latelenovela Chapter 312
Chapter 312
"Lie down first..."
Lin Feng called outside, and then returned to the consultation room.
Quickly instructed the young patient to lie down first.
Patients with myocardial infarction have died of the heart muscle because the heart is blocked.
That naturally requires reducing the workload on the heart.
Lying flat, on the other hand, is the method that has the lowest load on the heart.
If the person is standing, then the heart needs to overcome the huge blood gravity, and the heart load is the greatest.
The young patient quickly lay down.
He panicked a little.
"Doctor, what's my problem now?"
"Small problem, you don't move, don't get emotional, breathe a little calmer... You know? "
"But I'm even more panicked like this..."
“............"
"Lie down, calm yourself down, yours is a minor illness, and you'll be fine after it goes through ..."
Lin Feng did not dare to speak to stimulate the patient.
The patient nodded repeatedly: "Okay, okay..."
soon
The patient left the emergency department all the way and was pushed to the imaging CT room...
......
Lin Feng judged that it was a myocardial infarction,
There are three general treatments:
Use of drugs, dilation of blood vessels...
Thrombolysis...
Interventional surgery (balloon dilation, or stent surgery)
In general, "thrombolysis" will be excluded.
Because the side effects of thrombolysis are very serious, it is easy to cause bleeding everywhere, especially cerebral hemorrhage, which is easy to be fatal.
So
As a last resort, thrombolytic methods must not be used.
And interventional surgery,
Compared with thrombolytic therapy, interventional therapy has a higher rate of vascular opening, a wider range of indications, and fewer bleeding complications.
Therefore, for patients with acute myocardial infarction, it is recommended to give priority to interventional treatment.
Of course
The disadvantage of interventional surgery is that the cost of treatment is high.
Therefore, if the patient's condition is not serious, the first method is still chosen: drugs to expand blood vessels.
So
At present, the most important thing is to judge whether the myocardial infarction of young patients is serious and how serious it is.
Push into the CT chamber,
Do Enhanced CTA...
......
10 minutes later...
The results are out!!
Myocardial infarction, OK!!
A large coronary artery, blocked!
After Lin Feng saw it, he was a little surprised.
This blockage is a bit serious!
What does this patient usually eat? There is such a large vascular stasis.
Moreover, Lin Feng looked at the degree of blockage and needed interventional surgery as soon as possible...
......
Next
Push into the interventional department, to do "balloon dilation" surgery.
"Balloon dilation": A balloon (not inflated) is inserted into a blood vessel to block the road section with a guidewire catheter, and then inflated, pressing all the accumulated material around the blood vessel wall to expand the blood circulation channel.
It is mainly suitable for some vascular lesions that cause distal ischemia due to local narrowing of arteries. Common are coronary arteries, lower extremity arteries, brain arteries...
Young patient: "Dr. Lin, where are we going?" "
Lin Feng: "Go to the operating room... What about your current illness... Don't get excited yet... Stabilize your emotions... Your disease is that there is a blocked artery in the heart, and now, I want to open this blood vessel for you... Do you understand? "
The young patient was flustered: "Do you have to have surgery?" "
Lin Feng: "It must be... But you don't have to be afraid, you don't need anesthesia, just make an opening in your arm, then stuff a line, go all the way to the heart, take a breath, and then come back..."
The young patient was confused.
So simple?
How is it like a joke?
"I've already passed with you, sign it..."
Lin Feng handed over an informed consent form.
Young patient: ".................."
But he was desperate and quickly signed.
......
Advance the operating room...
Put on a lead suit...
Anesthetic: Lidocaine!
Anesthesia: Local injection at the radial artery of the right arm!
A hole is punctured in the radial artery in the right arm and then passes through the arterial vessel in the right arm
The young patient felt cold, and then it was gone.
Use a broken skin knife to make a small opening in the radial artery of your right arm ...
Then the puncture needle puncture ...
Lin Feng pulled out the piercing needle and followed the piercing guidewire...
Lin Feng is familiar with this operation, familiar as eating and drinking.
Contrast guidewires, contrast catheters enter the blood vessels through the outer sheath that has just been placed...
Complex blood vessels.
Lin Feng operated the guide wire, passing through little by little...
From the radial artery of the right arm, through a slow path, winding to the destination, the coronary orifice.
Then, push in the contrast agent...
Contrast machine (X-ray) angiography...
The shape of the blood vessels of the young patient is clearly visible.
Find that blocked blood vessel...
That is, the culprit of myocardial infarction!
Pull out the contrast guidewire, contrast catheter...
Put in the guidewire...
Then along the guidewire are put the balloon (unopened) ...
When the balloon reaches the blockage, it is stamped with a pressure pump.
The balloon opens...
Will the blocked road section, squeeze out ...
Not once, open a few more times...
Until a big road is opened...
Withdrawal of balloons, guidewires ...
The blood flow began to circulate officially ...
The entrance to the radial artery, pressing to stop bleeding...
......
Half an hour later,
End of surgery.
Young patients are pushed out of the interventional operating room...
Young Patient: ".............................. Surgery completed? "
Confused!
Lin Feng: "What else do you want to do?" Give you a knife? "
The young patient quickly shook his head: "No need, no need..."
Lin Feng: "Call and let your relatives come over, next, you have to stay in the hospital for a few days to see the situation... For three days, lying in bed, unable to stand..."
Young patient: "Okay, okay..."
Hospitalization.
Lin Feng prescribed the patient "nitroglycerin" to expand blood vessels, "bisoprolol" to reduce myocardial oxygen consumption, "aspirin" for antithrombosis, and the lipid-regulating drug "atorvastatin"...
......
......
Midday.
Several young doctors in the emergency department,
Make an appointment to go to an Internet celebrity pastry and have lunch.
"Doctor Lin, go..."
"Go..."
The noodle shop is close,
People walk for 20 minutes,
Came to an Internet celebrity noodle shop in Peng City.
"Brother Feng, now this noodle restaurant is popular on the Internet, my appointment is only scheduled a week in advance, it is said that I can often meet Internet celebrities with millions of fans to eat noodles here!"
Resident doctor Zhou Dehua enthusiastically introduced Lin Feng.
Zhou Dehua, in his own words, is the combination of Zhou Rifa and Liu Dhua, handsome and compelling.
He used to be a school grass at Peking University, and then he studied for a Ph.D., and then became a regular training officer at Harmony Hospital.
However, he was very enthusiastic about Lin Feng, because he knew that his strength was worse than Lin Feng.
He is older than Lin Feng, but they all call Lin Feng 'Brother Feng'.
"When will you become a leek, a million Internet celebrities, brother and I are 40 million Internet celebrities, why haven't you seen enough?"
Lin Feng glanced at the environment around him that was not very atmospheric, and couldn't help but quip.
Everyone was seated.
"Hey, it's Dr. Lin!"
When the boss saw Lin Feng, he was overjoyed.
Quickly ran over and greeted Lin Feng personally.
"Doctor Lin, come, this meal!"
Heroism!
The doctors were shocked.
"Wow, and this good thing?"
"I knew I brought Dr. Lin over earlier..."
"Regret ah~~~"
Doctors have consumed a lot here, beating their chests!
The appearance of Lin Feng also attracted the attention of many diners.
"It's Dr. Lin!"
"I have seen Dr. Lin, and it is very powerful..."
"Wow, first time real person, so handsome!"
They all looked over.
Lin Feng popular ·jpg~~~
Other young doctors are called an envy...
Why is he not as handsome as Dr. Lin?
Not as popular as Dr Lam?
soon
"Here it comes!"
The boss came over and brought the store's signature pork bone noodles.
Lin Feng took a sip of thick purine, well, the taste was not bad...
Then
There was a loud noise outside the door.
"Let one, let one!"
Saw
A stylishly dressed young man walked in surrounded by several bodyguards.
There was also a photographer holding up a camera in front of him.
"I heard that the owner of this noodle shop said that as long as anyone who can challenge their giant tonkotsu ramen in ten minutes, they will get a chance to get a lifetime free order!"
"Here, let's teach the young boss a lesson!"
Mighty......
Walked in!
The noodle shop is big, so it's not crowded.
"Lying groove, that's not Xiao Yi's classmate, the Internet celebrity with four million fans on the funny voice eats the broadcast!"
"I didn't expect to see a real person today, and sure enough, there is no false propaganda in this store!"
...
After recording the first segment,
The young man was not far from Lin Feng and sat down.
"Brother B, your body is getting worse and worse, or try to eat and spit it, and then edit it later." The assistant on the side asked with a bit of worry.
"Nope!"
Internet celebrity Xiao Yi shook his head: "How difficult it is for fans to fool now, there was an UP owner before, analyzing my videos frame by frame, and almost planted in his hands." I'm open, you help me prepare the emetic, it's really not good, I'll make an excuse to go to the toilet, otherwise it's too fake! "
The Internet celebrity frowned.
Lin Feng couldn't help but sigh as he listened.
These Internet celebrities, in order to make money, are really enough to fight.
"Boss, I heard that your specialty here is giant pork bone ramen, and three hundred times the spicy hand-rolled noodles, what if I finish eating?"
The Internet celebrity said with a smile in front of the camera.
"No one has ever been able to finish eating, if you can't finish eating, you will obediently pay for it, if you finish eating, I will give you a lifetime free order!"
The boss cooperated quite tacitly, presumably this kind of thing was not done less.
"The old rule, the first bite of the fan eats first!"
The Internet celebrity picks up a chopstick of ramen from the bright red noodle soup and then reveals his signature smile.
Looking at the three hundred times spicy ramen, Lin Feng felt that the air was a little spicy across a booth.
"Brother Feng, how much money do you say this Internet celebrity can make, so fight, is the three hundred times spicy noodles that people can eat, or I will change my career to become an Internet celebrity?"
Zhou Dehua suddenly forgot that he came to eat noodles, and his attention was on the Internet celebrity.
Lin Feng can only shake his head helplessly, anyway, he didn't earn a penny from fans, but this should earn a lot, look at those Internet celebrities are all luxury cars and villas.
After the first bite, the face of the Internet celebrity was directly red to the root of the ear, and fine beads of sweat appeared on his forehead, but he still endured it in front of the camera and ate several large mouthfuls one after another.
"That's it, just this can also be called three hundred times spicy, I feel that it is only so, let's continue!"
I finally finished a bowl of noodles, and looked at the embarrassed and uneasy appearance of the Internet celebrity, and it was even a little funny.
The next moment,
The Internet celebrity gritted his teeth, took the noodle soup, and poured it into it abruptly.
As the photographer shouted, the Internet celebrity couldn't sit still and ran towards the bathroom, only to run out of the bathroom after a full twenty minutes.
At this time, Lin Feng's noodles were also served on the table.
"Let's challenge this giant tonkotsu ramen!"
A bowl the size of a basin occupies most of the table.
The net celebrity worked hard for half a pot.
"It seems that this kid really has two brushes, and this half of the noodles is enough for me to eat for a day or two, but the human stomach capacity is limited, and I don't know how to practice it!"
Zhou Dehua instigated a mouthful of noodles and continued to look at the Internet celebrity.
I saw the Internet celebrity knock on the table and signal the photographer to pause shooting,
"I went to the bathroom first, thank you for your support, I always want to go to the toilet when I drink too much of this soup."
The Internet celebrity got up and bowed to the onlookers, and then walked towards the toilet.
"Help!"
There was a sudden exclamation in the toilet, and then the assistant of the Internet celebrity ran out.
"Hurry up and call 120, Brother B can't do it!"
The assistant urged several staff members.
Clear~~~
Lin Feng and the other doctors stood up abruptly.
The face is serious.
As a doctor, you are particularly sensitive to this.
Lin Feng rushed towards the toilet, followed by Zhou Dehua and other doctors.
Previously, Lin Feng looked at the dark spots on the face of the net red that could not be covered with powder, and knew that this person's body was extremely poor.
Come to the bathroom,
I saw the Internet celebrity lying on his back on the ground, convulsing uncontrollably, and the corners of his mouth dripped out of the gastric mucus mixed with food to the extreme.
Lin Feng squatted,
View.
"Severe stunning... Combined with the fact that he ate something so spicy, it may be a massive gastrointestinal bleeding..."
"If you delay any longer, you may still be in shock..."
Lin Feng made a preliminary judgment after checking the Internet celebrity.
"Go, who has a car? Send to the hospital! "
"Doctor Lin, I have a car ~~~"
一个食客的喊道，那是一个被林风‘救过’的人。
At this moment, lend a helping hand.
soon
Everyone got into the car and rushed to Harmony Hospital.
......
Live room.
It's already a fryer at this time!
Countless live broadcast viewers talked about it.
"What happened?"
"It seems that Brother B had an accident..."
"I seem to have seen Dr. Lin!"
"I saw it too..."
"It's like... Brother B, fell to the ground and was sent to the hospital..."
"Something went wrong!!"
.