Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 219 Emergency rescue, infective endocarditis

Lin Hai and Qin Feng rushed to the emergency room and glanced at the patient on the bed.

“Condition!”

“Patient Zhu Jianfeng, age 25, has no heartbeat or unconsciousness. He has been pressing the heart for 15 minutes, and the two injections of adrenaline have finished…”

A doctor in the emergency department gave a brief introduction of the situation.

Because of the urgent condition, people were already in trouble when it was delivered, so the relevant examinations were not done in time.

The most important thing now is to restore the heartbeat and save the person.

Lin Hai and Qin Feng didn’t appear flustered after hearing the explanation of the situation, but calmed down more and more.

At present, all operations are without problems, such as cardiopulmonary resuscitation, tracheal intubation, drug support and data monitoring.

“Come, change me!”

Seeing the doctor who was pressing the heart sweat profusely, Lin Hai stepped forward to replace it.

Cardiac resuscitation must not be interrupted at this time, otherwise all previous efforts will be lost.

The emergency doctor who came down was finally able to breathe, panting loudly, sweat soaked his white coat.

And Qin Feng, who stood on the side, looked at the patient on the hospital bed, his eyes closed tightly, his muscles slack, and the skin on his face and body had lost its blood color, showing a pale and sallow yellow.

This is a manifestation of insufficient blood supply in the body caused by prolonged ischemia of the heart.

Drop~

Drop~

Drop~

Finally, after another ten minutes of alternating heart compressions, heartbeat fluctuations appeared on the monitor.

“Huh~!”

Everyone breathed a sigh of relief.

People are temporarily alive.

“Hurry up and do heart and brain examinations to speed up fluid replacement.”

Lin Hai straightened up and immediately arranged for a nurse to conduct a series of detailed examinations on the patient.

soon,

The heart examination report came out.

When Lin Hai got the report and looked through it, his pupils suddenly shrank and his expression became serious.

“Look at it.”

After speaking, he handed the report to Qin Feng and the two doctors in the emergency department.

When everyone read the report, all the doctors present were shocked by the case.

In the picture, the size of the patient’s heart is obviously larger than that of a normal person. A normal heart is only about 50 mm or so, while on the image, the patient’s heart is more than 70 mm!

This situation is very serious. Although the cause cannot be determined based on this inspection report, such a serious heart disease is definitely not a day or two, but a period of accumulation.

“Contact the outsider to come for a consultation and notify the family members to come to the conference room.”

Lin Hai looked at the nurse beside him and immediately arranged.

“Good Doctor Lin.”

The nurse nodded, turned and walked away quickly to contact the doctor on duty outside her heart, and informed the family members of the patients who were still waiting outside.

soon,

The doctor on duty outside the heart came, and it happened to be Liu Guofeng, the deputy director, tonight.

“Director Liu.”

Seeing Liu Guofeng coming in, Lin Hai got up and said.

“Sit down, Kobayashi.”

Liu Guofeng raised his hand, then looked at Qin Feng and smiled.

“Qin Feng is there too, sit down, what’s the situation?”

“This is the patient’s heart examination report.”

Lin Hai handed him the report in his hand, and then briefly explained the situation.

Liu Guofeng frowned at the first glance at the report.

According to the report, the patient’s heart was significantly enlarged, but no tumors were found.

Soon there will be a general judgment, which may be infection.

However, it is still unknown what the infection is and whether there are other problems.

“What about the patient’s family? Ask them to come and ask.”

Liu Guofeng put down the report and asked immediately.

“The family members are outside, Xiaochen, tell them to come in.”

Lin Hai immediately said to the nurse next to him,

“Also urge the heart imaging, so that the laboratory department can send it quickly.”

“Okay, I’ll go right away.”

The nurse heard the sound and walked out.

In about a minute, two middle-aged men and a middle-aged woman walked in, followed by a young man about the same age as the patient.

“Doctor, how is my son?”

As soon as she came in, the woman asked eagerly with tears in her eyes, with a flustered expression on her face.

“Don’t worry, the patient has been rescued in time, and there is no life-threatening situation for the time being, but the situation is not very good.”

Lin Hai quickly explained, and then pointed to Liu Guofeng,

“This is Director Liu, who is outside of our hearts. I need to get some information from you. Sit down first, and sit down first.”

After speaking, the patient’s family members also sat down, their faces full of tension and sadness.

“The patient is still not awake, so I need to ask you about some problems, which can help us to judge.”

Seeing that everyone was calmer, Liu Guofeng nodded and asked.

“Has the patient had a heart problem before, or is there any abnormality?”

“Before, I didn’t find any heart problems.”

The woman thought for a while and said, then suddenly she seemed to think of something,

“Oh, by the way, my son had a bit of diarrhea some time ago, but we all thought it was normal. He also took the medicine for a few days.”

“diarrhea?”

Liu Guofeng’s eyes suddenly changed when he heard this.

Hearing this, Qin Feng also had a thought, and quickly began to analyze the heart examination report in his mind.

The possibility of heart infection is increasing!

However, diarrhea alone cannot be completely determined, and further confirmation is needed.

“Is there anything else? Or have there been heart problems before?”

Liu Guofeng continued to ask.

“Yes, Xiaofeng had heart surgery when he was 6 years old, what kind of heart and aortic valve surgery.”

A tall, thin man with a mustache sitting next to the woman said quickly.

As soon as the voice fell, Liu Guofeng turned his head and glanced at Qin Feng and Lin Hai, his eyes suddenly sinking.

Heart aortic valve!

In an instant, a possibility appeared in the minds of the three at the same time.

Infective endocarditis!

Subsequently,

Liu Guofeng asked a few more questions briefly, and then asked his family to leave and wait.

“Lin Hai, Qin Feng, what do you think?”

Liu Guofeng looked at the two and asked in a deep voice.

“Although the radiography hasn’t come out yet, I think if it is really a problem with the aortic valve, it is likely to be infective endocarditis.”

After pondering for a moment, Lin Hai said his opinion.

“Qin Feng, how about you?”

Liu Guofeng nodded when he heard the words and looked at Qin Feng.

“I agree with Dr. Lin Hai that the chance of infective endocarditis is very high.”

He also nodded, there was almost no doubt about it.

Even if the radiography has not come out, the diagnosis can be confirmed based on the current situation and the patient’s medical history.

only,

The patient’s infection was so severe that the heart stopped beating.

“Well, I agree with you. If it is really infective endocarditis, then the patient’s current condition is not surgery at all.”

Liu Guofeng’s expression was a bit solemn, and his tone was a little helpless.

really!

The patient’s physiology is too poor, and it is not suitable for the operating table, otherwise it is very likely that the virus will die directly on the table.

After about a few minutes, the radiography of the clinical laboratory came out.

When the nurse gave the radiography to Liu Guofeng, the condition of the three of them became clear immediately after viewing it.

The patient’s heart aortic valve has obvious insufficiency!

Combined with the family’s description, it was found that there was an aortic valve insufficiency during the re-examination three years ago, but because of the busy work, the operation was not performed in time.

In addition, it didn’t have any impact on life at ordinary times, and it was soon forgotten.

But a severe diarrhea two weeks ago was likely to cause bacteria to infect the heart through the blood, causing infective endocarditis.

In addition, the insufficiency of the aortic valve itself has severe regurgitation, causing heart failure…

“Okay, the situation is clear.”

Liu Guofeng retracted his gaze, his condition was already very clear.

“Although the patient has recovered his vital signs and the infection has eased, he still does not meet the surgical standards and cannot undergo valve replacement surgery.”

“Understood, Director Liu.”

Lin Hai nodded, Qin Feng also said nothing.

Because what they can do next is to control and reduce the infection as much as possible, so that the patient can survive these few days and make it to the operating table.

Operate and survive!

…….

Liu Guofeng left, because now the patient is not out of mind and needs to survive the terrible stage in critical care medicine.

Qin Feng followed Lin Hai and watched him make arrangements skillfully.

After that, the two also returned to the office.

Because in this case, there is not much they can do as doctors.

People who study medicine understand that the methods of modern medicine can only play an auxiliary role to a large extent.

Only oneself is the real life-saver!

“Huh~”

Lin Hai sat in a chair and let out a long sigh of relief.

“I hope I can make it through. I’m only 25 years old and still so young. Alas~

Qin Feng, do you say that earning money is more important than work, or is life more important?

Knowing that I have a problem with my body, I am so indifferent, but at this point, I feel angry when I think about it! ”

Qin Feng smiled and shook his head.

In fact, it’s them, and whoever is a doctor is not injured.

Compared with staying up late and 996, the doctor is because of professional attributes. It seems to outsiders that apart from the lofty and glamorous, they have forgotten that this profession is the most prone to sudden death.

……

Bang!

“Doctor Lin! The patient’s heart has stopped beating!”

In the morning, the sky was just dark, and Qin Feng was still looking through the documents, and suddenly the office was pushed aside.

Puff~

“Which? Hurry up!”

Lin Hai, who was lying on the recliner and was just idle for a while, stared at him and fell asleep.

The next second it bounced off the ground, like a spring, and then shouted loudly.

Qin Feng immediately got up when he heard the words and looked at the nurse at the door.

“Bed 25, the infective endocarditis sent last night!”

The nurse said anxiously.

Upon hearing this, Qin Feng and Lin Hai’s expressions changed, and their hearts suddenly shook.

The situation is not good!