medical road high rise

Chapter 248 The Burning Chest
A Will Eternal Chapter 248
The next day, when Qin Feng arrived at the hospital, he was called by Mr. He.

"Xiao Qin, have you ever had an operation for aortic dissection before?" Mr. He asked straight to the point.

Qin Feng was stunned for a moment, not understanding what He Lao meant, why he suddenly asked this.

"He Lao, I did it before, what's wrong?"

"Okay then, hurry up and go to the operating room of the thoracic surgery department, and I will send your number directly to the thoracic surgery department," He Lao said.

Qin Feng came to the office, explained to Zhang Yao and Yue Meng, and then went directly to the Thoracic Surgery Department.

On the other side, the operating room of the Thoracic Surgery Department.

The director of the Thoracic Surgery Department was sweating profusely looking at the patient on the operating table. Because the patient on the table had aortic dissection, he had to open the sternum to treat the aortic dissection.

However, after opening the thorax, the director of the Thoracic Surgery Department discovered a serious problem, that is, the patient's right lung was stuck above the sternum, resulting in damage to the bullae of the right lung. This is a very difficult problem.

So-called bullae, air-filled cysts in the body that have been pierced by the breastbone, are one of the hallmarks of COPD patients.

If left untreated, the damaged bullae will become infected, and then become more swollen, and may even occupy 70.00% or 100% of the chest cavity, causing compression to other organs, and respiratory distress and internal bleeding at the same time and other symptoms.

When he was moving, the assistant of the director of thoracic surgery accidentally punctured one of the bullae when trying to remove the right lung from the sternum, and the bullae began to slowly leak air.

This is an obvious medical malpractice, and it is also a serious consequence for the director of the thoracic surgery department.

The patient is still a relatively dangerous type A aortic dissection. The blood in the aortic lumen flows from the aortic intima to the aortic media, causing the media to separate, resulting in a true and false two-chamber separation of the aortic wall. state.

Therefore, the operation must be performed under extracorporeal circulation. The key to the operation is to find the location of the intima breach and prevent blood from continuing to flow out of the breach.

However, the behavior of stopping the blood is not something that he, the director of the thoracic surgery department, can handle. He can only find the director of the vascular department.

The director of thoracic surgery took off his gloves and went out to make a call.

The result is that all the doctors in the Department of Vascular Surgery who can perform related operations have gone out, which means that there is no doctor in Ruijin Hospital who can perform this operation.

At the same time, it also made the director of the thoracic surgery feel cold in his heart. If he really can't find anyone, it will be his operation error.

In the end, I had no choice but to call the dean, and the dean recommended someone.

Intervention expert, He Shugeng.

After hearing Mr. He's name, the director of the Thoracic Surgery Department almost jumped up. It's really a bright future!

Qin Feng just arrived outside the thoracic surgery operating room. The director of the thoracic surgery department greeted him outside with joy, but he couldn't help being taken aback when he saw Qin Feng.

"Are you Mr. He's assistant?" asked the director of thoracic surgery.

Sometimes some doctors are like this, the assistant arrives first, and the doctor arrives later, and they can understand.

"No, I'm here to help with aortic dissection surgery." Qin Feng said directly.

"You? Come for aortic dissection surgery?" The thoracic surgeon looked at Qin Feng's badge, which said Qin Feng, the attending doctor of the emergency department.

Why is this name so strange, I have never heard of it before!
An emergency doctor said that he would perform aortic dissection surgery, how could that be possible.

"That's right, Mr. He asked me to come. I had aortic dissection surgery before." Qin Feng said.

The director of the Thoracic Surgery Department picked up the phone again, and took Qin Feng to the operating room after obtaining the approval of Mr. He.

"If you find something wrong during the operation, stop the operation immediately." The director of the thoracic surgery department kept saying while Qin Feng was changing his clothes.

Qin Feng just nodded.

Afterwards, Qin Feng followed the director of thoracic surgery into the operating room.

Qin Feng first opened the patient's medical record.

"Patient Shi Ming, aged 58, was diagnosed with Stanford-A aortic dissection after hospitalization, combined with chronic obstructive pulmonary disease and hypertension."

Stanford-A aortic dissection is a relatively rare disease, with an incidence rate of one in [-].

But now, due to the operation of the chief assistant of the thoracic surgery department, the intima has been breached, and the patient is already in a critical condition.

Qin Feng also understood the situation, and after listening to the director of thoracic surgery for a while, he asked, "Have you done extracorporeal circulation and myocardial protection?"

"No, there's no time to do it." The chief physician kept shaking his head.

"Switch to pure oxygen delivery first, or anesthesia." Qin Feng said.

The director of the thoracic surgery department nodded and let the anesthesia operate. The assistant on the other side was holding a medical electric iron to prepare the skin tissue for incision, but an accident happened unexpectedly.

Since there was a spark when the electrocautery was started, there was usually nothing wrong, but at this moment, the electrocautery was too close to the chest, and it fell directly next to the chest.

Coupled with the delivery of pure oxygen, the original small sparks leaked air during the oxygen delivery and the bullae, and under the impact of both sides, the chest cavity was instantly set on fire.

Qin Feng's face changed drastically, he glanced around, quickly let the anesthetic block the delivery of oxygen, and directly covered the soaked gauze, and the fire was extinguished.

The patient who was originally in a bad situation is even worse at this moment.

In addition to the cause of the fire, the artery has been damaged and the surgical field has been destroyed. The operating environment is so poor that it cannot be described.

"How about we give up?" The director of the Thoracic Surgery Department wanted to give up the operation, but there was no way to do it.

Qin Feng didn't answer, but carefully checked. The fire just now really made the patient's condition worse, but the biggest difficulty lies in judging and repairing the rupture of the endometrium.

If this problem is not solved, the patient's life is in danger at any time.

"It's okay, you can still do it after the operation, listen to my instructions, let's repair the artery first." Qin Feng said calmly.

"It's like this, can you still do it?" The assistant couldn't help but said.

The director of thoracic surgery glared at the assistant. If it weren't for the assistant's repeated mistakes, the operation would not have reached this point. Obviously, the assistant's way has come to an end.

"It can be done, as long as the artery is repaired to restore the blood supply." Qin Feng explained.

Because of the fire, some blood vessels were damaged. If not repaired in time, blood circulation would not be able to supply the terminal tissues, which would cause great irreversible losses.

"But it is a bit difficult to repair." The director of the Thoracic Surgery Department said, "Even if a few professors from our hospital come, there is no guarantee that it can be repaired."

This is the truth, he is not optimistic about Qin Feng, an unknown little doctor, although he was recommended by Mr. He.

But in this situation, even if Mr. He came in person, the director of thoracic surgery still said the same thing.

(End of this chapter)