bookpower Chapter 393
Chapter 393
What is a hernia?
In layman's terms: our internal organs or tissues leave the normal anatomical position, and enter another part through some congenital or acquired weak points, defects or gaps, which is called "hernia".
A hernia in the abdomen is customarily called a "hernia".
Here in our groin, there is originally a potential gap, because the spermatic cord passes out from here into the pubic naan (male), if the intestines and tissues in the abdominal cavity are also squeezed into this space, run to the body surface, or even fall into the scrotum, this is an oblique inguinal hernia.
If the lump can automatically retract into the abdominal cavity without causing "incarceration", it is a minor problem.
But if the lump is stuck, can't move, or gets bigger and bigger, it may cause compression ischemia, and the pain will worsen over time, and even ischemic necrosis, which is very dangerous.
Lin Feng: "Let me see..."
Then, lift the patient's clothes and begin to examine the underneath.
Hey
"There is no hernia!"
"Doctor Lin, it's like this, it used to be, but it's better later..."
Lin Feng breathed a sigh of relief.
A false alarm.
"So, appendicitis is more likely..."
After thinking about it,
Lin Feng still gave the patient an electrocardiogram.
Insurance a little.
The ECG results are available immediately.
Result: Everything works fine.
Lin Feng breathed a sigh of relief and ruled out myocardial infarction.
"Then do an abdominal ultrasound, as well as draw blood, and chest x-ray!"
Lin Feng waved his hand,
Three checklists were opened.
......
After 1 hour,
Both results came out, and the patient returned Lin Feng with the results.
Blood draw result: normal
· Ultrasound: suggests mild enlargement of the appendix, no gallstones, no kidney stones.
Chest radiograph: no gas shadow was found downstream of the diaphragm, meaning that abdominal pain was not caused by gastrointestinal perforation.
Lin Feng read the inspection results,
The likelihood of appendicitis has increased to 99%!
Lin Feng analyzed the results with the patient, and finally said.
"Let's do surgery, cut the appendicitis off..."
"Do I have to have surgery? Can it be treated conservatively? "
Patient Huang Wei was a little hesitant.
The main thing is that I think that surgery is a big problem, I am a little scared, in addition, after all, it is an open operation ...
Lin Feng helplessly explained: "Appendicitis, must be cut, now the appendix should be relatively light, the operation is relatively simple, if you wait until the perforated gangrene and then operate, the entire appendix is a mess, the difficulty of the operation is much greater, and the risk of complications after surgery is much greater, the gain is not worth the loss." "
"Well..."
The patient Huang Wei could only agree, after all, Lin Feng said it so clearly.
"The condition is relatively urgent, so I will wait for admission to the hospital, take some medicine to clear the intestines, and do surgery at night..."
"Dr. Lin, will you help me with the operation?"
"No, I have other surgeries to do, I will arrange for other doctors to do it for you..."
Lin Feng shook his head.
This kind of minor operation, Lin Feng has already begun to give way to those regular trainees who have just turned positive.
(Doctor Guipei: Thank you Lin Feng for the reward!!) ）
(Student Xiaoru: "Wow, you can rub surgery tonight!") "）
When the patient Huang Wei heard this, he immediately cried a face.
Soon, Huang Wei's family arrived, communicated, obtained consent, paid fees, and was admitted to the hospital...
......
At night
Lin Feng was in the operating room, performing another operation.
And the patient Huang Wei, led by Yan Haoyu, a regular training doctor in the emergency department, and the other two regulatory training doctors helped one and two helped, and then Chen Qingru observed, and then he could fish out a suture operation later...
Appendicitis is one of the lowest levels of surgery and is not difficult.
And because the patient lacked money, he chose open abdomen instead of laparoscopy.
Although Yan Haoyu has just turned positive, his experience in appendicitis has also experienced more than twenty times, and he has long been ripe, and he is still a top student, and this operation is difficult for them.
So Lin Feng was very relieved.
......
The operation begins,
Mai's dot cut open the belly...
Open your horizons...
I saw a little yellowish exudate in the abdominal cavity, which was not purulent, indicating that the lesion was still mild...
Yan Haoyu breathed a sigh of relief,
The surgery has become simpler.
And then......
He found the appendix!
"I fuck!!"
He was stunned!
The appendix is seen,
It is also considered appendicitis, but only a little inflammation, this appendix, there is no need to cut it at all, direct drug conservative treatment is OK!
Medical Malpractice!!
Yan Haoyu's face changed!
"What's wrong?"
"I'm going!!"
One help and two helps, the vision is similar, and soon I also found that the appendix was wrong.
"Finished calf!"
"Wrong diagnosis!"
Then the whole operating room, there was a panic.
After all, they are all new, and it is the first time they have encountered this kind of 'surgical misdiagnosis', a desperate medical accident.
If the patient is pursued, it will be troublesome!
At this time, Lin Feng's student Chen Qingru woke up, quickly went to find his mobile phone, and then called Lin Feng.
On the other side of the operating room,
Lin Feng is performing liver transplantation on a patient.
Then I received a call from Chen Qingru.
"What? Not appendicitis? Misdiagnosed? "
"Impossible?"
Lin Feng was also stunned.
"Don't panic, don't move the operation first, I still have half an hour to finish here, and then you can go over and take a look... In addition, check what the reason is, this appendix lesion is not enough to cause such a severe abdominal pain, there must be other more serious problems..."
Lin Feng was actually not panicked at all.
This does not count as medical malpractice.
Because all tests only want appendicitis, there are indications for appendicitis surgery.
At that time, even if the investigation team comes, the result will be the same.
So Lin Feng is not afraid,
Of course, if the family wants to make trouble, it is also a trouble.
Lin Feng's side Mari had a liver transplant last night, then washed his hands and took off his surgical coat.
hand sanitizer,
Hurry to the operating room of Huang Wei, a patient with appendicitis.
Fortunately, there is no need to go through the waiting hall of the family for the operation, otherwise it will be a bit troublesome to be seen by the family.
......
Lin Feng came to the operating room of appendicitis,
As soon as you enter the door:
Lin Feng: "Have you found the reason?" "
Doctor Zhong Guipei shook his head: "No. "
Seeing that everyone was dressed in Mengxin, and a little panicked, Lin Feng comforted:
"Don't panic, little problem... This is not medical malpractice..."
Zhong Mengxin saw that Lin Feng was very calm and relieved...
Lin Feng washed his hands, dressed and wore gloves...
Walk up to the operating table,
Yan Haoyu gave way and got off the operating table.
Lin Feng stood in the main knife position and checked the situation of the appendix.
Very few appendicitis were found.
"That's strange..."
Lin Feng frowned...
"If the appendix wasn't the culprit behind this abdominal pain, what would be the problem?"
.