socalfunplaces Chapter 163
Chapter 163
"What's going on?"
Lin Feng rushed to the emergency door and came to the little girl in the flat car.
The little girl is about 2 years old, very small, her face is a little purple, and she feels that it should be an airway obstruction.
"Wow Wow~~~Mom~~~~Wow Wow~~~~"
The little girl kept crying, which made people anxious.
"Doctor Lin!"
After seeing Lin Feng, her face was overjoyed, and she grabbed Lin Feng's hand and begged,
"Doctor Lin, please save my daughter!"
"Grateful can tell me what's going on?"
"I don't know~~~~"
"???You don't know?"
Lin Feng's whole person was about to crack!
, it's all airway blocked, don't know what's going on?
"Your daughter has swallowed nuts, pushpins... Wait for little things like that?"
"Nuts... I remembered, 2 days ago, eating peanuts, my daughter coughed and choked many times..."
"2 days ago?"
"Peanuts?"
Lin Feng's face changed.
2 days ago, this time was too long, it is likely that the foreign body has left the main bronchi and fallen into the deep branches.
This can cause great trouble for doctors to remove foreign objects.
And peanuts!
More trouble than other nuts!
Lin Feng asked, "Is it a peanut with a skin? Or a peanut without a skin?"
The mother was stunned for a moment, she didn't understand the difference, but she still said: "With skin." "
With skin!
Lin Feng: ".................."
Now, it's even more troublesome!
Peanuts such a foreign substance, what is the trouble?
·1: Crushed peanuts are crushed, it will be difficult to find. (Of course, most of the broken parts do not enter the airway) (other nut foods also have this problem)
·2: Peanut skin, after entering the airway, on the one hand, it is difficult to find, on the other hand, it is difficult to remove this light, thin and transparent foreign body with surgical tools. Once the peanut skin blocks the small airway holes, it may lead to acute hypoxia.
The second point is the most troublesome!
Nuts such as peanuts are the most common snacks in the family, so families with small children try not to store these things in places where children can touch.
In addition, you must learn the "Heimlich First Aid Method" (divided into two methods: adults and children).
"Heimlich First Aid Method": a doctor named Heimlich invented a method that specializes in rescuing acute respiratory tract obstruction caused by foreign body causing breathing difficulties, and is currently one of the world's recognized effective rescue methods. The principle is mainly to impact the patient's upper abdomen, so that the diaphragm of the abdomen is rapidly raised, and the pressure in the chest cavity suddenly increases, thereby giving the airway an outward impact force, which can promote the discharge of foreign bodies infused into the airway.
"I'll try to see if I can shoot it first~~~"
Lin Feng picked up the little girl.
The plane hugs...
Head down...
Slap your back hard...
Shot seven or eight times, it didn't work!
"It should be deep inside, can't shoot it..."
At this time,
Dr. Zhang Yuan of the emergency department rushed over, nurse Xiaoli.
Zhang Yuan panted, "What's going on?"
Lin Feng shouted: "Swallowed a foreign body, I just tried the Heimlich first aid method, but it didn't work, maybe go deep below, quickly send it to the CT room to take a chest radiograph!"
...
10 minutes later...
Expedited chest CT photos were sent to Lin Feng and Zhang Yuan.
Chest CT: plaque-like density opacity in the right main bronchi, leaf-like blurred opacity under the left lung.
Airway inflammation and edema
"Laparoscopy..."
"Only laparoscope..."
......
emergency room,
The emergency department quickly prepared all the rescue drugs and equipment.
The anesthesiologist begins anesthesia induction.
Anesthesia: surface mucosal anesthesia, plus sedatives
Try your best to keep the little girl breathing on her own.
Linked ECG monitor, finger sleeve photoelectric sensor (the kind that clamps fingers, and measures blood oxygen concentration by infrared light conduction intensity)...
Lin Feng: "Lao Zhang, come on..."
Zhang Yuan: "Good..."
......
surgery
Begin!
Step 1,
Dr. Zhang Yuan took a hard bronchoscope and inserted it through his nostril.
(It can be from the mouth or from the nose, but the mouth may cause teeth to gnaw, so insert it with your nostrils.) ）
As a result, within 10 seconds...
Something unexpected happened!
Xiaosi's oxygen saturation plummeted!
Her lips turned gray!
Zhang Yuan's face changed: "Not good, not enough oxygen!"
He remembered that the respiratory depressive effect of anesthetics, and the little girl's airway inflammation and edema, would make the oxygen supply insufficient.
Lin Feng was on the side: "I'll "hand control breathing"..."
Then skillfully link on the controlled respirator that has long been prepared and begin to press the balloon, increasing the amount of oxygen to the little girl ...
As Lin Feng pressed the balloon, he continued to deliver oxygen to the little girl, and the little girl's blood oxygen saturation continued to rise...
20 minutes later...
The little girl's blood oxygen saturation finally returned to the normal level of 99.
Continue the surgery again!
Soon, the laparoscope found the peanut fragments in the depths.
However, new problems have arisen!
Dr. Zhang Yuan chose the suction tube, and when he sucked, not only did he not suck the peanut grains back, but he sucked away the limited oxygen in his lungs!
Blood oxygen, drop again!
Lin Feng: "........."
Zhang Yuan was sweating profusely ~~~
Subsequently, I tried it twice, and in the process of attracting and bringing back the peanut kernels, I fell off 2 more times!
The little girl's blood oxygen saturation dropped to 91% ...
Lin Feng: "Otherwise, replace the tracheal forceps... Don't attract the tube..."
Zhang Yuan also realized his pig head, and when he inserted the laparoscope, he did not think about the problem of oxygen.
......
Continue the operation,
This time, switch to tracheal forceps.
After Lin Feng continued to control breathing by hand, the little girl's blood oxygen saturation returned to 99%.
Then reinsert the tracheal forceps.
This time
Zhang Yuan finally stabilized his hand, found the peanut grain, and then smoothly clipped the peanut grain together with the peanut skin!
But that's not the end of it.
At the end of each operation, it is necessary to explore whether there is anything that has not been completed.
Zhang Yuan re-entered the mirror and looked elsewhere again and again to see if there were any tiny pieces.
10 minutes later...
I found a small peanut grain, as well as a piece of peanut skin.
Then it took 20 minutes to clip them out.
After continuing to check for 20 minutes and not having any more peanut grains, Zhang Yuan breathed a sigh of relief.
Surgery, successfully over!
However, at this time, you can't be careless, the respiratory depression of anesthetics, and airway inflammation and edema, will make her suffocate with hypoxia at any time!
The emergency nurse will always be watching.
Lin Feng got it and left the operating room.
"Dr. Lin, how is my daughter?"
The little girl's mother saw Lin Feng come out and said happily.
Lin Feng: "Don't worry, it's not a big problem..."
The little girl's mother cried excitedly: "Thank you Dr. Lin, thank you Dr. Lin!"
Lin Feng hurriedly said: "I just started the operation, and the one who performed the operation was Director Zhang Yuan (doctor) of our emergency department..."
After waiting for more than 1 hour, the little girl finally woke up safely.
Mom thanked Zhang Yuan again.
......
Lin Feng returned to the Department of Hepatobiliary Surgery,
Before I could report to the director, my mobile phone rang.
Bell bell bell ~~~
"Hello, Dr. Lin, I am Liu Bowen, a gold medal lawyer from Zhongyu Law Firm, are you looking for a lawyer?"
"Huh?"
"That's what you said you want to find a lawyer and sue the person who slandered you for receiving red envelopes..."
"Oooh, oh, come to think of it, I'm just talking..."
“.................."
Lawyer Liu Bowen almost cried on the spot ~~~~
Just talking?
Make yourself so excited!
Zhongyu Law Firm, one of the top law firms in Peng City, can be said to be the first in strength except for those Changsheng lawyers of Beishan Pizza Hut.
And Liu Bowen himself, 45 years old, is a gold medal lawyer of the law firm, with rich experience and strong strength.
The reason why Lin Feng was contacted this time was not for any lawyer fees, but to befriend Lin Feng, and in order to befriend Lin Feng, he could even waive all legal fees.
Here is the reason why the doctor industry is popular.
For example, a big official, to a level, there is no shortage of money, there is no lack of power, and beautiful women do not dare to touch, then the most important thing next is birth, old age, illness and death. So they will all think about finding a relationship in the hospital, and if they get sick or something in the future, it will be much more convenient to go directly to the doctor.
And Liu Bowen, when he reaches middle age, his health begins to deteriorate more and more, and he also thinks the same and wants to make friends with a few good doctors.
There is also a type of people, salesmen and the like, always think of befriending some Party A companies, political axe leaders, generally gifts are not good to send, so if you know a few doctors in the hospital, when the time comes, these leaders and what is the pain, the salesman directly contacts the doctor, help these leaders to deal with this 'troublesome thing', the relationship will suddenly become cordial, and it will be much more convenient to talk about business.
Therefore, doctors (good medical skills and prestigious) will not lack money, because there will often be people who give them gifts, such as sending gold pens, such as the children and nephews of the doctor's family paintings, etc., and directly someone sells them at a high price...
The money will come!
And it's not easy to check!
However, the doctor cannot be high-profile, will not say that he bought a 200-square-meter mansion in a community with a unit price of 100,000, nor will he drive a BMW or Porsche to work...
......
"Dr. Lin, if you are worried about your lawyer's fees, I can call the shots and waive your lawyer's fees!"
"Huh? Free of legal fees?"
"That's right, it's an honor to know Dr. Lin, how can I charge Dr. Lin's lawyer fees?"
Lin Feng understood what this lawyer meant, and there was no need to refuse.
"Haha, thank you then... Then this troubles you..."
"No thanks, it's an honor to make friends with Mr. Lin!"
What the lawyer said, that's called a beautiful.
Lin Feng was polite and hung up the phone.
As a result, another call came!
Or a lawyer!
"Doctor Lin, hello, I am a gold medal lawyer from Tianhua Law Firm, Zhang Zhenglong..."
"You also want to sue me for free?"
"Ahhh... Yes, Dr. Lin, it seems that other lawyers have already approached you?"
"Just hung up the phone, and I've already entrusted him with handling it. "
"Then I'm sorry to disturb, if Dr. Lin has something next time, you can find me..."
The attitude of the lawyer was very enthusiastic.
......
For the next half hour,
Lin Feng received three or four calls from lawyers in a row, all of them to pull relations.
And at this time,
On the web,
Regarding Lin Feng's collection of red envelopes, the fishing boat has been reversed.
There was a public clarification from the middle-aged man of the party, and the first court of the city also took out a video of Lin Feng receiving red envelopes, testifying that Lin Feng confiscated red envelopes at that time.
Let netizens understand.
Stepping on his own horse was tricked by unscrupulous self-media!
Cracked in anger on the spot!
。