medical road high rise

Chapter 438 Strange Mild Burn Patient

Chapter 440 Strange Mild Burn Patient

Qin Feng's current surgery level is already very high, but few others can imitate it. Many people say to learn, but Qin Feng's surgery has great limitations.

Qin Feng only discovered this after watching the ophthalmologist's operation. On the other hand, the operations of other doctors are the best surgical methods researched by others, which are conducive to the development of medicine in terms of practicality and learning.

Qin Feng would never have thought about these issues before.

But now Qin Feng has no worries about eating and drinking, and he really feels the barrenness of the domestic medical field and the scarcity of excellent doctors. He wants to change the medical environment and greatly improve the domestic ability to cultivate excellent doctors.

For these, we can only start with the technique.

Why can doctors and nurses do wound suturing?
This is considered a minor operation, but it has been improved by countless predecessors. No matter how the wound is sutured, the risk is minimized, so it can be popularized.

If Qin Feng can reduce the risk of one operation after another, even those regular trainees can learn it, and the speed of domestic doctor training will definitely be improved.

Just like the liver cancer operation performed a few days ago, after Qin Feng improved it, the risk was greatly reduced, and it can be promoted.

Now Qin Feng is thinking about the public doctors, not himself alone.

At this moment, Qin Feng has gradually understood the path he wants to take.

The operation was still going on, Qin Feng first arranged to use corticosteroids to control the inflammatory reaction of the eyes, and then arranged for an orthopedic surgeon to perform the operation.

An hour later, the orthopedic surgery was over, and Qin Feng came on stage.

After receiving the brand-new scalpel handed over by the equipment nurse, Qin Feng started his own operation and replaced all the necessary artificial blood vessels in half an hour.

"Doctor Qin, should you choose a biological valve or a mechanical valve?" the nurse asked.

The manufacturing materials of biological valves are mainly animals, such as aortic valves, but the lifespan of this valve is relatively short, and because there are many processes in the production process, there are many factors that will affect the valve in the later stage.

Mechanical valves are generally made of titanium alloy and have a long service life, but they have a disadvantage compared to biological valves, that is, lifelong anticoagulation.

Once you wear a mechanical valve, you will need to take anticoagulant drugs for the rest of your life. At the same time, you need to go to the hospital for regular checkups and adjust the dosage of anticoagulant drugs according to the condition of the valve.

This is definitely not a good thing for a high school student. Qin Feng also knows that this child is in the third year of high school and will take the college entrance examination in June. Taking anticoagulant drugs for a long time will also have a certain impact on the brain.

The college entrance examination is always a shortcut, and Qin Feng does not want this child to lose this shortcut.

"Use a biological valve." Qin Feng said.

Although the biological valve is not used for a long time, it can last for at least ten years, and there is no problem in replacing it later.

Compared with biological valves, the daily life of patients will not be affected, and the adaptability of the body will be better.

"Extracorporeal circulation has been established." The hospital manager said.

This time, it was still the chief inpatient of the emergency department who helped Qin Feng. For him, performing surgery with Qin Feng was the fastest way to learn.

Qin Feng then began to replace the valve. The replacement of the heart valve requires the injection of cardioplegia solution, so extracorporeal circulation must be established first to ensure that there will be no problems during the cardioplegia process.

Use a scalpel to incise the main pulmonary artery longitudinally on the pulmonary valve, and then perform continuous sutures at the main pulmonary artery with a suture needle and 2-0 atraumatic polypropylene thread.

Then a small incision was made in front of the main pulmonary artery, and then the same type of pulmonary artery with a valve was taken, trimmed to a suitable length, and sutured continuously.

Qin Feng raised his head and glanced at the monitor, and continued: "Cardioplegia continues to perfuse, pay attention to myocardial protection."

The time of aortic occlusion for heart valve replacement is relatively long, which will aggravate the damage to cardiac function, so it is very important to strengthen perioperative myocardial protection.

"What's the patient's hematocrit now?" Qin Feng asked.

"0.24." The hospital manager said.

"Okay, keep it around 0.28-0.32." Qin Feng said.

The constant hematocrit helps to further reduce tissue edema and promote the functional recovery of important organs such as the heart and lungs in the early postoperative period. It is very important to maintain it in a certain range.

Two hours later, the valve replacement surgery was declared a success.

Walking out of the operating room, the patient's parents outside were extremely anxious. The whole operation lasted for nearly five hours, and the family members were lying when they said they were not worried.

Most importantly, as parents, they really did not expect their son, who was always healthy, to have such a serious disease. In theory, Marfan syndrome can almost be equated with a disabled person.

Fragile blood vessels, poor bone development, easy to be injured, etc. Any kind of symptoms will make a person's life very difficult, let alone so many symptoms.

Even if the operation is successful, it is definitely impossible to still want to play basketball like before. Even daily life needs to be cautious, just like a glass child.

However, as long as it survives, it is the best for the patient's parents.

Just as Qin Feng was about to go to the cafeteria for a meal, the phone rang again.

Another strange patient was admitted to the emergency department. After being scalded, his palms and fingers experienced spasms or even convulsions to varying degrees.

Qin Feng could only endure his hunger and entered the observation room.

"How much is this?" Qin Feng raised a finger in front of the patient.

"One!" said the patient.

Proving that the patient's consciousness has not been lost, Qin Feng asked: "How do you feel now?"

"A little dizzy and thirsty."

The patient's mother couldn't wait to say: "Doctor, has my daughter's nerves been scalded? You can see that her whole body is numb now, especially her mouth is trembling non-stop."

"What's going on, tell me about the process." Qin Feng looked at the patient's mouth, and there was indeed an unconscious twitch.

Following the story of the patient's mother, Qin Feng understood that this happened when he was accidentally scalded by hot oil while cooking.

Qin Feng did a physical examination on the patient and found that there were many large blisters on the patient's arm, which belonged to superficial second-degree burns.

That is to say, the germinal layer of the epidermis and the milk layer of the dermis are injured, but it is far from the point where the nerves are damaged.

In addition, the blisters on the patient's arm are relatively complete, as long as after treatment, perform aseptic debridement and then apply medicine.

But it is obviously a superficial second-degree burn, why does the patient have nerve-related symptoms?
Qin Feng carefully observed the patient's reaction, and found that the patient's limbs were pulled out to varying degrees except for the fingers, and the patient's breathing was shallow and slow, and even had a tendency to have difficulty breathing.

(End of this chapter)