medical road high rise

Chapter 98 The Escaped Doctor

Chapter 98 The Escaped Doctor

"The system draws rewards."

After Qin Feng entered the surgery training room, he directly chose the random surgery training obtained from the extraction task. Qin Feng was also very curious about this new surgery.

"I hope to have an extra-thoracic surgery!" Qin Feng murmured in his heart.

[Ding, complete the hidden task, show your strength and eliminate the doubts of the patient's family. 】

[Task Reward: Randomly reward a surgical training. 】

[Rewards are being drawn randomly...]

[Newly added training surgery: tibial surgery. 】

Qin Feng was taken aback when he heard the name.

Orthopedic surgery?

This is a surgery that Qin Feng has never been involved in before. Before the arterial embolism of the lower limbs, Qin Feng just avoided the bone spur from piercing the artery, which is not a real orthopedic surgery.

This aspect can be regarded as a shortcoming of Qin Feng.

Now that there is surgery, Qin Feng is naturally the first to experience it.

After fifty operations, Qin Feng withdrew with a confused look. Fifty operations were completely lonely. Even with the help of systematic learning materials, it was still too unfamiliar to Qin Feng.

I accidentally did it in the wrong position, causing the operation to fail.

Exiting the training room, Qin Feng was about to recall the steps of his operation when he was awakened by a knock on the door.

Qin Feng sat up straight, and there was always an open periodical in front of him.

"Doctor Qin, there is a patient with back pain and anuria in the emergency department, and I need you to go and have a look." The nurse turned around and left after speaking.

"Emergency department again? But back pain and no urine, shouldn't I go to the urology department? Why did I find myself?"

Qin Feng rushed to the emergency department with doubts, and saw a familiar emergency doctor sitting in the office, and a urology doctor was sitting next to the emergency doctor.

"How is the patient's blood pressure now?" Qin Feng asked.

"It's okay, but the patient's urinary system infection is particularly serious." The emergency doctor handed Qin Feng a stack of test sheets, B-ultrasound, and chest X-ray, "and there are stones in the patient's left kidney and ureter, accompanied by moderate to severe symptoms." Hydronephrosis."

After listening to Qin Feng, he knew that most of the patient's condition was urinary system infection, and urinary system infection is also very easy to kill. Faced with this seemingly ordinary disease but a man-eating devil, Qin Feng felt a little dignified.

Because the blood in the human body flows in the blood vessels, when it flows to the kidneys, part of it will enter the ureter and form urine. Once stones appear to block the ureter, the urine cannot be smoothly discharged into the bladder. There will be water accumulation in the kidneys.

Ordinary stagnant water is not a big problem. It can be understood that it is a nature of holding back urine. After the stones are crushed by ultrasonic waves, diuretics are used to expel the stones. Ordinary stagnant water will naturally resolve on the face.

However, I am most afraid of bacterial accumulation of water. Whether it is in reality or in the human body, the accumulation of water is the place where bacteria are most likely to grow. If the water does not move, it will rot. As the accumulation of water increases, bacteria in the accumulation of water may become more likely Reverse flow into the blood, causing sepsis, severe cases can lead to septic shock, and even death due to multiple organ failure.

"What do you think about the urology department?" Qin Feng asked.

"I have just arrived. I suggest we go see the patient first and then draw a conclusion." The urologist did a Tai Chi and did not blindly accept this patient.

After all, one cannot judge a patient's condition just by relying on a few words.

It is impossible to send it to the vascular department even if you are sick. Although the human body has tens of thousands of blood vessels, the vascular department cannot manage so many.

The emergency doctor took the two of them to the emergency room. When Qin Feng saw the blood pressure at the bedside, he was startled.

The patient's blood pressure is currently only 90/50mmhg.

"Hurry up and contact the ICU, our urology department may not be able to accept it." The urologist didn't go to see the patient's condition, but could tell from the blood pressure that this patient could only be sent to the ICU.

Qin Feng looked at the patient. At this time, the patient was lying on his side on the rescue bed, curled up, probably caused by the back pain caused by the stones, his brows were frowning, and his expression was slightly ferocious.

But the patient's consciousness is still clear, every word Qin Feng and the others said, the patient can still hear.

Qin Feng looked at the other data again. The blood oxygen saturation was not bad, and the breathing was normal, but the heart rate was a little too fast. The fast heart rate and the patient's low blood pressure were obviously symptoms of shock.

"It's too late to be sent to the ICU, and an operation is needed immediately." Qin Feng looked at the doctor in the urology department.

The urologist frowned. This kind of kidney stones, ureteral stones and water infection, because the stones are blocked, and the ureter is not dredged to allow urine to be discharged, the infection must not be well controlled.

Surgery is risky, and urologists kind of don't want to take on that responsibility.

"The operation is a bit difficult, I'm afraid..."

"You can't even do percutaneous nephrostomy drainage, can you?" Qin Feng questioned.

He has already seen that this urology doctor obviously wants to blame him, and has no desire to operate on patients at all. For this kind of doctor, what Qin Feng can do is to put pressure on him.

If the urologist is willing to perform the operation, that is naturally the best. If he is not willing to perform the operation, then Qin Feng has nothing to do.

"Percutaneous drainage surgery? What's the use? Even if the accumulated water is drained, the accumulated water will still accumulate again and the infection will reappear even if the patient does not break the stone." The urologist shook his head and said, he was unwilling to get involved in this During the surgery, the risk was really too high for him.

"It's better to send it directly to the ICU, let the ICU use strong antibiotics to suppress the infection, and then consider surgery."

The emergency doctor stopped talking. After all, he didn't have much right to speak, and he could understand the psychology of the urologist.

There is nothing wrong with the operation Qin Feng said, that is, to drain the accumulated water through the fistula to solve the infection, and then crush the stones, and the operation is completed.

A few seemingly simple steps, but the risk is very high. Once bacteria enter the blood during the operation, it cannot be solved by antibiotics.

"Doctor, am I going to die?" The patient on the rescue table asked suddenly.

Everyone looked at the patient. The patient's expression was a bit sad, but the pain made her face slightly distorted. She tried her best to hold on, and the gleam in her eyes proved that she still wanted to live.

"No, it's just ordinary hydronephrosis. We will definitely restore your health." Qin Feng comforted.

When the patient heard Qin Feng's words, he closed his eyes and nodded slightly.

In this case, only by closing your eyes can you truly suppress the pain.

Qin Feng looked at the urologist and said: "The patient stays in the emergency department first and is injected with antibiotics. If the patient's condition does not improve at [-] o'clock in the morning, then the operation will be performed immediately."

"That's fine." The urologist left without saying hello.

His idea is also very simple. Anyway, the shift is changed at [-] o'clock in the morning, and it is not his turn to do the surgery. Whoever loves to do it will do it.

(End of this chapter)