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

The patient Xie Yao looked worried.

Lin Feng: "Don't panic...Although, arterial blockage will cause insufficient blood supply to the distal limbs of the blockage, and symptoms such as weakness, pain, numbness, and whitening of the color will appear. If the blockage is severe, necrosis, arterial wall damage, or embolism may occur. Go to other places and cause tissue necrosis..."

With that, the patient's Xie Yao's expression became even more bitter.

"Doctor Lin, is there any way?"

Lin Feng nodded: "There are still many ways...In the early stage, it can be treated with drugs, usually with anticoagulation, blood circulation, thrombolysis, volume expansion and other drugs... If the medication does not improve the symptoms, surgery is recommended. Removal of the thrombus... If the blood vessel is severely damaged, it may be necessary to have a blood vessel transplant..."

"Then me..."

"In your case, it seems that you still wake up early, have a certain blood supply, and are not completely occluded... You can try anticoagulation, blood circulation, and volume expansion treatments first..."

Xie Yao was overjoyed.

"Let’s be hospitalized, do a coagulation function test first to see if there are conditions for conservative treatment..."

"Okay...08..."

The patient Xie Yao nodded repeatedly.

"If it doesn't work, I can only perform thrombectomy surgery for you, either cut the blood vessel, remove the thrombus, or intervene to remove the thrombus..."

Here is a concept: "perioperative period".

It refers to the whole process surrounding the operation, from the patient's decision to receive surgical treatment, to the surgical treatment until the basic recovery, including the period of time before, during and after the operation.

...

...

at this time,

A nearby university.

A group of students are eating.

Sudden,

Clang~~~

I don't know what happened. The dishes on the bowl of a male student were directly knocked and poured onto another female student.

"Ah~~~"

The female classmate herself loves to be beautiful, and then she was soaked in such a shower that she suddenly screamed.

The boyfriend of the female classmate looked angry.

"What's the matter with you? Do you want to die?"

Pushed the male ‘murderer’ classmate.

The male student ‘murderer’ was pushed to the ground, very embarrassed.

Both men were very violent people, so they quarreled like this.

Arguing and arguing, started.

The two of you come and go, you punch me, I punch you.

all of a sudden,

The dining hall is in chaos.

All the students who were cooking and eating all looked over.

Sudden,

Clang~~~

"Ah~~~~"

The male student ‘murderer’ fell to the ground abruptly, and then suffered severe pain.

The pain is so painful that I want to struggle, but I can't get up. It hurts.

"Ahhh~~~"

He screamed, cold sweat on his forehead.

The boyfriend of the female classmate was taken aback.

"You... do you want to touch porcelain?"

However, the "murderer" classmate still fell to the ground, so painful that he couldn't answer at all.

At this time, everyone realized that something was wrong.

"Hurry up, hit 120..."

"Notify the school doctor to come..."

"quick!"

At this moment in the dining hall, there was chaos.

...

Harmony Hospital.

After Lin Feng diagnosed a patient,

A nurse came in.

"Dr. Lin, there is a patient who is coming in the 120 ambulance. The director said that you should come to pick him up..."

"good!"

...

6 minutes later,

The 120 ambulance rushed to the emergency room.

"It's this car!"

"quick!"

The ambulance door opened,

The doctor inside jumped out, then pushed the patient out, the bed went to the ground, and the tripod was lowered.

"Doctor Lin!"

"Send to the rescue room..."

Lin Feng quickly learned the situation.

·Patient Huang Zheng, a college student, suddenly fell to the ground during a fight and suffered pain in his abdomen and chest.

Entourage, Chen Zheng, because he wanted to seek justice for his girlfriend, he was angrily taught Huang Zheng, but he was sent to the hospital. Now he panicked.

·Entourage, school doctor Lei Fang...

"It was a few punches and then fell to the ground, right?"

"Yes……"

"What position did you play specifically?"

"I don't know, I just beaten..."

Chen Zheng explained in a flustered manner that he was almost crying.

Lin Feng looked at Chen Zheng,

The man is tall and big, with a height of 180, and his arms are quite muscular.

These punches are estimated to be quite powerful.

Lin Feng opened Huang Zheng's clothes and found several bruises, which showed his strength.

Location of bruises: location of xiphoid process, liver, precordial area, left lower abdomen...

Lin Feng lightly pressed the patient's abdomen, and the patient screamed immediately.

In the process of being sent to the rescue room, Lin Feng already had the first guess:

·Liver, spleen...Battered by fist...

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

As for the spleen, although the location is deeper, it is the most fragile. Lin Feng has encountered many cases where the pancreas was broken due to external forces, leading to hemorrhage, and then directly fell to the ground in shock...

Now the patient Huang Zheng has obvious abdominal pain, has a clear abdominal trauma, pale face, and painful expression. It is the correct clinical thinking to suspect the rupture of the liver and spleen for the first time.

Soon came to the rescue room.

Change the bed.

The nurses and doctors worked hard together to carry it over.

Patient Huang Zheng was embarrassed: "I will do it myself, I will do it myself..."

But Lin Feng seriously rejected it.

"You still don't know what's going on right now, don't move around..."

Lin Feng's seriousness made Huang Zheng and Chen Zheng panic.

150 is connected to the ECG monitor.

· Blood pressure: 134/62mmHg

·Blood oxygen: 96%...

Lin Feng breathed a sigh of relief.

This blood pressure does not have the blood loss, hypotension, and hemorrhagic shock that Lin Feng was worried about.

but,

Lin Feng is still not at ease.

Because if you miss it, you may die at any time.

"Go for a CT and see if there is any fragmentation..."

Lin Feng made a decision.

Then,

"Wait...make an ECG first..."

Lin Feng's consideration is this:

The two were fighting with bruises on their left chest, which was likely to be beaten vigorously, causing mechanical damage to the heart.

also,

Is it possible for the patient to have cardiac ischemia or infarction due to severe abdominal pain?

First pull the ECG...

While pulling the picture, Lin Feng held a stethoscope.

·Heart: No murmur, very healthy...

·Lung: There is no rales, etc. It is very healthy...

·The abdomen... doesn't seem to be a problem...

soon,

The electrocardiogram is also out.

·ECG, no problem...

Lin Feng breathed a sigh of relief.

A dangerous possibility has been ruled out.

"Aside from the pain now, what else do you feel?"

"It's a bit nauseous, I want to vomit..."

Lin Feng: "???"

. .

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