Chapter 987 Snake
Chapter 987: Greedy Snake
When the patient comes, there is naturally no need to be neglected at all, not to mention that the situation of both patients is not ordinary critical.
With the treatment principle of urgent first and slow first, heavy first 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 is more serious!" Gu Feng said without thinking, and then started to examine the elderly patients.
The elderly male patient is now confused, has atrophy, difficulty breathing, palpitations, shortness of breath, pale face, cyanotic lips, chills in the limbs, loss of laziness, etc.
A quick physical examination was conducted on the patient and found that the patient had a typical barrel-shaped chest, breathing only 10 times per minute, but the pulse reached 175/minute, the blood pressure dropped to 80/50mmhg, the breathing sound of both lungs was weakened, and widespread wheezing and wet rales, heart murmur, extremely fast heart rate, and arrhythmia. Percussion prompted the heart sound to expand to the right.
This is an extremely typical chronic aura-deficient pulmonary heart disease, referred to as pulmonary heart disease.
The cause of it is an extremely common and frequent disease with a very high mortality, especially during acute attacks, especially during acute attacks.
Now, this elderly patient is obviously in an acute attack and is in the first stage of shock compensation, and is heading towards a progressive stage. If emergency treatment is not conducted, the patient will soon enter the late stage of irreversible shock.
Gu Feng's judgment is correct. This elderly patient is much heavier than the young man who swallowed the snake into his stomach.
After having a preliminary understanding of the patient's condition, I didn't have time to do other examinations, so I quickly carried out emergency symptomatic treatment, quickly replenish blood volume, enhance myocardial contraction, and relieve peripheral vascular resistance!
In this way, it is necessary to establish an intravenous infusion pathway and keep the respiratory tract unobstructed. The patient is an elderly man and is thin in shape. It is natural that establishing an intravenous pathway is not a problem. However, the heart disease of the elderly is caused by pulmonary origin and there is phlegm blockage in the respiratory tract, so gas and intestinal intubation must be performed.
Gu Feng immediately wanted to perform tracheostomy on the patient and intubate in parallel, but at this moment, Yan Xinyue, who was dealing with the snake swallowing patient, screamed in surprise. Gu Feng handed the scalpel to Du Leixin who was standing beside him, and then rushed over to check. After temporarily solving the problem there, he found that the elderly patient's trachea had been cut open and was connected to a ventilator.
With unobstructed intravenous pathways and respiratory tracts, the following symptomatic treatments appear orderly, controlling respiratory infections, alleviating bronchospasm, clearing sputum, hypoxia breathing, respiratory stimulants, and controlling heart failure...
After the situation here temporarily stabilized, Gu Feng asked Wei Songliang to transfer the patient to the respiratory department and then came to Yan Xinyue's side by himself.
The snake is still in the belly of the young man.
Yan Xinyue estimated that the snake should still be in the stomach. If it entered the intestines, the patient would not be so comfortable. Apart from the slight discomfort, he did not feel anything else. But although there was not much discomfort, no one had a snake in his stomach, and it was a poisonous snake, which was not fun. Therefore, this acrobat with a low-skilled but very brave face was so scared that he was white.
In order not to disturb the snake, Yan Xinyue did not dare to act without any action. She just did psychological work for the patient while asking 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 so sissy, so let's forget it, "I'm asking about the size of the snake."
"It's about one and a half fingers, and it's about forty centimeters long, and it's a bamboo leaf green!"
"Bamboo Yeqing?" Gu Feng couldn't help but breathe a sigh of relief. This guy is really not very skilled but very brave. He just needs to get a non-poisonous snake, but he actually gets a highly poisonous bamboo leaf green! I really don't know how to write the word "death"!
"He said that the snake's teeth had been pulled out by him!" Yan Xinyue said again.
"Will there be no poison if it is pulled out?" Gu Feng said disdainfully.
Zhuyeqing, also known as burnt tail, is a highly venomous snake with blood toxins. Although the amount of detoxification when biting, it also exudes less blood, but the pain is severe, burning, locally red and swollen, can rupture and develop rapidly. Its typical characteristics are bloody blisters and appear earlier; generally, systemic symptoms are less common, and systemic symptoms include nausea, vomiting, dizziness, and abdominal distension. Some patients have mucosal bleeding, vomiting blood, bloody stools, and severe toxic shock. Although the phenomenon of death is rare, it is definitely not missing!
The young actor who swallowed the snake had seen it for so long, but the doctor still didn't take out the snake for him. He couldn't help but say in a hurry: "Doctor, don't worry about chatting, hurry up and help me take out the snake! I'm almost feeling sad!"
Gu Feng and Yan Xinyue exchanged glances and secretly sweared him in a tacit understanding: Now I know that I feel uncomfortable, so what have you been doing?
"Don't worry, aren't we discussing a solution?" Liu Shiya, a nurse who was following Gu Feng, comforted her.
"Gu Feng, what method do you think is the safest way to get the snake out?" Yan Xinyue asked.
"I think it's best to break his stomach and take out the snake directly!" Gu Feng said deliberately.
Sure enough, when he heard this, the young actor turned pale and said repeatedly: "No, no, no, this won't work!"
Who would have thought that Gu Feng's joke was recognized by Yan Xinyue. "I think this is the safest and most reliable, because if you use other methods, it will be even more troublesome if the snake is frightened and drills into it. Therefore, it is feasible to open your belly and get the snake!"
Frightened? I think you want to get fertilized! Gu Feng glanced at Yan Xinyue without any love, and his eyes were simply asking: Teacher, aren't you telling the truth?
Yan Xinyue was a little embarrassed by Gu Feng's view, and couldn't help but shouted in anger: "Then do you think there is a better way?"
Gu Feng didn't answer her, but just looked around and looked into the corridor. After a while, his new intern Chen Zhide ran back out of breath and sweating, holding a bottle of wine in his hand.
"Doctor, give it!" Chen Zhide handed the wine to Gu Feng.
After taking the wine, Gu Feng handed the wine to the young actor.
"Doctor, I don't like drinking!" said the young actor with a bitter face.
"Is it a question whether you like to drink it now? It's a question of whether your life can be saved!" Gu Feng said angrily.
The young actor dared not speak out.
"This is realgar wine!" Gu Feng saw his aggrieved look and explained it a little unbearable. "Snakes are cold-blooded animals. They are not only afraid of heat, but also chemical odors of irritating smells. If they are unacceptable to heat and are unacceptable, they will bounce and pass through your stomach and enter the intestines. Then you can't even think about breaking your abdomen. But if you drink the wine, it will soon be drunk, so you not only have to drink, but also try to drink as much as you can! When the snake gets drunk and stops moving, we will find a way to get it out!"
"Oh!" The young actor then understood Gu Feng's painstaking efforts, and quickly took the realgar wine and filled himself with anger.
Not long after, he poured half of a bottle of wine.
More than ten minutes later, the young actor told Gu Feng that the snake in his stomach seemed to be moving much.
Gu Feng made people prepare for gastroscopy.
Under the gastroscopy imaging probe, the snake wrapped in the stomach finally appeared in everyone's sight.
It was a green bamboo-leaf snake with green eyes, golden pupils, with a large head and a triangular shape, a thin neck and a short tail, with a small scale on the top of the head, a green back of the body, a white dorsal scale at the center of the outermost dorsal scale, a white side line after the neck, and a light yellow-green ventral surface.
The tight disk is in the pylorus, which forms a sharp contrast with the stomach wall of the ***. In addition, the snake's shape is hideous and the color is weird, making it look extremely disgusting and terrifying.
Some timid nurses could no longer help but cover their eyes, and almost didn't vomit out the New Year's Eve dinner on the spot.
Although Gu Feng also felt nauseous, he still suppressed the tumbling in his stomach and observed it carefully.
At this time, the snake was indeed drunk by realgar wine and fell into a coma. Apart from the little inertial rhythm of the night, it basically didn't move much!
After seeing this situation clearly, Gu Feng immediately began to give a doctor's advice: "Please perform general anesthesia for the patient, establish an intravenous channel and inhalation of oxygen! Prepare for the operation!"
This surgery is naturally not a surgery in the ordinary sense, because it does not require a knife!
After everything was ready, Gu Feng asked someone to bring a trap. In the sight of the endoscope, Gu Feng carefully put it in the trap and used the trap to cover the snake's body and pull it into the stomach from the pylorus!
However, when pulling, Gu Feng must not dare to use force, because the snake-headed Canton is in the pylorus, and exerting force too much may damage the stomach wall, so he can only pull it lightly, put it lightly, pull it lightly, put it again...
This is a cool job that must be absolutely patient. It is like fishing, and you have to pull and loosen it, 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 pulled it out of the cardia!
The whole process was extremely thrilling and thrilling, and it was quite disgusting. Two nurses present who helped Gu Feng couldn't help but vomit, and the remaining one was because they didn't eat breakfast in the morning and couldn't vomit.
Finally, when the snake was finally removed, the patient had half of his life left, and Gu Feng was sweating profusely and was in a very embarrassed state!
However, one wave just stopped, and another wave started again...
Chapter completed!