medical road high rise

Chapter 236 Another Difficult Surgery
Chapter 236 Another Difficult Surgery
The spleen is one of the peripheral immune organs of the human body, and it is also the largest lymphocyte in the human body.

If the spleen is lost, the body's cellular immunity and humoral immunity will be greatly reduced, and the spleen actually has the effect of inhibiting the development of tumors, but the medical explanation cannot be given for the time being.

After the spleen is removed, the patient's immune function will decline, and serious infections may occur at the same time. Although the body's immunity can be restored to a certain extent through postoperative adjustments, it is definitely not possible to be the same as a normal person.

Therefore, the splenectomy must be signed by the family members.

Done well, the patient's immunity is weakened.

If not done well, the patient died on the spot.

This is a responsibility that doctors cannot bear.

The itinerant nurse hurried out to call the emergency department and contact the emergency department to see if they could find the patient's family members.

Now the emergency department is like a mess, patients and their family members are crowded together, and they don't know whose family members are whose family members.

After receiving the call, the head nurse of the emergency department quickly shouted through the loudspeaker: "Now there is a traffic policeman in our operating room who needs to operate immediately. Is the family member here? Please come to the nurse's desk immediately."

I called three times in a row, but still no one was seen.

The head nurse felt cold, Qin Feng was a courageous doctor in the eyes of their emergency department, even Qin Feng dared not operate on patients without authorization, one can imagine how serious the situation is.

However, when the family members needed to stand up the most, no one stood up.

Splenectomy, if you don't sign, you can't do it, you can only let the patient wait for death.

Otherwise, no matter whether the doctor succeeds or fails, he will take the blame and may even lose his medical qualification.

After all, these experiences are the bloody lessons of senior doctors.

Just when the head nurse was about to contact the medical department, a woman in her 30s broke through the crowd and came over.

"I am his wife."

"You come with me."

The head nurse took the patient's wife to the operating room, which is a sterile environment and outsiders are not allowed to enter.

Through the way of photos, let the patient's wife identify them.

"That's right, this is my wife, doctors, you must save my husband!" The patient's wife burst into tears.

"Your husband's spleen is pierced by a rib now, and the splenectomy must be performed to save your husband's life." Qin Feng said.

After some negotiation, Qin Feng handed the operation notice to the patient's wife.

The patient's wife signed the letter without hesitation, "Doctor, you must save my husband."

"I will do my best." Qin Feng muffled.

Then turned his head and re-sterilized into the operating room.

After half an hour.

Qin Feng carefully pulled out the spleen, and stuffed a large gauze pad into it with the other hand.

The equipment nurse hurriedly helped to drag the spleen, Qin Feng quickly cleaned up the disintegrated tissue around the spleen pedicle, ligated and cut off the spleen portal artery and vein respectively.

After successfully cutting out the spleen, Qin Feng put it in a sterile funnel, allowing the blood in the spleen to flow naturally into the blood storage bottle of anticoagulant maintenance solution, ready for autologous blood transfusion at any time.

Because the patient's spleen was injured by his own ribs, the blood in the spleen is not contaminated, and theoretically it can undergo autologous reflux.

If a foreign body invades the body and causes the spleen to be injured, the blood in the sinusoids cannot be used again.

Qin Feng checked the patient's body again to prevent bleeding in the retroperitoneum, splenic septal ligament, and splenorenal ligament.

Once the blood oozes, it will cause postoperative subdiaphragmatic hemorrhage, secondary infection and so on.

The final step is drainage and suturing.

Since the patient's spleen has been removed, and the liver is next to the spleen, it will also be affected by the liver, resulting in decreased blood coagulation function.

Therefore, even if the intraoperative hemostasis is complete, postoperative wound bleeding will occur due to poor coagulation function. The best treatment method is to place a drainage tube.

Qin Feng placed the drainage tube into the splenic fossa. The drainage tube can generally be placed for three to five days. After the operation, the drainage can be continuously sucked, which greatly reduces the risk of subdiaphragmatic hemorrhage and fluid accumulation.

After completing the placement of the drainage tube, Qin Feng began to suture each layer of the incision with silk thread intermittently.

"Brother Qin, there is not enough blood." The nurse suddenly shouted.

"Return the blood in the funnel to the body." Qin Feng said.

It's just that Qin Feng became even more worried. One patient's blood supply was not enough, and there were still so many patients in the emergency department...

Once the blood bank is unable to supply, no matter how good Qin Feng's surgery is, it will be useless.

After the spleen was removed, Qin Feng asked the itinerant nurse to contact the orthopedic staff to continue the operation. Qin Feng didn't have time to do the rest of the orthopedic surgery.

After changing his clothes, he continued to rush towards the emergency department.

The equipment nurse looked at Qin Feng's back and couldn't help sighing.

"I'm still too late."

When Qin Feng returned to the emergency department, Director Dong dragged him to the emergency room.

"This patient is an elementary school teacher. In order to protect a student, his back was hit by a vehicle, and his head hit the car body due to inertia." Director Dong said.

Now the whole city is staring at this, and Director Dong is under a lot of pressure.

Especially after primary school teachers save people, whether they can be rescued successfully is also very important to the reputation of the hospital.

Those netizens and citizens don't care about the patient's injury. What they care about is whether you have saved the patient. They only care about the result.

If it can't be cured, it's just hospital garbage, doctors are useless, black-hearted doctors.

After being cured, the hospital is awesome, and the genius doctor is still alive.

"Has the patient had a CT scan?" Qin Feng asked.

"It's too late. Cardiopulmonary resuscitation is underway now. The doctor on board initially judged that the patient has a skull fracture, spinal injury, and may have a concussion at the same time." Director Dong said anxiously.

Qin Feng doesn't care about the concussion.

Mainly skull fractures and spinal injuries, which gave Qin Feng some headaches.

There are generally two types of skull fractures, open skull fractures and closed skull fractures.

Open skull fractures are scalp bleeding that is easy to find and treat, but closed skull fractures are relatively hidden, and sometimes local or hematoma can be seen, but most of them are on the surface of the brain and are not easy to be found.

At the same time, the closed type is also accompanied by skull base fractures, cerebrospinal leakage, etc., and the brain tissue will also be damaged to varying degrees, such as intracranial hematoma compressing blood vessels.

In this case, the patient usually wakes up and falls into a coma, which is caused by the compression of the hematoma.

If the patient has symptoms of impaired nerve localization at the same time, the patient is not far from death.

"Does the patient have symptoms of intracranial hematoma compression?" Qin Feng asked.

"No, the doctor on board has checked it." Director Dong said.

When Qin Feng walked into the emergency room, he saw the patient on the hospital bed.

(End of this chapter)