Realize the doctor

Chapter 45 Appendicitis 2
Starting from the skin, subcutaneous tissue, fat, all the way to the peritoneal layer, the operation went very smoothly.

After opening the peritoneum, Lin Siyang found that due to the inflammatory reaction, the intestinal tube in the patient's abdominal cavity had been wrapped by the greater omentum, and he began to separate it carefully.

In a state of high tension, Lin Siyang's body was drenched and his forehead was covered with sweat. Hu Meijiao picked up a handkerchief and wiped Lin Siyang's sweat away.

"Thank you." Lin Siyang continued to pay attention to the condition of the patient's abdominal cavity without raising his head.

After the peritoneum was separated, it was lucky that no large area of ​​bleeding was caused. Looking further inside, Lin Siyang found that there was dirty liquid overflowing from the abdominal cavity. rinse.

While Lin Siyang was looking for the location of the appendix, the patient suddenly moved. Lin Siyang was so startled that he broke out in a cold sweat. If he accidentally cut the patient's internal blood vessels or nerves with a sword, the consequences would be unimaginable.

"Don't move, the operation will be done soon." Lin Siyang comforted him like this, and he continued to search for the appendix along the cecum.

When performing appendicitis surgery, sometimes the more troublesome thing is to find the appendix. In some patients, the position of the appendix is ​​not in the normal anatomical position. If a posterior or even ectopic appendix is ​​formed, it is very difficult to find it.

"Don't worry, take your time." Although Li Wenyong was anxious in his heart, he still comforted him like this.

Lin Siyang nodded, but he didn't speak. After further searching, he finally found the location of the appendix. Due to the severe suppuration of the appendix in this patient, although he found the appendix, the appendix had already adhered to the surrounding organs.

Peeling off the adhesive tissue is almost the key to the success of this operation. Since the operations usually performed by the hospital are just ordinary trauma sutures with simple surgical instruments, Lin Siyang feels very difficult to use these unmatched scalpels and scissors. .

"How much faster?" Li Wenyong looked at the patient and was a little restless. He was worried that the operation would cause more trouble after the anesthesia failed.

Time passed bit by bit, Lin Siyang was extremely anxious, but his subordinates did not dare to be sloppy.

The patient finally became irritable. As a last resort, Lin Siyang injected some more anesthetics. After the adhesive tissue was successfully peeled off, Lin Siyang's tense nerves relaxed a little.

As for the process of removing the appendix, it was not difficult. To remove the purulent appendix, Lin Siyang performed a purse-string suture on the stump of the appendix.

After shutting down, Li Wenyong finally let out a long sigh, and he sincerely praised, "Xiao Lin, you are really not simple, I really sweat for you."

"It's also thanks to the Dean who has been cheering me up." Lin Siyang smiled.

Although the operation was very successful, the patient's body was seriously infected. Without effective antibacterial treatment, the patient was likely to suffer from sepsis or sepsis and other problems, which would be life-threatening.

After coming out of the emergency room, Lin Siyang ordered his family members to go to the county hospital immediately to buy Pioneermycin. The family members heard Li Wenyong said that the operation was quite successful, and overjoyed, they insisted on inviting Li Wenyong to the snack bar in the town for a drink.

After Lin Siyang thanked him, he persuaded Li Wenyong to go home and rest. After all, Li Wenyong was getting old, and it was not easy to persevere with this operation.

After Li Wenyong gave some instructions, he left the hospital. Hu Meijiao reported the basic condition of the patient to Lin Siyang. Lin Siyang nodded slightly. He did not dare to leave the patient's side for a moment when he returned to the emergency room.

Two hours later, the patient started to have a fever, and then his blood pressure became extremely unstable. According to the patient's current condition, Lin Siyang believed that it was caused by peritonitis secondary to septic shock, and the only way to deal with this situation was to give effective medication. of antibiotic treatment.

The patient's family members had just left for more than an hour. Even if they successfully bought Pioneermycin from the county hospital, it would take at least half a day.

"Xiao Lin, the patient's blood pressure drops further, what should I do?" Hu Meijiao said with a frown after measuring her blood pressure.

Lin Siyang lingered in the house for a while. As the saying goes, a clever woman can't cook without rice. In this matter, not only does she have no 'rice', but she herself is not a 'clever woman'.

"Increase the dosage of the drug." Although Lin Siyang knew that doing so violated the principle of conventional drug use, for the present plan, before the arrival of Pioneermycin, he might only be able to make such a decision.

Hu Meijiao pulled Lin Siyang outside the emergency room, and she repeatedly reminded, "Xiao Lin, you should be more aware of medication than I am. If you exceed the normal range of medication, if something happens, it will be a major event. I advise you to be more cautious." good".

"However, now we have no other way. If the patient's infection cannot be controlled, all previous efforts will be in vain."

"I know you have good intentions, but even according to your current plan, the patient may not be able to be rescued successfully. If there is a dispute because of this, you can't explain it clearly," Hu Meijiao further persuaded.

What Hu Meijiao said, Lin Siyang is not incomprehensible, his decision is naturally taking a great risk, if the rescue is successful, he will get a kind of conscience comfort, but if the rescue fails and the family members are held accountable, he will lose his job It's a small matter, and if you don't get it right, you may go to jail.

(End of this chapter)