Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 195 - 131: Fatal Hickey, Successful Thrombolysis Surgery (Part 2)
Even faster than the speed of the ambulance by two minutes arriving at the hospital!
"Zhao Yitian, Xu Tiantian!"
After stopping the car, Zhao Yitian and Xu Tiantian, along with two nurses, were already waiting with a stretcher at the entrance.
They were a bit caught off guard when they saw an Aston Martin stopping in front of them.
It wasn’t until Qin Feng got out of the car and shouted at them that they snapped back to reality and rushed forward with the stretcher.
"Quick! Arrange CT and MRI head scans immediately, and give her a comprehensive check-up to see if there are any other abnormal conditions in the body.
Especially pay attention to whether there are any other cardiovascular diseases, understood?"
"Understood."
Zhao Yitian and Xu Tiantian nodded and pushed the girl towards the examination department.
Qin Feng finally exhaled, turned back to look at the two motorcycle policemen.
"Thank you very much."
"You’re welcome, it’s our duty."
The two motorcycle policemen exchanged glances and smiled,
"But Director Qin, next time, be careful when driving. If there’s anything, just contact us."
"Yes, what you did was too dangerous. We won’t delay you any longer, we’ll take care of your traffic violations. Go ahead and get busy."
Saying this, they noted down his license plate and turned to leave.
Qin Feng waved at them, feeling somewhat relieved in his heart.
The people’s police are indeed great!
He quickly ran towards the exam department to check the situation.
Qin Feng looked at the girl on the bed, who was undergoing an examination and had fallen into a coma, with a frown.
How could such a teenage girl develop a brain thrombosis?
Cerebral thrombosis is a common type of acute ischemic cerebrovascular disease and an important cause of cerebral infarction.
Due to cerebral atherosclerosis, the arterial lumen narrows or closes, leading to local ischemia, hypoxia, and infarction in the blood supply area of the brain, causing focal neurological dysfunction.
The most common causes of cerebral thrombosis are arteriosclerosis and hypertension.
It often occurs in the middle cerebral artery, the siphon segment of the internal carotid artery, and the vertebral and basilar arteries.
Therefore, it rarely occurs in young people.
How did this come about?
After the CT and MRI tests were completed, before the report was released, the girl was sent for a full-body ultrasound.
"Come, help me take off her jacket."
The nurse conducting the examination unzipped the girl’s military training uniform and said to the person next to her.
Just as the girl was being helped up to remove her jacket, revealing the white T-shirt underneath,
Qin Feng trembled all over, his eyes fixed on the girl’s neck.
At the same time,
Zhao Yitian and Xu Tiantian behind him also noticed it.
"Mechanical purpura! Carotid artery thrombosis!"
The next second, Xu Tiantian exclaimed in a low voice.
Qin Feng turned his head to look at her and nodded.
That’s right!
This must be the cause!
On the side of the girl’s neck, lower down, was a thumb-sized reddish-purple mark, strikingly evident against her fair skin.
No wonder the collar of this girl’s military training uniform was noticeably higher than others, likely to cover this mark.
The culprit was probably this ’strawberry’!
"Prepare urokinase, alteplase, aspirin and clopidogrel for antiplatelet aggregation, and have fibrinolytic enzymes ready for fibrinolysis..."
Qin Feng immediately said to Xu Tiantian.
"Understood!"
Xu Tiantian turned around immediately and walked briskly out.
She was the youngest attending physician in neurosurgery, 28 years old, a doctoral candidate in eight specialties at Jinling Medical University, and had just been promoted to attending physician this year and brought in by Qin Feng.
Xu Tiantian was very capable and highly regarded in neurosurgery, and originally, neurosurgery didn’t want to let her go.
But Qin Feng promised to focus Xu Tiantian’s training on neurosurgical clinical practice, so neurosurgery agreed to let her follow Qin Feng.
After all, Qin Feng’s clinical and surgical skills surpassed that of all the hospital’s director-level doctors combined.
In just the amusement park and food street incidents, Qin Feng nearly single-handedly saved more lives than several directors combined through surgery.
He handled over a dozen highly challenging surgeries without stepping down, something no one else could accomplish!
"Zhao Yitian, go check if the school representatives have arrived yet? The thrombolysis surgery needs to be signed off."
Qin Feng looked at Zhao Yitian and said.
"Okay, I’ll go right away."
Zhao Yitian nodded and also walked out.
Qin Feng looked at the comatose girl, a helpless expression on his face.
Young people these days really don’t care when they’re swept up in passion!
Judging by the color of the strawberry, some strength must have been used to suck it into such a deep purple.
Fortunately, it was near the vein. If it were two or three centimeters higher, it would be right at the carotid sinus.
With this level of suction, the girl could have died instantly!
Creating a ’strawberry’ is common among couples.
Because the shape and color resemble a strawberry, it got this sweet and pleasant name.
In medical terms, it’s called "mechanical purpura."
The principle of its formation is similar to cupping, caused by external force leading to the rupture and bleeding of subcutaneous capillaries.
Although to many young people, marking their partner with a ’strawberry’ is not only a form of romance but also a declaration of possession.
It tells other potential partners that this person is already taken, stay away.
Yet, unknowingly,
This behavior carries a significant risk that can be life-threatening!
On both sides of the human neck are dense nerves and blood vessels, including two crucial carotid arteries!
These contain special sensory nerve endings that regulate blood pressure and heart rate.
Because of their unique function, when external pressure is applied to the neck, it can cause a reflexive drop in blood pressure, leading to serious cases of fainting.
Sucking may seem harmless, but its constriction on the carotid artery actually exceeds that of manual pressure!
It can severely deform the carotid artery, blocking blood supply to the brain and heart return.
Qin Feng recalled several cases in his mind like this, where girls or boys wanted to leave a lasting impression on each other.
Accidentally, they sucked on the carotid artery, causing the other person’s heart and breathing to stop abruptly.
Patients died en route to the hospital, and by the time they arrived for a check-up,
it was too late.
"Director Qin, the report is out."
At this moment, a doctor from the CT room came over and handed him the report,
"There is a brain thrombosis, and there’s noticeable vascular deformation and occlusion in the neck, likely caused by displaced cervical venous thrombosis."
Indeed!
Upon hearing this, Qin Feng was a hundred percent certain.
"Alright, thank you!"
He glanced at the CT image, noting that the thrombosis was significant, completely blocking a cerebral blood vessel, and nodded,
"Send her to the operating room, inform Dr. Xu Tiantian to lead the surgery."
"Understood, Director Qin."
Fifteen minutes later,
outside the operating room, the girl’s homeroom teacher had arrived, a look of deep concern on their face.
The girl’s parents were informed, and in phone communication and recordings, were told about her condition, stressing that thrombolytic intervention was needed within 3 hours to avoid irreversible nerve damage or even hemiplegia.
The parents agreed immediately, allowing the homeroom teacher to sign the surgery consent form on their behalf.
Following this, under the primary surgeon Xu Tiantian, with Qin Feng assisting, and Zhao Yitian and two others observing, the procedure commenced.
"Establish an intravenous passage."
Qin Feng watched as Xu Tiantian skillfully performed percutaneous femoral artery puncture, and under television monitoring, selectively inserted a catheter into the internal carotid artery.
Once the obstruction site was confirmed by angiography, the catheter was advanced further towards the thrombus’s proximal side; everything proceeded smoothly.
Finally,
The doors to the operating room opened, and the homeroom teacher anxiously waiting at the entrance moved forward quickly.
"Doctor, how is it?"
"Don’t worry, the surgery was very successful, thrombolysis was completed."
Xu Tiantian nodded in response.
"That’s good, that’s good."
The homeroom teacher finally breathed a sigh of relief, the tension on their face easing considerably.
"I need to speak with you a moment."
Qin Feng approached and spoke to the homeroom teacher,
"These students are just starting their medical university studies. As a teacher, it’s crucial not only to impart knowledge but also to guide them physiologically, especially female teachers should increase education in this area for female students!
For instance, concerning behaviors like ’making strawberries,’ which can have serious consequences, I hope you will inform these freshmen clearly.
It’s fine to fall in love, but learn self-protection!"
Upon finishing, the homeroom teacher nodded repeatedly.
"I understand, Director Qin. I will emphasize this education more in the future, thank you."
The homeroom teacher shook hands with him, full of gratitude.
They were equally fearful; had this girl encountered an accident at school, their career as a homeroom teacher would have been over as well!
(Did anyone guess the reason, folks? Hahaha!)
