medical road high rise

Chapter 475 Awake
Chapter 477 Awake
"Could it be that the patient had too many fat emboli, and the capillaries in front of the lungs were blocked, preventing them from entering the blood and urine? Or did they form a large embolus and adhere to the inner wall of the blood vessel?" Qin Several guesses appeared in Feng's mind.

When a fracture occurs, the fatty nuclei of the venous sinus rupture, and the fat enters the venous circulation as the contents of the hematoma. The spongy bone particles and larger fat embolus will block the smallest segment of the pulmonary vascular branch, and there will also be Part of the fat emboli enters the pulmonary vein along the capillary bypass in front of the lung.

Therefore, the fat embolus is larger than the prepulmonary capillary and cannot enter the vein. Although the chance of this happening is small, it is not impossible.

"I still insist on treating patients with fat embolism syndrome." Qin Feng said.

Li Xuewen frowned, "But the patient has no relevant signs, if the treatment method is wrong..."

"If something goes wrong, I will take responsibility." Qin Feng said firmly.

Qin Feng felt that his guess could not be wrong. Just relying on the fact that the patient's pupils were not aligned, Qin Feng was 90.00% sure.

A doctor's diagnosis has never been a judgment question, but a multiple-choice question, choosing the most appropriate answer from many.

Fat embolus is also a very troublesome disease. So far, there is no medicine that can dissolve fat embolus and relieve fat embolism.

Most of the drugs can only prevent the further aggravation of fat embolism, correct the hypoxia and acidosis, prevent and reduce the pressure of vital organs and recover their functions.

"Add an ice cap to the patient and treat it with hyperbaric oxygen at the same time." Qin Feng said.

The ice cap can effectively reduce the metabolism of the brain tissue of the patient, and reduce the state of cerebral hypoxia and the damage of brain cells.

After some treatment, the patient's consciousness is also gradually changing. Qin Feng asked a few questions, and the patient was able to answer, but the response was a little slow.

Qin Feng handed the patient over to Li Xuewen, and asked Li Xuewen to continue the treatment according to the fat embolism syndrome. After two days of treatment, another round of examinations will be confirmed.

Li Xuewen nodded when he saw that the patient was awake.

Qin Feng went back for the night shift handover. When he was about to leave, a taxi stopped at the entrance of the hospital, and the taxi driver started yelling as soon as he got off.

"Doctor, come and save someone!"

Qin Feng ran over quickly when he saw it. This is an instinct as a doctor.

The taxi driver opened the back door, and Qin Feng saw the patient in the back seat, which can be described as bloodshed.

"You hit someone like this?" Qin Feng immediately judged that the patient was injured in a car accident, but the external wound was not serious.

"How is that possible? I saw this person begging for help, so I pulled him into the car. Who knew that he passed out as soon as he got into the car." The taxi driver quickly argued.

Although he is willing to do good deeds, he is unwilling to take the blame. After all, the blackmail on the Internet is too terrible.

"Doctor, I've already delivered the patient. I'll leave first if there's nothing else to do." After Qin Feng instructed the medical staff to carry the patient to the carpool, the taxi driver left in a hurry.

Qin Feng looked at the back of the taxi driver and shook his head helplessly.

However, regardless of whether it was hit by a taxi driver or not, at least the patient was sent to the hospital, and Qin Feng will be responsible for the patient.

Glancing at the time, it was already eight o'clock, and Qin Feng guessed that he would not be able to get off work early.

I called the CT room and asked the patient to do a comprehensive examination.

What car accident patients are most afraid of is not external injury, but internal injury. The huge impact generated by the impact will cause the patient's organs to bruise or even shatter.

An hour later, the patient's results came out. There was no problem with the abdomen, but there was a problem with the head, subdural hematoma accompanied by the formation of brain herniation.

Brain herniation is a relatively dangerous situation for the brain, and this patient has already had a lot of bleeding, which has caused the pressure in some intracranial regions to increase, and tissue displacement has occurred, squeezing other brain regions.

"Have the patient's family members been contacted?"

"We contacted the patient's wife, but the patient's wife called us liars and we couldn't communicate at all." The head nurse said helplessly.

Qin Feng was speechless, "Let me try."

Qin Feng dialed the phone number of the patient's wife, but before Qin Feng could speak, the patient's wife began to curse.

"I told you not to call me. I have no money and my husband is fine. He is fine at home."

"Hello, take a good look, is this your husband's mobile phone number?" Qin Feng said.

"dududu~"

The phone was hung up, and Qin Feng was speechless. This family member has been scammed before, and they don't trust strange calls.

Another point, didn't you give your husband a note?
Qin Feng tried again, but found that he had already been blocked. He blocked his husband's number. He had to admit that this wife is a ruthless person.

There is no way, Qin Feng can only contact the police and ask the police to make a call.

If you can't make a phone call yourself, it's okay for a public servant to make a phone call.

The main patient's condition is a little serious. Without the presence of family members, Qin Feng would not dare to act rashly.

After a lot of tossing, the patient's wife was finally called to the hospital.

Qin Feng began to arrange the preparations before the operation. As soon as the family members arrived, they signed and explained and went directly to the operation.

Seeing his husband's appearance, Qin Feng finished his explanation, and the patient's wife signed it without saying a word.

Considering that the patient has been delayed for a while, there is already too much intracranial hemorrhage.

Qin Feng used the method of subdural drainage to suck out the accumulated blood.

The inside of the brain cannot be like the abdomen, which can only be pumped up and sucked, and can only be drained step by step.

Originally, Qin Feng thought that the drainage would be very slow, but seeing that the drainage speed was actually very fast, Qin Feng began to deal with the patient's brain herniation.

In fact, brain herniation occurs during brain surgery, and the prognosis of patients is very poor, with a high rate of disability.

Qin Feng could not guarantee that the patient would be intact. Scientists had not yet understood the brain, and it was even less possible for Qin Feng to understand it.

What Qin Feng can do is to solve the brain herniation and hemorrhage, and the rest depends on the patient's own luck.

After the operation, it was already one o'clock in the morning. Qin Feng was still not sleepy, so he went to the drunk patient to have a look, and gave the patient a pain test.

Although the patient is still in a coma, there is still a pain response, and the effect of vitamin B1 is still obvious.

Qin Feng returned home and received a phone call from the general hospital at seven o'clock the next morning.

"Brother Qin, the patient is awake."

"What patient woke up?" Qin Feng was still in a daze.

"It's the patient with Wernicke's encephalopathy." The hospital chief reminded.

Qin Feng gradually came to his senses, "Okay, just keep an eye on the patient's signs, and I'll go to the hospital right away."

(End of this chapter)