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

Midday.

Lin Feng finished eating and returned from the cafeteria.

Just saw a patient carried down from the ambulance, and the accompanying family members were full of nervousness, and immediately stepped forward to greet him.

The patient is a young man in his thirties.

Then he asked, "What is the patient?"

The accompanying family member was the patient's wife, and when he heard Lin Feng ask, he hurriedly said: "Doctor, my husband just had an altercation with someone in the mall, was punched, and then fell to the ground!"

Well?

Young adults who fall to the ground after being punched?

It doesn't make sense!

Lin Feng immediately asked, "Did the patient have any serious medical history before?

The patient's wife hurriedly said: "I didn't pay attention either, it seems to have hit him on the stomach!"

Finish speaking.

The patient was also pushed into the rescue room.

Along the way, the patient kept moaning, his lips were pale, he was sweating, and his voice was already discontinuous.

Lin Feng immediately lifted the patient's shirt, and instantly saw that the upper part around the patient's abdomen and navel had been bruised a lot.

What a powerful punch.

It is no wonder that the patient has not slowed down until now.

And it's so serious.

Lin Feng had to wonder if this punch was a cracked patient's spleen, or a ruptured liver.

After all, these two organs are large, especially the liver, which occupies almost half of the upper abdomen and is easily injured.

Although the spleen is located inside, the spleen is more fragile, and it may rupture at any time if you vigorously combat blindness.

This is very common.

What traumatic liver rupture, spleen rupture patients.

However, fights lead to relatively few breakdowns, and most of them are caused by car accidents.

The patient has obvious abdominal pain, and has definite abdominal trauma, pale face, and painful expression.

However, the patient's blood pressure was still stable, only 134/62mmHg, and the heart rate was 109 beats per minute.

If the blood pressure is too low, then it is necessary to consider whether it is internal bleeding.

After understanding the general situation.

Lin Feng said to the patient's wife: "The patient's current situation is unknown, what can be confirmed is that the patient has a clear abdominal trauma, and it is necessary to rule out whether it leads to liver and spleen rupture and bleeding, and abdominal CT should be done!"

This situation is still relatively serious, if misdiagnosed, the patient may die of shock due to heavy bleeding.

Listening to Lin Feng's words, the patient's wife was shocked and afraid, and she still blamed her husband a little in her heart.

However, these words did not come out, but asked Lin Feng: "Doctor, you must do everything to save my husband, we will do any examination!"

Hearing this, Lin Feng nodded.

Then gestured to Xiaoru to hang a bag of 500ml sodium chloride injection for rapid rehydration.

At the same time, seize the time to draw blood tests, blood tests, liver and kidney function electrolytes and other routine items.

If the patient's blood pressure is low and the heart rate is accelerated, there may be a rupture of the liver and spleen or other organ damage.

At this time, the patient on the rescue bed again appeared nausea and wanted to vomit.

Lin Feng's brows frowned slightly.

These are all symptoms of the digestive tract.

Then gently press the patient's abdomen.

The patient immediately screamed.

It sounds like it really hurts!

Time can't be delayed!

Lin Feng immediately contacted the CT room, and after Xiaoru hung up the patient's rehydration fluids and drew blood, he pushed the patient to the CT room.

Worried about the aggravation of the patient's condition and sudden shock, he also prepared enough rescue drugs and placed them in the most conspicuous position.

The patient's wife also followed along the way, her face full of sadness.

I should have been happy to visit the mall, but I didn't expect such an incident, and my husband's life was in danger.

The thought of this made her worried.

Lin Feng naturally noticed it, but he had no time to comfort his family.

At present, the most important thing is whether the patient has liver and spleen rupture.

Soon came to the CT room.

Emergency expedited, direct entry.

The CT was quickly scanned, and the results came out.

Lin Feng and his family breathed a sigh of relief, his liver and spleen were fine, there was no damage, rupture, and no bleeding.

On the way back.

The patient's wife asked: "Doctor, it's not a ruptured liver and spleen, then what is the situation of my husband?

I speculate that it may be because of the nerve reflex caused by severe pain after the impact on the abdomen, and it is estimated that it would be good to rest for a while!" said Lin Feng slowly.

The patient was relieved to learn that he was not a liver and spleen rupture, but he still felt uncomfortable and did not lessen.

I still want to vomit, and from time to time I still feel stuffy and tight in my chest.

After returning to the rescue room, he told Lin Feng about the situation.

Hearing this news, Lin Feng's heart immediately tightened, and he thought, "It's not good, is it a heart problem?"

Although that punch is on the stomach, then it may also cause a shock to the heart.

Can this lead to mechanical damage to the heart?

However, when I auscultated just now, I did not hear a murmur in my heart.

Infection diagnosis can not only rely on auscultation, if you want to find out, you still need to do a cardiac ultrasound, chest x-ray is the safest.

Or is the patient suffering from severe abdominal pain causing cardiac ischemia?

The patient is in his thirties, urban white-collar workers, work pressure, high blood pressure, high blood lipids, due to pain induced myocardial infarction?

Immediately.

Lin Feng immediately pulled the electrocardiogram for the patient, and asked Xiaoru to check the patient's myocardial enzymes, troponin, etc.

However, he did not tell the patient and his wife much, mainly for fear that they were too nervous.

Soon, the ECG results came out.

Lin Feng looked at it very carefully.

Fortunately, the ST segment is not significantly low or too high, it is still a sinus rhythm, and there is no obvious myocardial infarction pattern.

For the time being, there is no problem with the heart, and when the blood test results just now come out, if they are normal, then the heart problem can be ruled out.

At this moment, the patient suddenly said that he wanted convenience, and it was still big.

Lin Feng immediately said: "No problem, but you can only be in bed, you can't go to the ground!

Hearsay.

The patient's face was full of embarrassment, and he whispered: "Doctor, I should be fine!

"No, it's better to be careful!" said Lin Feng immediately.

Xiao Ru said in her heart: "Teacher, this is also too cautious!"

Seeing that the patient didn't understand, Lin Feng immediately said: "A patient suspected of myocardial infarction before died of sudden cardiogenic shock because he was holding his breath in the toilet, and I am all to ensure your safety!"

In the end, the patient was still persuaded by Lin Feng.

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