The name of the last chapter is a bit problematic.,Now replace Du Leixin's heart with Du Leixin-

When the sick number comes, naturally there can be no slackness, not to mention that the situation of the two sick numbers is not an ordinary crisis.

Based on the treatment principle of first acute and then slow, first serious and then 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 seems to be more serious!" Du Leixin reminded.

"No, this one is more serious!" Gu Feng didn't think about it, so he started to examine the elderly patients.

The patient is an elderly male who is already confused, mentally exhausted, dyspnea, palpitation, shortness of breath, paleness, cyanosis of the lips, cold limbs, and loss of urine...... and so on.

A quick physical examination of the patient revealed that the patient had a typical barrel chest, with only 10 breaths/minute, a pulse of 175/minute, a drop in blood pressure to 80/50mmHg, decreased breath sounds in both lungs on auscultation, generalized wheezing and wet rales, a heart murmur, extremely fast heart rate, irregular heartbeat, and percussion showed that the heart sound was dilated to the right.

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

Its cause is the increase in pulmonary circulatory resistance caused by chronic lesions of the lungs, thoracic or pulmonary arteries, to pulmonary hypertension and right ventricular hypertrophy, or accompanied by a type of heart disease without right heart failure, which is an extremely common and frequent disease, with a very high mortality rate, especially in the acute exacerbation period.

Now, the elderly patient is clearly in an acute exacerbation and is in the first stage of shock compensation, which is progressing to the advanced stage. Without emergency treatment, the patient will soon enter an advanced stage of irreversible shock.

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

After having a preliminary understanding of the patient's condition, it is too late to go for other examinations, so we should quickly carry out emergency symptomatic treatment, quickly replenish the blood volume, enhance myocardial contractility, and relieve peripheral vascular resistance!

In this way, it is necessary to establish intravenous infusion access and keep the respiratory tract open, the patient is an elderly man, the body is thin, the establishment of intravenous access is naturally not a problem, but the heart disease of the elderly is caused by pulmonary origin, the respiratory tract is blocked by phlegm, and it must be carried out by aeroenteric intubation.

Gu Feng was about to perform a tracheotomy for the patient and intubate it in parallel, but at this time, Yan Xinyue, who was dealing with the snake swallowing patient, screamed in surprise, and Gu Feng handed the scalpel to Du Leixin, who was standing aside, and then hurriedly ran over to check. When I came back after temporarily solving the problem there, I found that the elderly patient's trachea had been cut open and connected to a ventilator.

With unobstructed venous access and respiratory tract, the following symptomatic treatment appears to be orderly, controlling respiratory tract infections, relieving bronchospasm, clearing sputum, hypoxic respiration, respiratory stimulants, and controlling heart failure......

After the situation here was temporarily stabilized, Gu Feng asked Wei Songliang to transfer the patient to the respiratory medicine department, and then came to Yan Xinyue's side by himself.

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

Yan Xinyue estimated that the snake should still be in the stomach, and if it entered the intestines, the patient could not still be so comfortable, except for a slight discomfort, he did not feel anything else. It's just that although there is not much discomfort, it is not fun for anyone to have a snake in their stomach, and it is a poisonous snake, so this acrobat who is not very skilled but has a lot of courage has been scared to turn white at this time.

In order not to alarm the snake, Yan Xinyue did not dare to move it, but while doing psychological work for the patient, she asked about the shape, size, and species of the snake.

"What's going on now?" Gu Feng asked as he walked over.

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

Isn't this nonsense? Gu Feng really wanted to roll her eyes, but this expression was too girly, so forget it, "I'm asking about the size of the snake." ”

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

"Zhu Yeqing?" Gu Feng couldn't help but gasp, this guy is really not very brave but very big, just get a non-poisonous snake, and even make a highly poisonous bamboo leaf! I really don't know how to write dead words!

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

"Isn't there poison when you pull it out?" Gu Feng said disdainfully.

Zhu Yeqing, also known as Jiao Tail, is a highly venomous snake, with blood toxins, although the amount of detoxification when biting is small, and the blood oozing out is also less, but the pain is intense, it is burning, local redness and swelling, can be ulcerated, and develops rapidly. It is typically characterized by the presence of bloody blisters more frequently and early; Generally, systemic symptoms are rare, and systemic symptoms include nausea, vomiting, dizziness, and abdominal distension and pain. Some patients have mucosal bleeding, vomiting blood, blood in the stool, and severe toxic shock, although the phenomenon of death is rare, but it is by no means impossible!

The young actor who swallowed the snake saw that it had been so long, but the doctor still hadn't taken out the snake for him, and couldn't help but say anxiously: "Doctor, don't worry about chatting, hurry up and help me take out the snake!" I'm dying of pain! ”

Gu Feng and Yan Xinyue exchanged glances, and secretly sprayed him with a tacit understanding: Now that I know that I am uncomfortable, why did I go earlier?

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

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

"I think it's best to crack his belly open and take the snake out directly!" Gu Feng said with a bit of deliberateness.

Sure enough, as soon as he heard this, the young actor's face turned even paler, and he said repeatedly: "No, no, no, this can'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 get it, if the snake is frightened, it will be more troublesome to drill into it, so it is feasible to take the snake by opening your stomach!" ”

Frightened? I think you're trying to get fertilized! Gu Feng glanced at Yan Xinyue lovelessly, and that look was simply asking: Teacher, aren't you telling the truth?

Yan Xinyue was a little embarrassed by Gu Feng, and couldn't help but ask a little annoyed: "Then what do you say is the better way?" ”

Gu Feng didn't answer her, just looked left and right towards the corridor, and after a while, his new intern Chen Zhide was out of breath, sweating profusely, and ran back with a bottle of wine in his hand.

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

After Gu Feng took the wine, he handed it to the young actor.

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

"Now is it a question of whether you like it or not? It's a question of whether your life can be saved! Gu Feng said angrily.

"......" The young actor didn't dare to squeak.

"This is realgar wine!" Gu Feng looked at his aggrieved appearance, and he couldn't bear to explain, "Snakes are cold-blooded animals, not only afraid of heat, but also afraid of pungent smells of chemical mouths, if you get into your stomach and are not used to the irritability, and it bounces up and passes through your stomach and enters the intestines, then you can't think about breaking your stomach at that time." But if you drink it, it will get drunk quickly, so not only do you have to drink it, but you have to drink as much as you can! When the snake is drunk and doesn't move, we find a way to get it out! ”

"Oooh!" Only then did the young actor understand Gu Feng's hard work, and quickly took the realgar wine and poured himself a breath.

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

After more than ten minutes, the young actor told Gu Feng that the snake in his stomach didn't seem to move much.

Gu Feng asked people to prepare a gastroscopy.

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

It is a bamboo-leaf green snake with a green body, golden eyes, and vertical pupils, with a large, triangular head, a thin neck, a short tail, small scales on the top of the head, grass green on the back of the body, white in the center of the outermost dorsal scales, a white lateral line from the back of the neck, and a pale yellow-green ventral surface.

Tightly coiled in the pylorus, it forms a sharp contrast with the flesh-colored stomach wall, coupled with the hideous shape of the snake, and the color is bright and weird, it looks extremely disgusting and terrifying.

Some of the more timid nurses couldn't help but cover their eyes, and they almost didn't vomit on the spot for Chinese New Year's Eve.

Although Gu Feng also felt nauseous, he still forcibly endured the churning in his stomach and observed it carefully.

The snake has indeed been drunk and unconscious by realgar wine at this time, except for a little inertia of the even, it basically doesn't move much!

After seeing this situation clearly, Gu Feng immediately began to give medical orders: "Give the patient general anesthesia, establish intravenous access and inhale oxygen!" Prepare for surgery! ”

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

After everything was ready, Gu Feng asked people to bring a snare, and in the field of vision of the endoscope, Gu Feng carefully put in the snare and used the snare to cover the snake's body and pull it from the dark door to the stomach!

However, when pulling, Gu Feng must not dare to exert himself, because the snake's head is in the pylorus, and it is very likely to damage the stomach wall if he uses too much force, so he can only pull lightly, let it go, pull it lightly, and put it again......

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

Half an hour later, the snake's head finally came out of the pylorus, and finally Gu Feng used a trap to fix the snake's head and pull it out of the cardia department!

The whole process was extremely thrilling, and it was quite disgusting, and the two nurses who were present to help Gu Feng couldn't help but vomit, and the remaining one didn't vomit, because he didn't eat breakfast in the morning, and he couldn't vomit if he wanted to.

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

It's just that as soon as one wave stopped, another wave started......