latelenovela Chapter 720
Chapter 720
Small condition in surgery!
Finally, the CTA check, it is aortic dissection!
The patient is diagnosed.
The next step is very simple.
It is good to follow the normal treatment plan.
With the plan, Lin Feng soon began to arrange.
However, this side has just been arranged.
A nurse hurried to find Lin Feng.
Just now a patient was delivered to the emergency room, and the condition was more serious.
In his sixties.
She accidentally fell while running in the park, and she screamed in pain.
I just finished the examination and confirmed the fracture.
Due to older age.
The doctor in charge immediately recommended surgery.
Before that.
The patient has been given painkillers, but the effect is minimal, and the patient still moans in pain.
The children of the patients are so distressed to see their mothers.
Naturally, I also strongly agree with the opinion of emergency doctors.
Not only in favor of cooperation, but also very eagerly.
They naturally do not want their mother to suffer so much, and early surgery can relieve her mother's pain sooner.
The doctor was immediately asked to perform surgery as soon as possible.
The emergency doctor who originally received the patient wanted to admit the patient first, and then check the patient's physical condition before arranging surgery.
But the children of the patients are very anxious.
The doctor also saw that the patient was in such pain, so he went to ask Lin Feng to go.
This surgery is not so easy.
And the patient is older.
Please Lin Feng to take the knife, or to be safer and more secure.
After Lin Feng arrived.
The emergency doctor here also understands the patient's situation clearly.
After seeing Lin Feng, he hurriedly said to Lin Feng: "Dr. Lin, this patient's condition is somewhat serious, the patient is in unbearable pain now, and their family members also want to operate early, so I invited you here." "
"Well, is there any arrangement over there in the operating room?" Tell me about the patient's situation! Lin Feng nodded.
The emergency doctor hurriedly stepped forward and said, "Dr. Lin, the operating room is ready!" The patient is older, and has a history of hypertension, atrial fibrillation, and long-term warfarin, so it is more difficult, should it be slowed down first? "
Hearing this, Lin Feng glanced at him.
Warfarin is an intermediate-potency anticoagulant, mainly taken by patients with long-term continuous anticoagulation, which can effectively inhibit the formation of blood clots.
However, if surgery is performed, there will definitely be damage that will cause bleeding.
Continued use of warfarin inhibits the clotting effect.
It is very likely that bleeding will not stop, and if the patient keeps bleeding after the operation, the problem is serious.
Immediately said: "! Long-term use of warfarin, definitely not surgery! First, check the patient's coagulation indicators and other related tests, and stop the patient's warfarin and switch to other drugs. Be prepared for everything, you must hear all anticoagulants the day before surgery! "
"Understood!" The emergency doctor answered immediately.
The words were just finished.
The patient's children immediately questioned Lin Feng, "What do you mean!" I didn't see that my mother is in unbearable pain now, don't you hurry up and operate on her!" "
Hearing the words of the patient's children, Lin Feng was not angry, and said to them with a solemn face: "Now the operation? You are not saving people, I think you are trying to kill people! Didn't you hear what I just said! "
"So what do you say? My mother is moaning in pain now! When the patient's children saw Lin Feng speaking so solemnly, their voices immediately became soft.
"Moaning is better than losing your life! I hope you believe in the ability of our doctors, we will protect the safety of every patient! Be prepared before surgery, as a little accident can lead to a serious situation! Lin Feng said immediately.
Then the tone changed, and he carefully explained the specific reason.
Finally, convince the patient's children.
Subsequently.
The patient's children began to process the patient's hospitalization.
The warfarin I used to take was also replaced with heparin, which can be milder.
The fifth day of admission.
Lin Feng personally took charge of the operation on the patient.
Two options, one is to do internal fixation, directly with nails to pick up the broken bone.
The other is to directly replace the entire hip joint.
Anyway, there are pros and cons.
The patient chose a hip replacement.
The cardiac ultrasound before surgery found that the patient's atria were slightly enlarged, but it is not surprising, after all, there is a history of atrial fibrillation for so many years, the overall cardiac function is still good, and there is no problem withstanding surgery.
In addition, color ultrasound of blood vessels of the lower extremities did not reveal thrombosis.
Soon.
Surgery begins.
The families of the patients outside were nervous.
After signing the consent form, they naturally heard from the doctor about the possibility of surgical risks.
Inside the operating room.
Lin Feng's main knife was very smooth at the beginning.
"Dr. Lin, the patient's oxygen saturation has dropped to 90%." But just halfway through, the anesthesiologist whispered.
In fact, the patient's blood oxygen has dropped for a few minutes, which was previously stable under the adjustment of the anesthesiologist, but then the blood oxygen fell again.
"Can it be maintained?" Lin Feng asked very calmly.
At this moment, his mind quickly checked the cause of the drop in blood oxygen.
A decrease in blood oxygen means that the patient is hypoxic.
At the moment, the operation is underway, and the patient is using an anesthesia machine and is also continuously injecting oxygen, and there should be no hypoxia!
It won't be a pulmonary embolism!
This thought quickly appeared in Lin Feng's mind.
Before the operation, the patient's lower limb blood vessels were examined, and the veins were all good, and there was no thrombosis.
It's just that no one knows whether a blood clot will form here at the broken end of this bone, and whether the blood clot will run into the blood, and if it really will, it will be tricky.
Pulmonary embolism means that a blood clot has blocked the main trunk or branch of the pulmonary artery, and the blood cannot pass.
Blood must pass through the pulmonary arteries to reach the confluence of alveoli and oxygen to carry oxygen back to the left heart.
Because during surgery, the patient does not show shortness of breath, only on the testing instrument.
"Blood oxygen is back to 95 percent." Just as Lin Feng turned his brain, the anesthesiologist tried his best to stabilize the patient's blood oxygen.
"Is your blood pressure okay?" Hearing this, Lin Feng immediately asked.
"Blood pressure is okay, it stands, no medicine!" The anesthesiologist hurried back.
A simple exchange of two sentences, but the operating room smelled a thrilling breath.
If the patient really has a pulmonary embolism, it is likely that the heart will stop.
But it's not that bad!
After more than an hour of hard work, the patient's left hip joint was successfully replaced.