I can see the status bar

Chapter 731

What Sun Lien faced now was a huge problem.

Chen Xiao's head clearly displayed the hint of "Osteofascial Compartment Syndrome".Although the handwriting is not too deep, it has reached the point where, in Sun Lien's opinion, surgery must be performed immediately to start decompression.

Compartment syndrome is a relatively rare progressive disease in orthopedics.It is primarily a progressive lesion caused by increased pressure within the fascial compartment.

The human fascia compartment is composed of bone, interosseous membrane, intermuscular septum and deep fascia.Constrained by fascia, muscles are held in a specific shape for contraction and function.Compartment syndrome, on the other hand, is the result of a lesion with increased pressure in this area.

After a hematoma or edema of the contents of the fascial compartment due to fractures, vascular injury, soft tissue injury, etc., or after the limb has been bandaged too tightly, the extra pressure can cause the arterioles that supply blood to the muscles to close.Ischemia causes the muscle to die and dissolve, further increasing the pressure within the fascial compartment.This leads to a more serious increase in pressure.

Once caught in this vicious cycle of "ischemia-edema-ischemia", it can be determined that the patient has compartment syndrome.

Since this symptom is especially likely to appear on the limbs, most patients with broken arms, legs and feet will be hospitalized for observation by the doctor after reset, so that if such symptoms appear, the doctor can intervene as soon as possible.

The key to treating compartment syndrome is early intervention.To intervene and interrupt this vicious intervention before the patient's limbs fall into the vicious cycle of "ischemia-edema-further ischemia".The means that doctors can take include limb cooling, mannitol injection, diuretic use, incision and decompression, and so on.

The consequences of compartment syndrome can be fatal if not intervened early.A large number of dead muscle cells release large amounts of potassium and other cellular waste products.Once these substances re-enter the blood circulation system as the pressure of the fascia compartment drops, it will immediately induce arrhythmia and even ventricular fibrillation and cardiac arrest.With further ischemia, the dead tissue can form gangrene, causing a wider infection and life-threatening.

At these two steps, in order to save the patient's life as much as possible, all the doctors can do is amputate.

This is why Sun Li'en has been trying to keep the patient in the morning and asked Chen Xiao to immediately take over the operation and reset treatment.

But...the doctor cannot completely overturn the decision of the guardian of the minor patient.When the family members clearly refused to be treated in this hospital, Sun Lien could do nothing.

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The moment he saw Chen Xiao, Sun Li'en felt a big stone in his heart fall to the ground.

It's not that he was expecting Chen Ling to suffer from some kind of compartment syndrome - Sun Lien's heart is not so evil yet.For a doctor, the most terrifying thing is a fatal symptom that has not yet occurred but has a high probability of occurring.

It's like sepsis in infected patients, DIC in trauma patients, respiratory failure in respiratory medicine patients... You know that these critically ill patients may fall into such dangerous symptoms at any time, but you don't know when they will happen.This feeling was at least what Sun Lien was most worried about.

"Sit down first." Sun Lien turned on the light in the room and motioned Chen Xiao to find a place to sit down.Then he called the hospital office directly, "Hello, I am Sun Lien from the emergency department."

"Doctor Sun." The hospital staff on the other end of the phone obviously knew who Sun Lien was, "What's the matter?"

"I have a patient here who needs emergency surgery." Sun Li'en said it very naturally on the phone, without showing any degree of unnaturalness at all. "A minor, but the family members cannot be contacted."

"Is it necessary to authorize? What's the problem?" Sun Lien's frequency of asking the hospital office for surgery authorization is definitely the highest in the entire fourth hospital.In other hospitals, one or two emergency surgery authorizations a year is considered a high frequency.And Sun Li'en... he can ask three or four times a year by himself.

In fact, requesting emergency surgery authorization is not a big deal, especially Sun Lien's authorization applications are in full compliance with the relevant requirements, and he has never caused any trouble.Therefore, the staff of the hospital actually quite "trust" Sun Li'en.

"Compartment syndrome, on the right arm." Sun Lien replied very smoothly, "Other related examinations are still being supplemented. In order to save time, please start the process first."

"Understood." The hospital office happily agreed to Sun Lien's request, and then hung up the phone.

But Sun Lien put down the phone and began to "collude" with the kid in front of him.

"Do you remember your parents' phone number?" It was time to ask the question. Although he might get himself into trouble later, Sun Lien decided to take a risk without any hesitation.

At worst, wages will be deducted or even fined. He really doesn't care much about these things now.

How much is an arm and even a life of a 14-year-old boy worth?Sun Lien didn't know the answer to this question.But one thing is for sure - it must be higher than the upper limit of the hospital's fine.

"I don't remember..." The little boy was a little embarrassed, "I usually record it in my phone..." He took out the phone with his still movable left hand and flipped through it, "Eh... there is no record in this phone. .”

There is such a coincidence?Sun Li'en was a little surprised, but this situation is simply not too good.He continued to ask, "Is there any way to contact your parents or grandparents? Is there a WeChat phone or something?"

"Not at all." Chen Xiao continued shaking his head, and he answered Sun Lien's question in a very sincere tone. "My parents don't use WeChat. And I don't know where they are now - both of them have work tonight, and they will go out at four o'clock in the afternoon."

This is obviously bullshit.Sun Li'en is very sure that Chen Xiao's mother paid the fee through WeChat at that time - her payment slip is still on the table.

Sun Li'en, who was planning to confront Chen Xiao directly, didn't know what to say.And Chen Xiao said softly with some embarrassment, "I also asked my friends, and they said that this is the only way to bypass the authorization of parents to perform surgery..." He looked at Sun Lien and said seriously, "I'm At 14, I don't want to spend the rest of my life without my right hand."

Sun Li'en nodded, with this sentence, everything else will be easy to handle. "Come with me." He stood up, fixed Chen Ling's arm briefly with the triangular scarf prepared in the office, and then led Chen Ling out. "Your answer just now was pretty good, and you should answer like that when others ask you—is it okay?"

"Don't worry." Chen Xiao nodded, "Those words just now... I'm not actually lying."

　Although I also bought 2077, there are still updates!I was intimidated by my professionalism.

　　There should be another update today, to repay the debt owed by the leader.Because of poor health during this period, the time owed is too long.Therefore, after communicating with the leader, Sanguan decided to add eight more chapters for the leader, and the extra three chapters will calculate the interest on the debt.

　　
　
(End of this chapter)