medical road high rise

Chapter 235 Need to Remove the Spleen

Chapter 235 Need to Remove the Spleen

Qin Feng has always had an indescribable feeling in his heart, and his behavior is also a little flustered.

After a while, a doctor on the car pushed a wounded person to Qin Feng.

"Doctor Qin, what should we do with this wounded man?"

Qin Feng took a quick look, and after a simple physical examination, Qin Feng came to a conclusion.

"The patient lost consciousness, couldn't breathe well, had a weak heartbeat, had obvious fractures in the leg, and had bleeding in many parts of the body." Qin Feng gave a diagnosis, and continued, "Carry out cardiopulmonary resuscitation quickly to prevent the patient from sudden death, and establish a venous access , to ensure the amount of fluid intake to prevent shock and electrolyte imbalance, and to hemostatically bandage the injured limbs to prevent continued bleeding."

Qin Feng spoke very fast, the doctor on board was a little confused, Qin Feng had no choice but to follow.

With Qin Feng's help, the patient's vital signs gradually recovered, and his condition was relieved, and his life was not in danger for the time being.

"When the orthopedic surgeon comes, remember to ask them to debride and disinfect the fracture." Qin Feng said.

In fact, Qin Feng can also do it, but now Qin Feng has no time to do these tasks at all, and there are many more waiting for Qin Feng to help.

Although Qin Feng can't take care of all of them, but if he can save one more, he will help one more.

As long as the patient's vital signs are guaranteed, the rest will be much simpler.

"Brother Qin, there is another seriously wounded person here." A nurse in the emergency department shouted towards Qin Feng.

Qin Feng hurried over, and the patient was lying on the hospital bed with several obvious bloodstains on his body.

"The patient is now unconscious," said the nurse.

Qin Feng checked the patient's mouth and nose, and soon discovered the problem.

The patient's mouth and nose had been clogged with blood, and he was in a coma caused by poor breathing.

"Cut the patient's clothes."

The nurse took the large scissors and cut the patient's clothes with two clicks.

Cutting clothes, which is often done in the emergency department, can avoid moving the patient's body. After all, some patients have internal injuries, and moving blindly may cause fatal harm to the patient.

Qin Feng opened the patient's mouth and picked out the vomit in the patient's mouth to prevent blockage of the trachea.

Looking at the patient's injury, Qin Feng was also beating drums in his heart.

Among car accident patients, the most troublesome thing is internal bleeding.

Internal bleeding is the most difficult to judge. People who may be alive and kicking one moment may be gone the next moment. There are too many such cases in hospitals.

However, although internal bleeding cannot be seen with the naked eye, it can be detected by blood pressure testing.

Generally, with internal bleeding, the patient's blood pressure will decrease progressively, the pulse will become weak, anemia and so on.

But now that the patient in front of him has entered a coma, Qin Feng can only determine the cause first. In Qin Feng's mind, this patient is most likely in hemorrhagic shock.

Qin Feng touched the patient's skin surface and felt the temperature.

Typical symptoms of hemorrhagic shock are pale, cold, clammy skin, tachycardia and severe bradycardia.

The cold touch went up the skin, and Qin Feng's whole heart fell to the bottom of the ice.

Hemorrhagic shock!
"The patient is bleeding heavily, immediately rescue him." Qin Feng roared.

The parents of the children who came around recognized the person lying on the hospital bed.

"Doctor, you must save this hero. If he hadn't pushed our child out, I'm afraid..."

"Yes, doctor, we must save him."

"Okay, everyone, please don't crowd here, please leave the unrelated personnel, don't hinder our medical staff's rescue and affect the progress of the rescue." The head nurse of the emergency department stretched out his arm and drove the parents out of the emergency room.

Qin Feng's side quickly organized rescue, provided intravenous access for the patient, and performed infusion and rehydration at the same time.

"Send someone to take blood, take the patient's blood sample, at least 3000cc." Qin Feng shouted.

The nurse nodded quickly and rushed out of the emergency room.

With the continuous connection of the equipment, Qin Feng found that the patient still had pneumothorax.

This was not caused by a car accident, but that the patient himself had a pneumothorax, which had not been treated.

Pneumothorax may not be a big deal at ordinary times, but now in the rescue situation, the impact caused by pneumothorax is quite large.

"Quickly arrange pneumothorax treatment, let the thoracic surgery personnel come over to do puncture and drainage, and put on a ventilator." Qin Feng shouted while paying attention to the patient's condition.

At the same time, his hands were not idle, and he asked the nurse to draw a tube of blood for blood gas analysis.

Solutions kept appearing in Qin Feng's mind, and now it was either minimally invasive intervention or surgery.

Soon, Qin Feng chose to have surgery.

Although minimally invasive intervention is good, the patient is now suffering from emergency internal bleeding, and the operation of minimally invasive intervention is cumbersome and time-consuming.

The most important thing is that the patient's organs may have been broken due to a car accident, and the patient needs to have an open laparotomy to observe the situation.

"Contact Director Dong, let the operating room prepare, and then establish a vein channel to restore the patient's blood volume." Qin Feng said.

Soon, the patient was pushed to the operating room.

This time, Qin Feng did not call Zhao Qi and the others. The patients outside Zhao Qi also needed his help. In an emergency, save manpower if possible.

After the anesthesia was completed, Qin Feng quickly operated on the patient's abdomen, dissected the abdominal cavity, and moved the external drainage tube at the same time.

For this operation, Qin Feng has no assistant, only an equipment nurse, not Lin Xue.

Qin Feng had to do every step by himself, insert the drainage tube into the patient's abdominal cavity, drain the accumulated blood, expose the surgical field, continue to search for the bleeding point, and ligate it.

The further back, Qin Feng's face became uglier.

The patient's spleen has ruptured, and the combination of hemorrhagic shock and spleen rupture is no longer a general emergency.

There are many blood sinus structures in the spleen tissue. Normally, the human body will store some blood in it. The spleen is equivalent to a spare blood pool of the human body. When other organs lose blood, they will replenish it.

However, the patient's spleen was directly inserted into his left rib, causing a penetrating injury.

As for this rib, Qin Feng did not dare to take it out casually. Once taken out blindly, it may cause a lot of bleeding, which is fatal.

"Has the patient's family members come?" Qin Feng asked.

Originally, before going to the operating table, a family member's signature was required, but the patient's condition was too critical, and Qin Feng didn't think too much about it. He thought it was just a laparotomy to stop the bleeding, and it would be no problem to do it by himself.

But I didn't expect that after the laparotomy, the patient gave himself a "surprise".

For the penetrating injury of the spleen, the entire spleen needs to be removed to ensure that there will be no massive bleeding and the ribs can be removed.

But removing the spleen is not a trivial matter!

(End of this chapter)