced at Lin Feng: “Lin Feng, do you have any ideas?”

Show encouragement.

The other doctors all looked over.

Lin Feng chuckled: “I’m thinking about thrombosis. Just now Director Liang said that thrombolysis is not possible, but it would be a little problematic if only anticoagulation is used…”

Everyone was taken aback.

Is this rebutting Liang Guomin?

Looking at the reaction of Liang Guomin, he was not upset, but encouraged.

It seems that the rumors that Lin Feng saved Liang Guomin from the operation are true.

Some people thought of Director Qian taking Lin Feng to the Eighth City Hospital, and they were secretly surprised.

This Lin Feng is amazing!

An intern in a mere trivial area can get the support and cultivation of so many big brothers.

Liang Guomin: “Lin Feng, do you have any good ideas?”

Lin Feng nodded: “There is still a way. The patient’s thrombosis is in the main trunk. It is very huge. It is very likely to faint again or even directly to cardiac arrest. So we should prepare with both hands, on the one hand, anticoagulation, but on the other hand, be ready to dissolve thrombosis In fact, our hospital is also strong enough to consider direct thrombolysis.”

The doctors’ hearts moved.

Hey, this idea seems okay.

Suddenly he took a high look at Lin Feng.

Sure enough, a well-known scholar!

This Lin Feng is still a bit level.

. .

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