latelenovela Chapter 158
Chapter 158
At this time, Lin Feng still didn't know what others thought.
His eyes were glued to the ECG monitor.
Adjust the dosage at any time.
After 30 minutes...
CVP (central venous pressure) is high and BP is low.
Lin Feng: "The rehydration is overdone, reduce the drip rate by half, use diuretics..."
10 minutes later...
BP (blood pressure) returns to normal levels.
Lin Feng shouted: "Continue to reduce the drip rate..."
The nurse performed quickly.
After 10 minutes,
CVP is still high, but BP is normal, indicating vasoconstriction.
Lin Feng: "Push another 30mcg of dopamine (vasodilator)..."
The nurse proceeds.
......
Just in the constant hustle and bustle...
1 hour later...
The physical data of the elderly, blood pressure, central venous pressure, pulse rate, urine output... Returned to normal levels.
The patient's expression also changed from dull to sober and quiet.
The fingers and lips turned from pale to rosy, and the limbs changed from wet and cold to warm.
Lin Feng breathed a sigh of relief.
Shock!
Steady!
However, Lin Feng did not dare to go, because he just stabilized, not solved, as long as the acute peritonitis in the old man's body has not been solved, he may go into shock at any time.
At this time, the provincial leader walked in front of Lin Feng and looked at Lin Feng with a smile:
"You are the rescue student of that accident at the East Railway Station more than a year ago-Lin Feng?"
"Good leader, I'm Lin Feng. "
"Not bad, not bad..."
The provincial leader patted Lin Feng's shoulder and said happily.
In fact, the moment Zhang Lao was in shock, the leader realized that he was negligent in his work, and he only called the oncologist of the imperial capital, but he did not call doctors from other departments to come over, so that no one could control Zhang Lao when he was in shock.
If an old life is really gone, in addition to feeling guilty in his heart, I am afraid that he will be criticized from above.
Fortunately, Lin Feng appeared and controlled the shock in time!
And it just so happens that the leader has heard Lin Feng's name, a total of two times, once in the accident, once in the national college clinical competition, that competition Lingnan Province has never won the championship, this time to win the championship naturally made the leader of Lingnan Province have a light on their faces.
Therefore, I have another impression of Lin Feng.
Lin Feng didn't know this, so he was a little surprised, the big leader actually remembered himself?
......
2 hours later...
With a car, it kept driving into the county hospital.
The county hospital began to lively.
One by one, the doctors who arrived from the provincial duck hospital quickly got off the bus.
All of them are at the level of chief physicians, and most of them are department heads or above.
The chief physician of the Department of Gastrointestinal Surgery, Zhang Fan, also happened to come.
In addition, there are a large number of equipment, ECMO machines, interventional equipment, contrast machines, laparoscopic equipment... Being kept moving down.
Great battle!
At this time, Lin Feng just came out of the operating room, breathed and rested.
Then, he saw the familiar Zhang Fan.
"Hey, Lin Feng!"
"Lao Zhang!"
Zhang Fan was surprised: "Lin Feng, why are you here?"
Lin Feng: "The dean went to the first court of the city and recruited me as the vice president..."
Hissing ~~
Zhang Fan gasped: "This dean is so courageous, you are only disciplined, he dares to hire you as a vice dean?
Zhang Fan has seen this kind of external recruitment, but it is the first time that Gui Pei has seen it as a vice president.
Lin Feng: "30 days, 500,000..."
Zhang Fan: "........."
Shocked,
I almost wanted to cry!!
Lin Feng: "What's wrong?"
Zhang Fan cried miserably: "Do you know how much my annual salary is when I go to a hospital in Guangxi to hire outside?"
Lin Feng: "Don't sell it..."
Zhang Fan cried poor: "It's also 30 days, and the annual salary is 400,000... It's even lower than you!"
Lin Feng patted him on the shoulder: "It's okay, I'll treat you to a food stall later... Comfort you..."
Zhang Fan: "It's just a food stall..."
Lin Feng: "In this county, what can be delicious? It's not right, I heard that there is a shop for pit fish, which is very sweet..."
Zhang Fan: "Let's go eat when we have time..."
At this moment,
An old director shouted, "Zhang Fan, what are you doing... It's a meeting..."
Zhang Fan: "Okay, here it comes!"
Consultation, here we go!
Gather experts from Duck University Hospital to see if you can solve this disease.
In fact, not only the doctors of Yada Hospital, but also three top experts in gastrointestinal and cardiac countries arrived overnight by plane from the imperial capital, but it would take at least 5 hours to get here.
It can be called: the heroic meeting!
......
......
An hour later,
A variety of more detailed examinations, out!
The general consultation also officially began.
"Lin Feng, why are you lazy?
The leader of the province saw that Lin Feng wanted to sleep lazily, and quickly stopped him.
The leader liked Lin Feng very much.
So let Lin Feng, a little doctor, go to the consultation, and then increase his knowledge and experience in the ocean of knowledge taught by many experts.
It would be better if the old doctor from the Duck University Hospital valued him as a student.
Cultivate the forest wind!
Well...... The leader also thought that Lin Feng was a newcomer.
Lin Feng sweated wildly, embarrassed to say that he wanted to sleep and rest, after all, he was busy for 15 hours without rest.
"Thank you, leader..."
Then enter through the back door of the conference room, find a corner, and prepare to keep a low profile Voldemort.
outcome
When Zhang Fan saw Lin Feng, he shook his hand and shouted: "Lin Feng, come here... There are empty seats here..."
Suddenly
All the experts and professors looked over.
I'll go!
Good boy!
Lin Feng: "........."
I want to keep a low profile and go to sleep...
Lin Feng looked helpless, and in the countless light, he came to Zhang Fan and sat down.
soon
The General Assembly Clinic has officially begun!
The old director of the gastroenterology department of Duck University, as the keynote speaker, took the results of Zhang Lao's various examinations and began to talk.
"What Zhang Lao is currently suffering from is secondary peritonitis, which causes the bullet to detach from the original wrapped tissue and perforate due to the impact, resulting in the penetration of exudate containing bacteria and toxins into the abdominal cavity, and serious infection of the anterior and posterior walls of the abdomen. "
"Puncture examination found Escherichia coli, anaerobic bacteroides, streptococcus, Proteus, mixed infection, and severe toxicity. "
"2 hours ago, there was a shock, which is to praise Dr. Lin Feng, who controlled Zhang Lao's shock and bought us time..."
Lin Feng was once again under the spotlight.
Many doctors recognized Lin Feng at this time.
"It turned out to be him!"
"I also remembered, I just said how the name Lin Feng is so familiar..."
Last time, Lin Feng went to the Provincial Duck University Hospital and did an operation for acute pancreatitis, and the operation video became the teaching video of the Provincial Duck University Hospital.
Because the operation is very powerful, it has left a deep impression on many surgeons, and the main surgeon of this operation is this Lin Feng.
"So young?"
"I'm going, so young, so powerful!"
Many surgeons who have seen the operation video, their gaze at Lin Feng at this moment has become different.
From 'looking at the new' to looking at 'peers'.
The old director continued: "At present, Zhang Lao's body is still in water and electrolyte disorders, plasma protein reduction, anemia, pus immersion to form paralytic intestinal obstruction..."
......
Half an hour later...
Old Director: "Most of the conditions have been introduced... Next, let's discuss the surgical plan... Everyone expresses their own opinions, don't be too restrained..."
Then, one by one, doctors began to speak enthusiastically:
"I made an assessment and felt that it was necessary for Elder Zhang to have an operation..."
"I think, let's try the drug treatment first to see if it can be controlled, the current old gentleman is 95 years old, I'm afraid it's not suitable for surgery..."
"95-year-old is actually not inoperable, there are people in the imperial capital who have tried several cases of abdominal cancer removal surgery for ultra-elderly elderly people, an 81-year-old patient with sigmoid colon cancer with Parkinson's disease, a 70-year-old rectal cancer with asthma, and an 80-year-old colon cancer with severe diabetes..."
"That's the imperial capital, we haven't tried it yet, it's very risky..."
"Yes, from a medical point of view, the radical treatment of elderly patients is not necessarily very difficult, but because elderly patients are often accompanied by various chronic diseases, it increases the difficulty and risk of surgery. "
"However, without surgery, the first acute peritonitis control is difficult, and the second recurrence is very likely..."
"I still don't agree with the operation, just to be safe..."
soon
The focus of the conference room is on whether to do surgery or not.
Done: Old, risky!
Do not do: difficult to control, because the lesion is still there, and it can occur at any time!
As for oncologist Director Zhou Jianguo... He himself has never been such an elderly man, he can handle that bullet + wrapped tissue, but the accompanying peritonitis exudate, he can't handle it.
discussed for an hour,
Duck University Hospital did not dare to make a decision!
Very stressful!
Then report to the big leader.
When the big leaders heard this, they also did not dare to make a decision ...
It's also very stressful!
"Or, wait until the surgical professors of the imperial capital arrive here and listen to their opinions..."
"I agree..."
"I agree..."
......
And at this time,
The doctors found a troublesome thing:
Over time, Zhang Lao's acute peritonitis was not effectively controlled, but became more serious.
More exudate, carrying various bacteria, invades all parts of the abdominal cavity, making the condition worse.
"Do your best to drag!"
"The professors are still in the imperial capital, and I heard that they were blocked on the viaduct..."
"It's been 3 hours, and it's still stuck in traffic..."
The big leader is simply angry and anxious ...
。