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

in addition,

"Wernicke encephalopathy" has another feature:

In patients with Wernicke's encephalopathy, double pupils have symptoms of disappearance of light reflection.

so,

It is more certain that it is "Wernicke's encephalopathy."

However, it is not 100% sure yet.

Next,

It is not convenient to do other tests to confirm Wernicke's encephalopathy. It is late at night now.

So Lin Feng prescribed a medicine to the patient: intravenous drip of vitamin B1.

why?

Because of long-term alcohol abuse patients, the gastrointestinal tract lacks vitamin B1 absorption, long-term this will lead to neurological dysfunction.

Vitamin B1 is a relatively important neurotrophic substance. If it is severely deficient, it will cause the patient to coma.

(Ps: As mentioned earlier, this disease is an emergency of thiamine deficiency, thiamine generally refers to vitamin B1. Vitamin B1, also known as thiamine.)

Prescribe vitamin B1...

Intravenous...

The next step is to wait for the patient to wake up.

If the patient does not wake up, it may not be "Wernicke encephalopathy," and other investigations, such as cerebral infarction, are needed.

...

Leave the rescue room,

At this time, the shift has been completed, and Lin Feng officially started the night shift...

God of night shift, bless!

A group of nurses know that Lin Feng is on the night shift and are happy because Lin Feng's night shift is generally not very busy.

It didn't take long...

A taxi stopped at the door of the emergency department.

"Doctor, doctor, come and save people!!"

The taxi driver yelled.

Then the emergency department was all in a hurry.

"what happened?"

"Doctor Lin, this patient had a car accident, I sent it here out of good intentions..."

The taxi driver put down the patient and ran away in the taxi.

Lin Feng: "………………"

In other words, this patient is not accompanied by family members or friends?

What is the patient’s identity information?

None of this is known.

Glanced at the patient.

·Male, about 30 years old.

·Broken head and coma.

· There is a scraping wound on the abdomen, bleeding, but it is not very serious.

Lin Feng calmly ordered:

"Send to the rescue room... and call the CT side, wait for the CT...¨々..."

"In addition, look for his mobile phone, his belongings, and see if there is any identity information... see if he can find his family..."

Once ordered down,

The emergency department acted in an orderly manner...

I have been busy for more than 40 minutes,

Finally finished the most important CT, B ultrasound...

·B-ultrasound: There is no problem with the abdomen, and the possibility of impact bleeding is ruled out.

·CT: Subdural hematoma, brain herniation has been formed.

Brain herniation,

This is a more dangerous situation.

At present, the patient has hemorrhage inside the brain due to head impact.

If the bleeding is less, the condition is not so urgent.

However, this patient had a lot of bleeding, which has caused the pressure in this part of the area to rise, and then began to displace the tissue and squeeze other brain areas-that is, brain herniation.

Cerebral herniation: high-pressure area -> displacement -> squeeze low-pressure area -> make part of the brain tissue, nerves and blood vessels in the low-pressure area under pressure, the circulation of cerebrospinal fluid will be obstructed and the corresponding symptom group is called cerebral hernia.

In front of us,

The patient's brain herniation has formed and he will die soon without surgery.

Therefore, Lin Feng needs to have his craniotomy right away!

For surgery, it is natural to contact family members to sign.

Lin Feng: "Give the patient mannitol first, dehydration, and lower intracranial pressure...have you not contacted family members?"

Xiao Ai: "I found... the patient's mobile phone does not have a lock screen function. We found his wife's phone..."

"When will his wife arrive?"

"His wife said we were liars. We made more than a dozen calls. She didn't believe me, every time she beat us, she called us liars and the whole family died..."

"..."

"In other words, his wife, we haven't communicated well yet?"

"Yes……"

Lin Feng was speechless.

"I'll try..."

Make a call.

Hello, this is the emergency department of Imperial Harmony Hospital. Your husband...well, Chen Jifeng was injured in a car accident and needs immediate surgery..."

Not finished yet...

Liars, you liars, don't call me, I don't believe it! "

Then hang up.

Lin Feng: "………………"

Lin Feng thought for a while and used the patient's mobile phone to call his wife: "Hello, look, this is your husband's phone number, you should believe it..."

The current phone number display can be faked, do you think I don’t know? The anti-fraud propaganda at the entrance and exit of our community is posted, when I don’t understand anything! you liar! "

"｀ "Wait... I'm Lin Feng... that famous doctor Lin Feng..."

Lin Feng used his assassin!

I thought, how can I say it is also a well-known doctor in the country, with 70 or 80 million fans, this family member should give face to it?

result,

"Lin Feng...who? I don't know! Liar, go to hell..."

Then hang up...

Lin Feng felt his forehead pumping...

This family member is too scared!

I called again, but I couldn't get through. The opposite side blocked the patient's husband's cell phone.

Lin Feng: "………………"

Ten thousand grass mud horses galloped past.

Anti-fraud propaganda is too good, but I didn't expect it to have side effects.

"and many more……"

Lin Feng pats his thigh

"You can ask the police to call..."

Lin Feng quickly told Xiao Ai to go to the police...

Soon, after the police found the identity information, they began to call the patient's (Wang Zhao) wife.

Now, the patient's wife finally knew that it was not a liar.

I called back soon,

The patient's wife's tone was very anxious, obviously panicked.

"My husband is really in Harmony Hospital?"

"Yes."

"I'll rush over now, half an hour... I'm sorry, Doctor Lin, I thought it was a liar..."

"ASAP!"

Put down the phone.

Lin Feng began to instruct others to prepare for the operation, cleaning, shaving, allergy testing, inserting catheters, shaving hair, indwelling intravenous needles, drawing blood...

Half an hour later,

The patient’s wife rushed to the hospital, signed and paid...

The patient was pushed into the operating room...

...

Operating room team,

Lin Feng spent 1.5 hours,

Open the patient's skull, decompress, and then clean up the hematoma...

..

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