A hundred days after signing in, the first surgery shocked the world!

Zhu Tao opened his chest cavity and didn't care much at first, thinking that it was just ordinary hydatid disease.

After a closer examination, gasp.

"This is a big trouble!"

Started regretting taking this surgery!

After opening the field of view, I saw that inside the chest cavity, the cyst occupied most of the right chest cavity, accompanied by a large area of lung collapse, and the mediastinum was significantly displaced....

My scalp is numb when I look at it!

However, in this case, we can only bite the bullet first.

Fortunately, he knows how to operate on this serious type of disease - lung dish surgery!

"Let's get started..."

The operation begins!

......

Outside the operating room,

An hour....

Two hours....

Three hours....

The faces of the family members, from relaxed at the beginning, gradually became calm, and then became nervous....

Four hours....

Five hours....

The family has begun to wait anxiously.

It was too long and gave them a feeling of unease.

......

In the operating room,

Dr. Zhu Tao is sweating!

The surgery went awry because the cyst was relatively thin-walled and located deeper in the lungs, with poor exposure.

Then he stabbed it.

When the cyst fluid leaks into the pleural space, a severe allergic reaction occurs, and shock occurs.

It was finally rescued, but a lot of sac fluid has leaked to other lungs, liver, and bronchi, and the fluid carries the fertility sac, protocephalia, and has a strong reproductive ability.

Dr. Zhu Tao made up in a panic.

With 3% hydrogen peroxide, scrub repeatedly.

Then rinse with metronidazole and normal saline.

After going back and forth seven or eight times, after repeatedly rinsing the residual cavity.

Dr. Zhu Tao let out a long sigh.

"That's all you can do."

Closed abdomen.

End surgery.

The duration lasts 8 hours and 34 minutes.

At the same time, he thought in his heart: "If you change to Lin Feng, can you really handle this operation?" I'm afraid it's hard too, right? "

......

......

Emergency.

Bell bell bell ~~~

At this time, Xiaoli of the nurse's station answered a call.

"Hello, this is the emergency department."

"Hello, I am a nurse in the thoracic surgery department here, there is a patient here, unexplained fainting, sent from a lower level hospital, the thoracic surgery department is organizing triage in various departments, are Dr. Zhang Yuan and Dr. Lin Feng free now?"

"Okay, I'll ask Dr. Lin right away, as for Dr. Zhang Yuan, he went to the lower level hospital to pick up a patient."

"Okay, thanks."

Lin Feng was receiving an old grandmother with a headache at this time.

Xiaoli: "Dr. Lin, the thoracic surgeon invited you to triage, are you free?" "

Lin Feng replied: "Yes." "

Then Mari finished seeing the patient and left the consultation room.

Walk quickly towards the Department of Thoracic Surgery in the Inpatient Department.

The intern in the back looked envious:

"Dr. Lin went to consult again..."

"When can we go to the consultation..."

"It is estimated that in another seven or eight years..."

"Don't say that I was invited to the consultation, now when I enter the operating room, I am disgusted by the doctors 'Don't mess around, stand away, don't touch me', don't mention how miserable."

"Piercing the heart!!"

The interns, crying in the corners, hugged each other for warmth.

......

......

Inpatient Department, Thoracic Surgery Ward.

Conference room.

Lin Feng walked into the conference room and received many eyes, and many doctors had dealt with Lin Feng and greeted one after another.

Soon, the meeting began.

Chen Changming, director of thoracic surgery, turned on the light change sheet.

"Patient, female, 64 years old, farmer. Due to "recurrent syncope attacks for half a month", he was sent to the emergency department of our hospital by his family. "

"Half a month ago, when the patient was riding a bicycle to farm, he suddenly felt dizzy and dark, then lost consciousness, fell to the ground, woke up on his own about a few minutes later, and felt chest tightness after waking up..."

"At that time, I was taken by my family to the local hospital for examination, and there were no obvious abnormalities in blood routine, biochemistry, head CT, and electrocardiogram..."

"Just three hours ago, fainted again, and then sent to our hospital..."

A series of introductions:

Admission Examination: ......

ECG: ......

Blood routine tips: ......

Three tumors: ......

Pulmonary artery CTA: ....

(Omit a dozen ...) ）

It took 40 minutes to introduce all the results.

Lin Feng thought while watching.

Incorporating many world-class experiences, Lin Feng is also world-class in the ability to read various reports.

This patient's cardiac ultrasound: filling defects in the main pulmonary artery and the beginning segment of the left and right pulmonary arteries.

In Lin Feng's opinion, it should be thrombosis.

Moreover, UCG can find thrombus, indicating that the thrombus is in the trunk and is already very large.

At this time, Director Chen Changming clapped his palms:

"Okay, all the checks are here, everyone has their own opinions."

The doctors did not push back and expressed their opinions.

Director Qian: "This is a very rare medical record, which opened my eyes. I think, it may be a blood clot. "

Chest: "I had a different opinion, I saw the phagocytic sign, I thought it should be pulmonary endartery sarcoma." "

Hepatobiliary surgeon: "CTPA shows that the diseased pulmonary artery is significantly dilated, and the filling defect extends from the main pulmonary artery to the distal pulmonary artery, involving the beginning of the left and right pulmonary arteries... Priority is given to pulmonary artery sarcoma, thrombosis is not excluded. "

Extracardiovascular Li Yuan: "Syncope, ECG typical SQT manifestations, increased D dimer." Ultrasound filling defects of the main pulmonary artery and the beginning segment of the left and right pulmonary arteries, considering thrombosis. "

One by one, they are actively discovering and contributing to the treatment of patients.

"I also think it's thrombosis, as for the treatment, according to the main points of the guidelines, thrombolysis is considered for hemodynamically unstable cases, and the patient's blood pressure is high when admitted, so thrombolysis can not be done, and can only be routinely anticoagulated." "

After speaking, Liang Guomin glanced at Lin Feng: "Lin Feng, do you have any ideas?" "

Eye dew encouragement.

The other doctors looked at each other in unison.

Lin Feng chuckled: "I am thinking about thrombosis, just now Director Liang said that thrombolysis is not possible, but if you simply take anticoagulation, it is also a bit of a problem..."

Everyone was stunned.

Is this a refutation of Liang Guomin?

Looking at Liang Guomin's reaction again, he was not unhappy, but encouraged.

It seems that the rumor that Lin Feng saved Liang Guomin's operation is true.

Some people also thought of Director Qian taking Lin Feng to the Eighth City Hospital, and they were secretly surprised in their hearts.

This forest wind is powerful!

An intern in the district can get the support and cultivation of so many bigwigs.

Liang Guomin: "Lin Feng, do you have any good solutions?" "

Lin Feng nodded: "There is still a way, this patient's thrombosis is in the trunk, very huge, it is likely to faint again, or even direct cardiac arrest." Therefore, we should prepare with both hands, on the one hand, anticoagulation, but on the other hand, be prepared to dissolve thrombosis at any time, in fact, our hospital strength is also enough, you can consider direct thrombolysis. "

The hearts of the doctors moved.

Well, that idea seems to work.

Immediately glanced at Lin Feng.

Sure enough, the fame is not vain!

This forest wind is still a little level.

。