latelenovela Chapter 518
Chapter 518
The diagnosis is clear!
The patient is an infectious endocarditis, nailed down, the evidence is conclusive!
She's not a blood disease, she's a heart disease.
She had recurrent fever because of an infection with this heart valve.
As for why do I have bone pain all over my body?
Because this infection activates the body's immune response, causing inflammation in many joints, patients will have pain in the bones around the body.
Then they misled their emergency colleagues, who once thought it was a blood and rheumatic disease.
But
Although the diagnosis is clear.
But the patient is still dying!
Low blood oxygen, low blood pressure, heart failure, pulmonary edema, inflammation...
To solve this, we need to solve the source of everything - the infection of the heart valve.
"Only surgery!"
"Replace the heart valve for the patient..."
But
It's still a bit difficult to do surgery now.
On the one hand, there is no water fasting, there are risks.
On the other hand, the risk of surgery is extremely high, the patient's current heart function, such blood pressure, raised to the operating table, really afraid that it will not come down.... Maybe you can't even pass the anesthesia level.
I have managed several such patients before, and the family did not agree to the operation, and in the end they all failed.
But!
Now the patient has cardiogenic shock, septic shock, and does not do it for sure death!
If you have surgery, there is a glimmer of life.
And
You can also try to do ECMO...
"The families are there, right?"
"In..."
"Talk to the family, go to the operation, get the family to sign ... Of course, you must also make it clear to the family that this operation is relatively risky, and the patient is in a weak state at this time..."
"Yes... Dr. Lin, are you here for this surgery? "
"Yes, I'll come... Find a doctor outside your heart and delay time..."
"Okay."
"Contact the ICU... If the operation is successful, send them to the department and ask them to borrow an ECMO..."
"Yes."
Lin Feng decided,
Other doctors complied.
soon
Doctors from the medical department and emergency department formed a preoperative interview team and fully communicated with the patient's family.
"Do I have to have surgery?" The patient's family was hesitant.
"Yes, surgery is a must... Without surgery, I'm afraid I won't survive for a few days..."
Explained for ten minutes,
The family called home and talked for ten minutes...
Finally, on the surgical consent form, the name was signed.
"I believe in Dr. Lin's strength and hope to save my mother..."
The patient's son, so said.
······
The emergency department sit-in work, Lin Feng temporarily stopped.
15:00 pm,
From the surgical schedule of other departments, a vacant seat was squeezed out.
Pushed the patient into the operating room.
In the operating room,
Lin Feng first arranged anesthesia and so on, and then got on the ECMO machine...
Open chest...
Stopping fluid...
Low temperature...
Cut open the heart...
Replacing heart valves...
1 hour...
2 hours...
······
Outside the operating room,
The patient's son and husband stood outside the operation door, pacing back and forth without saying a word.
Of course they are nervous.
The live assistant was also outside the door, holding up his mobile phone.
The live broadcast audience fell to more than 10 million, was bored waiting for the operation, and then fell to more than 3 million...
After 3 hours,
Live viewers began to pick up, returning to more than 20 million.
"Is the operation over?"
"It should be soon, it's been 5 hours..."
"Is the operation difficult?"
"With the knowledge of the surgeon, I tell you that this operation is quite difficult, not only the patient is too fragile, but the difficulty of the operation itself is also very high..."
"Waiting to come out..."
······
I waited for more than half an hour, which was 20:45 in the evening...
The door to the operating room, open!
Lin Feng and the others pushed the comatose patient out.
No white cloth.
The patient has a thick gauze dressing on his chest, as well as pericardial and mediastinal drainage vials with bright red blood inside.
All this hints that the patient came out alive!
"Congratulations, the operation was successful, but the patient needs to be sent to the ICU..."
The family, after hearing this, immediately jumped with excitement.
Live Broadcast Room:
"Doctor Lin, Niu Niu Niu!!"
"God forever!!"
“666~~~"
Countless compliments and rewards poured out.
Soon the patient was pushed to the ICU.
Lin Feng explained the nursing attention points to the ICU, and then left work.
······
The next day,
Lin Feng goes to work during the day.
As soon as the live broadcast room started, the number of people rose to more than 36 million.
"Sit and wait for Dr. Lin's rounds..."
"I don't know how the heart patient was last night..."
"I came to see the surgical patient from yesterday..."
“······"
As the audience wished, Lin Feng came to the ICU to check on the operation patients last night.
"Doctor Lin!"
"Doctor Lin!"
The doctors and nurses of the ICU greeted Lin Feng one after another.
Lin Feng: "That patient last night, how is it now?" "
Dr. ICU said happily: "Dr. Lin's operation is very powerful, the patient recovered very well, he woke up at 2 a.m., and then we gradually reduced the dose of vasopressor drugs, and half an hour ago we checked the arterial qi and blood, and the respiratory oxygenation function improved significantly." "
Lin Feng was surprised: "So fast? "
I came to the patient's room, checked the patient's condition, and found that the patient was indeed recovering.
"It is estimated that the ventilator will be removed tomorrow..."
Lin Feng estimated.
Leaving the ICU,
Lin Feng met the patient's son who had just arrived from the hotel.
"Doctor Lin, how is my mom now?"
"Your mother is recovering well, maybe she can get through this..."
At this moment,
The son cried directly, bursting into tears.
"Thank you Dr. Lin, thank you Dr. Lin!"
Audience in the live broadcast room: "Dr. Lin is awesome..."
......
......
Lin Feng returned from the ICU to the emergency department.
Just walked through the emergency door,
Then I heard "grass!" from the other side of the ward. The doctor called loudly.
"Come on!!"
"Heartbeat stopped!!"
"I said don't get up, don't get up... It's okay now..."
Lin Feng heard the doctor Zhang Cun's scolding.
The sound is very loud.
Apparently already emotional to the point of blowing up the lungs.
Then I saw some doctors and nurses quickly entering and exiting the ward.
Lin Feng: "............??" "
What happened?
Out of curiosity, Lin Feng couldn't help but walk over.
And then I saw the middle bed in the ward.
A middle-aged man in his 40s was lying on the bed.
The ECG monitor has pulled irregular compression lines.
Then the doctor Zhang Cunzheng kept cursing and cursing, constantly pressing, sweating profusely, and tears flowed from the corners of his eyes.
。