medical road high rise

Chapter 317 Attenuated Vaccine
Chapter 318 Attenuated Vaccine
"Doctor Qin, do you think the patient needs surgery now?" asked the respiratory doctor.

There is a specialization in surgery. The respiratory doctor called Qin Feng to come over. First, he explained the situation and told Qifeng about the cholecystitis that Qin Feng had ignored. Second, he asked Qin Feng to come over to evaluate the patient's condition, whether conservative treatment or surgical treatment was needed.

"The patient's condition is relatively..." Qin Feng was about to say conservative treatment first, followed by surgery.

Because elective cholecystectomy is much safer than emergency cholecystectomy, the patient's internal circulation has not returned to normal due to respiratory failure, so it is not too late to undergo surgery after one day of observation with antibiotics.

But the patient suddenly cried out in pain while clutching his stomach. Qin Feng glanced at the place where the patient was covering, which was the lower right abdomen.

This made Qin Feng frowned. Acute cholecystitis did not cover the upper right abdomen, but the lower right abdomen. This is very problematic!

The abdomen is also very particular. Doctors are very clear about what diseases are in the lower right abdomen and what are the diseases in the upper right abdomen.

Why do many patients go to see a doctor, the doctor asks a question, and after checking it, it is almost the same.

Qin Feng pressed the patient's abdomen, and the patient had obvious tenderness and rebound pain in the lower right abdomen.

This is the case of appendicitis!
Is it acute cholecystitis plus appendicitis?

Among the organs in the lower right abdomen, appendicitis is the most prone to problems, because the appendix is ​​very small at the end of the ileum, with only an entrance and no exit.

Once the lumen of the appendix is ​​blocked by fecal mass or other things, it is easy to increase the pressure in the appendix lumen, causing appendiceal inflammation, and in severe cases, perforation may even occur.

Qin Feng quickly analyzed the situation in front of him in his mind, but he couldn't figure it out for a while.

The only way now is to go on stage and perform surgery on the patient.

If there is appendicitis, it will be cut along with the gallbladder.

"The patient's consciousness began to disappear, and the blood pressure dropped to 70/40mmhg." The nurse suddenly shouted.

Qin Feng quickly asked to hang a bottle of 500ml normal saline, and at the same time used booster drugs. The respiratory doctor called the ICU doctor. He estimated that the patient should be in septic shock and must be put on a ventilator.

The patient's wife was still a little reluctant when she heard about ICU.

The ICU in the hospital is known to be an expensive endorsement, and their family cannot afford it.

"Doctor, is there no other way than going to the ICU?" the patient's wife asked expectantly.

The respiratory doctor was about to shake his head when Qin Feng said: "Yes, let's go directly to the operation now."

"Doctor Qin, it's very dangerous for the patient to be on the operating table." The respiratory doctor advised.

"I know that patients should go for surgery precisely because of the danger." Qin Feng said.

The respiratory doctor couldn't hold back Qin Feng, so he could only wait for the ICU doctor to come.

But the same thing, Qin Feng said it to the ICU doctor. The ICU doctor didn't give face, but asked the patient's wife directly.

"Do you trust the ICU or him?" the ICU doctor asked.

The patient's wife fell into entanglement, and finally chose the ICU.

Although they have no money, the patients are the pillars of their families. If the pillars are gone, the devastating blow to their families will be even greater.

However, although the ICU is expensive, it is still possible to borrow some from relatives and friends.

Qin Feng followed him to the ICU, thinking about the patient's condition all the time in his mind. What is it that causes cholecystitis to cause pain in the lower right abdomen?
After entering the ICU, another round of examination was carried out. The patient's hemoglobin was only high but not low, and there was a large amount of bleeding in the chest cavity, which was obviously septic shock.

Hearing the diagnosis given by the ICU, Qin Feng's mind brightened, and he finally figured out what happened to the patient. The patient had a typical gallbladder perforation, and the pus penetrated into the lower right abdomen, causing infection of the organs in the lower right abdomen.So there was tenderness and rebound pain in the right lower quadrant.

"The patient has a perforated gallbladder, and now he must be operated on. The patient's gallbladder wall may have rotted." Qin Feng said.

The ICU doctor looked at Qin Feng, reviewed the results of the patient's examination, made a call, and went directly to the stage to prepare for the operation.

If you don't come on stage, the patient probably won't survive tonight.

In the operating room, Qin Feng acted as a bystander, and the chief surgeon was the ICU doctor.

After the cavity was opened, the inside of the gallbladder seemed to be surrounded by yellow pus, and the surrounding tissues were all glued together, which looked very disgusting.

The ICU doctors in Ruijin Hospital are quite capable of surgery. It may be difficult for ordinary municipal hospitals, but in their hands, it is just an ordinary operation.

After removing the gallbladder and some tissues, the abdominal cavity was repeatedly washed with saline until no yellow fluid was visible, and the ICU doctor closed the abdomen.

This is the first time Qin Feng saw the ICU doctor of Ruijin Hospital for an operation, which made Qin Feng restrain his arrogance a little bit.

Taking this operation as an example, Qin Feng would at best have a [-]-[-] split with this ICU doctor. In the road of medicine, there are still people beyond people, and mountains beyond mountains.

After watching the operation, Qin Feng went home to rest. Lu Shan happened to be sitting in the living room watching TV. When he saw Qin Feng coming back, he immediately threw himself into Qin Feng's arms.

"Why did you come back so early today?" Lu Shan asked.

"There's no surgery, I'll be back." Qin Feng hugged Lu Shan with both hands, and Lu Shan was still hanging on his body like a koala.

A young couple who haven't seen each other for a few days is like a new lover, Qin Feng directly hugged Lu Shan to take a bath...

Early the next morning, Qin Feng took a look at Lu Shan who was sleeping soundly, shaved her nose, got dressed, made Lu Shan a loving breakfast, and went to the hospital to check in and report.

Early in the morning, a patient came to the clinic.

It was a one-year-old baby who developed a high fever because of the hepatitis A vaccine.

Qin Feng took a look at the baby. Apart from the fever, he looked sick and had no other symptoms, such as vomiting or lethargy.

"What type of hepatitis A vaccine did you give your baby? Inactivated or attenuated?"

"Attenuated."

"That's the problem with the vaccine, which is a side effect, because the attenuated vaccine contains a little virus to stimulate the body's immunity, thereby producing immune cells and obtaining antibodies, but during this process, some people will have a fever due to physical reasons , dizziness and other symptoms." Qin Feng said.

"Ah? So what should we do now? My baby won't get hepatitis A, right?" Mama Bao asked worriedly.

"No, it's just to wipe the baby with a towel to cool down, and at the same time not take Merrill Lynch or Tylenol within six hours, the kind of children's dose, not the adult's." Qin Feng said, "At the same time, don't give the baby It’s not good to wear too many doctors and cause bad symptoms.”

"Okay, okay, thank you doctor."

Bao Ma hugged the child, took the list from Qin Feng and left.

(End of this chapter)