Surgeon: I can hear the cells

47.

“…,” Ye Feng had already said conservatively.

Originally, he didn’t want them to be suspicious, but in fact, he could have said it more carefully.

Patient, lumbar 2-5 vertebral fracture, lumbar 1-5 bilateral transverse process fracture, multiple rib fractures, traumatic wet lung, multiple soft tissue contusions throughout the body.

If this is said, it must be too amazing, naturally it is impossible to say.

The abnormality of the cells has been known from the other party’s cell sound.

Ye Feng’s brain was almost full of cell screams.

You can also realize how critical the patient’s situation is now.

In fact, this time the operation is not optimistic.

Ye Feng also felt the pressure.

Because this is the father of a friend, it makes him want to save life even more!

So finally there is a hint of pressure on a sense of mission.

This operation is very difficult! Due to the age of the patient, he was almost 60 years old.

Multi-segment vertebral body injuries are serious, and simple full-segment lumbar vertebrae surgery has a large injury, and the possibility of losing the mobility function of the lumbar spine after surgery.

The patient also has senile osteoporosis, which is easy to be complicated by loosening and displacement of internal plants after fixation, resulting in serious complications.

But without surgery, there is a risk of complications!

If conservative treatment is chosen, bed rest takes 3~6 months, the patient is old, long-term bed rest, lumbar spine multi-segment fracture care is difficult, easy to cause pressure ulcers, fall pneumonia and lower limb venous thrombosis and other complications, severe can be life-threatening!

“With such an age, the risk of surgery is high.”

“It is still recommended to do a full-body CT scan first to avoid mistakes.” Hu Yuanfeng also felt the same.

“No thanks, trust me!” Ye Feng couldn’t explain anything.

But you really can’t waste time on various inspections.

Under Ye Feng’s firmness, Chen Hai and Hu Yuanfeng were not good to insist any longer.

Wait for the patient’s signs to stabilize before doing it.

But the most fearful is that there are serious fatal injuries, and the best treatment is missed.

After Ye Feng pondered.

There is already a complete idea in the mind.

It was decided to perform open reduction and internal fixation surgery for lumbar vertebral fractures.

Since the patient’s lumbar 3-5 are injured vertebral bodies, conventional surgery requires fixation of the lumbar 1-sacrum, which has complications of surgery that is too large and loss of lumbar spine activity.

Therefore, Ye Feng had a definite idea after a thoughtful, comprehensive and systematic assessment.

“Help me get the cement nails ready! Anesthesia begins! ”

“It should need to be operated in three stages, and if it is done at one time, I am afraid that the patient will not be able to hold on.”

Ye Feng cautiously dropped a sentence.

“Yes, that’s what I was trying to say.”

Chen Hai was still very puzzled, how did Ye Feng know the details of his condition?

Hu Yuanfeng got the hint and also started anesthesia.

After the anesthesia is completed.

The main treatment for lung contusion is generally to maintain respiratory and circulatory function, including maintaining airway patency, oxygen, tracheostomy and artificial respirator assisted breathing if necessary, as well as blood transfusion, fluid replacement, anti-shock and other treatments.

But this patient obviously does not have such a simple injury.

Ye Feng took the lead in performing open heart surgery to treat the lungs.

Sure enough!

“It’s a hemopneumothorax, and you need to do chest closure drainage immediately!” Ye Feng’s open heart surgery was very silky.

This situation is very dangerous, but fortunately Ye Feng’s surgery was timely.

Ventilators are also in place.

At the moment, hemostasis should be stopped quickly, antibiotics should be reasonably used to prevent infection, and other organ injuries should be treated accordingly.

Because both lung contusions are bleeding conditions, the bleeding must be stopped urgently.

Otherwise lives are at stake.

“It should be noted that due to the different main contradictions of patients at different stages of lung injury, it is necessary to always pay attention to adjusting ventilator pressure, oxygen concentration and humidity, and minimize breathing conditions to create conditions conducive to lung tissue healing while ensuring adequate ventilation.”

Ye Feng instructed, and Doctor Liu next to him couldn’t help but be surprised.

I thought of all this detail.

Just now he was a little distracted.

The main thing is Ye Feng’s open surgery, which is too fast and ruthless!

At the moment, quickly realize the mistake and adjust.

Ye Feng carried out both lung bleeding to stop and repair the bleeding, and fortunately, although the two lungs were bleeding, it was not too serious.

However, without timely surgery, it will gradually become difficult.

This angry operation shocked the doctors present again.

Silky smooth and perfect, without the slightest movement.

“Fortunately, the bleeding stopped in time.”

“Two broken ribs, open heart surgery today.”

“Wait a few days before performing open reduction and internal fixation surgery for lumbar fractures.”

“The surgical plan, I also decided, using lumbar 3 and 5 vertebral bone cement nails to fix, the advantage is that the injured vertebral body can be better fixed, and it will help the patient to move early under the premise of preserving the range of motion of the lumbar spine.”

The members of the operation were stunned, big brother, when you did open heart surgery, you already thought about the next operation?

PS: Plus even more!! I hope that if you like it, you can vote for more flowers, and see that the author will definitely add more!! Most of my doctors’ texts are very bizarre and incurable diseases, and there are many surgeries. Hope to support it