medical road high rise

Chapter 328 Dentures
Chapter 3: Dentures
Qin Feng frowned as he looked at the opening where the aortic dissection had ruptured.

It seems that if the embolism is blocked, it seems that the embolism cannot be blocked.

Then you can only open your stomach!

Due to time constraints, Qin Feng directly issued the doctor's order and critical illness notice.

"General anesthesia, ready to open the abdomen to stop the bleeding." Qin Feng roared.

"For blood transfusion, let the blood bank bring another 3000cc paired plasma."

Fortunately, before the operation, Qin Feng prevented the risk of aortic dissection rupture, and all the surgical instruments were available.

The anesthetist performed general anesthesia, and Qin Feng directly took the scalpel and started the operation.

At this time, Yue Meng rushed in and said, "Zhang Yao has already signed."

"Okay, get ready for surgery."

Yue Meng quickly entered the assistant state, and Qin Feng performed laparotomy to stop the bleeding.

Every step is a race against the god of death. Opening the abdominal cavity, watching the dark red blood keep gushing out, Qin Feng's breathing became rapid.

"Attractor!"

Qin Feng quickly sucked the blood in the abdominal cavity, stared carefully at the surgical field for a moment, and soon discovered the source of the bleeding.

He stretched out his hand, directly found the bleeding point, and pinched it. The gushing blood quickly stopped and the surgical field was quickly cleared.

"Hemostatic forceps."

"Gauze cleans up the congestion!"

The blood in some places cannot be sucked with a suction device, and can only be sucked with gauze. Soon seven or eight blood-stained gauzes were thrown into the pollution bucket.

Qin Feng took the hemostat, clamped the blood vessel, and successfully stopped the bleeding.

The patient's blood pressure began to rise, but there was another problem.

That is, the blood vessel has ruptured, and it is impossible to place a stent again, and even if it is sutured, due to the large scope and the age of the patient, even after suturing, the blood vessel may rupture again after a period of time.

Qin Feng thought, if it is sutured, after the suture is completed, the patient can only wait for the next laparotomy at risk.

Two laparotomies in a short period of time will definitely cause permanent damage to the patient, and if they are not young, they may not be able to recover, leading to more complications.

Qin Feng's character is destined not to let the patient suffer too much. Why should he delay the second time when the problem can be solved once.

"Yue Meng, go and inform the family members that the operation plan has changed, and I will do a bypass and replace the patient with an artificial abdominal artery." Qin Feng said.

The anesthesiologist was dumbfounded and looked at Qin Feng.

You must know that replacing the artificial abdominal artery is much more difficult than installing a stent. It seems that I want to warn you, but when I think that all patients are like this, then forget it.

When Yue Meng went out to negotiate with Zhang Yao, Qin Feng went to the locker room to change a set of clothes, took off the heavy lead clothes, called Li Xuewen, and asked Li Xuewen to help him borrow an artificial blood vessel from the vascular surgery department.

Li Xuewen muttered a few words, and borrowed it for Qin Feng.

The operation restarted, and Li Xuewen became Qin Feng's assistant.

There's no way, everyone is here, it's a bit unjustifiable not to be on stage.

Li Xuewen was a little worried about Qin Feng. Vascular replacement surgery is a surgery at the top of the pyramid in vascular surgery. The risk is extremely high, and there are not many doctors who can do it in Ruijin Hospital.

Before Li Xuewen could figure out how to organize the language to persuade him, Qin Feng had already started to separate the organization.

The abdominal aorta is exposed, the blood vessel is blocked, and the blood vessel is cut off.

Measure the length of the blood vessel, replace the artificial blood vessel into it, and after it is inserted, is the big part of this operation.

Qin Feng anastomosed one end of the artificial blood vessel with the end of the abdominal artery and opened a window on the side wall, and then anastomosed the other end with the left pulmonary artery and the main pulmonary artery...

Step by step, the anastomosis is completed.

The operation time, cardiopulmonary bypass time and blocking time were 185, 80, 0 min, respectively.

Then the patient's incision was sutured, and the patient's data was stable when he looked at the equipment aside.

Zhang Yao was grateful to Qin Feng, and said that she would invite Qin Feng and others to dinner. Qin Feng asked her to take good care of her mother first, and there was plenty of time for dinner.

Back at the outpatient clinic, only Qin Feng and Yue Meng were left.

Soon, a middle-aged man walked in with the help of an old man.

Qin Feng took a sip of tea to wake himself up and sit up straight.

"Doctor, my mother quarreled with others in the community today because of the square dance venue, and accidentally swallowed her dentures. Now she feels uncomfortable all over." The middle-aged man said in embarrassment.

Qin Feng had witnessed another strange case, swallowing his dentures.

"Tell me about any uncomfortable symptoms?"

"It's just that when I drink water, I have a sore throat, I can even swallow saliva, and I can't breathe." The patient said.

Qin Feng nodded and said: "It's possible that the dentures are stuck in the esophagus, let's take a film first." Qin Feng opened a checklist.

The middle-aged man took his mother to check, and soon, the two came back with the check.

Qin Feng glanced at the film and could clearly see that there was a white foreign body stuck in the middle of the patient's esophagus, which was still a relatively dangerous position, where there was a section of aortic arch.

"Let me tell you about the patient's current situation. Because the denture is relatively large and cannot pass through the esophagus, it is stuck in the esophagus. However, if it is stuck for a long time, it will cause esophageal fistula and even aortic hemorrhage, resulting in death. The rate is high."

Upon hearing the fatality rate, the middle-aged man and the patient couldn't help but tense up.

Originally, the middle-aged man thought that he could take it out casually when he came to the hospital, but who knew it was so dangerous.

"Can't you just take it out with tweezers?" the middle-aged man asked.

"No, the dentures are too big." Qin Feng shook his head and said, "My suggestion is to perform surgery immediately to take out the dentures."

The middle-aged man nodded, "Okay, doctor, you can arrange it, as long as it can ensure my mother's safety."

Qin Feng opened the bill, the middle-aged man went to pay the fee, and the patient was pushed to the emergency room.

Why not the operating room?

It is because of a foreign body in the trachea. This kind of minor operation does not need to go to the operating room.

"Local anesthesia." Qin Feng said to the anesthetist, "At the same time, intubate for oxygen."

Because the patient is an elderly person, the blockage of the dentures itself causes the patient to have difficulty breathing, and the anesthetic also has the effect of respiratory depression, so intubation and oxygen supply are necessary.

"Dilated esophagoscope."

"Large foreign body forceps."

Qin Feng extended the esophagoscope from the patient into the patient's mouth, into the patient's esophagus, all the way down.

I quickly found the denture through the video, and then clamped it out with foreign object pliers.

During the process of clamping out, Qin Feng was a little careful to prevent the dentures from scratching the esophagus. The esophagus is still very fragile, only a little harder than blood vessels.

The removed dentures were placed on the tray, and the operation was declared over.

The middle-aged man also kept watching, and was relieved to see the dentures being taken out.

"Thank you doctor."

"It's okay." Qin Feng handed the equipment to the equipment nurse.

Then he checked the patient's mouth again, and found that there was no problem. After the patient woke up, the trachea was removed, etc., and the middle-aged man left the hospital with the old man.

(End of this chapter)