stjorthotic Chapter 165
Chapter 165
Chapter 165
“what happened?”
Lin Feng rushed to the emergency room and came to the little girl in the flat car.
The little girl is about 2 years old, very young, her face is a little purple, and she feels that her airway is obstructed.
“Wow~~~Mom~~~Wow~~~~”
The little girl kept crying, which made people feel anxious.
“Doctor Lin!”
After seeing Lin Feng, his mother was overjoyed, and grabbed Lin Feng’s hand and pleaded.
“Doctor Lin, please save my daughter!”
“Thank you for telling me what’s going on?”
“I don’t know either~~~~”
“???you do not know?”
Lin Feng is almost torn apart!
You’re the mother, this airway is blocked, don’t know what happened?
“Have your daughter swallowed nuts, thumbtacks… etc.?”
“Nuts…I remember, two days ago, after eating peanuts, my daughter coughed and choked many times…”
“2 days ago?”
“peanut?”
Lin Feng’s face changed.
Two days ago, this time was too long, and the foreign body may have left the main bronchus, fell into the deep branch and fell.
This will cause great trouble for the doctor to take the foreign body.
And peanuts!
More trouble than other nuts!
Lin Feng asked, “Is it peanuts with skin? Or peanuts without skin?”
The mother was stunned. She didn’t understand the difference, but she still said, “Skinned.”
With skin!
Lin Feng: “………………”
This time, it is even more troublesome!
What’s the trouble with peanuts?
·1: The crushed peanuts are hard to find. (Of course most of the broken parts will not enter the airway) (Other nut foods also have this problem)
·2: Peanut skin, after entering the airway, it is difficult to find on the one hand, on the other hand, it is difficult to remove this thin, thin and transparent foreign body with surgical tools. Once the peanut skin blocks the small airway holes, it may cause acute hypoxia.
The second point is the most troublesome!
Nuts such as peanuts are the most common snacks in the family. Therefore, families with children should try not to store these things where they can reach them.
In addition, you have to learn the “Heim Lik First Aid” (two methods for adults and children).
“Heimlik Emergency Method”: It is a method invented by a doctor named Heimlik to rescue the acute respiratory tract blocked by a foreign body and cause breathing difficulties. It is currently one of the most effective rescue methods in the world. The principle is to impact the patient’s upper abdomen, causing the diaphragm in the abdomen to rise rapidly, and the pressure in the thoracic cavity suddenly increases, thereby giving an outward impact to the airway, which can promote the expulsion of foreign bodies that have been infarcted into the airway.
“I’ll try if I can shoot it~~~”
Lin Feng picked up the little girl.
Airplane hug…
Head down…
Slap your back hard…
I took it seven or eight times and it was no use!
“It should have gone deep inside, I can’t take pictures…”
At this moment,
Doctor Zhang Yuan in the emergency room rushed over, and nurse Xiaoli.
Zhang Yuan panted and said, “What’s the matter?”
Lin Feng said loudly: “I swallowed a foreign body. I just tried the Heimlich first aid method, but it didn’t work. It may go deep down and quickly send it to the ct room to take a chest X-ray!”
…
10 minutes later……
The urgent chest CT photos were sent to Lin Feng and Zhang Yuan.
Chest CT: speckle-like density shadow in the right main bronchus, and leaf-like fuzzy shadow in the lower left lung.
·Airway inflammation and edema
“Endoscope…”
“Only a cavity mirror…”
…
emergency room,
After the emergency department quickly prepared all the rescue medicines and equipment.
The anesthesiologist started the induction of anesthesia.
·Anesthesia: Surface mucosal anesthesia, plus sedatives
·Try to keep the little girl breathing spontaneously.
·Link to ECG monitor, finger-cuff type photoelectric sensor (the kind of finger-clamping, measuring blood oxygen concentration by infrared light conduction intensity)……
Lin Feng: “Lao Zhang, come on…”
Zhang Yuan: “Okay…”
…
Operation,
Start!
first step,
Doctor Zhang Yuan took the hard bronchoscope and inserted it through the nostril.
(It can be from the mouth or the nose, but the mouth may cause teeth to bite, so use the nostril more.)
As a result, within 10 seconds…
An accident happened!
Xiaosi’s oxygen saturation plummeted!
Her lips turned gray!
Zhang Yuan’s face changed: “No, not enough oxygen!”
He remembered that the respiratory inhibitory effect of anesthetics and the little girl’s airway inflammation and swelling would make the oxygen supply insufficient.
Lin Feng was on the side: “I’ll “control breathing by hand”…”
Then proficiently connect the controlled respirator that has been prepared, and start to press the balloon to increase the oxygen level for the little girl…
As Lin Feng pressed the balloon to continuously deliver oxygen to the little girl, the little girl’s blood oxygen saturation continued to rise…
20 minutes later…
The little girl’s blood oxygen saturation finally returned to the normal level of 99.
Continue surgery again!
Soon, the endoscope found the peanut crumbs in the depths.
However, new problems have emerged!
Dr. Zhang Yuan chose the suction tube. When he sucked it, instead of sucking the peanuts back, he sucked the limited oxygen out of the lungs!
Blood oxygen, fall again!
Lin Feng: “…”
Zhang Yuan sweats profusely~~~
After that, I tried it twice, and in the process of attracting back the peanuts, they fell off again!
The blood oxygen saturation of the little girl dropped to 91%…
Lin Feng: “Or, change the tracheal clamp…Don’t attract the tube…”
Zhang Yuan was also aware of his pig’s head, and when he inserted the endoscope, he didn’t expect the problem of oxygen.
…
Continue the operation,
This time, use tracheal forceps instead.
After Lin Feng continued to control his breathing by hand, the little girl’s blood oxygen saturation returned to 99%.
Then reinsert the tracheal forceps.
This time,
Zhang Yuan finally stabilized his hand and found the peanut, and then smoothly picked the peanut and the peanut skin together!
However, this is not over yet.
At the end of every operation, it is necessary to check whether there is any unfinished operation.
Zhang Yuan re-entered the mirror and looked at other places again and again to see if there were any small pieces.
10 minutes later……
A small peanut and a peanut skin were found.
Then it took 20 minutes to clip them out separately.
After continuing to check for 20 minutes, and there were no more peanuts, Zhang Yuan breathed a sigh of relief.
The operation ended successfully!
However, at this time, it should not be careless. The respiratory depression of anesthetics and airway inflammation and edema will make her suffocate at any time due to hypoxia!
The emergency nurse will keep watching.
Lin Feng got it done and left the operating room.
“Doctor Lin, how is my daughter?”
The little girl’s mother said happily when Lin Feng came out.
Lin Feng: “Don’t worry, there is no big problem…”
The little girl’s mother cried excitedly: “Thank you Dr. Lin, thank you Dr. Lin!”
Lin Feng hurriedly said: “I was just a layman. It was our emergency director Zhang Yuan (doctor) who performed the operation…”
After waiting for more than an hour, the little girl finally woke up safely.
Mom thanked Zhang Yuan again.
…
Lin Feng returned to hepatobiliary surgery,
Before I could report to the director, the phone rang.
Ling Ling Ling~~~
“Hello, Dr. Lin, I am Liu Bowen, a gold lawyer at Zhongyu Law Firm. Are you looking for a lawyer?”
“what?”
“That’s what you said to find a lawyer to sue the person who slandered you for receiving the red envelope…”
“Oh oh oh, come to think of it, I’m just talking…”
“………………”
Lawyer Liu Bowen almost cried on the spot~~~~
just saying?
Make yourself so excited!
Zhongyu Law Firm is one of the top law firms in Pengshi. Except for the winning lawyers of Beishan Pizza Hut, its strength can be said to be the first.
And Liu Bowen himself, 45 years old, is a gold lawyer at the law firm, with rich experience and strong strength.
The reason for contacting Lin Feng this time was not for any attorney fees, but to make friends with Lin Feng. In order to make friends with Lin Feng, he could even waive the attorney fees.
Let me talk about the reasons why the doctor industry is popular.
For example, a high official, at a level, does not lack money, does not lack power, and beautiful women dare not touch, then the most important thing next is birth, old age, sickness and death. So they all think about finding a relationship in the hospital. If they get sick in the future, it will be much more convenient to go directly to the doctor.
As for Liu Bowen, when he is middle-aged, his health is getting worse and worse. He also considers the same consideration and wants to make a few good doctors.
There is another type of people, salesmen, who always want to indulge in some Party A’s company and political leaders. Generally, gifts are not easy to deliver. Therefore, if you know a few doctors in the hospital, what will the leaders be? The clerk directly contacted the doctor to help these leaders deal with this kind of “worry”, the relationship immediately became cordial, and it was much more convenient to talk about business.
Therefore, doctors (with good medical skills and reputation) will not be short of money, because someone will often give them gifts, such as a golden pen, such as paintings by the doctor’s nephew, and others will sell it at a high price…
The money is here!
And it’s not easy to check!
However, doctors can’t be high-profile. They won’t say that they bought a 200-square-meter mansion in a community with a unit price of 100,000, and they won’t drive a BMW or Porsche to work…
…
“｀” Doctor Lin, if you are worried about the lawyer’s fees, I can call the shots and waive your Lv (Nuo De Zhao) teacher fee! ”
“Huh? Free of attorney fees?”
“Yes, it is an honor to know Dr. Lin, how can I charge Dr. Lin’s lawyer fees?”
Lin Feng understood what the lawyer meant, and there was no need to refuse.
“Haha, thank you…then this will trouble you…”
“No thanks, it’s an honor to be friends with Mr. Lin!”
What the lawyer said is a pretty one.
Lin Feng was polite and hung up.
As a result, another call came!
Still a lawyer!
“Dr. Lin, hello, I am a gold lawyer from Tianhua Law Firm, Zhang Zhenglong…”
“You also want to file a lawsuit with me for free?”
“Ah… yes, Dr. Lin, it seems that other lawyers have contacted you?”
“Just finished hanging up the phone, I have entrusted him to handle it.”
“Then I’m sorry to bother you. If you have something to do next time, Dr. Lin can find me…”
The lawyer’s attitude is very enthusiastic.
…
In the next half an hour,
Lin Feng received three or four calls from lawyers in a row, all of whom came to build relationships.
And at this time,
Kay on the web,
Regarding Lin Feng’s collection of red envelopes, the fishing vessel has been reversed.
There was a public clarification by the middle-aged man involved, and the City First Court also took out a video of Lin Feng receiving the red envelopes to testify that Lin Feng confiscated the red envelopes at that time.
Let netizens understand.
I was fooled by the unscrupulous self-media!
It was so angry on the spot!
. .