After 100 Days Of Sign-In, The First Operation Shocked The World

"Alpha-fetoprotein" is a specific marker for the diagnosis of hepatocellular carcinoma.

Alpha-fetoprotein 400ng/ml is one of the conditions for diagnosing liver cancer.

According to the "Guide": As long as it meets alpha-fetoprotein 400ng/ml + nodule 2cm, it can be determined as liver cancer.

"Let's go through the hospitalization..." Lin Feng arranged.

The patient is hospitalized...

...

The next morning, blood and urine tests were taken, and then alpha-fetoprotein was measured.

at this time,

Chen Ruizhu's father also rushed back from other provinces, waiting nervously for the result.

Half a day later,

The results of the inspection came out in the midst of expectations.

·Alpha-fetoprotein: 580!

·Blood and urine test, the increase is more than doubled!

It's OK now!

It's definitely liver cancer!

It's definitely Cushing's syndrome!

When Lin Feng informed the patient Chen Ruizhu's family of the result of "One Five Zero".

The family shed tears on the spot!

Even the man's father, the head of the family, quietly wiped his tears.

but,

They began to worry about liver cancer again...

It's a very complicated mood.

But obviously, the girl Chen Ruizhu hates "schizophrenia" even more.

Very happy!

Moreover, Lin Feng quickly told them the good news. Initially, it appeared that the liver cancer was still small and had not metastasized. It can be cured by surgical removal.

This makes the family happy again.

"Thank you Doctor Lin!!"

Thousands of words, half a year of sadness, all in the gratitude of this sentence.

...

Summary: Cushing’s syndrome: hairy legs, full moon face, thin skin, buffalo back...and pituitary gland, adrenal gland, ectopic...

...

In the next two days,

Lin Feng went to the obstetrics department and gave birth to the woman with excessive amniotic fluid.

Mother and child are safe.

Then a few high-risk obstetric patients came to Lin Feng and wanted Lin Feng to deliver the baby. Lin Feng did not directly agree in the end. He only said that he would help on the sidelines. The main force was the high-level obstetrical colleagues.

In addition, Lin Feng went to school and continued to complete his postgraduate studies, even though the instructor had to call him a teacher.

...

a new day,

Lin Feng continued to return to work in the clinic.

Most of them are patients with common diseases such as fever, headache, stomachache, etc.

There are also patients in obstetrics and orthopedics...

When the 16th patient,

A special monster came... No, it was a special patient.

The patient is a young beauty in her 20s, dressed fashionable.

Name, Xie Yao.

"Doctor Lin, look at my hand, there seems to be something wrong..."

"What's wrong?"

"My place (right wrist, palm facing the person, outside)...it's a little swollen..."

Lin Feng glanced.

This should be the position of the radial artery, right?

Human palms and wrists have only two arteries, one is the radial artery (the outer side of the right hand, the palm facing the person), and the other is the ulnar artery (the left side of the right hand, the palm facing the person).

These two arteries are the position of "pulse control" in Chinese medicine.

Lin Feng: "Why is it swollen? Have you ever had an injection here?"

The patient Xie Yao was distressed: "Yes, I had an operation a week ago, and then a needle was left there during the operation... It took 3 days to pull it out, and it started to swell up after it was pulled out."

"Show me your hand..."

The patient Xie Yao handed it to Lin Feng.

I have to say that Xie Yao's hands are very white and tender, and the blood vessels are quite obvious.

Xiao Ai, the nurse behind Lin Feng, took a look, and couldn't help but feel the urge to give it a shot.

Because of this type of arm, it is easy to get an injection.

Lin Feng: "Your radial artery may be blocked. I will give you a test and judge."

Xie Yao nodded obediently: "Okay."

Lin Feng pinched the radial and ulnar arteries at both ends of Xie Yao's right hand with both hands.

Hold on.

Compress blood vessels.

Then, Lin Feng instructed: "You hold the claw, hold it several times..."

Xie Yao held his claws in accordance with his words.

Soon, Xie Yao drained the blood from the palm of his right hand out of the palm of his hand by holding the claws.

The palm of his hand turned white suddenly.

It was pale and bloodless.

(Interested book friends, you can try it, it's very interesting.)

Next, here comes the point.

Lin Feng let go of the radial artery.

Under normal circumstances, when the radial artery is released, arterial blood will rush into the palm of the hand.

Then the palm of the hand will quickly become ruddy within 1 second 0 ........

But Xie Yao in front of him, after letting go of the radial artery, the pale palm of his hand turned red at a very slow speed. It would take at least 30 seconds to spread the entire palm of his hand.

Lin Feng let go of the ulnar artery.

Brush~~

The whole pale palm was suddenly red!

"Obviously, the blood flow of your radial artery is not good. The radial artery should be occluded..."

"Ah? Occlusion?... No, Dr. Lin, I have a good blood vessel, how did it become like this?"

With the usual panic look, Lin Feng has seen too many patients like this.

"The reason is very simple. You just said that for the operation a week ago, the radial artery of your right wrist had an arterial catheter. The needle (tube) was left in the artery. It may be a blood draw or it may be done. Arterial blood pressure detection..."

"The longer the blood tube is placed, the more serious the tube endothelial damage will be. The coagulation function and platelet activation will be initiated at the beginning of the injury, and then the vascular endothelium will be further repaired to form a "thrombus", accompanied by inflammation, which stimulates vascular "endothelial proliferation". ". "

"Moreover, because the catheter has been placed for several days (from the beginning of the catheterization to the end of the operation), the indwelling of the arterial sheath as a foreign body can also aggravate the inflammatory response during the damage repair process, causing local thrombosis, excessive scar hyperplasia, etc. Higher acute occlusion occurs."

Lin Feng analyzed it again.

The patient Xie Yao was stunned.

I thought that the operation was a success, but told her that a 2.3 puncture needle can also cause big problems!

In fact, there is one more thing Lin Feng didn't say.

Radial artery puncture is a commonly used method in surgery. It has the advantages of simple operation and patient comfort. However, compared with femoral artery puncture, it has higher technical requirements for the surgeon (nurse) and a longer learning cycle.

Especially in female patients, because the radial artery is smaller than males, it is easy to spasm, and is more sensitive to pain.

reason?

It may be that the reduction of estrogen levels in women with age is related to the protective effect of blood vessels.

"Doctor Lin, what about my hand...? Isn't it going to be abolished if an artery is missing?"

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ps: The update is complete...

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