medical road high rise

Chapter 333 Shock early stage patient

Chapter 335 Early Shock Patients

Qin Feng sorted out the old lady's case and reported it to the hospital. After checking the information on the intranet, it turned out that the purple urine bag syndrome was the first time that Ruijin Hospital appeared.

This is also normal. The purple urine bag synthesis has not yet been included in the medical encyclopedia, and there is no trace of it on major search websites and medical websites.

Not fatal, but too rare to warrant research.

After Qin Feng sorted it out, he uploaded it to the intranet, which contained Qin Feng's judgment on purple urine bag syndrome, a disease that mostly occurs in women.

As soon as the article was uploaded, it caused problems.

"Doctor Qin, I can understand long-term constipation, urinary system infection, and high urine pH. What does it have to do with gender?"

Someone asked the question below.

Qin Feng typed and replied: "This kind of disease is mainly urinary system infection, because women's urethra is very short and only a few centimeters, and external bacteria can easily pass through the urethral opening and enter the body to cause infection. On the contrary, men's urethra is very long. Even if there are bacteria, it is difficult to enter the body."

The urethra is an important part of the genitourinary system, and the length of the urethra is different for men and women.

However, this difference is mainly related to the female physiological structure. Qin Feng only replied to this message and went directly to the surgery. Today, there was another surgery for open ulnar nerve rupture, that is, the middle-aged man.

Before going to the operating table, Qin Feng took another look at the patient's film and reconfirmed the patient's breaking point before starting the operation.

In the first step, Qin Feng opened up the surgical field of vision, and made a longitudinal incision on the lesion on the patient's right arm, and then the incision went up along the inner side of the brachialis muscle.

After cutting the deep fascia, Qin Feng separated the muscle tissue step by step, and asked Li Xuewen to help pull the hook, pulling the brachialis pecking muscle and the musculocutaneous nerve to the front and outside.

A thin layer of sheath around the median nerve and ulnar nerve is exposed, which is the surgical field Qin Feng wants. Behind the sheath is the posteromedial bundle of the ulnar nerve.

Qin Feng paused for a while, and continued to free the tissue around the ulnar nerve. Starting from the humerus, an incision was made along the line connecting the medial borders of the biceps brachii and triceps to the lower border of the armpit.

Cut the skin and subcutaneous tissue along the incision, and free the flap to both sides...

As time passed, the ulnar nerve gradually emerged.

The deep fascia below the ulnar nerve groove was incised to expose as much of the ruptured ulnar nerve as possible, and the ulnar nerve was mobilized distally until the ulnar nerve penetrated between the humerus and ulnar head of the flexor carpi ulnaris muscle.

The articular branch was cut off, the ulnar nerve was found, and sutured.

one after another.

It took an hour for Qin Feng to complete the anastomosis of the broken nerves. The next step is to reconstruct the function of the inner muscles of the hand. its drawn.

Cut off the superficial flexor tendon, pull it out in the palm incision, divide it into two carefully with a scalpel, and cut it into two bundles.

The lumbrical tubes of the ring finger and the little finger were pulled out from the radial incision of the finger, and the displaced tendon bundle was tightened and wrapped around the extensor tendon cap and lateral tendon bundle near the proximal phalanx, and interrupted sutures were performed.

Time-consuming, three 10 minutes.

Once the reconstruction is complete, there is only one final step left, suturing the incision.

Qin Feng used a needle holder to suture in layers to ensure that the wound would not burst, and slowly sutured the final skin, cut off the sutures, and the operation was over.

Some orthopedic doctors and neurologists who came to watch the news couldn't help applauding.

What this operation did was amazing, not only this operation, but any operation that was watched would make them feel like a beginner.

After a while, the patient woke up and asked the first thing he said: "Doctor, this hand of mine..."

"Don't worry, the operation was successful, but don't be careless. Although the operation was relatively successful, ulnar nerve rupture is a relatively serious injury. It requires constant exercise to recover slowly. Don't do heavy work during this period..." Qin Feng instructed.

The patient hummed, pushed it out, and told the family about the matter again.

Qin Feng returned to the outpatient clinic and continued his own outpatient clinic today.

Zhang Yao went to call her number. Since her mother's operation was completed, her whole temperament has changed a bit. She may have been a little fishy before, but now she is mainly looking for something to do.

Originally, Qin Feng wanted her to rest a little longer, but the system of the hospital did not allow it. The men in the hospital acted as two persons, and the women acted as men. Sometimes women are busier than men.

Zhang Yao took the "number plate" of the patient at the door, and the patient sat down.

Seeing the patient's painful expression, Qin Feng realized that something was wrong, and quickly asked, "What's wrong with you?"

"Doctor, my left side is very painful. It's been hurting since I woke up today. I couldn't take it anymore, so I came here to have a look." The patient said.

Qin Feng asked the patient to lie down, and pressed the stomach with the patient himself. The patient had obvious pain on the left side, and he pressed the right side again, but there was no obvious pain.

"Is your pain colic?"

The patient looked at Qin Feng in a daze, and could only nod and say it hurt.

"Let me ask in layman's terms, do you feel something moving on the left side?" Qin Feng said.

The patient nodded.

"Have you had any symptoms of hematuria recently?"

"It seems to be there, it seems not to be."

"Is there any situation where the urinary tract is interrupted and then returns to normal after a few movements?"

"Yes, yes..."

Qin Feng asked a few more questions, frowning even tighter.

The patient obviously had a kidney stone, but the stone may have accidentally fallen into the ureter, which caused the patient's pain to last for half a day, and it is possible that the patient had already developed early symptoms of shock.

What is serious about the patient now is not the stone, but the possibility of shock. Once the shock occurs, various unpredictable things will happen.

Qin Feng measured the blood pressure of the patient, and the patient suddenly became short of breath.

"Doctor, I just... just had a measurement..."

"Don't talk." Qin Feng frowned.

The patient muttered not to look at Qin Feng. For the patient, the doctor is a bit like the teachers he met when he was studying.

"Yue Meng, go get the puncture kit and wait for me in the observation room." Qin Feng said.

Qin Feng was waiting for the results of the blood pressure, but the patient's face became paler, and he kept sweating.

After a while, the blood pressure results came out.

"93/65mmhg."

"What was your blood pressure before?"

"100,70 seems to be!"

Qin Feng's expression became more serious, his blood pressure dropped too much, he was obviously in shock.

Taking the patient to the emergency room, Qin Feng supported the patient and could feel the dampness of the patient's body.

In the rescue room, the ECG is connected, and the patient's heart rate appears.

102 times/min.

The moment he entered the emergency room, Qin Feng personally established an intravenous channel for the patient.

(End of this chapter)