eurekapd Chapter 144 What about the appendix? ?
Chapter 144 What about the appendix? ?
Chapter 144 What about the appendix? ?
Today is Zhang Qiang's duty.
Zhang Qiang is really depressed,
Originally, Zhang Qiang was very excited that a great professor like Gu Jianjun could come to the First Hospital of Jiangzhong County.
After all, that means that I can communicate with such a great professor face to face,
even,
Maybe I can have a drink with Professor Gu at the wine table.
What if,
What if,
Professor Gu was drunk,
Then I might be able to call Professor Gu brothers and sisters.
This is the honor of a lifetime.
but,
After looking at the schedule,
Zhang Qiang was depressed.
on duty!
Wanting to ask others to help on duty, Zhang Qiang even came up with the long-lost method of treating guests to change shifts, but no one was willing to change.
Zhang Qiang could only be depressed and accepted the fact that he was on duty.
Nowadays,
Although Gu Jianjun came to the general surgery office,
But Zhang Qiang has been busy in the department. After all, he just glanced at Professor Gu in his spare time. Before he even had time to introduce himself, Professor Gu had already left surrounded by everyone.
Bad luck,
Misfortunes never come alone,
Zhang Qiang's bad luck today exploded,
In just one day, eight patients were admitted,
Five critically ill!
Zhang Qiang wanted to vomit blood,
After barely eating two mouthfuls of instant noodles, I wanted to sit by the computer and copy and paste a wave of medical records to relax, but as soon as I sat down, the nurse's sister roared from outside the window.
"Zhang Qiang, the patient is here!"
Zhang Qiang had no choice but picked up the stethoscope and began to see new patients.
Patient male,
17 years old,
Recurrent right lower quadrant pain for half a year.
The medical history is very simple. Zhang Qiang checked the body and quickly came to a conclusion based on what he had learned.
The cause of chronic abdominal pain is unknown: chronic appendicitis?
"Drop Jun on the bed."
Zhang Qiang quickly made arrangements.
"Doctor, doctor, help me deal with it first, I'm in so much pain."
The patient groaned in pain.
"It's okay, I'll be fine after surgery tomorrow."
Zhang Qiang comforted,
"Doctor, can I have surgery today? I'm still a student, and I have to go to class tomorrow."
"Yes, yes, doctor."
The patient's mother looked sad, "Doctor, please help my son. He is in the third year of high school, and his studies are tight. He has been in pain for half a year. Today, he really couldn't take it anymore and came to the hospital."
"This"
Zhang Qiang hesitated a little.
The patient is in the third year of high school, this is indeed a problem that has to be considered.
senior year,
After all, it is the year that most people decide their fate,
delay a day,
That would make a world of difference.
Can.
Going up for surgery at this time?
"Patient's family, it's like this. Your son is currently considering chronic appendicitis. It's best to go up for surgery tomorrow. Let's infuse some anti-inflammatory drugs today. I'll try to help you arrange it earlier."
In fact, Zhang Qiang is not qualified to arrange the order of operations, but he just comforted the patients.
"But I really hurt."
The young lad was about to cry.
no way,
After Zhang Qiang comforted him a few words, he went back to the office and called Li Xiaojun.
In fact, with the pain of the patient,
An emergency room is also available.
However, if it is an emergency, some risks during the operation are unpredictable.
After all, although it is considered that this patient has appendicitis, generally speaking, the treatment of chronic appendicitis is not simple. It may not be possible to do it with the classic Maxwellian incision, and the incision must be explored with the right lower abdomen.
The exploration incision in the right lower abdomen is at least 8cm.
And in case,
If it is not appendicitis and an exploratory laparotomy is required, then an exploratory laparotomy must be performed to examine the incision.
A laparotomy is an incision of more than 20cm.
Compared with laparoscopic full abdominal exploration, the damage of laparotomy is really great.
Since Yu Wenxing came to the department, everyone's thinking direction has also changed slightly. Zhang Qiang didn't want to leave a big incision on a young man.
then,
He called Li Xiaojun.
When Li Xiaojun heard that there was a patient with chronic appendicitis, he went straight to the hospital without delay.
As a result, when he ran to the hospital, he was stunned.
Although he can do laparoscopy himself,
But you have to have a mirror.
There are people in the department who can hold mirrors.
Liu Xuejun will help,
He dare not shout,
Yu Wenxing will also help,
He is not good at shouting.
Wu Liang will help,
He didn't want to shout.
After pondering for a while, Li Xiaojun thought of a person who could hold a mirror.
Ronaldinho.
Calling Ronaldinho for emergency surgery, Li Xiaojun dialed Ronaldinho's number without the slightest psychological barrier.
After waiting for more than ten seconds, Ronaldinho answered the phone.
"Doctor Li, what's the matter?"
It can be heard from the voice that Ronaldinho is very tired.
"Xiao Luo, it's like this. There is a patient in the department who needs a laparoscopy. Can you come over and help me hold the mirror?"
Li Xiaojun didn't have the slightest hostility towards Xiao Luo.
There was silence for about half a minute,
Suddenly there was a sigh from the other end of the phone,
"Ah!!!~~~"
Li Xiaojun was stunned,
this voice,
Curious!
"Xiao Luo, Xiao Luo."
Li Xiaojun shouted hurriedly.
"Hey, hey, I'm here, Mr. Li, I'll be right over, maybe an hour."
Ronaldinho answered quickly.
"One hour? Don't you live next to the hospital?"
Li Xiaojun asked.
"I'm in Shudu now, come over right away."
After Xiao Luo finished speaking, he hung up the phone.
Not long after an hour, Zhang Qiang explained to the patient's family about the immediate operation. The patient's family thanked him again and again, and quickly signed various consent forms.
Improve various preoperative examinations, such as blood routine, blood coagulation, pre-transfusion examination, appendix ultrasound, and whole abdomen CT.
When Ronaldinho arrived at the general surgery office,
The operating room just picked up the patient.
"Thanks a lot."
Li Xiaojun felt ashamed seeing Xiao Luo sweating profusely.
"Not hard, not hard."
Ronaldinho shook his head tremblingly.
The two quickly came to the stage, and Tang Ling said a few words. After being accompanied by a few smiling faces, Yu Wenxing wanted to do epidural anesthesia like the last time Yu Wenxing did a full-abdominal laparoscopy, but after taking a look at the polite patient , Li Xiaojun finally gave up.
Ling Jiangfeng has completed anesthesia.
After routine skin preparation, line marking, washing hands, wearing surgical gowns, disinfection, and draping, Li Xiaojun stood at the position of the chief surgeon,
High spirits.
This is probably his first laparoscopic appendectomy in the true sense.
Although he has been the chief swordsman before,
But at that time there was Yu Wenxing by his side,
Li Xiaojun always feels that his image is not so tall.
But this time,
across the operating table,
You are the real protagonist.
After recalling the operation procedure in his mind again, Li Xiaojun started.
Drilling, refilling,
Li Xiaojun felt that if God helped him today, he would be in excellent condition. Although there was no expression on his face, his heart was already full of excitement.
Insert the laparoscope,
Li Xiaojun began to investigate in a dignified manner.
Upper right, upper left, lower left, pelvic, lower right,
After confirming that no abnormalities were found, Li Xiaojun opened two more holes.
Although he wanted to use the two-hole method to complete the operation,
But he also kept in mind Yu Wenxing's teachings,
The two-hole method can only be used when the diagnosis is particularly clear. Patients with chronic abdominal pain who consider chronic appendicitis must use the three-hole method.
What two joysticks can do,
Much more than a joystick.
Asking Ronaldinho to hold the mirror, Li Xiaojun searched in the lower right abdomen.
The mesentery is somewhat adherent,
Li Xiaojun handled it very slowly,
A little bit of separation.
The cecum was slowly exposed.
A smile appeared on Li Xiaojun's face.
Going down the cecum, three colonic bands gradually appear,
The smile on Li Xiaojun's face grew stronger.
Below the colon band, where it converges, is the appendix!
Looking down a little bit, when he saw the place where the colon bands converged, Li Xiaojun was stunned.
What about the appendix? ? ?
(End of this chapter)