Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 322
As soon as I ran to the emergency room, I saw two nurses desperately doing heart compressions.
"what happened?"
Lin Hai glanced at the straight line on the monitor and the falling blood oxygen, and frowned.
"Two minutes ago, the patient's heart stopped beating again. Two epinephrine injections have been injected, and there is no response yet."
The nurse quickly explained the situation and continued to increase the supply and rehydration.
"I'm coming! Hurry up and notify Xinwai Director Liu."
After hearing this, Lin Hai rolled up his sleeves, immediately replaced the nurse, and continued to press hard,
"Two more adrenaline, quick!"
Qin Feng also joined the rescue work, and felt the first rescue here from the perspective of a bystander.
The resident doctor in charge of the ward was on the phone constantly.
"Yes! Send it up, send it up quickly."
"Blood bank? Prepare 3 units of plasma for me, please..."
......
The entire observation room was tense and dignified, and the rescue was non-stop.
After about 5 minute,
"what happened?"
Liu Guofeng had brought his people here in a hurry, ran to the bed, looked at Lin Hai who was being rescued and asked.
"Stopped again, blood oxygen kept dropping, 20 epinephrine shots in 4 minutes, no response."
Qin Feng stepped forward to replace the panting Lin Hai, and continued to press desperately.
At this time, the patient Zhu Jianfeng's entire body had no blood color, and was turning from yellow to white.
While relaxing, he glanced at the monitor, and the blood oxygen level was only 16.
'No more! '
He frowned, thinking to himself.
Viral infective endocarditis is different from viral myocarditis. Many people who know little about medicine often confuse these two diseases.
But in fact, there are basically two kinds of diseases from the source of the disease!
The patient himself had been procrastinating for a long time, and he did not come to the hospital until he developed shock. The condition of the entire heart could not even meet the surgical standards.
Now he is in shock again, which shows that the situation is too serious to be undone.
Heart failure!
The leading cause of death in infective endocarditis is heart failure, which is also the most common complication, with a fatality rate of 97%.
At present, there is only one best way, take a gamble!
At the same time, Liu Guofeng also discovered this situation.
"Quick! Immediately notify the operating room and interventional department to prepare for bedside emergency surgery!"
He shouted loudly, and immediately contacted the corresponding department to send the surgical instruments here.
"Doctor Lin, I am critically ill."
"it is good!"
Lin Hai nodded solemnly when he heard this, and ran out quickly.
The patient's current condition is too late to be sent to the operating room, and valve repair surgery must be performed immediately.
This is the only way to have a glimmer of hope for salvation at present!
His thoughts coincided with Qin Feng's.
But behind this idea, as long as there is considerable strength to support it!
If it were placed in a hospital in a third-tier city like Jiangcheng, no doctor would dare to make such a risky decision.
As for why, it soon became apparent.
"Director Liu, the operating room is ready!"
"The intervention department is in place!"
"Prepare blood in place!"
In less than 5 minutes, all the staff of the joint department arrived, and the surgical instruments had been sterilized.
Surgery at the bedside!
"Okay, ready for surgery, heart valve repair."
Liu Guofeng nodded and said in a deep voice to all the staff.
All the sterile clothes, hats, and masks were neatly dressed, put on gloves, and looked up at Qin Feng.
"Qin Feng, I'm about to start the operation."
"Alright Director Liu."
At this moment, he was doing cardiopulmonary resuscitation non-stop, and nodded slightly when he heard Director Liu's words.
That is to say, when Liu Guofeng kept squeezing the patient's heart, causing the whole body to tremble, he would directly operate and perform heart valve surgery.
Excellent level!
"Knife!"
Under the movable shadowless lamp, Liu Guofeng took over the scalpel and started an incision in the left groin.
"Two atropines."
At this time, Qin Feng looked up at the nurse beside him and said.
"stop."
Hearing Liu Guofeng's voice, he stopped and quickly made an incision during the interval of cardiopulmonary resuscitation.
Hands up and down with a knife, extremely precise!
You know, how difficult it is for the surgeon to cut open the patient's skin to find the artery on the shaking body!
"Puncture catheter, arterial line."
After the incision was completed, Qin Feng continued to press the moment the scalpel was put away, seamlessly.
Liu Guofeng took over the catheter and prepared to put in a metal guide wire to monitor the condition of the patient's arteries and win conditions for rescue.
Qin Feng was pressing, and Liu Guofeng's eyebrows were almost twisted together, holding the catheter and trying to pierce it into the blood vessel.
1 minutes......
2 minutes......
3 minutes......
In the next second, Qin Feng saw Liu Guofeng straighten up again, with a heavy expression on his face.
"Help me get another puncture catheter and arterial tube, Dr. Wang, try it."
After finishing speaking, he looked up at the doctor on duty in the interventional department.
"Alright Director Liu."
The doctor in the interventional department stepped forward and had already changed his clothes.
After taking the catheter, re-puncture.
All the hearts are mentioned in the throat, because if it cannot be pierced, it will be difficult to proceed with the operation.
It has been more than 25 minutes since the patient went into shock.
If this continues, even if the operation is successful, the hope of survival is not too great.
The extensive death of brain cells due to prolonged hypoxia is irreversible.
Everyone is paying attention and waiting for the intervention to succeed.
1 minutes......
2 minutes......
3 minutes......
Dr. Wang also raised his head, his expression was very bad, and he turned to look at Liu Guofeng and shook his head.
"Director Liu, no, the blood vessels have shrunk."
Hearing these words, the hearts of all the people present seemed to be crushed by a big rock so hard that they couldn't breathe.
Intervention failed, how can it be saved?
"Director Liu, let me try."
At this time, Lin Hai had come back and replaced Qin Feng.
A voice sounded, and everyone's eyes stopped on the familiar yet unfamiliar person.
Qin Feng!
They didn't know each other, but the reputation spread throughout the Union Hospital the next day.
Since the establishment of intensive care medicine, the first doctor with a bachelor degree and just completed a 3-year resident medical training period has been hired exceptionally.
And it's directly at the attending level!
Some people even heard that this was agreed by the vice president and the director of intensive care medicine, two top critical care experts in China.
For a while, legends about Qin Feng were flying all over the courtyard!
But there is only one thing, no one will question Qin Feng's lack of real ability because of his relationship.
Because everyone knows that the intensive care medicine here is the peak of critical care in Jiuzhou country!
Not to mention him as a doctor who came up from below, even if he is a leader in other fields in the country who wants to squeeze someone in.
Unless the current vice president of Xiehe and the director of intensive care are both fired!
If you don't have real skills, you don't even want to be a heavenly soldier or general.
This is already the consensus of the whole hospital and even the national critical care medicine.
Therefore, Qin Feng's appearance was only shocking, but there was almost no doubt.
In addition, because of this incident, some of Qin Feng's past experiences were also found out, and he fell into horror again!
"You come?"
Liu Guofeng looked at Qin Feng and was a little surprised at once, but when he thought of Qin Feng's identity, he suddenly nodded in agreement.
"Okay, Doctor Qin, come and try."
Chapter 222 Rescue failed, young life lost
When Qin Feng heard this, he immediately stepped forward.
"Puncture catheter, arterial line."
After receiving the instrument, he looked at the cut blood vessel in front of him. It had indeed shrunk, and it was only one-third the size of normal congestion.
That is to say, the size is almost exactly the same as the thickness of the catheter, and flat adhesions have also occurred.
"Give me 4 crochet hooks and thread a 2-0 suture."
Qin Feng's eyes were suddenly concentrating, and he raised his hand and said.
The equipment nurse at the side quickly handed it to him after finding it, and then everyone's eyes were fixed on Qin Feng's hand.
The pupils of Qin Feng's eyes shrank slightly, and his vision changed.
The shrunken artery became extremely clear in his eyes, and even the edges of the adhesions could be seen.
He is now going to use a special method to open the blood vessels, which is also evolved from the top-notch four-quadrant suture method.
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