natural doctor

There is something wrong with the name of the last chapter, now replace Du Leixin with Du Leixin——

When the patient came, it was natural not to be neglected in the slightest, not to mention that the situation of the two patients was not generally critical.

Adhering to the treatment principle of urgent first and then slow, and first serious before light, Gu Feng chose to see the elderly patient who had a heart attack first.

"Doctor Gu, it seems that the patient who swallowed the poisonous snake is more serious!" Du Leixin reminded.

"No, this is more serious!" Gu Feng said without thinking, and began to examine the elderly patient.

The patient is an elderly man with cyanosis, cold extremities, loose stools... and other symptoms.

A quick physical examination of the patient revealed that the patient was in a typical barrel shape, with weakened breath sounds in both lungs on auscultation, extensive wheezing and moist rales, heart murmur, extremely fast heart rate, and arrhythmia. The sound expands to the right.

This is a very typical chronic ischemic pulmonary heart disease, referred to as cor pulmonale.

Its cause is the increase of pulmonary circulation resistance caused by chronic lesions of the lungs or pulmonary artery, leading to pulmonary hypertension and right ventricular enlargement, or a type of heart disease without right heart failure. It is an extremely common disease. The fatality rate is very high, especially in the acute operation period.

Now, this elderly patient is obviously in an acute attack, and has fallen into the first stage of shock compensation, and is developing into the advanced stage.If emergency treatment is not carried out, the patient will soon enter the late stage of irreversible shock.

Gu Feng's judgment was correct, this elderly patient was much heavier than the young man who swallowed the snake.

After a preliminary understanding of the patient's condition, there is no time to do other examinations, and urgently carry out emergency symptomatic treatment, quickly replenish blood volume, enhance myocardial contractility, and relieve peripheral vascular resistance!

In this way, it is necessary to establish an intravenous infusion channel and keep the airway unobstructed. The patient is an elderly male with a thin body, so it is not a problem to establish an intravenous access, but the old man's heart disease is caused by the lung bsp; Gu Feng will perform a tracheotomy for the patient immediately Open, parallel tube c, but at this moment, Yan Xinyue, who was dealing with the snake swallowing patient, yelled in shock. Gu Feng handed the scalpel to Du Leixin who was standing aside, and then hurriedly ran Check it out.After temporarily solving the problem over there, when he came back, he found that the trachea of ​​the elderly patient had been cut and connected to a ventilator.

With unobstructed venous access and respiratory tract, the following symptomatic treatment becomes orderly, control respiratory infection, relieve bronchospasm, clear sputum, hypoxic respiration, respiratory stimulant, control heart failure...

After the situation here stabilized temporarily, Gu Feng asked Wei Songliang to transfer the patient to the Department of Respiratory Medicine, and then came to Yan Xinyue's side by himself.

The snake, still in the belly of the young man.

Yan Xinyue reckoned that the snake should still be in the stomach. If it had entered the intestinal tract, the patient could not be so at ease. Apart from slight discomfort, he didn't feel any other abnormalities.It's just that even though he didn't feel too much discomfort, it's not fun to have a snake in his stomach, and it's a poisonous snake, so this acrobat, who is not very skilled but very courageous, was already frightened. Whitewashed whitewashed.

In order not to startle the snake, Yan Xinyue didn't dare to do it. She just asked about the snake's shape, size, and species while doing psychological work for the patient.

"What's the situation now?" Gu Feng asked when he walked over.

"The snake is still alive, the patient can feel it moving inside!!" Yan Xinyue said.

Is not this nonsensical?Gu Feng really wanted to roll her eyes, but this expression was too girly, so forget it, "I'm Daxi who asked the snake."

"About the size of a finger and a half, and a length of forty centimeters, it's a green bamboo leaf!"

"Zhuyeqing?" Gu Feng couldn't help but gasp, this fellow is really not very skilled but bold, just a non-poisonous snake would be fine, but there is actually a very poisonous Zhuyeqing!But I really don’t know how to write dead characters!

"He said he had pulled out the snake's teeth!" Yan Xinyue said again.

"Isn't it poisonous if you pull it out?" Gu Feng said disdainfully.

Zhuyeqing, also known as Jiaowei, is a highly poisonous snake with blood toxins. Although the amount of toxin expelled is small and the oozing blood is small when biting, the pain is severe and burns, and the local area is red and swollen, which can rupture and spread quickly.Its typical feature is that bloody vesicles are more common and appear earlier; systemic symptoms generally appear less, and systemic symptoms include nausea, vomiting, dizziness, and abdominal pain.Some patients have mucous membrane bleeding, vomiting blood, blood in the stool, and severe toxic shock. Although the phenomenon of death is rare, it is by no means uncommon!

After seeing the young actor who swallowed the snake for so long, the doctor still didn't take the snake out for him, so he couldn't help but said anxiously: "Doctor, don't worry about chatting, help me take the snake out quickly! I'm going to die of pain." Already!"

Gu Feng and Yan Xinyue exchanged glances, and secretly sprayed him with a tacit understanding: You only know how uncomfortable you are when you know it now, why did you go so early?

"Don't worry, aren't we discussing a solution?" Liu Shiya, a nurse who followed Gu Feng, comforted her.

"Gu Feng, what do you think is the safest way to get the snake out?" Yan Xinyue asked.

"I think it would be best to open his stomach and take out the snake directly!" Gu Feng said deliberately.

Sure enough, upon hearing this, the young actor's face turned even paler, and he said repeatedly: "No, no, no, this won't work!"

Who would have thought that Gu Feng's joke was approved by Yan Xinyue, "I think this is the only way to be the safest and most reliable, because if you use other methods to 1ng, in case the snake is frightened and burrows in, it will It's even more troublesome, so it's feasible to open the belly and take the snake!"

frightened?I think you want to be tortured!Gu Feng gave Yan Xinyue a loveless look, his eyes were asking: Teacher, aren't you telling the truth?

Yan Xinyue was a little embarrassed by Gu Feng's look, so she couldn't help but become a little annoyed and asked, "Then what better way do you think?"

Gu Feng didn't answer her, but just looked left and right in the corridor. After a while, his new intern Chen Zhide came back panting and sweating profusely, with a bottle of wine in his hand.

"Doctor, here!" Chen Zhide handed the wine to Gu Feng.

Gu Feng took the wine and handed it to the young actor as soon as he turned around.

"Doctor, I don't like drinking!" The young actor said with a bitter face.

"Is it a question of whether you like to drink or not now? It's a question of whether you can save your life!" Gu Feng said angrily.

"..." The young actor didn't dare to say anything.

"This is realgar wine!" Seeing his aggrieved appearance, Gu Feng couldn't bear to explain, "Snakes are cold-blooded animals, not only afraid of heat, but also afraid of the chemical mouth that stimulates the smell of jixing, entering your stomach If the irritability that you are not used to when you are hot bounces up and passes through your stomach and enters the intestinal tract, then you will not be able to break your belly. But if you drink the wine, it will soon be drunk and smoked, so Not only do you have to drink, but you have to drink as much as you can! Only when the snake is drunk and can’t move, we will find a way to get it out!”

"Oh!" The young actor finally understood Gu Feng's painstaking efforts, quickly took the realgar wine, and poured himself 1un.

It didn't take long for him to drink more than half of a bottle of wine.

After another ten minutes, the young actor told Gu Feng that the snake in his stomach didn't seem to be moving much.

Gu Feng asked people to prepare a gastroscope.

Under the imaging probe of the gastroscope, the snake coiled in the stomach finally appeared in everyone's field of vision.

It was a green bamboo snake with emerald green body, golden eyes, and vertical pupils. It had a big triangular head, thin neck, short tail, thin scales on the top of its head, grass green back, and white center of the outermost back scale. , there is a white lateral line from the neck, and the ventral surface is light yellow-green.

It is tightly coiled in the genitals, in stark contrast to ruse's stomach wall. In addition, the snake has a ferocious shape and a strange color, making it look extremely disgusting and terrifying.

A few timid nurses couldn't help covering their eyes, and almost vomited out the New Year's Eve dinner on the spot.

Although Gu Feng also felt sick, he still resisted the churn in his stomach and observed carefully.

At this time, the snake had indeed been drunk by the realgar wine, and except for a little habitual rhythm of the occasional joint, it basically didn't move much!

After seeing the situation clearly, Gu Feng immediately began to give the doctor's order: "Give the patient general anesthesia, establish intravenous access, and inhale oxygen! Prepare for surgery!"

This operation is naturally not an operation in the ordinary sense, because it does not use a knife!

After everything was ready, Gu Feng asked someone to bring the snare, and in the field of view of the endoscope, Gu Feng put the snare carefully, and used the snare to trap the snake's body from the mouth to the stomach pull!

But when pulling, Gu Feng definitely didn't dare to use force, because the snake's head canton is inside the secluded gate, too much force may damage the stomach wall, so I can only pull it lightly, put it down, pull it lightly, let it go again... …

This is a hard work that requires absolute patience, just like fishing, you have to pull the snake out slowly and slowly!

After half an hour, the snake's head finally came out of the secluded gate, and finally Gu Feng fixed the snake's head with a snare and pulled it out from the basement!

The whole process was extremely thrilling, and quite disgusting. Two of the nurses who were helping Gu Feng couldn't help but vomited out, and the one who didn't vomited was because he didn't have breakfast in the morning and wanted to vomit. Can't spit it out.

In the end, when the whole snake was finally taken out, the patient had already lost half of his life, and Gu Feng was also sweating profusely, in a terrible embarrassment!

It's just that one wave just stopped, and another wave started again...