medical road high rise

Chapter 298 Suction Increase
Invincible Chapter 299
The only thing Qin Feng doesn't understand is why the patient is still awake. It's normal to have weakness in the limbs lying on the hospital bed, and hemiplegia will occur after a stroke.

However, general strokes are accompanied by cerebrovascular accidents, which will cause some serious obstacles to the human body.

After ordering the patient, Qin Feng asked Wang Xiong to take the patient to the CT room.

The result was good. The patient had no cerebral hemorrhage, which surprised Qin Feng even more.

But when Qin Feng watched the film carefully, he still discovered the problem.

"Although your husband does not have cerebral hemorrhage symptoms, he has cerebral infarction." Qin Feng said.

"Doctor, is cerebral infarction a symptom of stroke?" asked the patient's wife.

"Well, cerebral hemorrhage and cerebral infarction are both the same. Cerebral hemorrhage is caused by the rupture of the blood vessels in the head, and the blood flows directly out and smeared on the brain tissue, causing compression and stimulation to the brain tissue. Moreover, the brain tissue will be ischemic and hypoxic, and will quickly Necrosis results in a series of dysfunctions.”

"Cerebral infarction is a narrowing of the blood vessels in the brain, and neither blood nor oxygen can pass through. This part of the brain tissue will be necrotic due to ischemia and hypoxia, but the process is slower than cerebral hemorrhage."

"But doctor, my husband can't eat, and even chokes on water." The patient's wife said.

Qin Feng nodded and explained: "Your husband's condition should be ball paralysis."

There are many parts in the human brain, and one part is called the brainstem. The brainstem is the center of the entire human body. The brainstem can be further divided into three parts: the medulla, pons, and midbrain. The appearance of the medulla looks like a ball. Neurologists It is often called the medullary bulb, and the nerve nuclei in the medullary bulb just control the human body's breathing, swallowing, coughing and other functions.

When these nerve nuclei are damaged, the human body will have symptoms such as difficulty swallowing, coughing when drinking water, and dysphonia, collectively known as bulbar palsy.

Qin Feng made a phone call to the Department of Neurology and transferred the patient directly to the Department of Neurology.

The main reason is that the patient still needs to stay in the hospital for about a day and have another CT scan, so that the edema and necrosis of the ischemic part of the brain will be revealed.

After the patient left, Qin Feng glanced at the time and was about to pack up and leave work.

Early the next morning, Qin Feng followed Zhao Guoping to check the room, and then went directly to the operating room.

The body of the patient with tuberculous pleurisy also met the requirements for surgery. The main operation for pleurisy is puncture, which is quite difficult for Qin Feng.

Before the operation, Qin Feng told the patient's parents about his inner plan.

"Antituberculosis treatment generally takes eight to twelve months, and thoracentesis is also required. I try to shorten the treatment time to five months."

Five months is also the best time Qin Feng calculated. If it is shorter, the patient's body may not be able to bear it.

Now it is September, five months from now will be able to celebrate a new year, and then go to study in the next semester, six months is enough time for patients to review high school knowledge.

The patient's parents were grateful to Qin Feng. Qin Feng waved his hand and went directly into the operating room.

Today Li Xuewen didn't come on vacation, so Qin Feng could only bring Wang Xiong to the stage.

Changing an assistant, Qin Feng still felt a little awkward. Fortunately, the operation is not difficult. In fact, Qin Feng alone is enough, mainly to increase his knowledge with Wang Xiong.

After testing the surgical instruments, Qin Feng announced the start of the operation.

Wang Xiong stood on the sidelines watching Qin Feng's operation energetically. You must know that when he didn't participate in Qin Feng's rescue before, he was just an unknown intern.

Since that rescue, he has always been able to participate in Qin Feng's operation intentionally or unintentionally.

You must know that Qin Feng has never performed minor operations. They are all difficult operations worth learning. Even when Li Xuewen gave them training, he couldn't help but praise Qin Feng.

The other interns knew that Wang Xiong could be on Qin Feng's stage today, and they were so jealous that they almost stabbed Wang Xiong with a needle.

Qin Feng glanced at Wang Xiong, who was a little nervous, and comforted him: "Don't be nervous, that's how I came here back then, watch carefully and study hard."

Wang Xiong nodded.

"Prepare to open the chest and draw fluid."

The equipment nurse handed over the surgical forceps. Qin Feng first used a scalpel to make a small hole in the patient's chest, and then used the surgical forceps to open it so that the suction device could enter the patient's chest cavity.

There are ribs in the chest cavity of the human body, and it is impossible to perform surgery without using tools to open it.

It is precisely because of the existence of these bones that our chest cavity can withstand the punches that others love. If it is a punch from other parts, most people will fall to the ground on the spot.

After completing these operations, Qin Feng began to slowly draw the liquid with the suction device.

Generally, the first pumping is no more than 700ml, but the amount can be increased slowly later.

Looking at the needle tubes placed on the tray, Wang Xiong also widened his eyes.

"You can see that these fluids are pale yellow effusions, which means that the patient's pleural effusion is caused by inflammatory diseases." Qin Feng continued to suck while guiding.

"Mr. Qin, I remember tuberculous pleurisy and blood-red pleural fluid." Wang Xiong said.

"Yes, but when the blood-red pleural effusion is aspirated, you have to pay attention. It is not only inflammation and infection, but also accompanied by pleural bleeding. It is very likely that the patient's whole body has been infected, and the risk is high. "Qin Feng educated.

Wang Xiong nodded.

It took about 10 minutes for the liquid to be pumped. After all the [-]ml of liquid was pumped out, Qin Feng put down the syringe.

The anesthesiologist reported the patient's condition to Qin Feng.

"The patient's blood pressure is now stable and all other signs are normal," the anesthesiologist said.

"Wang Xiong, go and check the patient's temperature." Qin Feng said.

Because Qin Feng is the chief surgeon, his hands can't leave the operation area, otherwise it will cause unnecessary infection, which is why the doctor won't walk around at will after he comes to the stage.

"The patient's body temperature is normal, the temperature of his limbs is normal, and the pulse intensity is moderate." Wang Xiong said.

Qin Feng breathed a sigh of relief, and inserted the suction device into the patient's chest cavity again, ready to aspirate the pleural fluid.

700ml is just a general reference value, but patients who want to recover quickly must not follow this standard, otherwise a lot of time will be wasted just by aspirating pleural fluid.

It is definitely no problem for new doctors to aspirate according to the area value of 700ml, but for those doctors who have undergone a lot of operations, the operations are not performed step by step, and they all perform operations according to the changes of patients.

If the patient's face is pale, or the pulse is weak and sweating, it means that the limit has been reached, and Qin Feng will enter a dangerous state if he draws again. Qin Feng will stop continuing to draw and will increase the dose next time.

(End of this chapter)