medical road high rise

Chapter 280 Interns

Chapter 2 Eighty Interns

The blade in Qin Feng's hand cut through the white line of the neck and reached the capsule of the thyroid gland.

"Tissue scissors."

Yue Meng hurriedly handed over the instrument. Qin Feng took it and cut along the midline of the incision. He put the tissue aside and used curved forceps to separate the gap between the subhyoid muscle group and the front of the thyroid capsule, all the way to the sternum clavicle. Anterior edge of mastoid muscle.

Li Xuewen took two curved forceps to lift the thyroid muscle group, Qin Feng cut it off, and then sutured the muscle group at the end.

Pull the muscle up and down to expose the lateral thyroid lobe, and then free the thyroid tissue from the upper pole to the lower pole.

"Watch out for the hook."

Qin Feng reminded after retracting the tissue next to the side lobe of the thyroid gland.

Li Xuewen nodded, without any pause in the movement of his hands, he pulled the thyroid with a retractor to expose the surgical field.

Qin Feng quickly processed the upper and lower thyroid arteries and veins and the middle thyroid vein, and finally ligated the thyroid blood vessels, and then resected the thyroid body along the top, leaving the posterior capsule.

This has completed the resection on the left side, Qin Feng repeated the above operation to complete the resection on the right side, and the whole operation is complete.

Rinse the wound and check for residual bleeding.

Qin Feng placed the drainage tube in it, sutured the incision layer by layer, covered the dressing, and the operation was over.

Those interns were dumbfounded. A thyroid tumor removal operation was as difficult as Level [-], but Qin Feng made it as simple as suturing a wound.

This is really treating Level [-] surgery as an inappropriate surgery. They have no face. They were going to stand here for four or five hours to study, but it was over in just one hour.

Qin Feng also ignored them, went out directly to explain to the patient's son, and then told Li Xuewen about the patient's postoperative nursing work and left directly.

It's just a thyroid tumor removal surgery, it's not something that can be done easily.

Zhao Guoping personally went to the ward to check the patient's postoperative condition, and even the doctors from the oncology department came over.

The patient's wound was sutured well, his condition was stable, and he woke up quickly, and no sequelae were found for the time being.

The doctor in the oncology department felt that something was wrong, so he directly greeted Zhao Guoping and went back to report.

Zhao Guoping has some thoughts of his own, but he still needs to talk to Qin Feng more.

On the way to the clinic, Qin Feng was directly stopped by a middle-aged man.

"Doctor, help!"

"??"

Qin Feng looked puzzled. In a big hospital like Ruijin Hospital, it is normal to be held back by the family members of patients. After all, the emergency department is often full, and some family members of patients who can't wait will pull the white coats when they see them, looking forward to To get treatment, they can't guarantee whether the patient will have an accident while waiting.

"Doctor, my child is not breathing now, but the nurse still asked me to register and wait for the doctor. I really can't wait any longer!" The middle-aged man cried like a child.

When Qin Feng heard that the child was not breathing, he quickly asked, "Where is your child now?"

"Where is it? His mother is holding him." The middle-aged man quickly took Qin Feng over.

Qin Feng let the child lie flat on the chair, checked his body briefly, and his heart skipped a beat.

not good!

His face was blue and purple, his eyeballs were slightly protruding, his whole body was cold, his consciousness disappeared, and his breathing was short and weak.

"Nurse, there is rescue here!" Qin Feng shouted.

Soon, two nurses came over pushing the flat car. Seeing that it was Qin Feng, they put the patient on the flat car and pushed it to the emergency room without saying a word.

There is a difference between first aid, first aid, and emergency treatment.

When the nurse calls, the doctor will also treat the patient according to the priority.

Patients who need first aid and rescue cannot be given up because of the emergency department. In this case, at least dozens of people will die in the hospital a day.

Don't look at some nurses who often walk around or even sit in the hall of the emergency department, but as long as a doctor calls for rescue, they will come to support in an instant.

The couple probably didn't come to the hospital very often, they didn't know the procedure very well, the child's condition was so serious, and they even went to the emergency room, it wasn't courting death.

In such a situation, go directly to the nurse at the service desk, explain the situation quickly, and the nurse will arrange a green channel for rescue.

If it wasn't for Qin Feng just passing by, and he was another busy doctor, just say, you can go and register at ease, as there are still patients on my side who don't have time, then this child must be in bad luck.

"When did this happen to your child?" Qin Feng asked.

"It's just that Xiaoyu was eating grapes, and suddenly he couldn't do it anymore." The patient's mother said.

Grape?

Qin Feng instantly understood that the foreign object should have stuck his throat and entered the trachea, causing suffocation.

Grapes are something that adults may get stuck in if they eat them. Some people like to swallow them in one gulp without chewing, which can easily get stuck in their throats.

After entering the emergency room, various instruments were quickly connected. Some people paid attention to the ECG, some opened up the intravenous access, and some pushed the defibrillator.

Qin Feng looked at the data displayed on the instrument, and his heart sank to the bottom.

"You go out and pay the fee first, and leave it to us." Qin Feng expelled the patient's parents.

The nurses closed the curtain, and Qin Feng looked at the patients on the rescue table with a solemn expression.

Now it is not sure when the patient was hypoxic, and the parents must have not used cardiopulmonary resuscitation for first aid, which delayed the best time.

In addition, children's brains are not fully developed, and their brain tissue has poor tolerance to hypoxia.

After the human body is hypoxic, the brain has a certain buffer time. Hypoxia affects blood flow. The brain will send out danger signals before stopping electrical activity, and the blood flow to various organs in the body will be redistributed to ensure that the heart, brain, and kidneys Basic blood flow supply to other tissues.

But if it lasts for too long, this allocation will gradually decrease, and even secondary or tertiary allocations will occur.

Therefore, generally speaking, as long as it does not exceed 10 minutes, it is salvageable.

If it takes more than 10 minutes, there is no need to save it. The brain tissue is completely damaged, and if it is saved, it will be a vegetable.

The role of cardiopulmonary resuscitation is to pump the blood from the heart to the whole body through artificial squeezing, supply blood oxygen to the brain, and provide the tolerance of the brain.

"Come an intern to do cardiopulmonary resuscitation." Qin Feng shouted.

Soon a white coat came running over with a nervous expression on his face.

Sometimes in the emergency room, helping with cardiopulmonary resuscitation is also an opportunity to be favored by the chief surgeon.

Qin Feng's name and face have already taken root in the hearts of the interns in the emergency department. Now that there is a need, everyone is naturally staring at him, but this intern has better luck.

However, facing this kind of patient with zero heartbeat, and he was still a child, he was still very nervous.

"Come on, you take over my actions." Qin Feng was doing cardiopulmonary resuscitation the moment he entered the emergency room, and at this time he happened to hand it over to the intern, "What's your name?"

"Brother Qin, my name is Wang Xiong." The intern pressed quickly, and his breathing also changed according to the speed of pressing.

(End of this chapter)