latelenovela Chapter 479
Chapter 479
"There are pulmonary bullae that require surgery..."
When my mother heard this, her face turned pale.
After surgery, wouldn't her daughter have to suffer a lot?
"Doctor Lin, is it caused by falling?" Mom asked in disbelief.
"Not necessarily, maybe it was there before... Did she have a cough or something before? "
When my mother heard this, she suddenly became bitter.
"Yes, she has always had asthma..."
"Then this bulla should have existed before... If the diameter of the bulla is small, it will not cause any symptoms and is not harmful to the human body, but your child's bulla is a little big, and it is close to the outer layer, and there is a risk of rupture causing spontaneous pneumothorax, so it is best to remove it surgically..."
Removal of the bullae, this surgery is not difficult.
No need to open the chest sawbone, only need laparoscope, through several rib gaps, open 2 holes (observation hole + operation hole).
The surgical process can be popularly said that the alveoli can be imagined as balloons, the root of the balloon is cut off, the root is sutured, and then the discarded balloon is taken out of the body, and then the ventilation is tested, the test is passed, the suture is withdrawn, the surgical hole is closed, and the operation is successful.
arranging admission,
Surgery after 2 days...
......
......
3 km away, a certain house.
A quarrel over the house, going on.
One side is the old parents and daughters of the homeowner, and the other side is the son, daughter-in-law and parents-in-law.
The reason was because the son, without his father's knowledge, was ready to sell the house so that he could sell the marriage house.
Father was furious.
When his son got married, when the old parents were kicked out of the house, he endured it for his son.
The son took his father-in-law and mother-in-law to live, and when the dove occupied the magpie's nest, he also endured it for his son.
Well, now, my son actually concealed that he wanted to sell the house!
This is his old book!
"When I lived for you, I was a wedding house, and now I am still behind our sellers, and you still have my parents in your eyes."
"Lao Guan, when you gave up the house as a marriage room, the whole family was there, you were the head of the family, now don't regret it... You are now going to drive away the intermediaries, buyers, you make our family embarrassed. "
"I'm the owner of this house, when did I let you not sell? You guys are stealing! Get me out now! "
"In-laws, everything is for the children, or else, you ask your son... Lei Lei, tell your parents if we are kind! "
"Lao Guan, when the two of us met, I said that I wanted Lei Lei to be the son-in-law, and it was you who wanted face to get to this point... Lei Lei, now you make a decision, if this house is not sold, our two families will be cut off from now on! "
After speaking, father-in-law and mother-in-law, turned around and left.
When the son saw it, he was anxious and hurried to catch up.
Boom~~
Kneel directly with your legs.
Take the hands of your father-in-law and mother-in-law.
"Sell, I call the shots of this house, sell!"
When the father saw his son like this, he was so angry that his heart ached on the spot.
"You unfilial son, I have never seen you kneel for me..."
However, the son ignored him and chased his father-in-law and mother-in-law all the way out.
Father saw this,
Angry and attacking.
Covering his heart, he fainted directly in pain.
Fall to the ground.
"Dad~~Dad~~~~"
The daughter shouted anxiously, not waking up.
Quickly call 120 and call an ambulance.
After making the call, I quickly went to find antihypertensive drugs and fed them to my father.
Then called his sister: "Dad fainted, maybe he had a heart attack..."
After 10 minutes,
The 120 ambulance arrived, and the doctors and nurses carried him to the car and rushed to Harmony Hospital.
......
Harmony Hospital.
Emergency Department.
Lin Feng is seeing a patient who has undergone a total gastrectomy.
Male, 32 years old,
Because malignant cancer cells at the front of the stomach spread, a total gastrectomy was performed one month ago.
That's right
The stomach can be cut off entirely.
It is not a necessary organ like the heart and lungs, but can be cut off.
However, the side effects of gastrectomy are not small, and usually lead to many lifestyle and eating changes, as well as some adverse reactions.
For example, oral medications:
Ordinary solid preparations such as tablets and capsules usually need to disintegrate and dissolve in the stomach acid environment and then reach the intestine for absorption, but in the absence of the stomach, they can only be crushed, dissolved in liquid, and then swallowed.
In addition, there are problems with swallowing:
For normal people, the stomach can hold 2L of drinking water, partially digest before entering the small intestine, and gradually enter the small intestine in small amounts. After the stomach is missing, the food directly enters the intestine without any digestion, and when the intestine is difficult to accept this kind of eating, not only it becomes difficult to enter the intestine, but also more difficult to digest, and the loss of nutrients will be serious.
In response to this situation, doctors often prescribe some drugs to accelerate bowel movements, which should be taken 20 minutes before meals.
And the patient in front of you,
The condition is heartburn.
The patient was in pain: "Right now, I feel that here (in the middle of the sternum) I feel burned and very uncomfortable..."
Lin Feng said: "This is a very normal phenomenon, because after food enters the intestine, the human body will begin to secrete digestive juices and bile, which will lead to the reflux of digestive juices in the small intestine, and without the stomach as a transit station, acidic digestive juices will directly reflux into the esophagus, and finally lead to inflammation." "
Patient: "So what to do?" "
Lin Feng: "When you have heartburn, you can eat some warm drinks, or snack biscuits, which can neutralize it... If necessary, you can be prescribed a medicine, enamine, a medicine for knots and cholic acid, and take half a tablet 20 minutes after each staple meal, also before going to bed..."
The patient thanked in distress.
Then took the medicine list prescribed by Lin Feng and went to pay.
Just as Lin Feng was preparing for the next patient,
The nurse from the nurse's station ran in.
"Dr. Lin, there is a suspected myocardial infarction patient, is coming over in the 120 ambulance, the director said to let you come and pick up..."
"Myocardial infarction? Okay, leave it to me! "
This disease is more urgent.
Lin Feng did not dare to slacken, and soon arranged to pick up people and prepare...
......
After 6 minutes,
120 ambulances felt at the emergency door.
"Tail number 543, it's this car!"
"Quick!"
The ambulance door opens,
The doctor inside jumped out and then pushed the patient out, the bed went to the floor, and the tripod was lowered.
"Doctor Lin!"
The patient's family was pleasantly surprised when they saw Lin Feng.
Lin Feng was serious: "What is the situation of the patient?" "
The doctor who accompanied the car quickly said: "The patient is 63 years old, the patient has a history of coronary heart disease (coronary atherosclerosis), and a history of hypertension, because of anger, and blood pressure is elevated, it is not clear what the situation is, but the electrocardiogram shows myocardial infarction, coronary artery blockage, arterial trunk lesions, etc., which is very troublesome..."
Lin Feng's face changed.
"Show me the electrocardiogram..."
The ambulance is on the way and has already pulled the electrocardiogram, which is what such a patient must do.
"This is an electrocardiogram..."
Lin Feng looked at the electrocardiogram.
Mess!
Very bad!
"Quick, send to the CT room!!"
It is too late to send to the rescue room, in this case, it is best to go for an enhanced contrast CT as soon as possible to see what is going on in the blood vessels inside.
"Contact the operating room and, if necessary, do the surgery immediately!"
......
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