A hundred days after signing in, the first surgery shocked the world!

Fast forward another 10 days.

The incident gradually calmed down, and how the outside world investigated and dealt with it was none of Lin Feng's business...

On the patient's side, there are experts from all over the country to take care of, and there is no need for Lin Feng's help...

......

Lin Feng regained his calm.

Continue to the Department of Gastrointestinal Surgery or the Department of Gastroenterology.

Although Lin Feng is a regular training doctor, there are not many patients who specifically look for him, even more than many chief physicians, of course, most of them are girls...

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

If you are on night shift, go to the ward to look after the patient.

...

That night,

Lin Feng was assigned to work the night shift in the inpatient ward to take care of the inpatients.

After checking the room, Lin Feng sat in the office to rest.

Suddenly.

There was a lot of noise outside.

"Where is Dr. Lin? I'm looking for Dr. Lam! "

I saw a man about thirty years old, shouting loudly at the nurse's station.

The nurse wondered, "What are you looking for Dr. Lin for?" "

Male patient: "See a doctor!" My stomach hurt to death. "

"You know Dr. Lin?" The nurse was strange.

"I don't know." The man told the truth.

"I don't know, why do you have to see him?"

"I went to the emergency department and they told me to come to the gastroenterology department to see Dr. Lin, he can see me!"

Lin Feng in the distance was happy when he heard this conversation.

The brothers and sisters in the emergency department were really interesting enough to recommend patients to themselves.

While turning his head and walking towards the consultation room, Lin Feng shouted at the male patient from a distance, "Come to me, I am Dr. Lin." "

The man was stunned for a moment, and immediately farted to keep up.

Leaving the nurse's desk a group of stunned little nurses.

......

Come to the office.

Sit still.

Lin Feng began to ask, "Where is it uncomfortable?" "

"Stomachache!"

"Where exactly does the stomach hurt?"

"Here..."

Lin Feng roughly understood, began the physical examination, and palpated.

"Does it hurt here? ...... And here? How long does it hurt? Are there any other symptoms? "

A few minutes later.

Lin Feng learned about the patient's illness:

2 weeks ago, there was no obvious trigger for the appearance of dull pain around the navel, paroxysmal, mild degree, tolerable, 2 days ago similar abdominal pain, colic, severe degree, and blood in the stool.

A lump is also found in the abdomen.

Abdominal pain, blood in the stool, abdominal lumps...

The three major characteristics were too obvious, and Lin Feng immediately thought that these were the three major symptoms of "intussusception".

Highly suspicious!

Of course, it may also be acute gastroenteritis, rectal prolapse, volvulus, sticky intestinal obstruction, bacterial dysentery... In these diseases, three symptoms may occur.

But judging from Lin Feng's experience, intussusception (meaning: one part of the intestine, wrapping another section of intestine) is the most likely.

Lin Feng opened CT examination.

"You go for a non-contrast abdominal CT, and when the results come out, hurry up and find me."

"Yes, Doctor."

......

Half an hour later.

The patient returned to the inpatient building with a non-contrast CT report of the abdomen.

Lin Feng glanced at the CT report: "You are intussusception, you must be hospitalized immediately." "

Patient: "What?" Intussusception? "

The patient said that he had never heard of it and was confused.

Lin Feng explained: "It is a section of intestinal tube that is inserted into the adjacent intestinal tube. "

The patient said he still did not understand.

Lin Feng thought for a moment and thought of a perfect explanation, "Have you ever seen a telescopic telescope?" "

The patient nodded.

Lin Feng continued: "Just like that, one section shrunk into the other. "

The patient understood.

Shocked.

He couldn't understand how his good intestines could become a telescopic telescope.

intussusception:

Children's intussusception occurs more often in children younger than 2 years (primary/unexplained)

Adult-type intussusception is often secondary to pathological changes in the intestine (secondary/intestinal tumors, polyps, diverticula or developmental abnormalities, etc.)

Lin Feng continued to explain: "Your disease is caused by lipoma pushing in the intestine. "

Patient: "Then doctor, can I cure this disease?" "

Lin Feng nodded, "Surgical treatment." "

Patient: "Okay! "

The intestines have become telescopic telescopes, can it not be operated?

......

Intussusception is an acute abdomen.

Acute abdomen is a general term for abdominal diseases in which acute abdominal pain is clinically manifested.

These diseases progress quickly, become severe, and require urgent treatment.

Present.

Lin Feng arranged for the patient to be hospitalized.

Night shift nurses, also busy.

Doctor's order is given.

· Level I care, water fasting, gastric tube gastrointestinal decompression.

Give anti-infection, acid production, water supplementation, electrolytes, nutritional support and other treatments.

The patient's abdominal pain improved slightly.

But Lin Feng knew that these were all appearances.

The intestines have become folding telescopes.

Conservative treatment has a fart use.

If you are not careful, the patient may have intestinal necrosis and intestinal perforation.

Ask for the patient's consent.

Lin Feng prepared to operate on this patient the next day.

Vicious diseases with fierce medicine!

Lin Feng's fierce medicine is surgery!

......

For this patient, Lin Feng and the nurses were busy all night.

It was dawn, and the night shift nurses dragged their tired bodies off work.

Lin Feng did not return to the dormitory.

100% Stamina bonus!

Lin Feng's office took a break.

Then I went to the morning meeting.

......

In accordance with the rules and regulations of the hospital.

First-line departments, early morning meetings a week.

It's something that can't be moved, like schoolchildren dance radio gymnastics every day.

The morning meeting must be chaired by the bosses of each department.

All on-duty medical staff are required to attend.

This kind of meeting is not a non-nutritious, dozing meeting, but a full of dry goods. At the meeting, presentations should be made to newly admitted patients and critically ill patients, focusing on solving various problems.

The meeting was chaired by Director Changwu.

Lin Feng did not go back and also participated in the meeting.

He came with a purpose.

At the meeting, he was going to propose to operate on a patient with intussusception today.

And this operation, of course, he came.

However, he has not yet spoken.

Director Chang had already mentioned this matter first.

Changwu: "I looked at last night's new medical records in the morning. A new patient with intussusception arrived last night. This patient is intussusception caused by a small intestinal tumor, the condition is more serious, and surgery needs to be arranged as soon as possible, it is best to do surgery today. Which of you is free to take over this operation..."

Like Lin Feng's thoughts, Changwu also felt that the patient needed to be operated on as soon as possible.

"I..." Just as Lin Feng was about to raise his hand,

Zhang Yang stood up first: "Director Zhang, let me come for this operation." I have had several such surgeries in the imperial capital. "

Zhang Yang has been depressed for a while recently.

He urgently needed to show it in front of Zhangwu to redeem his former glory, after all, he forced Lin Feng to pretend.

It just so happened that this intussusception operation he had done several times.

Zhang Yang felt that he could do it.

Changwu glanced at Zhang Yang.

Zhizi Mo Ruo's father.

Similarly, the master is also the one who knows the apprentice best.

Changwu is very clear about Zhang Yang's current strength.

Dr. 301, a medical doctor in Wudaokou, has followed him for many years.

I've had quite a few surgeries.

There is a level of treatment.

If it is a general intussusception procedure, he can do it.

But this patient's condition is more serious.

The overlapping part is relatively long.

Let Zhang Yang preside alone.

He was a little uneasy.

Akitake wondered if he could find him a helper, or instructor.

Who is the best place to go?

Changwu's gaze swept over his subordinates one by one.

Suddenly.

A figure that stood out fell into his eyes.

Lin Feng!

That's him!

There is a forest wind, I am relieved.

Lin Feng's strength is much stronger than Zhang Yang.

Moreover, this patient was still taken over by Lin Feng on the night shift.

The patient's situation is most familiar to him.

Changwu felt that it was too appropriate for him to guide Zhang Yang in this operation.

Changwu: "Lin Feng! "

Lin Feng: "Yes." "

Changwu: "You give Zhang Yang a handle." Let him be the main knife, and you will be a helper. What do you think? "

Being a helper does not mean that the status is lower than that of the main knife, and the mentor guides the disciples sometimes in the position of the first helper.

Director Zhang opened the golden mouth, and Lin Feng was embarrassed to object.

Lin Feng said helplessly: "... All right. "

Zhang raised his eyebrows and smiled.

Here's your chance!

I must do this surgery well!

......

The morning meeting is over.

Each busy.

Surgery for intussusception patients is scheduled for the afternoon.

As usual, Zhang Yang held a preoperative meeting for the surgical members.

Mainly discusses surgical options.

Say it's a discussion.

It's all about one person who has the final say.

For example, the surgical method, Zhang Yang chose the minimally invasive laparoscopic intussusception reduction that he is most familiar with in order to be safe.

He was familiar with this reset, and he had worked on several cases.

And after Lin Feng saw the film, he felt a little inappropriate.

To reduce the intestine near a relatively large tumor.

The sleeved intestine is longer.

Laparoscopic procedure, too limited.

Lin Feng recommends open reduction.

But Zhang Yang is very confident, feels that there is no problem, and insists on his own plan.

Lin Feng couldn't beat him.

Hey, if you don't listen to the old man, you will suffer a loss in front of you.

Wait a minute, there are times when you cry.

......

Lin Feng went back to the dormitory to make up for it...

Afternoon.

The operation officially begins.

Adult intussusception is rare.

Therefore, in addition to Zhang Yang and Lin Feng, this operation also attracted a lot of observers.

The chief of gastroenterology, residents, and interns, a large piece of black pressure came.

Zhang Yang stood in the operating room and glanced at Lin Feng, who was standing beside him.

An irrepressible smile spread across his face.

Ha ha!

Lin Feng, today it's my turn to be the main knife.

Just watch me perform.

Lin Feng: emmm... The main knife is a tertiary operation, what is there to be proud of. Don't you see that your teacher asked me to press the field for you?

......

Surgery begins.

Anesthesia first.

Mode of anesthesia: general anesthesia.

Surgical modalities: laparoscopic intussusception reduction + proximal jejunal partial (tumor) resection.

Laparoscopic intussusception reduction surgery.

Zhang Yang made a few cases when he was in the imperial capital.

All succeeded.

So many people came to see it today.

Zhang Yang's heart was extremely excited.

This is a good opportunity for the return of the king (pretending).

Begin!

Operate!

The patient lies on the operating table after successful anesthesia.

Zhang Yang is familiar with light cars and uses three-hole laparoscopy to explore the abdomen.

Observe.

There is a small amount of yellowish ascites in the abdominal cavity, no food residue and fecal contamination, the proximal jejunum is significantly dilated, the surface is purple-red, and the intestinal tube is intussuscepted.

Everything goes according to the script.

Zhang Yang's confidence has greatly increased.

Instruments are operated quickly and laparoscopically.

Mantle bowel reduction is performed.

Reposition!

Reposition!

Reposition!

After a few operations.

Zhang Yang something is wrong.

The previous confidence is gone.

The hand also slowed down.

Wrong!

Nima!

Today this intestine seems to be tied in a dead knot.

How to operate without fanfare.

It just can't be reset.

The two intestines are tightly wrapped together.

Laparoscopy, although minimally invasive.

High technology.

However, the surgical field of view is significantly inferior to the traditional laparotomy.

In terms of operation, it is also necessary to use equipment.

Compared with the open ratio, the limitations are great.

The more Zhang Yang operates, the more anxious he is.

Beads of sweat on my head.

5 minutes passed...

10 minutes passed...

Half an hour passed.

An hour has passed.

The patient's intestines are still put together like a folded telescope.

Zhang Yang sweated so much that his mouth was dry.

He seemed to have heard the crowd of onlookers whispering.

"What's wrong? It seems that the operation did not go well? "

"It seems like you're in big trouble."

"Didn't he take the initiative to ask for this operation at the morning meeting?"

"That's a shame."

"Don't you know? When discussing the surgical plan, Lin Feng said that this operation is best done open. "

"He didn't take it?"

"The arrogance of the imperial capital, how can you casually adopt the opinions of others."

"Then he's miserable! I can't figure it out, I have to call Director Changwu. "

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ps: 5300+4000+4000=13000+ words, a little late, sorry.

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