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When Shen Lei had an accident yesterday, Shen Lei was protected by Shen Song, but he was not seriously injured, and he still lives outside the general world today, when Su Hongwen went to the meeting in the morning, Dai Hongcheng took people to check the room, and Shen Lei's condition was still very stable, but when Su Hongwen went to the police station to find Lu Manzi to settle accounts, Shen Lei's condition changed.

The nurse saw that Shen Lei was screaming in pain and quickly called his attending physician Shang Jinjun, Shang Jinjun has been working in the general world for five years, his experience is rich, and his skills are also good, and he feels bad when he checks Shen Lei, in order to be safe, he also abides by the hospital's third-level physician rounds system and invites Dai Hongcheng over, Dai Hongcheng hurried over to see that the advice given is the same as Shang Jinjun, Shen Lei is a delayed splenic rupture.

Shen Lei was diagnosed with a rib fracture and a blunt contusion of the spleen after being injured that day, the ribs were not misaligned, but there were cracks, so as long as the chest strap was put on and bed rest, but blunt contusion of the spleen could lead to delayed splenic rupture, the reason is very simple, the spleen may have internal rupture due to blunt trauma, but because the spleen capsule is intact, the amount of bleeding is limited.

It's like a piece of tofu filled with water wrapped in a plastic sheet, and when you fall it, the tofu inside is broken, and the water injected into the soy milk flows out naturally, but because the plastic sheet is not broken, the water can't flow out.

After a while, the plastic sheet was also damaged when it was beaten, and the damage was not enough to crack the plastic sheet, but over time, the damage to the plastic sheet eventually cracked due to the continuous increase of the amount of water inside.

The causes of delayed splenic rupture are varied, and the explanations given above are not exhaustive. However, the general meaning is similar, it is the rupture of the cell membrane, which causes a large amount of blood in the spleen to be injected into the abdominal cavity.

Even if the spleen does have a crack, if the cell membrane is not large, it will still wrap the outflow of blood to form a hematoma, and the spleen will heal on its own after a period of time, and the hematoma will be absorbed by itself, but yesterday Lu Manzi brought people to beat him, and Shen Lei saw that his father was beaten by them, and he struggled to get up and fight with them, which affected the wound on his spleen, causing the crack to enlarge, and today the capsule is finally unable to wrap the oozing blood. Eventual rupture leads to delayed splenic rupture.

This is one reason. There is also a kind of Shen Lei moving his body today, or coughing caused the capsule to rupture under the action of this weak external force, the first of the two reasons is more likely, after all, Shen Lei came to the hospital yesterday. If it was because of the latter, a delayed splenic rupture would have occurred long ago. It won't wait until now.

Now the reason doesn't matter anymore. It is important to have surgery as soon as possible, as delayed splenic rupture can be quite fatal. Many ordinary people believe that the spleen is responsible for digestive function, and people say that the more the spleen function, the more delicious it is. Digestion is also better, but this is wrong, the real function of the spleen is hematopoiesis and immunity.

Hematopoietic function is in the fetal period, the adult spleen is responsible for immune function, but if the human body loses a lot of blood, the spleen will also start the hematopoietic function, since there is a hematopoietic function, so the blood vessels in the spleen are quite many, once the spleen ruptures, it will form a ferocious hemorrhage, causing death in a very short time.

In this way, the rupture of the spleen has become one of the most dangerous emergencies in the general public, but because the rupture of the spleen is not common, many doctors who have been in medicine for five or six years have not seen it a few times, so that in the face of this kind of emergency, they can diagnose it but do not have enough experience to operate on the patient to save his life, and only senior doctors have enough surgical experience to do the operation.

Shang Zhong Jinlai is a doctor with little experience in this kind of operation, and Dai Hongcheng is a doctor with high experience and experience, and now Shen Lei has a delayed splenic rupture.

This is an emergency operation, yes, but you have to follow the process, some steps can be omitted, but some can not be omitted, especially the family members sign this fast, they can't be operated on without the consent of the family, the family has the right to decide whether their relatives have surgery or not, Shen Lei's family is Shen Song, but Shen Song's injury is not light, really told him that his son had a delayed splenic rupture, can he stand it? He is engaged in anesthesia, and he knows that this kind of surgery is very dangerous.

To be honest, Dai Hongcheng didn't want to inform Shen Song of the news, for fear that he wouldn't be able to stand it, but fortunately, Shen Lei's mother Li Yaqin came early this morning, and when Shen Lei had symptoms, she also found out first and then called the nurse, Dai Hongcheng knew that he had to hurry up for surgery, so he told Li Yaqin about Shen Lei's injury, but who thought that Li Yaqin would not agree to the operation and asked to be transferred to the hospital, which made Dai Hongcheng anxious, so it was easy to say that Li Yaqin just didn't agree to the operation and had to be transferred to a big hospital in the capital.

Dai Hongcheng has already said that Shen Lei must be operated on immediately, but Li Yaqin, a layman, doesn't know what Lu Dao thinks, he has to take his son to a better hospital, it is impossible to transfer to Shen Lei's current situation, the bumps on the road will make his spleen crack bigger and bigger, so that the bleeding will be more and more, and if he can't get to the hospital in the capital, he will have to throw away his life.

Seeing that Li Yaqin said that he would not sign to agree to the operation, Dai Hongcheng was anxious, and hurriedly ran to find Shen Song, at this time, it was important to save Shen Lei's life first, and it didn't matter if Shen Song could accept it.

After notifying Shen Song, Shen Song also knew that his son's illness could not be delayed, so he asked Dai Hongcheng to find a wheelchair and push him outside, he wanted to sign, but Li Yaqin still refused to let him, so the two quarreled.

Dai Hongcheng had no choice but to call Su Hongwen and ask him to get an idea. After hearing this, Su Hongwen didn't think about it and said, "Regardless of them, operate first, I'll be there soon, is the plasma ready?" ”

Huanggu County Hospital is a county-level second-class hospital that does not have its own special blood bank, but the city hospital has, although the reserves are not large, but it is enough to deal with it first, if it is not enough, the blood station will be in the city in a few minutes to send the plasma.

Dai Hongcheng said: "I asked for two thousand milliliters, I asked people to notify the blood station, so that they can be prepared, and if it is not enough, it will be sent immediately." ”

Su Hongwen nodded and said: "Okay, hurry up and arrange the operation, even if there is no signature from the family, this operation is not a problem, Lao Shen is also an old man in the hospital, he can understand, just let him make up the signature after the operation, you arrange it first, I will be in the hospital immediately." After Su Hongwen finished speaking, he hung up the phone.

Li Jianfeng was curious next to him: "What happened to Xiao Su?" ”

Su Hongwen smiled bitterly: "Shen Song's son has a delayed splenic rupture, but Shen Song's ex-wife doesn't know what Lu Dao thinks and wants to be transferred to the hospital, isn't this nonsense?" Old Shen wanted to go over and sign after knowing it, but his ex-wife didn't let him, and the two of them would quarrel. ”

Li Jianfeng is an old man in the hospital, and he became the director when Shen Song first came to the hospital, so he also knows a little about Shen Song and his wife Li Yaqin, and after listening to Su Hongwen, he sighed and said: "No wonder Li Yaqin is not happy to operate in our hospital." ”

Su Hongwen knew that Li Jianfeng had something to say, so he said, "Dean Li, there is still something to do here?" ”

Li Jianfeng smiled bitterly and said: "About nine years ago, Li Yaqin's father had a gastric perforation, you are engaged in general surgery, you should understand the surgery that needs to be done for gastric perforation, to be honest, it is really not big, as long as the doctor who has worked for two or three years can do it as long as he is diligent and studious, at that time, Shen Song was looking for your old director Hu Changwang, Lao Hu is also an old man, he naturally knows that this operation is very simple, seeing that Shen Song is also from the hospital, he patted his chest directly in front of him and Li Yaqin to ensure that this operation will not happen at all, but who wants the operation to be smooth, As a result, Li Yaqin's father still didn't get off the stage. ”

As soon as Su Hongwen heard this, he knew that Li Yaqin's father's death was not because of surgery, but for other reasons, any operation is risky, even a debridement and suture patient may die, this is not caused by surgical errors, but the patient's own reasons, sudden cardiac death, sudden pulmonary death, etc., it is really the human body This machine is too precise, and no one can predict what failure this precise machine will have during the operation, especially for older people. Because there are various problems in the aging of various organs in the body, there is a greater chance of surgical accidents.

Thinking of this, Su Hongwen said: "What is the cause of death after the worst death? ”

Li Jianfeng smiled bitterly: "We suspect that it is sudden cardiac death, but Li Yaqin does not agree to the autopsy, so there is no way to close the coffin." ”

As soon as he heard this, Su Hongwen knew that Li Yaqin must have made a fuss, otherwise there would be no autopsy, thinking of this, he smiled bitterly and didn't speak, this kind of thing is too common, the family can't accept the death of their loved ones, they don't believe the statement given by the hospital, and only ask the hospital why this situation is not checked out before the operation, if the risks of any surgery can be checked out before the operation, it would be good, but unfortunately some cases cannot be detected at all before the operation, and some even the doctor can't think of it, Doctors are not immortals, and they can know what risks patients will have during the operation by pinching their fingers.

In a modern medical world, the technology has not been developed to the point where those risks can be detected before surgery, so that the patient's sudden occurrence during surgery is unpredictable for a long time.

Li Jianfeng continued: "Because of that incident, Li Yaqin made a big fuss, and the hospital lost some money in the end, but Li Yaqin also distrusted our hospital because of this matter, and divorced Shen Song, this incident also had a great impact on Shen Song, at that time I remember that he had the opportunity to be promoted to deputy director, but because of this matter, it was not mentioned." ”

Shen Song is an employee of this hospital, and he is engaged in anesthesia, and his family should understand that some risks in the operation are inevitable and pre-seen, but who would have thought that his family not only did not understand, but also made a fuss, Shen Song naturally had to be unlucky. (To be continued......)