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

"Check, did you find atrial fibrillation when you were admitted to the hospital?"

Lin Feng reacted and felt wrong.

Doctor Wang Jiayi was taken aback.

"This... I didn't seem to say this when I was handing over the shift..."

"Xiaoru, check it..."

"Yes……"

Soon, Xiaoru checked the admission record and found that there was no relevant information.

Called Li Xing, the attending doctor who was in contact with the patient after day shift.

"Atrial fibrillation? Yes, it was checked when I entered the kindergarten..."

Li Xing said.

The Wang family was speechless: "Then why didn't I tell the next doctor when I was on shift? There is no medical record?"

Li Xing repeatedly apologized: "I'm sorry, I'm sorry...what's the matter? Did you find the cause?"

The Wang family was out of anger: "Fortunately, Dr. Lin just checked and thought it was atrial fibrillation, and then said that it might be atrial fibrillation thrombosis that blocked the intestinal artery, or renal artery, ischemic necrosis..."

"Huh? Intestinal artery, or renal artery embolism?"

"Yes!"

Dr. Li Xing suddenly felt cold.

"Why didn't I expect it?"

Thinking of the danger of this disease, Li Xing was shocked.

If there is a problem, it is definitely a medical dispute.

At this time, Lin Feng thought of another thing.

"Hypertensive nephropathy"! (Written by 501-502)

The patient's old lady has a history of hypertension for more than ten years, and it is very likely that the kidney function is also problematic.

In the examination results of the old lady of the patient, the renal function and serum creatinine were still a little high, indicating that there is indeed a problem with the kidney, and hypertensive nephropathy is not ruled out.

If a contrast agent is used, it should aggravate the kidney damage, but it should be able to resist it with dialysis.

"By the way, what is the urine output? How much fluid is there?"

The bed nurse flipped through the records and said:

"In the last 4 hours, I have refilled about 1800ml, and the urine is...60ml..."

Lin Feng was surprised!

So little urine?

Could it be that shock is aggravated?

In shock, the effective circulating blood volume of the whole body is reduced. In order to ensure the blood supply to the brain and heart, the body must sacrifice a number of organs. The kidney is the first to be abandoned by the body.

But Lin Feng took a look at the blood pressure curve.

There is no problem.

However, priority should be given to kidney problems.

Lin Feng did not hesitate:

"Can't procrastinate. With so little urine, there should be something wrong with the kidney... Go to your family immediately."

The Wang family nodded: "Okay!"

In addition to the ward, he quickly went to the eldest son of the old lady and told the details.

The eldest son of the old lady was very calm.

"Doctor Wang, you mean it damages my mother's kidney, right?"

"Yes……"

"Is the damage great?"

"If it really leads to deterioration of kidney function, we can also do hemodialysis. If we help the kidneys in the short term, there will not necessarily be a major problem."

"Then there may still be a big problem...I want to ask, what kind of thrombus or embolism has not been diagnosed yet?"

"It hasn't been determined yet, we just think this possibility is relatively high..."

"Doctor Wang, I want to ask, how much does CT imaging cost?"

"Probably more than 3000..."

In fact, only more than 1,000 is enough for one part, but this is not only the intestinal artery, but also the renal artery. In addition, the machine of Harmony Hospital is a more advanced 64-row machine, which is more expensive than ordinary ones.

"Then we won't do it." The old lady's son made the decision directly.

"what??"

The Wang family was taken aback.

Then greeted the questioning voice of the old lady's son.

"You have said that the side effects are a bit big. Even dialysis may not be able to avoid all the side effects. Moreover, it is still uncertain what kind of arterial embolism is really caused. In addition, this examination is so expensive. How do I know if you want us to do more examinations? Pay more?"

Full of mistrust.

Wang Jiayi: "..."

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On the spot, he was so angry that he wanted to swear. He was really sincere in saving people and worried about the old lady's condition.

But quickly became discouraged. Who makes the current doctor-patient relationship so tense?

At this moment,

Lin Feng walked out of the ward.

"What's wrong? Haven't discussed it yet?"

"The old lady's family disagrees..."

Wang Jiayi said discouragedly.

When the elder son saw Lin Feng, his eyes lit up: "Doctor Lin, my mother's disease, can you help?"

Lin Feng was surprised: "I have watched it..."

Wang Jiayi: "The diagnosis just now was made by Dr. Lin..."

When the elder son heard this, he turned a hundred and eighty degrees.

. ..... ...

The expression suddenly became solemn.

"It turns out that it was Dr. Lin that you diagnosed... Then do the examination just mentioned, do it right away! I believe Dr. Lin is a good doctor!"

Wang Jiayi: "……………………"

On horseback!

It feels like being offended face to face.

When I said a hundred sentences, the patient's family just didn't listen and thought I was greedy for money. As a result, Lin Feng changed his position as soon as he came out.

Do you want to treat this differently?

However, the patient's son agreed, which is a good thing.

Open the bill right away and check it!

...

When I was a child,

The enhanced CT results are out!

·The superior mesenteric artery, no problem!

·The renal artery is blocked (a large artery, go down, separate two small arteries on the left and right, which lead to the two kidneys)! And it is very coincidental that the renal arteries on both sides were blocked, there was a gap on the left side, allowing a little blood to pass through, and the right side was completely blocked!

obviously,

Lin Feng's previous reasoning is correct.

Atrial fibrillation causes emboli to form and fall off, then enter the renal artery and become blocked.

After the blockage, because of ischemia, necrosis of the kidneys was caused, and renal function problems were caused, so the urine output was very small.

"It turned out to be a renal artery embolism!"

The Wang family was shocked.

. again.

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