medical road high rise

Chapter 327 Ruptured Aortic Dissection

Chapter 329 Ruptured Aortic Dissection

Qin Feng looked through the patient's medical records again, and found an introduction to the patient's condition from the intranet.

It was found that the situation was very bad. The patient had a rare congenital cardiomyopathy, but there was no recurrence, so both siblings ignored it.

The most obvious aspect of congenital cardiomyopathy is that the symptoms of ventricular myocardium insufficiency appear at an uncertain time, and may erupt in childhood, and may erupt until death.

Insufficient ventricular muscle compaction will have many manifestations, the most obvious being heart failure, arrhythmia, endocardial thrombus with systemic embolism, and so on.

This disease has given Ruijin Hospital a headache.

"Doctor, you must save my younger brother. I only have him as a family member. At least don't make him suffer so much..." the patient's sister said.

"I will do my best." Qin Feng left the office holding the medical record.

This operation, Qin Feng's psychological pressure is the least. The patient's sister knows the patient's situation, and the possibility of survival is very small. The doctor at the second hospital also made it very clear.

If Ruijin Hospital had no choice, they would have to wait to die.

Now that Qin Feng dares to say that he has a try, it is enough to show that there is still a glimmer of hope.

Although the patient is unfortunate, he should be working and living happily in his 20s, but now he can only lie on a hospital bed.

But he is lucky, at least he has a sister who can save him without hesitation.
For other families, most of them would have chosen to give up.

For his sister's choice, at least two cars were thrown in, which meant that his sister would bear huge debts in the future.

After the patient was admitted to the ICU, his condition stabilized temporarily. When Qin Feng passed by, the ICU doctor told Qin Feng that the patient still had chest tightness and could not urinate normally, so he could only use a catheter.

Qin Feng first handed the patient to the ICU, and then went back to the emergency department.

Back at the outpatient clinic, Zhang Yao hurried out to answer a phone call, and then looked at Qin Feng anxiously.

"Brother Qin, my mother is sick, can you spare some time to help my mother?"

"Okay, you can just ask auntie to come to our clinic directly." Qin Feng said.

For these two nurses, Qin Feng still has a good impression. He just helps their relatives see a doctor. Qin Feng will not refuse such a thing within his power.

Soon, Zhang Yao helped her mother into the outpatient clinic.

Yue Meng poured Zhang Yao's mother a glass of water.

"Auntie, what's wrong with you?"

"Oh, I don't know what's going on, but my stomach hurts." Zhang Yao's mother said.

"Yue Meng, check Auntie's abdomen to see if there are any lumps or rebound pain..." Qin Feng commanded.

A few minutes later, Yue Meng came back with a serious face and said, "Auntie has an obvious lump in her abdomen."

Qin Feng's expression also became serious, and he checked Zhang Yao's mother himself and made his own diagnosis.

"I suspect that Auntie's abdominal pain is caused by abdominal aortic dissection. I suggest you go for an abdominal CT first." Qin Feng said.

For Qin Feng, Yue Meng trusted him 100% and took his mother directly for a check-up.

Qin Feng's expression has not been relaxed. The reason why Qin Feng guessed it was abdominal aortic dissection is because after the abdominal aorta is injured, under the impact of high-pressure blood flow, the blood vessels will gradually expand in a spherical shape. It feels like a tumor has grown on a blood vessel.

Once it breaks, the consequences will be disastrous.

Ten minutes later, Zhang Yao's mother's abdominal CT was done, and Qin Feng turned on the computer to look at it.

I found that my diagnosis was not wrong, it was indeed abdominal aortic dissection, but it was a relatively serious one, which belonged to a ticking time bomb.

"The operation must be performed immediately." Qin Feng said.

Zhang Yao was taken aback, and said in a crying voice, "But, it's very difficult to make appointments with interventional doctors in our hospital, my mother..."

"Don't worry, don't you think Dr. Qin is a human being? His interventional surgery is not bad!" Yue Meng comforted Zhang Yao by patting Zhang Yao's shoulder.

Yue Meng was the matchmaker for Qin Feng, and he knew how good Qin Feng's interventional surgery was.

Hearing Yue Meng's words, Zhang Yao sobbed and raised her head to look at Qin Feng.

Qin Feng comforted him: "Don't worry, Auntie will be fine. I'll call Director Zhao and ask for a hybrid operating room."

"Brother Qin, can I follow you to the operating room?" Zhang Yao asked.

"No." Qin Feng rejected Zhang Yao.

If it was another patient, Qin Feng might let Zhang Yao go, but this is Zhang Yao's mother.

There are generally unspoken rules in hospitals, that is, avoidance of relatives. Even a boss with a 100% success rate of surgery will basically not perform surgery on his relatives. If he is too restrained, he will not be able to show his strength, and he will easily make mistakes.

"Okay." Zhang Yao stayed in the outpatient clinic.

Qin Feng asked Yue Meng to check the operating room and start the operation after the arrangement in the operating room was completed.

two hours later.

The operation begins.

While waiting, Qin Feng made a surgical plan and performed an interventional abdominal aortic stent operation.

This is considering the patient's age, plus it is Zhang Yao's mother, Qin Feng tried his best to exchange the patient's safety with the least possible injury.

The goal of the surgery is also very simple, which is to use artificial stents to support and protect blood vessels.

Since it was a minimally invasive surgery, Qin Feng did not use anesthesia, and judged the progress of the surgery based on the patient's perception. If the patient felt any discomfort, he would stop immediately.

Both Qin Feng and Yue Meng put on heavy lead clothes and stood on the operating table.

"Piercing bag."

"Guide wire."

"catheter."

……

Qin Feng kept calling for equipment, this was to prevent Yue Meng from taking the wrong equipment.

When entering with the guide wire for the second time, an accident happened.

"Doctor, it hurts, my stomach hurts so much." Zhang Yao's mother said in pain.

Qin Feng immediately stopped what he was doing, observed the patient's condition vigilantly, and looked at the imaging machine. Qin Feng found that the imaging machine showed that the aortic dissection inside the patient's abdominal cavity had ruptured.

The black on the image quickly covers up the entire image at an extremely fast speed.

Qin Feng raised his heart instantly, and Yue Meng's body tensed up instantly.

"The patient's blood pressure has dropped." The anesthetist who had been idle all of a sudden stood up.

There is a joke in the hospital, that is, when the chief surgeon is operating, the anesthetist plays and sings during the operation, proving that the operation was successful.

But once the anesthetist stops performing the operation and stands up, it proves that the operation is more or less fatal.

The patient's blood pressure kept dropping, Qin Feng took a deep breath, thinking about the plan in his mind.

Now there are two ways, one is to intervene embolism to stop the blood.

Another option is to stop the bleeding directly after laparotomy.

Fortunately, Qin Feng chose a hybrid operating room, both of which can be performed.

(End of this chapter)