medical road high rise

Chapter 323 Small Intestinal Bleeding?

Chapter 324 Intestinal Bleeding?

Qin Feng checked the patient's body surface, but if he dissected the corpse, Qin Feng couldn't dissect it, and he had to wait for the pathologist to come.

This is required by the medical office. Doctors are not allowed to dissect the dead body at will, in order to avoid some bad things from happening.

It took Qin Feng 10 minutes to examine the patient's body, but there was no fatal problem.

First, there are no obvious wounds.

Second, there are no abnormal areas, such as a place that suddenly turns purple or black.

For a while, Qin Feng couldn't make up his mind.

The township doctor who followed the car suddenly said, "When the patient got sick, he kept complaining about having a headache."

"Headache? Could it be intracranial hypertension?" Qin Feng suddenly thought, "Are there any other symptoms in your hospital?"

"Yes, nausea, vomiting, headache, and bulging eyeballs." The township doctor said while thinking.

The fact that the eyeballs protrude has a great impact on the township doctors.

Qin Feng gently pulled off the mask and sniffed around the patient, and there was an obvious stench.

However, the medical records brought by the township doctor showed that the patient had no signs of intracranial hypertension during his lifetime, and even before that, there was no cause of intracranial hypertension.

And the patient was still very young, why did he suddenly die from intracranial hypertension?
Qin Feng opened the patient's pupils again, and found that the patient's pupils were dilated, the eyeballs were protruding, and there were sparse bloodstains in the eye sockets.

There is even blood in the corner of the eye, which is obviously caused by the penetration of intraocular hemorrhage.

When Qin Feng turned his head, Qin Feng suddenly saw several obvious acne on the patient's face, and there were several obvious acne pits around the acne, which should be squeezed by the patient.

In normal times, Qin Feng would definitely not go to see acne or something.

But now, Qin Feng seems to have found the reason.

Vomiting, dizziness, headache, and exophthalmos are indeed symptoms of intracranial hypertension, but the patient does not have hereditary hypertension or intracranial vascular malformations.

But these symptoms are still symptoms of another disease.

Sinus thrombosis.

This is a special type of cerebrovascular disease with a relatively low incidence and is rarely seen clinically.

Symptoms and signs include headaches of varying degrees, projectile vomiting, decreased vision, hemianopia in the same direction, and so on.

Qin Feng continued to check the patient's fundus with a flashlight, and found that the fundus had edema of the optic disc, dilated retinal veins, and retinal hemorrhage.

These are typical symptoms of sinus thrombosis.

"The cause of death of the patient was sinus thrombosis." Qin Feng said.

The resident in the emergency department looked at Qin Feng in surprise, and asked: "Sinus thrombosis, I remember it is a predisposing disease, right? What is the predisposing condition?"

"Facial Danger Triangle!"

Hospitalization in the emergency department always takes a breath.

The triangular area of ​​the face, generally speaking, is the area from the root of the nose to the corners of the mouth on both sides, which is a dangerous area recognized by the medical profession.

When inflammation occurs on the face, especially when there is infection in the dangerous triangle area, it is easy to form thrombus in the veins of the face, affecting the normal venous blood return.

Moreover, the blood flow will flow backward to the superior ophthalmic vein due to obstruction, and then pass through the cavernous sinus on both sides of the intracranial sella through the orbit, spreading the inflammation of the face to the intracranial.

Although it is just a seemingly ordinary inflammation, it can still be life-threatening in severe cases.

Therefore, in the eyes of ordinary people, just squeezing a pimple is actually a high-risk behavior.

It sounds ridiculous, but it is what it is.

When the cause was found, Qin Feng recorded it and comforted the patient's family.

Before Qin Feng could leave, he was called by Li Xuewen to save Taiwan.

It is a troublesome thing to say that a patient's bleeding cannot be stopped during the operation.

Qin Feng rushed to the operating room. There are still many reasons for the bleeding during the operation. According to the complexity of the operation, the method of stopping the bleeding is also different.

After changing into the surgical gown and entering the operating room, Qin Feng saw Li Xuewen was sweating profusely, and the equipment nurse was wiping him.

"Not good, the patient's blood pressure has dropped to 87, and the heart rate is also dropping."

Li Xuewen had a sad look on his face. He tried various methods but could not completely stop the bleeding. At most, he could only slow down the bleeding.

If the bleeding is not stopped in time, even if the bleeding speed slows down, death is certain.

"How long will it take for the blood from the blood bank to arrive?" Li Xuewen asked.

"Soon!" said the itinerant nurse.

Li Xuewen also breathed a sigh of relief when he saw Qin Feng coming up.

It would be a pity if this patient died, since he was still very young after all.

"What happened to the patient?" Qin Feng asked.

"Half a month ago, I was admitted to the hospital because of high fever and chills." Li Xuewen explained.

Qin Feng frowned. The two extremes of high fever and chills appeared at the same time, which is indeed a big problem.

"What about the patient examination?"

"Abdominal CT, ultrasound, etc. have been done, but no abnormalities were found." Li Xuewen said, "Finally, a toothpick was found in the patient's intestinal tract under colonoscopy."

Qin Feng nodded, the toothpick is the cause of the disease, because the toothpick cannot be detected by CT and other examinations, and only the colonoscopy with the naked eye can solve it.

There is a toothpick in the intestine, which can be taken out through endoscopy, but when Li Xuewen took it out, he found that the bleeding could not stop.

Qin Feng frowned, the bleeding part of the patient was the small intestine.

The length of the small intestine is relatively long, the activity is strong, and the intestine overlaps, so it is difficult to stop bleeding through the hemostatic forceps under the endoscope.

At the same time, the hemostatic drug cannot reach the bleeding point, and the tourniquet is even more useless.

"Are you sure it's on the small intestine?" Qin Feng asked.

"It should be, after all, the toothpick got stuck in the small intestine." Li Xuewen hesitated.

Qin Feng shook his head and said: "If it's in the small intestine, endoscopic hemostatic forceps are still useful to stop the bleeding. After all, as long as the blood vessels near the heart are clamped, the blood can also be stopped, and there is no need to find the exact bleeding point."

Qin Feng went to the stage to check, because it is a hybrid operating room, some surgical instruments are available.

Using laparoscopy, Qin Feng formed a fistula between the patient's blood vessels and intestines, and the bleeding point was this fistula.

After finding the bleeding point, Qin Feng discovered that it was just a small hemostasis operation and only needed a laparoscopic surgery to repair the blood vessels and intestines.

The main reason is that Li Xuewen's direction was wrong, so the bleeding couldn't be stopped, and he didn't think about other directions.

This is a mistake in judgment by the doctor, and it is more or less a medical accident.

The repair operation was still done by Li Xuewen, and Qin Feng did not perform the surgery.

After all, the operation is not difficult, and Li Xuewen can do it by himself.

In about 15 minutes, Li Xuewen completed the operation, and the blood vessels and intestines were repaired successfully.

After Qin Feng came to the stage, he left directly, and naturally went home to sleep.

Li Xuewen got off the operating table, still a little frightened.

This time, I was influenced by myself. When hemostasis, the default bleeding point is in the small intestine. This is a lesson.

(End of this chapter)