socalfunplaces Chapter 210
Chapter 210
orthopaedics
Inpatient department, orthopedic ward area.
"Did you come to me on purpose again?"
Lin Feng looked at his father Mr. Luo, whose eyes were red, and the little baby who was covered in yellow, and couldn't help but rub his eyebrows.
This is the first time I have to see myself?
99 times?
100 times?
People are afraid of being famous, pigs are afraid of being strong.
Now many patients want to find Lin Feng by name, feeling that their illness is very serious, and they can't get it without Lin Feng.
As a result, many times, these serious patients are some minor illnesses with cold and fever.
"What's wrong with your daughter?"
"My daughter is now 'Hitlin Protein Deficiency'!"
"Hitlin protein deficiency?"
Lin Feng suddenly became serious.
Unexpectedly, only one patient was sent away this morning, and now there is another case.
What a coincidence!
Mr. Luo saw Lin Feng's reaction and was happy in his heart: Sure enough, Dr. Lin knew about this disease.
"Come, go to the disposal room..."
All the way to the disposal room.
Put your baby on the bed.
Lin Feng untied the baby's clothes, the baby did not cry, giggled at Lin Feng, and had two dimples.
Lin Feng was happy: "The baby is quite cute..."
Mr. Luo: "Maybe it's because Dr. Lin is too handsome. "
Lin Feng suddenly laughed.
Untie your baby's clothes and get into the eyes a yellow color.
Lin Feng suddenly became serious.
A bit serious!
Many times more serious than the baby's eyes today.
Even the eyes turned yellow!
Lin Feng was serious: "Did you do a genetic metabolism blood test, right?
Mr. Luo: "It was a genetic test that determined that it was "Hitlin protein deficiency". "
Lin Feng nodded.
What kind of gene test is actually a genetic metabolism test, a meaning.
"Which hospital did you have the test done?"
"Great Northern Hospital... Dr. Lin, Great Northern Hospital is too pitted, delayed my baby's condition, twenty days ago has been treated in Great Northern Hospital, the result was not found to be "Hitling protein deficiency", only to find out later, but my baby has become like this..."
Speaking of this, Mr. Luo was furious.
Lin Feng: "........."
The doctors at Great Northern Hospital are still very powerful, but "Hitling protein deficiency" is a bit rare, so it is understandable that they did not find it.
In a word, doctors are not omnipotent.
Even Lin Feng may miss or misdiagnose it.
But from the patient's family point of view, this act is simply a crime, a homicide!
Lin Feng was serious: "Show me the inspection report..."
Mr. Luo Mari took out the medical record bag, took out a medical record book, opened it, and inside were various carefully pasted checklists, in chronological order, all glued well, it was very comfortable to watch.
Lin Feng looked at the inspection report.
The brows gradually furrowed.
And the most recent check, this morning, the indicators are already very high.
The liver has developed symptoms of acute liver failure!
Great Northern Hospital's judgment is correct, it is the need for a liver transplant!
"Admit to the hospital, I'll write you the hospital note..."
Lin Feng knew that his condition could not be delayed, so he called Director Wu Zhengye of the Hepatobiliary Department and explained the matter again.
Director Wu Zhengye quickly agreed to be admitted to the hospital.
The patient was sent to the hepatobiliary department, and then Lin Feng gave medical advice, which was basically a program such as deep hydrolyzed milk powder, liver protection, and choleretic.
Besides
Lin Feng also did 2 things...
Liver transplant matching of relatives...
Cranial CT...
The first one, liver transplantation, is to do the matching, and the most likely is relatives.
That is because acute liver failure will lead to coagulation dysfunction and intracranial hemorrhage.
"Why do you have to do CT in the brain?"
Mr. Luo panicked.
Liver is liver, why do brain CT?
Lin Feng comforted: "It's okay, I'm just a little safe, now 17:00, it's time to leave work, I called the imaging department to work overtime, half an hour to get the results, I don't leave work first, I'll go to have a meal, come back just when the CT results come out..."
Mr. Law was grateful: "Thank you, Dr. Lin. "
Many doctors have to leave work when they leave work, and Lin Feng's attitude makes Mr. Luo very grateful.
Hold the baby, go for CT...
......
Half an hour later,
Fleeting.
Mr. Luo's wife, the baby's grandparents, and the baby's three-year-old brother all arrived.
Stay at your baby's hospital bed and wait anxiously.
At the same time, the nurse draws blood for the baby's mother, grandfather and grandmother to match the blood of liver transplantation.
Mr. Luo has already drawn blood and is waiting in the imaging department at this time, waiting for the CT results.
Lin Feng finished eating and returned to the hepatobiliary department again.
soon
Mr. Luo rushed back with the CT results, panting.
"Doctor Lin!"
Hand the CT film to Lin Feng.
Lin Feng put it on the light and began to look at it.
"Not good!"
Lin Feng's heart tightened.
CT results are not good!
Intracranial left temporal parietal hemorrhage!
Left and right temporal lobe cerebral edema!
The so-called cerebral edema refers to the pathological phenomenon of increased water and brain volume in the brain due to certain causes, which will lead to increased intracranial pressure and damage to brain tissue.
Lin Feng walked quickly to the hospital bed.
It is found that the baby is 'asleep' at this time.
Lin Feng shook a few times, but the baby did not react.
A chuckle!
"When did the baby sleep?" Lin Feng's voice was serious and urgent.
When my mother heard that Lin Feng's voice was wrong, she panicked.
"It seems to be... I fell asleep while doing CT... Dr. Lin, what's wrong with my baby?"
"Did you wake up halfway?"
"No, I slept until now... Dr. Lin, you're scared of me!" my mother's voice began to take on a crying tone.
Lin Feng frowned.
Fingers flicked the soles of the feet, no response ...
Flicked the earlobe, and did not react...
The baby is not 'asleep' at all, this is a loss of consciousness!
"Xiao Zhang!"
Lin Feng shouted loudly.
"Dr. Lin ~~~"
Xiao Zhang, a nurse girl who had just turned positive, walked over quickly.
"Call the brain department immediately, find a few surgeons, surgical nurses, to do the operation, I am the main knife..."
Surgery?
Brain science?
Bang~~~~
A bolt from the blue!
Mom and dad, grandparents, felt dizzy in their heads on the spot.
Grandpa and grandma, the two old people, even weakened their legs and fell to the ground.
"Dr. Lin, why do you want brain surgery?"
"Yes, Dr. Lin, what's wrong with my baby?"
"Woo~~~"
The two old people were in tears, and my mother was also crying.
Mr. Luo felt a heart-wrenching pain, he did not cry, but he held the baby and kept calling anxiously.
"Baby, wake up, wake up~~Don't scare daddy~~~"
The voice gradually turned into a crying voice.
In my mind, the baby's sweet smile and joyful giggles kept echoing.
Now he is unconscious...
......
soon
The baby was pushed into the operating room.
Brain doctors also rushed here, and there were seven or eight, all of them wanted to grab Lin Feng's first and second assistant positions.
Lin Feng explained to the family.
"The baby's current situation is a little unoptimistic, because of the problem of liver failure, resulting in coagulation dysfunction, so there is cerebral edema, cerebral hemorrhage in the brain, and now there is intracranial hypertension, and the brain needs to be opened..."
"Woooo
The baby's mother cried even harder now.
The heart is like a knife, and the heart hurts!
"My baby is so young that he should suffer this sin... Baby, mom sorry for you... Woooo
Lin Feng explained for a few minutes,
"The specific situation is like this, the condition cannot be delayed..."
Pass the Notice of Danger.
"Sign it..."
Mr. Luo wiped his tears and quickly signed his name!
"Dr. Lin, my baby, please!"
Lin Feng nodded,
Turn around and walk into the operating room.
......
operating room
Main knife: Lin Feng
First assistant, second assistant: brain doctor + instrument nurse + itinerant nurse
Onlookers: 5 people.
Condition: acute liver failure, severe cerebral edema, central respiratory failure, severe anemia and coagulation disorders...
Scheme: Left temporal parietal subdural hematoma removal + bilateral decompression of the bone flap + left costal arch flap implantation
General anesthesia first...
The operation begins!
......
The first stage,
First perform "left temporal parietal subdural hematoma removal"!
The first step, disinfection, drawing lines, staggered covering three layers of cloth,
The second step is to cut the scalp, periosteum...
The third step is to open the bone flap, dura mater...
The fifth step is to expose the surgical field of view, expose the location of the bleeding and swelling, suck the blood away, find the blood spot, and electrocoagulate to stop the bleeding... Make sure that all bleeding stops, all exuding blood is cleared...
The sixth step is to suture the dura mater, bone flap (fixed by steel nails), suture the periosteum, scalp...
End of the first stage of surgery.
Lin Feng is very fast, and the whole process is completed in 62 minutes.
......
The second stage,
Perform "Left Temporal Blade Decompression Flap"!
Here, it should be noted that according to many literature statistics, choosing a larger deboned flap area can reduce mortality and improve prognosis.
Therefore, Lin Feng opened a large open bone flap of 50cm2 for the baby.
The process is still almost repeated.
Step 1: Disinfect, spread the towel, cut the scalp, periosteum, drill to open the bone flap, dura mater.
And then......
Step 2: Suture the dura, suture the periosteum, scalp...
One note:
This process, without putting the bone flap in!
That is to say, the baby patient, at this time, the situation is that the left temporal lobe does not have a bone flap.
Why do you want to do this?
Because the cause of "liver failure" has not been cured, it may cause cerebral edema for a long time.
Lin Feng only took 30 minutes in this process...
......
The third stage,
Perform "Right Temporal Leaflet Decompression Surgery"!
It is the same procedure as left temporal lobe decompression of the bone flap.
Repeat the above procedure.
28 minutes to do...
......
The fourth stage,
Bone flap implantation!
Because the bone flap was taken out, it was not put into the baby's skull.
Therefore, the bone flap needs to find a safe place to keep it active.
The position chosen by Lin Feng is under the skin of the "left rib arch".
This operation is not difficult.
It's a bit cumbersome, cutting the skin, implanting the bone flap, suturing blood vessels, suturing the skin...
Come to an end!
This phase takes 48 minutes.
......
So far
All four stages of surgery, all completed.
There were no accidents during the operation, and the patient's physical condition was controllable...
Surgical closure,
Then push your baby out of the operating room.
Airplanes~~~
The operating room door opens.
The baby's family rushed over and looked nervously at Lin Feng and the baby.
Mr. Luo: "Dr. Lin, how was the operation?"
Lin Feng smiled: "At present, the operation is okay, and the patient's condition is temporarily under control..."
When the family heard this, they immediately breathed a sigh of relief.
Lin Feng: "Wait to send him to the ICU, you together, I want to tell you what to do later!"
"Okay, okay, Dr. Lin, you say!"
"I told you before the operation, in order to decompress the brain, so the baby's head has removed two bone flaps... So don't touch the baby's head at will, firstly, for fear of physical damage, and secondly, for fear of bacterial infection..."
Upon hearing this, the family cried and nodded again.
After all, the baby is only 3 months and 15 days!
But to face such pain.
Lin Feng instructed as he walked, and the family nodded one after another.
Soon came the ICU...
Check-in,
Told the ICU nurse how to do it again...
"I'm right in the dormitory, call me immediately if there is any emergency. "
This patient is more special, so Lin Feng will spend more energy here and quickly let the baby recover.
On the 3rd postoperative day,
The liver transplant matching results came out, and fortunately, the blood types of parents are worthy of the baby.
There is hope of giving your baby a liver transplant.
Next, Mom and Dad began the physical examination.
6 days after surgery,
The baby recovered well, removed the ventilator, reacted physically, recovered consciousness, and was very active to parents.
However, the baby's liver failure was already very serious at this time, and he completely became a "minion", with a total bilirubin of 635ummol/L, which was 26 times the high limit of normal.
If the liver transplant is not done in time, Britney will still not be able to escape the bad luck.
7 days after surgery,
The new matching results are out.
Lucky!
The mother's left outer lobe is very suitable for the baby (the liver is very strong for growth), while the father's physical examination is not suitable because of fatty liver!
At this moment,
Lin Feng breathed a sigh of relief,
The entire ICU and hepatobiliary surgery breathed a sigh of relief.
The medical staff who cared for the baby throughout the hospital also breathed a sigh of relief.
Next, Lin Feng began to quickly prepare for the operation!
The condition can no longer be delayed!
8 days after surgery,
The Provincial Health Commission approved and agreed to liver transplantation...
With the consent of the superiors,
Surgery, right away!
This operation can be said to have touched the hearts of the entire hospital medical staff!
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ps: The update ends today: 4700 + 4400 = 9100 words (I took the baby to play today, so there are fewer words, send book friends to kiss mua ~~~)
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