NovelTags Chapter 231
Chapter 231
"Huh??"
The pregnant woman and husband all screamed.
"Stomach stones?"
"Wouldn't that be an operation?"
My face has changed!
Now at 22 weeks of pregnancy, surgery is dangerous!
Lin Feng hurriedly comforted: "If your stomach stones are formed by eating hawthorn for 2 days, then you don't need surgery... I'll open a B-ultrasound list, and you guys will go for a check! "
Brush brush brush ~~~
Print out the "B ultrasound checklist" and hand it over.
"Pay the bill, do the ultrasound, and then come back and tell me... By the way, this B ultrasound needs to drink a lot of water, about 500-1000 ml..."
"To drink so much water..."
Pregnant women have a bitter face.
Pregnant women will squeeze the space in the mother's tummy because of the growth of the fetus.
(At 22 weeks of pregnancy, the volume of organs such as the stomach and intestines can be squeezed to three-fifths of the original)
Because organs such as the stomach, intestines and liver are squeezed together, eating becomes a very painful daily 'homework'.
It's like a intestine, squeezed very flat, and the digestion will become very long if it wants to pass.
When the stomach becomes smaller, it will become smaller when eating, and it will often feel fullness after eating a little something.
And then easy constipation...
(Summary: Being a mom is really hard... ）
So, pregnant women will hate eating, including drinking water!
My husband nodded: "Okay, okay, let's go." "
Pulled the pregnant woman to pay for B ultrasound...
......
An hour later,
The couple returned with the B-ultrasound results.
· B-ultrasound results: It can be seen that there are clearly demarcated strong echo masses in the stomach floating in the upper layer, the size is 0.8cm*0.9cm...
Lin Feng put down the B ultrasound order.
"Diagnosed, it is indeed a stomach stone..."
My husband asked nervously: "Doctor, do you want to do surgery?" "
Lin Feng shook his head: "No need, I'll prescribe some medicine for you." "
In fact
Short-term stones like the pregnant woman in front of you can be treated with cola, which is more effective than ordinary drugs.
That's right!
Coke can treat stomach stones!
Cola contains phosphoric acid, which can be combined with elemental phosphorus or calcium, which can effectively destroy the polymeric matter of plant stones and some mixed stones.
Eventually break down stomach stones!
The methods are:
Douching (reaching into the stomach to rinse and then suck it out) ...
Drink directly...
However, it is a pity that the patient in front of me is pregnant and cannot drink cola.
Cause:
Coke contains caffeine, which is not good for babies...
Cola is high in sugar and is easy to give pregnant women diabetes (the probability is much greater than that of ordinary people) (there are also sugar-free cola, but there will still be caffeine, other sweeteners) ...
(Pregnant women should do a diabetes screening around 23 weeks, drink 3 large cups of sugar water, check the blood sugar content of fasting and three glasses of sugar water...) If a pregnant woman has diabetes, it will be troublesome... ）
Brush brush brush ~~~
Lin Feng opened the bill and handed it to the pregnant woman's husband.
"That's it, pay the bill, go to the pharmacy to get the medicine... If your daughter-in-law usually drinks Coke, you can also try Coke... But Coke should drink less, it's not good for the baby..."
"Thank you doctor!"
The couple thanked each other.
Just as she was about to leave, the pregnant woman suddenly turned around and held a handsome photo of Lin Feng, which was the photo of the black circles on Weibo.
"Dr. Lin, sign my name!"
Lin Feng: "........."
Looking at his dark eye handsome photos... Well, dark circles are also quite handsome!
Brush brush brush ~~~~ sign!
"Thank you, Dr. Lin!"
The pregnant woman happily holds the photo, holds it in her arms, and leaves happily ...
Husband: "........."
The vinegar smell is sky-high!
......
At this very moment,
The news that Lin Feng received a patient with a thyroid tumor spread throughout the emergency department.
The emergency department suddenly looked like an earthquake!
The doctors were shocked!
"Could it be that he still has thyroid tumor surgery?"
"Multiple thyroid tumors, still so big, this proper fourth-level surgery, is he sure?!"
"He dares to take it, that should be done."
"Could it be that he said gastrointestinal, hepatobiliary, spleen, pancreas, urinary tract... Is it true? "
"I don't believe it!"
"I don't believe it either, how can anything be!"
One by one, I think it's impossible!
It is absolutely impossible to be so devilish!
Heart, brain is already so perverted, others will, then you have to go!
"No need to guess, wait a few days, when the operation is performed, just see if it is successful!"
"Yes!"
One by one, I started waiting...
......
The doctors didn't wait long,
On the fourth day, Lin Feng found an operation time of 22:00 at night.
The operating rooms during the day are all full, and there is no vacancy at all, only at night.
Three days of preparation for surgery,
The patient advances into the operating room.
The patient lay on the operating table.
Intubation anesthesia...
......
Surgery: removal of thyroid tumors...
Main knife: Lin Feng
First assistant, second assistant: intern Yin Peijiang, intern Zhou Tao
The selection of interns is still the 12 interns, 3 days of preparation, and finally Lin Feng assessment, select the appropriate one assistant and two helpers.
Anyway, when Lin Feng operates, the role of one assistant and two assistants is relatively small, and the intern can still use it for training.
(Song Ziming and others of the First Municipal Court: I felt an offense ~~~~)
Onlookers: Other interns, stretching their necks, watching and learning, waiting for the next auxiliary shouting 666~~~~
......
Complete anesthesia.
Lin Feng looked at Yin Peijiang: "Let's start!" "
The patient has been successfully anesthetized.
Apply a preoperative membrane to protect the incision.
Lay the thyroid single.
"Scalpel!"
Lin Feng cut the patient's subcutaneous tissue, latissimus neck.
"Bipolar electrocoagulation!"
Hemostasis~~~
Lin Feng picked up the tissue forceps and lifted the skin margins on both sides of the incision.
"Leather needles!"
"No. 4 silk thread!"
Lin Feng quickly sewed the flap, and the small straight forceps fixed it.
Surgical visual field exposure.
Huge multiple tumors are exposed...
At the same time, quite a lot of purulent juice flows out ...
......
Emergency department, a small chat group.
"The operation has begun, right?"
"Who?"
"Who else could it be? Lin Feng..."
"It should start, 22:00 time..."
"I don't know if it will succeed..."
"I heard that Lin Feng is still so bold, and he even found an intern to do it, it's too daring!"
"yes, what can an intern do?"
"This Lin Feng is also high-spirited, and he didn't give us soft at all, and directly looked for an intern."
"What's wrong with high spirits? We are also in high spirits! "
"I don't care about the rest, I'm curious if this operation is successful or not..."
This time,
I believe that many emergency doctors can't sleep.
They were all thinking about the grade four thyroid tumor surgery that Lin Feng was doing.
Will it be successful?!
......
"Round needle, thread number one..."
Lin Feng took it from the instrument nurse and began to sew the patient's anterior jugular vein.
"Electric knife!"
With an electric blade, the anterior jugular vein of the patient is directly cut.
Without the slightest pause, the white line of the neck is cut longitudinally.
Lin Feng inserted his finger into the patient's neck, and the finger bluntly separated the capsular space between the tibial anterior muscle and the thyroid gland.
And the interns who watched,
At this moment, I can't help but shout 666~~~
"It's worthy of being a big guy, the speed of surgery is fast!"
"Very precise!"
"Dr. Lin really can do thyroid surgery, and he is still very strong!"
......
Ichisuke and Ersuke's hearts almost collapsed at this moment.
Say okay, one help, two help.
How is it like a white rice eater, it's not that they don't want to help, it's really Lin Feng is too awesome, a lot of them don't need to touch!
"Scalpel number ten!"
Lin Feng's fingers exerted a little force, and the blade cut through the white line of the neck, all the way to the thyroid capsule.
"Long tissue scissors!"
Cut along the midline of the incision, up to the thyroid cartilage, and down to the sternum notch.
"Mid-curved tongs!"
Lin Feng began to separate the subhyoid muscle group from the space in front of the thyroid capsule to the anterior edge of the sternocleidomastoid muscle.
Yin Peijiang panicked and lifted the two curved forceps to clamp the thyroid muscles.
Lin Feng followed closely and cut off the thyroid muscle group with a scalpel.
"Round needles!"
"No. 4 silk thread!"
The sharp tip of the needle pierces directly into the patient's muscle group and begins to stitch the severed end muscle group.
The muscles are pulled up and down to reveal the lateral lobes of the thyroid gland, followed by free thyroid tissue from the upper pole to the lower pole.
"Thyroid hook!"
Lin Feng accurately pulled away the tissue next to the lateral lobe of the thyroid gland.
"Long tissue scissors!"
Isolation of thyroid tissue.
Separation of the upper and lower arteries and veins of the thyroid gland and the middle thyroid vein.
Free lateral thyroid lobes.
The whole process is all in one go, which is pleasing to the eye.
Surgical thread ligation of thyroid blood vessels!
"Mid-curved tongs!"
Lin Feng separated the isthmus of the thyroid gland in front of the tracheal wall.
"Surgical line No. 4!"
It is quickly ligated and then cut with a scalpel.
The crowd in front of the screen looked extremely exciting.
Lin Feng's hand rose and fell, and the thyroid body was removed along the top, leaving only the posterior capsule.
"Little round needle!"
"Silk thread No. 1!"
Lin Feng began to intermittently suture the gland stump to stop bleeding.
At this point, 40 minutes have passed...
......
This is followed by thyroid lobectomy on the other side.
Another 30 minutes passed...
It's all done!!
......
So far
The operation is almost over!
The pulse gun rinses the wound ...
Confirmation of no active bleeding points...
Place drains...
Stitching incisions in layers...
Cover dressing...
The operation is complete!
Duration: 85 minutes...
All the onlookers were stunned!!
A fourth-level operation, under the hands of Lin Feng,
It was only 85 minutes.
Even if you cut an appendicitis, counting the suture time, it will take almost this long!
Don't you want to lose face when you are a fourth-level surgery!?
(Fourth-level surgery crying: woo-woo~~~ Don't say it!!) ）
............
Emergency physicians, certain small groups.
"It's been an hour and a half now, I don't know what step the operation has reached..."
"I guess it's just halfway through..."
"If you are not familiar with it, I am afraid it has just begun..."
Many emergency doctors can't sleep!
I want to see if Lin Feng can really do this operation!
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ps: 3400+2800+3400=9600 words...