medical road high rise
Chapter 354 We did our best
Chapter 354 We did our best
Chapter 356 We Did Our Best
"The patient has edema in the chest and multiple fractures in the ribs. Cardiac compressions are not recommended." The hospital chief inspector said.
Qin Feng nodded, and irritated the patient's throat with a cotton swab, and the patient suddenly coughed up black-red blood, which stained Qin Feng's protective clothing red.
Seeing this puddle of blood, Qin Feng frowned, it was obvious that the organs had been damaged.
"Doctor Qin, what should we do now? We can't determine the damage to the patient's organs, and the amount of bleeding can't be judged. I'm afraid I won't be able to come if we do the preoperative examination now." The hospital chief said.
"Don't worry, give the patient a double venous channel first, and add normal saline."
"Prepare thrombin for intravenous injection."
"Intubation."
Qin Feng arranged them one by one in an orderly manner.
With the completion of these steps, the patient gradually regained spontaneous breathing.
"Doctor Wang, take the patient for a preoperative examination, and I will wait for you in the operating room." Qin Feng said.
The inpatient nodded, and then pushed the patient to do the preoperative examination.
As soon as he walked out of the emergency room, Qin Feng ran into the deputy director of the brain surgery department.
"Doctor Xiao Qin, what's going on?" asked the deputy director of brain surgery.
"There is a three-year-old child who fell from a height and suffered multiple fractures all over his body. There is a high possibility of multiple organ injuries and the possibility of intracranial hemorrhage." Qin Feng said as he walked.
"So small? With such a serious injury, can he still be saved?" asked the deputy director of brain surgery.
"No matter what, we have to try after all, we can't let patients wait to die." Qin Feng said coldly.
In the operating room, the orthopedic doctor also rushed over. He was a veteran doctor in the orthopedics department.
The patients who can let Qin Feng call their orthopedics department are definitely not ordinary patients, and they dare not send a doctor here casually, that is a lost orthopedics person.
The orthopedic doctor greeted Qin Feng in a friendly manner. After changing into the surgical gowns, the three went directly to the stage and waited for the patient to come.
Ten minutes later, the patient was wheeled into the operating room.
The hospital always handed all the patient's films to Qin Feng, and Qin Feng looked through them.
"The third, fourth, and sixth ribs on the right side have comminuted fractures, and the liver and gallbladder have ruptured..."
"Right tibia comminuted fracture, exposed broken bone, right femur fracture, right hip bone comminuted fracture, right humerus fracture, right radius comminuted fracture, etc."
Every film has a strong impact on Qin Feng and the two doctors around him.
How can this be saved?
Basically, there is no good place in the whole body, all fractures and damaged organs.
"Doctor Xiao Qin, I don't think there is any need to rescue this patient. It's better to tell the patient's family members directly, they can understand." The deputy director of brain surgery said.
"That's right, Doctor Qin, the patient's injury is too serious, and the chance of a successful operation may not even be [-]%." The orthopedic doctor said.
Qin Feng said in a deep voice: "[-]% is enough!"
The deputy director of brain surgery looked at Qin Feng and found that Qin Feng's eyes had changed. Now Qin Feng is no longer the kind Qin Feng outside the operating room, but a person who follows the hospital's guidelines: patients are above everything else, and life is above all else.
"I will be the surgeon for this operation, you listen to me." Qin Feng said.
The orthopedic surgeon nodded, and the deputy director of brain surgery was a little dissatisfied, but didn't say much.
Anyway, in this operation, whoever performs the operation will suffer the most. When the patient dies, the person who performs the operation will be sought.
The director of the brain surgery department recommended no surgery because he didn't want to get into trouble. Doctors are very afraid of trouble.
Therefore, for operations with a success rate of less than [-]%, doctors will give special explanations to the family members, and most of them will let the family members directly prepare for the funeral.
"Our first step is to repair the patient's heart injury and liver injury, and directly remove the gallbladder. I will do the repair operation, and I will leave the intracranial hemorrhage and right tibia exposure to you." Qin Feng assigned the task.
"Oh, I can only try it. The patient is still a three-year-old child with such a large area of trauma. I don't know if he can hold it." The deputy director of brain surgery sighed.
"Now we can only try hard to see if we can save the child." said the orthopedic surgeon.
"Connect the extracorporeal circulation of blood, and the operation begins."
During the chest opening process, the operation went smoothly, but when Qin Feng was about to repair it, the ECG monitor made a harsh sound.
"The patient's intracranial pressure dropped sharply, and the intracranial supply was insufficient." The anesthetist stood up and said, "The blood pressure continued to drop, and the patient fell into shock."
Hearing the anesthetist's words, Qin Feng's hands stopped.
This kind of shock is because the patient has internal bleeding, but Qin Feng has not found any internal bleeding in the patient's chest until now.
So where is the internal bleeding?
Qin Feng cast his eyes on the patient's abdomen, his heart skipped a beat, the scalpel separated the abdominal cavity, and found a piece of dark red, the entire abdominal cavity was full of fluid and blood.
"The spleen has ruptured." Qin Feng's voice also trembled.
"Hemostats, and 0-gauge absorbable sutures."
"Increase blood flow."
"Increase the oxygen purity!"
At this time, the deputy director of the brain surgery department who performed the craniotomy on the other side said in a deep voice, "Doctor Xiao Qin, the operation can be stopped, the patient is already brain dead."
Qin Feng looked at the deputy director of brain surgery in disbelief. Why was the patient brain dead before he started rescue?
The curve of the ECG monitor also disappeared, leaving only the beeping sound of the instrument.
Qin Feng turned his head, took a deep breath, and finished suturing the patient's spleen and various damaged organs, and finally sutured the patient's chest and abdominal cavity.
Putting down the equipment and silently walking off the operating table, Qin Feng leaned against the corner helplessly.
"Why, why did I forget to check the spleen and the abdominal cavity!" Qin Feng slammed the wall hard.
The orthopedic doctor rushed over and pulled Qin Feng up, "Doctor Qin, this is not your responsibility. The patient is too young, the injury is too serious, and many organs are damaged. Even if you sew up the spleen, you can't take care of the chest cavity." Come here."
This is a dead end, which is why very few patients who fell from a building can be rescued.
If multiple organs are damaged, the doctor can only take care of one area at most. The doctor only has two hands and cannot have three heads and six arms.
"That's right, Doctor Xiaoqin, don't blame me for speaking bluntly. Even if you take care of the abdominal cavity, the patient's intracranial injury is too serious, and the brainstem has been injured. Even if there is no intracranial pressure, the patient will die of brain death sooner or later. No operating table." The deputy director of brain surgery came over to comfort him.
Qin Feng stared blankly at the small silent figure on the hospital bed, his heart seemed to be tightly grasped by an invisible big hand.
Qin Feng didn't know how to get out of the operating room door. As soon as he walked out, he was surrounded by the patient's family members.
In addition to the patient's grandmother, there are also the patient's parents.
"Yes... sorry, we did our best."
(End of this chapter)
Chapter 356 We Did Our Best
"The patient has edema in the chest and multiple fractures in the ribs. Cardiac compressions are not recommended." The hospital chief inspector said.
Qin Feng nodded, and irritated the patient's throat with a cotton swab, and the patient suddenly coughed up black-red blood, which stained Qin Feng's protective clothing red.
Seeing this puddle of blood, Qin Feng frowned, it was obvious that the organs had been damaged.
"Doctor Qin, what should we do now? We can't determine the damage to the patient's organs, and the amount of bleeding can't be judged. I'm afraid I won't be able to come if we do the preoperative examination now." The hospital chief said.
"Don't worry, give the patient a double venous channel first, and add normal saline."
"Prepare thrombin for intravenous injection."
"Intubation."
Qin Feng arranged them one by one in an orderly manner.
With the completion of these steps, the patient gradually regained spontaneous breathing.
"Doctor Wang, take the patient for a preoperative examination, and I will wait for you in the operating room." Qin Feng said.
The inpatient nodded, and then pushed the patient to do the preoperative examination.
As soon as he walked out of the emergency room, Qin Feng ran into the deputy director of the brain surgery department.
"Doctor Xiao Qin, what's going on?" asked the deputy director of brain surgery.
"There is a three-year-old child who fell from a height and suffered multiple fractures all over his body. There is a high possibility of multiple organ injuries and the possibility of intracranial hemorrhage." Qin Feng said as he walked.
"So small? With such a serious injury, can he still be saved?" asked the deputy director of brain surgery.
"No matter what, we have to try after all, we can't let patients wait to die." Qin Feng said coldly.
In the operating room, the orthopedic doctor also rushed over. He was a veteran doctor in the orthopedics department.
The patients who can let Qin Feng call their orthopedics department are definitely not ordinary patients, and they dare not send a doctor here casually, that is a lost orthopedics person.
The orthopedic doctor greeted Qin Feng in a friendly manner. After changing into the surgical gowns, the three went directly to the stage and waited for the patient to come.
Ten minutes later, the patient was wheeled into the operating room.
The hospital always handed all the patient's films to Qin Feng, and Qin Feng looked through them.
"The third, fourth, and sixth ribs on the right side have comminuted fractures, and the liver and gallbladder have ruptured..."
"Right tibia comminuted fracture, exposed broken bone, right femur fracture, right hip bone comminuted fracture, right humerus fracture, right radius comminuted fracture, etc."
Every film has a strong impact on Qin Feng and the two doctors around him.
How can this be saved?
Basically, there is no good place in the whole body, all fractures and damaged organs.
"Doctor Xiao Qin, I don't think there is any need to rescue this patient. It's better to tell the patient's family members directly, they can understand." The deputy director of brain surgery said.
"That's right, Doctor Qin, the patient's injury is too serious, and the chance of a successful operation may not even be [-]%." The orthopedic doctor said.
Qin Feng said in a deep voice: "[-]% is enough!"
The deputy director of brain surgery looked at Qin Feng and found that Qin Feng's eyes had changed. Now Qin Feng is no longer the kind Qin Feng outside the operating room, but a person who follows the hospital's guidelines: patients are above everything else, and life is above all else.
"I will be the surgeon for this operation, you listen to me." Qin Feng said.
The orthopedic surgeon nodded, and the deputy director of brain surgery was a little dissatisfied, but didn't say much.
Anyway, in this operation, whoever performs the operation will suffer the most. When the patient dies, the person who performs the operation will be sought.
The director of the brain surgery department recommended no surgery because he didn't want to get into trouble. Doctors are very afraid of trouble.
Therefore, for operations with a success rate of less than [-]%, doctors will give special explanations to the family members, and most of them will let the family members directly prepare for the funeral.
"Our first step is to repair the patient's heart injury and liver injury, and directly remove the gallbladder. I will do the repair operation, and I will leave the intracranial hemorrhage and right tibia exposure to you." Qin Feng assigned the task.
"Oh, I can only try it. The patient is still a three-year-old child with such a large area of trauma. I don't know if he can hold it." The deputy director of brain surgery sighed.
"Now we can only try hard to see if we can save the child." said the orthopedic surgeon.
"Connect the extracorporeal circulation of blood, and the operation begins."
During the chest opening process, the operation went smoothly, but when Qin Feng was about to repair it, the ECG monitor made a harsh sound.
"The patient's intracranial pressure dropped sharply, and the intracranial supply was insufficient." The anesthetist stood up and said, "The blood pressure continued to drop, and the patient fell into shock."
Hearing the anesthetist's words, Qin Feng's hands stopped.
This kind of shock is because the patient has internal bleeding, but Qin Feng has not found any internal bleeding in the patient's chest until now.
So where is the internal bleeding?
Qin Feng cast his eyes on the patient's abdomen, his heart skipped a beat, the scalpel separated the abdominal cavity, and found a piece of dark red, the entire abdominal cavity was full of fluid and blood.
"The spleen has ruptured." Qin Feng's voice also trembled.
"Hemostats, and 0-gauge absorbable sutures."
"Increase blood flow."
"Increase the oxygen purity!"
At this time, the deputy director of the brain surgery department who performed the craniotomy on the other side said in a deep voice, "Doctor Xiao Qin, the operation can be stopped, the patient is already brain dead."
Qin Feng looked at the deputy director of brain surgery in disbelief. Why was the patient brain dead before he started rescue?
The curve of the ECG monitor also disappeared, leaving only the beeping sound of the instrument.
Qin Feng turned his head, took a deep breath, and finished suturing the patient's spleen and various damaged organs, and finally sutured the patient's chest and abdominal cavity.
Putting down the equipment and silently walking off the operating table, Qin Feng leaned against the corner helplessly.
"Why, why did I forget to check the spleen and the abdominal cavity!" Qin Feng slammed the wall hard.
The orthopedic doctor rushed over and pulled Qin Feng up, "Doctor Qin, this is not your responsibility. The patient is too young, the injury is too serious, and many organs are damaged. Even if you sew up the spleen, you can't take care of the chest cavity." Come here."
This is a dead end, which is why very few patients who fell from a building can be rescued.
If multiple organs are damaged, the doctor can only take care of one area at most. The doctor only has two hands and cannot have three heads and six arms.
"That's right, Doctor Xiaoqin, don't blame me for speaking bluntly. Even if you take care of the abdominal cavity, the patient's intracranial injury is too serious, and the brainstem has been injured. Even if there is no intracranial pressure, the patient will die of brain death sooner or later. No operating table." The deputy director of brain surgery came over to comfort him.
Qin Feng stared blankly at the small silent figure on the hospital bed, his heart seemed to be tightly grasped by an invisible big hand.
Qin Feng didn't know how to get out of the operating room door. As soon as he walked out, he was surrounded by the patient's family members.
In addition to the patient's grandmother, there are also the patient's parents.
"Yes... sorry, we did our best."
(End of this chapter)
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