medical road high rise

Chapter 458

Chapter 460 The Kidneys Can't Be Saved

Some large hospitals are equipped with landing pads, and if there is an emergency, a helicopter rescue team can be called.

Of course, the cost is not cheap. In Shanghai, it costs about [-] yuan for a flight. In addition to the price of the drug Dantrolene, the cost of this rescue is not usually high.

Fortunately, there is dantrolene in the Third Hospital of Shanghai, and the expiration date has not yet expired. This type of drug is only valid for one year, but the entire Shanghai may not encounter a single case of malignant hyperthermia within a year.

Even if the drug is transferred from Xiehe and it is delayed for several hours, the patient will not be able to reach the site of action due to circulatory failure and insufficient blood perfusion of the skeletal muscle, so that the muscle relaxation effect can be fully exerted.

In that case, it will also lead to a decrease in the survival rate of patients.

After getting the medicine, Qin Feng quickly injected the patient intravenously. After a few minutes, the patient's muscle stiffness was significantly relieved.

Qin Feng contacted the ICU and asked them to take the patient away. After the patient left, everyone breathed a sigh of relief.

The big rescue this time was finally a success.

Qin Feng returned to the outpatient clinic to continue his consultation.

The patient handed the film to Qin Feng. Qin Feng took a look and found that the patient actually had a pulmonary hernia.

Pulmonary hernia is a type of hernia. Generally, hernias are more common in the groin, and hernias in other parts are rare. However, there are quite a lot of hernias after surgery.

Some patients may form different hernias due to surgical incisions or other reasons that cause muscle tissue to relax and viscera to swell.

Pulmonary hernia, this is the first time Qin Feng has seen it, but I have heard it from other doctors before, and it has been mentioned in some research literature.

After watching the film, Qin Feng said directly, "Your condition is lung hernia, which requires surgery."

"Doctor, is the operation risky?" the patient asked worriedly.

"It's not big, it's just a minor operation." Qin Feng said, "It's just filling the space in your lungs."

Qin Feng let the patient hold his breath again, and found that the patient's entire head turned red, and the blue veins were exposed. This kind of lung hernia is still quite serious.

Even Yue Meng was shocked. Qin Feng asked Yue Meng to quickly issue a receipt and let the patient go to the hospital.

In this case, once the patient catches a cold, he will be seriously ill. A cold will cause a cough, which will compress the carotid artery, and the patient has pulmonary hernia. Insufficient oxygen supply will lead to brain hypoxia.

After the patient left, Yue Meng suddenly asked, "Brother Qin, aren't you going home for the Chinese New Year this year?"

"Go home? What can you do during the three-day holiday? It's better to stay in the hospital." Qin Feng said.

"That's right, alas, I haven't been home for the New Year in two days, I really miss my mother's New Year's Eve dinner." Yue Meng sighed.

The closer to the end of the year, the more medical staff miss their hometown.

In other industries, they are all young and easy to go home, only the hospital is getting busier during the Chinese New Year.

"If you don't mind it then, let's have a New Year's Eve dinner together, I'll treat you." Qin Feng said suddenly.

"Okay." Zhang Yao said.

Yue Meng also nodded.

The contact with Qin Feng during this period has greatly increased the dependence of the two of them on Qin Feng. They also live in single dormitories, and they usually go home alone.

On a festive day like the Chinese New Year, it is better for the big guys to hold a group to celebrate the New Year than to stay alone at home.

"Okay, then it's settled. Then there will be two of my friends, a nurse and a doctor." Qin Feng said.

"It's okay, Brother Qin, your friend is our friend." Zhang Yao said, patting her chest.

Li Xuewen suddenly knocked on the door of the clinic.

"You're back?" Qin Feng looked at Li Xuewen in surprise.

"What are you talking about, boy? I'll be back soon?" Li Xuewen looked dissatisfied, "It's been hard work for you during this time, you are so busy every day, and you have to take care of those interns."

"It's a little effort, I just happen to learn it too." Qin Feng smiled.

"Are you ready to teach?" Li Xuewen looked at Qin Feng.

The appearance of such a young teacher must be unreliable, but Qin Feng's skills are excellent, so there will definitely be no problem in teaching students.

"Maybe I will trouble you at that time." Qin Feng smiled.

"Small things."

Jingling, the phone in Li Xuewen's pocket rang.

"What? Emergency consultation in the operating room? I'm in Dr. Qin's clinic, and I'll go there with him. "

"What patient?" Qin Feng asked.

"A car accident patient had hemorrhagic shock and probably had retroperitoneal hematoma." Li Xuewen said.

Qin Feng followed Li Xuewen, and saw that basically the entire surgical system had sent representatives, which proved that the patient's condition was indeed a bit serious, otherwise it would be impossible for the entire surgical system to send representatives.

For patients in this situation, the more departments they come to, the higher the patient's survival rate, and the more they are preparing for the next operation, there is a high probability that this patient will not be saved.

After Qin Feng and Li Xuewen changed into the isolation suits, they went in directly.

As emergency doctors, they are the first to see films and patients.

After watching the film, Qin Feng also frowned. The patient was seriously injured.

Apart from the head being fine, other places have been damaged to varying degrees, which can be diagnosed as a compound trauma of the whole body.

Most importantly, Qin Feng also discovered that both of the patient's kidneys were damaged, which meant that both of the patient's kidneys would have to be removed.

This is simply fatal for a person, if only one kidney is removed, at least the other kidney is still working.

But both kidneys are gone, so even if the rescue is successful, how can the patient survive?
The patient's CT scan was simply horrible. The huge hematoma in the retroperitoneum, the clearly visible fractures, and the broken kidneys made people feel horrified.

Based on the CT results, Qin Feng basically concluded that the patient's kidneys were irreparable. As for what the urologists think, it's up to them.

"Let's open it first. The general surgery department will come with us. Let's open it first." The urologist also found it difficult, but it was impossible not to try.

With the opening of the stage, all doctors in the department were mobilized.

Bag after bag of heated blood plasma was sent into the patient's body, but the patient's blood pressure was still extremely low.

The injuries to the liver and spleen were relatively minor, and the hepatobiliary surgeons quickly completed the task.

The urology doctor took a deep breath, "How much is the patient's current urine output?"

"No urine."

If there is no urine, it means that the patient's renal function has completely disappeared, and the only option is to remove the kidney.

But he was thinking the same as Qin Feng, that is, if both kidneys were removed, how would the patient survive?
(End of this chapter)