bookpower Chapter 615
Chapter 615
"Doctor, doctor! Quickly help my husband see...."
As soon as the patient in front left, the patient in the back hurried in.
Still a man and a woman.
The man was probably in his forties, not tall, and looked lean.
The woman on the side was his wife, a little taller than the man, with a strong body and a big waist.
Now.
The man was helped in, his brows furrowed, his forehead still sweaty, and his hands covering his abdomen.
Lin Feng immediately guessed that it was abdominal pain, and said, "Sit down quickly." "
After sitting down, the patient trembled slightly.
It seems that the pain is a little unbearable.
"Doctor, show my husband quickly, he has been suffering from stomachache for hours..." said the patient's wife anxiously.
"Don't worry! I'll check him first. Lin Feng said.
Then help help to help the patient to lie on the side bed.
I listened to the patient's heart and lungs with a stethoscope, and there was nothing abnormal.
He asked, "When did it start hurting?" "
While asking, he began to press the patient's abdomen with his hand for examination.
Symptoms of the plate-like abdomen are evident.
The muscles of the whole abdomen are in a state of tension, and tenderness and rebound tenderness are obvious.
Without waiting for his wife to speak, the patient said directly: "Doctor, I have been in pain since noon, I suspect that it was caused by having sex with my daughter-in-law..."
Hearing this, Lin Feng glanced at the patient's wife again, and then said, "Why do you think so?" "
This patient was also really tough, and did not have any worries at all, and opened his mouth and said: "After eating at noon, I went back to the room with my wife to prepare for affection." "
"Suddenly, I felt a sharp pain in my lower abdomen, and then..."
"At first, I thought it was a fork in anger, but I thought it would be good to rest for a while."
"But I didn't expect that the back was getting more and more painful, and I vomited, nauseated, and seemed to have a little fever."
"In the end, I really couldn't bear it, so I hurried to the hospital!"
After listening to the patient.
Lin Feng was in awe of this patient, and he was interested in noon.
Of course, this is all personal freedom.
But he can resist for a few hours, and this patient is also a tough guy.
"Okay, I see! I'll check you first. Lin Feng said immediately.
Subsequently.
Lin Feng examined the patient.
Breathing: 24 times/min
Body temperature: 38.5°C
Heart rate: 86 beats/min
· Ultrasound: a small amount of fluid in the abdominal cavity
Nothing else was found.
Plain abdominal radiographs are all normal.
These alone are enough to prove that the patient has peritonitis.
What is the cause of peritonitis, Lin Feng is still a little unclear!
What organ is broken or what organ is inflamed!
Then Lin Feng said: "There is a small amount of fluid inside your abdominal cavity, which is a symptom of peritonitis. As for what causes it, I am going to do you a puncture to see what kind of fluid can be judged! "
"Yes, Doctor! Listen to you...," the patient said immediately.
"Doctor, is this peritonitis serious? My husband, he will be fine..." After hearing this, the patient's wife asked Lin Feng a little nervously.
"It's not very serious, timely treatment, there will be no danger to life!" Lin Feng said softly.
Subsequently.
Lin Feng pushed the patient to the rescue room.
A peritoneal puncture is performed on the patient, and the result is a small amount of bloody, purulent fluid.
It looks like this.
It should be that the intestine has broken somewhere in the field.
Hear this conclusion.
Lin Feng was a little puzzled, and the patient's previous bite was definitely caused by affection.
But how can affection cause abdominal pain and even cause peritonitis!
Lin Feng said to the patient: "Now it can be confirmed that you are peritonitis, the symptoms are obvious, and the puncture has bloody purulent non-coagulated pus!" This already has indications for laparotomy, and I have decided to perform laparoscopic descending abdominal exploration on you. "
The patient has no opinion.
Lin Feng nodded and said to Xiaoru: "Let the operating room prepare and give the patient laparoscopic abdominal exploration." "
"Yes, teacher!" Xiao Ru answered immediately and ran to contact the operating room.
The nurse on the side brought various documents and asked the patient to sign them.
A moment later.
Everything is arranged.
The patient is admitted to the operating room.
Lin Feng personally operated and began to probe the patient's abdominal cavity.
Just poked in.
It was found that the patient had intestinal contents and bloody pus in the abdominal cavity.
Continue to dip in.
It was found that there was a breach in the patient's jejunum, which should have appeared not long ago, and looked relatively fresh, which was obviously a traumatic intestinal rupture.
But what causes the intestinal rupture!
Lin Feng continued to probe the cause in the patient's abdominal cavity, and he soon found the target.
The patient's right inner ring orifice is significantly enlarged.
It turned out that this patient had an oblique hernia in the right groin!
This is easy to explain.
Why there is a breach in the jejunum should be protruding under the skin through the right inner ring opening.
When the patient couple did that game,
This caused his right inguinal oblique hernia to appear due to increased abdominal pressure, meaning that his bowel protruded into the groin.
The protruding intestinal tube is still relatively fixed, plus his wife is stronger, the movement is more fierce, one butt sits down, the protruding intestinal tube does not have time to retract into the abdominal cavity, and it is crushed at once.
Figured out the problem.
Lin Feng began the work at hand.
Under laparoscopy, repair of the intestinal breach begins.
Later, the patient's inner ring was ligated at a high position to avoid this situation in the future.
The surgery went very smoothly.
After the patient was pushed back to the ward, he woke up.
He asked, "Doctor, after recovering from this operation, can I still use that thing?" "
I really didn't expect it!
The first sentence turned out to be asking this question.
Lin Feng said with a smile: "Of course, no problem!" "
After speaking, Lin Feng turned around and walked out.
"Teacher! This patient's situation is also too special, right? Xiao Ru, who followed behind, chuckled.
"The world is impermanent! It feels special now, and maybe it will happen later! Lin Feng smiled.
This patient's symptoms can indeed become typical!
Then he said: "You have to remember clearly, the next time you encounter this more typical condition, you will know how to treat it!" "
Xiao Ru nodded hurriedly.
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