medical road high rise

Chapter 428 Busy Emergency Department

Chapter 430 Busy Emergency Department

The female intern is still a little nervous. The current status of Qin Feng in Ruijin Hospital is comparable to that of the director.

They also have evaluation qualifications, so it is still difficult to transfer to regular training.

Regardless of the fact that they are interns at Ruijin Hospital now, there may not be more than three people who can stay in the end, and the retention rate is so low.

But if there is an endorsement from the attending doctor, the chance of staying in the hospital is very high. If it is replaced by Qin Feng's endorsement, the hospitalization is basically 100%.

"Thank you, Doctor Qin." The female intern rubbed her hands a little nervously.

In the past, she could only hide in a corner to observe the operation. Although it was just a small suture operation, it was still considered an operation.

Under Qin Feng's supervision, the female intern also completed the operation without any risk, and then arranged for the patient to be hospitalized for observation. After all, the skull was sunken, and it might have a bad effect on the brain.

"What's your name?" Qin Feng asked the female intern after the operation.

"Li Na."

Qin Feng nodded, then handed the patient over to the nurse, and returned to the consulting room by himself.

At this time, a treasure mother who had been waiting at the door for a long time saw Qin Feng coming back, and hurriedly followed into the consulting room.

"What's wrong?" Qin Feng asked.

"My daughter was playing that kind of trampoline in the children's playground, and then accidentally bumped into a pillar, and kept crying for pain." Bao's mother pushed her daughter in front of Qin Feng.

"Mom, it hurts!"

"Little friend, where does it hurt?" Qin Feng squatted down and asked.

"Here." The little patient pointed to his left chest.

Qin Feng asked Zhang Yao to take it to the side compartment to check to see if there were any bruises on the left chest.

"No bruises." Zhang Yao quickly brought the little girl out.

Qin Feng put on his gloves and began to press through his clothes.

"Does it hurt here?"

"What about here?"

……

Qin Feng pressed it again, and finally found that the patient had pain in the left lung, but there was nothing wrong with the precordial area.

With a stethoscope, Qin Feng heard obvious moist rales.

"how long it has been?"

"It should have been half an hour. As soon as my daughter complained of pain, I immediately took a taxi." The patient's mother said.

Qin Feng nodded. In this way, infection and inflammation can be ruled out for the time being. It may be the traumatic wet lung caused by the fall.

Traumatic wet lung is a comprehensive lesion of lung tissue congestion, interstitial edema, or hemorrhage caused by chest injury.

"Arrange for a lung CT scan." Qin Feng said.

Generally speaking, Qin Feng does not recommend doing CT for children. After all, the radiation is relatively large, but when traumatic wet lung is involved, Qin Feng still needs to be careful.

The patient's mother took the patient directly to the examination, and then Qin Feng asked Yue Meng to go to the cafeteria to bring two meals for himself and Zhang Yao.

I asked a few more patients, and after the meal, the patient's CT examination also came out.

The patient's mother asked very worriedly: "Doctor, is my daughter's condition particularly serious?"

Qin Feng glanced at the report, it was written that the subpleural localized bullae at the tip of the upper lobe of the right lung was not a traumatic wet lung.

Bullae refer to various reasons that cause the pressure in the alveolar cavity to rise, the alveolar wall to rupture, and fuse with each other to form air-containing sacs in the lung tissue.

"If you have bullae, you need surgery." Qin Feng said.

When she heard that an operation was required, the patient's mother turned pale with fright.

My daughter is only four years old, so if she had an operation, wouldn't she have to leave a scar?

"Doctor, is this caused by a fall?" asked the patient's mother.

"Not necessarily, it may have been present at birth. Does your child cough from time to time?" Qin Feng asked.

"Yes, she has always had mild asthma." The patient's mother said bitterly.

"Then the bullae should have been there before, and the patient's bullae are still a bit large. It may be fine for adults, but for children, the large bullae may cause spontaneous bleeding due to rupture. Because of the risk of pneumothorax, it is best to perform surgical resection." Qin Feng explained.

"Will it leave a scar?" the patient's mother asked worriedly.

"No, we are doing minimally invasive surgery. There is no need for thoracotomy. We only need to use instruments to remove the bullae." Qin Feng said.

The patient's mother also breathed a sigh of relief when she heard that there was no need to open the chest.

The surgery was scheduled for the next morning, and in the evening, Qin Feng went home directly after performing the stent surgery on a patient with atherosclerosis.

He also accompanied Lu Shan out for a candlelight dinner. After all, the two had been separated for so long, and Qin Feng wanted to make up for Lu Shan during this time.

The next day, after the ward round, Qin Feng directly performed bulla resection on the little patient.

The operation was very simple. A 2-cm incision was made on the patient's left chest. A thoracoscope was used to explore the bullae, and then electrocoagulation and cautery were used to remove them. The visceral and parietal pleura were then rubbed with iodophor gauze to promote the pleural cavity. Bacterial adhesions reduce the chance of pulmonary bulla rupture leading to pneumothorax.

The patient's mother also thanked Qin Feng very much. Qin Feng waved his hand to indicate that it was okay, and then returned to the outpatient clinic to continue seeing the doctor.

I kept seeing the doctor until noon, and a strange patient came to the outpatient clinic.

The patient was wearing a toad mirror, covering almost half of his face, as if he couldn't see the light.

Qin Feng looked at the patient strangely, and asked, "What's uncomfortable?"

"My eyes are very uncomfortable, I can't see light, and it hurts when I see light, like being burned by fire." The patient said.

Qin Feng suddenly became interested, and his eyes would have burning pain when he saw light. This kind of disease is rare.

"Are there any other symptoms? For example, your skin has not changed color." Qin Feng asked.

Qin Feng first considered a special disease, hematomatosis, which is the same skin as a vampire, and then like a vampire, he is afraid of light.

The patient rolled up his sleeves and motioned Qin Feng to look.

Qin Feng took a look, and there was no purple skin, so there is a high probability that there is something wrong with the eyes, and he has a fear of light.

The most common are glaucoma, conjunctivitis, keratitis and so on.

But generally speaking, I go directly to the ophthalmology department. It is a bit strange to come to the emergency department.

"Apart from eye pain, do you have any other discomfort?" Qin Feng asked.

"Yes, doctor, look at my mouth. It hurts so much that I can't eat any spicy food." The patient opened his mouth and said.

Qin Feng frowned when he saw the condition of the patient's mouth. The patient's oral condition was still very serious.

It can be said that the whole mouth is rotten, and the sore of the oral ulcer directly grows in various parts, such as the tongue, the inside of the lips, the pharynx, and so on.

This is the first time Qin Feng has seen oral ulcers in this situation.

(End of this chapter)