The diagnosis is clear!

The patient is an infective endocarditis, and the evidence is conclusive!

She is not a blood disease, she is a heart disease.

The reason for her repeated fever is because of this heart valve infection.

As for why the whole body bone pain?

Because this infection activates the body's immune response and causes inflammation in many joints, the patient will experience bone pain throughout the body.

Only then would I mislead my colleagues in the emergency department, thinking it was a blood or rheumatism disease.

but,

Although the diagnosis is clear.

But the patient is still dying!

Hypoxemia, low blood pressure, heart failure, pulmonary edema, inflammation...

To solve these, it is necessary to solve the source of everything-heart valve infection.

"Can only do surgery!"

"Replace the heart valve for the patient..."

but,

It's still a bit difficult to perform surgery now.

On the one hand, "one sixty zero", there is no water and fast food, there are risks.

On the other hand, the risk of surgery is extremely high. The patient's current heart function and blood pressure are raised on the operating table. I'm really afraid that I won't be able to get it off.... Maybe even the anesthesia will not pass.

I have managed several such patients before, but the family members did not agree to the operation, and they all failed in the end.

but!

Now the patient suffers from cardiogenic shock and septic shock. If you don't do it, you will definitely die!

There is still a silver lining for surgery.

and,

You can also try ECMO...

"The family members are there, right?"

"exist······"

"Talk to family members about having an operation and asking them to sign...Of course, you also have to make it clear to your family members that this operation is relatively risky and the patient is in a weak state at this time..."

"It's... Dr. Lin, are you here for this operation?"

"Yes, I'm here... I'm looking for a doctor outside my heart to waste time..."

"OK."

"Contact icu... If the operation is successful, send them to the department, and ask them to borrow an ecmo..."

"Yes."

Lin Feng decides,

Other doctors followed suit.

soon,

Doctors in the medical department and emergency department formed a preoperative talk group to communicate fully with the patient’s family.

"Does surgery have to be done?" The patient's family hesitated.

"Yes, surgery must be done... If you don't have an operation, I am afraid it will not last a few days..."

Explained for ten minutes,

Family members called home and chatted for ten minutes...

Finally, the name was signed on the surgical consent form.

"I believe in the strength of Dr. Lin, and hope to save my mother..."

The patient's son said so.

······

Lin Feng temporarily stopped working in the emergency department.

15:00 in the afternoon,

A vacancy was squeezed out from the surgical schedules of other departments.

Push the patient into the operating room.

Operating room,

Lin Feng arranges for anesthesia, etc., and then goes to the ecmo machine.······

Open chest...

Cardioplegia······

Low temperature······

Cut the heart...

Replace the heart valve...

1 hour······

2 hours······

······

Outside the operating room,

The patient's son and husband stood outside the operation door, pacing back and forth without saying a word.

Of course they are nervous.

The live broadcast assistant is also outside the door, holding his mobile phone.

The live broadcast audience dropped to more than 10 million, waiting boringly for the operation, and then fell to more than 3 million...

3 hours later,

The live broadcast audience began to pick up, returning to more than 20 million.

"Is the operation over?"

"It should be soon, it's been 5 hours..."

"Is the operation difficult?"

"The knowledge of the surgeon tells you that this operation is quite difficult. Not only is the patient too fragile, but the operation itself is also very difficult..."

"Waiting to come out..."

······

Waited for more than half an hour, which is 20:45 in the evening...

The door to the operating room is open!

Lin Feng and others pushed the unconscious patient out.

There is no white cloth.

There is a thick gauze dressing on the patient's chest, as well as a pericardium and mediastinal drainage bottle, which contains bright red blood.

All this suggests that the patient is out alive!

"Congratulations, the operation was a success, but the patient needs to send ICU to..."

After hearing the words, the whole family jumped with excitement.

Studio:

"Doctor Lin, great!"

"God forever!!"

"666~~~"

Numerous praises and rewards poured out.

Soon the patient was pushed to the ICU.

Lin Feng told Icu about the nursing care points, and then left work.

······

the next day,

Lin Feng goes to work during the day 0 ........

As soon as the live broadcast room started, the number of people rose to more than 36 million.

"Waiting for Doctor Lin's rounds..."

"I don't know what the heart disease man is like last night..."

"I came to see the patient who had the operation yesterday..."

"······"

As the audience wanted, Lin Feng came to icu to check the status of the patients undergoing surgery last night.

"Doctor Lin!"

"Doctor Lin!"

The doctors and nurses of icu greeted Lin Feng one after another.

Lin Feng: "The patient last night, how is it now?"

Dr. Icu said happily, “Dr. Lin’s operation was very powerful, and the patient recovered very well. He woke up at 2 in the morning, and then we gradually lowered the dose of the blood pressure booster. We checked the arterial blood and blood half an hour ago. , The respiratory oxygenation function has improved significantly."

Lin Feng was surprised: "So fast?"

When I came to the patient's ward, I checked the patient's condition and found that the patient did recover well.

"It is estimated that the ventilator can be taken off tomorrow..."

Lin Feng estimated.

Leave icu,

Lin Feng met the son of a patient who had just arrived from the hotel.

"Doctor Lin, how is she doing with my mother?"

"Your mother is recovering well, maybe she can get through this difficult time..."

this moment,

The son cried directly and burst into tears.

"Thank you Dr. Lin, thank you Dr. Lin!"

The audience in the live broadcast room: "Dr. Lin is awesome..."

...

...

Lin Feng returned to the emergency department from icu.

Just walked into the emergency gate at 2.3,

Then I heard the doctor calling out "Grass!" from the ward.

"Come on!!"

"The heartbeat has stopped!!"

"I said don't get up, don't get up... now it's all right..."

Lin Feng heard doctor Zhang Cun's cursing.

The sound is very loud.

Obviously, he was emotionally excited.

Then I saw some doctors and nurses rushing in and out of the ward.

Lin Feng: "............???"

what happened?

Out of curiosity, Lin Feng couldn't help but walked over.

Then I saw the middle bed in the ward,

A middle-aged man in his 40s is lying on the bed.

The ECG monitor has pulled irregular compression lines.

Then the doctor Zhang Cunzheng kept cursing and pressing, sweating profusely and tears streaming out of the corners of his eyes.

. .

Thank you for reading this story at mtlarchive.com. Your support enables us to keep the site running!

Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like