Chapter five hundred and eighty seventh we operate on him
Under normal circumstances, Lin Hao is not a scoundrel, and he doesn't take ordinary trivial matters seriously!
But at work, when facing patients, he feels that nothing is a trivial matter. Because of an oversight or an unprincipled concession, a life may be wasted!
Precisely because of this, Lin Hao did not get out. Even though nurse Peng Xiaojie kept pushing him out, he still refused to give in. He stood there like a mountain and said in a sonorous and powerful voice: "Acute appendicitis.
A patient’s sudden pain relief or disappearance is not necessarily a good sign!”
Seeing that he was still stubborn at this time, Zhu Zeming was even more angry. He didn't bother to argue with him anymore. Instead, he turned to Ren Junqi and said: "Director, you see, this guy is still messing around now. Not only did he almost get into trouble,
My misdiagnosis caused the patient to almost receive a knife in vain, resulting in a medical accident. I suggest that he be reported to the hospital and punished. It is best to expel such an unlearned and unskilled person to prevent him from harming others and himself."
Ren Junqi said: "Doctor Zhu, you need to calm down first!"
"I can't help it!" Zhu Zeming said angrily: "This kind of person must be fired, otherwise he will really not be able to work. No, he is just a training doctor, not an employee of our hospital at all. Fire two
He is not qualified to use the word, I should say that he should go back to where he came from!"
Ren Junqi was dumbfounded and thought, "What do you know? As long as he nods, he can become a full-time doctor in our emergency department right away!"
Before she could speak, Lin Hao spoke again, "Ren Junqi, you have read a lot. You should know the reason why acute appendicitis abdominal pain is completely relieved, right?"
The patient was no longer in pain, and seemed to have nothing wrong with him, but Lin Hao still said that he had acute appendicitis. Ren Junqi was really defeated by him. He had seen stubborn people, but never seen such a stubborn one.
Self-righteous!
But when she thought about treating Xu Wencong in the morning, she had nothing to say. Isn't this guy so stubborn? So she did not answer his question about not waiting for food or drink, but thought about how to deal with this matter.
Big things are reduced to small things, small things are reduced to small things!
Zhu Zeming next to him deliberately showed off: "Does the director still need such basic diagnostic knowledge to answer? I can tell you! Two situations: First, fecal stones and foreign bodies are excreted into the intestines, and the patient's obstruction is suddenly relieved.
, the intracavity pressure is rapidly reduced, and the pain is naturally relieved immediately. Second, that is the appendix wall necrosis, after perforation, purulent exudation into the abdominal cavity, the pressure in the appendix cavity is also rapidly reduced, and the abdominal pain is also relieved, but the inflammation in the abdominal cavity is
It will gradually spread, and after a short period of relief, the pain on the right side will gradually worsen."
Lin Hao nodded slightly. This guy also has some theoretical knowledge, and then asked: "Then what kind of situation do you think he is in now?"
"I think it is..." Zhu Zeming answered subconsciously, but halfway through the words he felt something was wrong and quickly changed his mind and shouted: "I don't think he has acute appendicitis at all!"
Lin Hao shook his head slowly and continued to say stubbornly: "I think he has acute appendicitis, and it has been perforated now!"
Everyone: "..."
"Doctor, please stop arguing, okay? My stomach hurts again because of your quarrel!" The lying patient interjected, then looked at Lin Hao and said: "And this little doctor, your medical theoretical knowledge is obviously not good enough.
You have learned a lot, so you have to humbly accept the teachings from your seniors or teachers!”
Zhu Zeming immediately shouted to Lin Hao: "Did you hear that? Even the patient can't stand it!"
Lin Hao ignored him and asked: "Grandpa, your stomach hurts again?"
The patient said: "Yes, I was upset because of your noise, and it started to hurt again!"
Lin Hao hurriedly asked: "Where does it hurt?"
The patient felt it carefully, touched his right side and said, "Here it is!"
Seeing the location he pointed at, Zhu Zeming was a little disapproving, but Ren Junqi's expression changed, "Are you sure this is here?"
The patient's face gradually showed a look of pain, "Yes, oh, no, it's getting more and more painful!"
In just a moment, the patient's face turned pale from the pain, he was sweating coldly, holding his abdomen and rolling around. The pain was obviously worse than ever before!
Ren Junqi hurriedly went forward to check him, and immediately went to press Max's point. There was no abnormality in this place, but now there was tenderness and rebound pain, and it was very serious.
In other words, the diagnostic indications for acute appendicitis are finally out,
This is type ** progressive right pain, and its position is completely fixed.
After Ren Junqi checked, he found that the patient's condition was getting worse and worse, and his vital signs also plummeted. His face changed drastically and he said: "No, this is really acute appendicitis, and it seems to have been perforated!"
Zhu Zeming said in disbelief: "What, what?"
Ren Junqi had no time to explain to him, so he said urgently to Peng Xiaojie: "Hurry up and notify the general surgery department and ask them to arrange surgery for the patient!"
If patients with acute appendicitis undergo surgery in time, the risk is very small; however, once the appendix perforates, local abscess may form in mild cases, and diffuse peritonitis, abdominal suppuration, septic shock, and even life-threatening conditions may occur in severe cases.
Even if the surgery is performed in time, it often causes a series of complications such as incision infection, residual abscess in the abdominal cavity, intestinal fistula, intestinal adhesions, and adhesive intestinal obstruction. Many people suffer from intestinal adhesions disease that suffers from repeated abdominal operations. The original source of the disease is often traced back to
Perforated appendix.
Lin Hao stepped forward and took a look at the patient, and found that his condition was deteriorating rapidly. He sighed a little in his heart. He only informed the general surgery department now. It was obviously a bit late. When the patient passed by, various examinations were done. After the examination, the family members were asked to sign.
Anesthesia is required after the words are finished, and the operation is performed after the anesthesia is completed. If the operation can be performed in an hour, that is considered speed.
However, after one hour, it is not difficult to predict how far the patient's perforated acute appendicitis will progress. If it is good, it will be just a local abscess. If not, it will be acute peritonitis, which will lead to multiple organ failure and ultimately death.
Phew! Even if you can barely survive, you will face all kinds of complications and sequelae in the future, and you will suffer more than usual.
The best way, of course, is to operate on the patient immediately without delaying even a second, so as to minimize the patient's damage!
But this is a hospital, not the Wu Renyao Clinic where Lin Hao has the final say.
Hospitals naturally have hospital rules and regulations. Patients from any department must be sent to that department and let doctors from that department take over. Then whether they perform surgery or receive conservative treatment, it is their own business. Once cured, go to the emergency department.
The doctor in the emergency department gets no credit. If the treatment fails, the doctor in the emergency department may bear the corresponding responsibility!
However, what was even more unfortunate was that Peng Xiaojie came back after making the phone call and said urgently, "Sister Junqi, it's not good, there is a medical dispute in the general surgery department. The doctors and nurses are all surrounded by the patients' families. There is a commotion right now."
I can't take any patient calls at all."
Ren Junqi was also anxious when he heard this, "What should we do?"
Lin Hao said disapprovingly: "What's so embarrassing? They can't take the patient, so let's do the surgery ourselves!"
Ren Junqi said in astonishment: "Do it yourself? Here?"
Lin Hao said: "Yeah, don't tell me that you can't even do a small appendicitis surgery, right?"
Appendicitis surgery is just a minor surgery and can be performed by ordinary surgeons. Although Ren Junqi is not a surgeon, she can still perform this operation. However, after entering the emergency department, she has never done it again!
But before she could answer, Zhu Zeming next to him shouted in a strange voice, "Are you crazy for having appendicitis surgery in the emergency department? This has never been done before!"
Lin Hao asked: "But if we don't do it, will we let the patient wait to die like this?"
Lin Hao shook his head and suddenly asked in a confused manner: "Doctor Zhu, you are the one who took care of this patient, right?"
Zhu Zeming was stunned for a moment, "So what if I picked it up?"
Lin Hao said: "You have already misdiagnosed him. If you let him delay it any longer and cause irreversible consequences, the responsibility you will bear will be even greater!"
Zhu Zeming's face turned a little pale and said: "You, don't scare me!"
Lin Hao said: "I didn't scare you, I just told the truth!"
Zhu Zeming looked at the dead patient lying on the bed. He was not worried at first and began to worry. He hurriedly asked Ren Junqi: "Director, what should we do now?"
Ren Junqi pondered for a while, and finally said with great courage and responsibility: "We can't let him drag on like this, we must perform surgery on him."
Zhu Zeming said: "But the people in the general surgery department have too much time to take care of themselves now!"
Ren Junqi said: "That's just like Lin Hao said, let's do it for him!"
Zhu Zeming smiled bitterly and said: "Director, it's fine if he is crazy, why are you going crazy with him?"
Ren Junqi said in exactly the same tone as Lin Hao: "But if we don't do it, will we let the patient wait to die like this?"
Zhu Zeming: "..."
Ren Junqi waved his hand and quickly ordered: "Er Jie, hurry up and get people ready to go to the emergency operating room. Doctor Zhu, go get the family members to sign the consent for the surgery. Lin Hao, hurry up and get the patient a laboratory test."
Peng Xiaojie immediately took other nurses to prepare surgical instruments. Lin Hao also hurriedly returned to the office to write orders for the patient. Zhu Zeming hesitated for a long time and finally went to find the family members.
Naturally, the emergency department's laboratory test orders, laboratory department, radiology department, electrocardiogram and other auxiliary departments all had the green light to expedite the examination.
Ren Junqi brought Lin Hao to the computer to see the test results. He found that the patient's blood routine white blood cells had reached more than 30,000, and the neutrophils had reached 86%. The other test results were okay, and the right side of the patient's blood had been fixed.
With persistent severe pain, the diagnosis of acute appendicitis is completely clear!
When the results of these examinations came out, the emergency operating room was ready, the family members signed the consent for the operation, the patient was pushed in, and the skin was prepared.
Ren Junqi knew it was too late, so he took Zhu Zeming to the operating room. However, when he walked out, he saw Lin Hao still sitting there motionless, and couldn't help but ask: "Lin Hao, what are you doing?"
Lin Hao said: "What didn't I do?"
Ren Junqi said: "Then why don't you come quickly?"
Lin Haohan said: "It's just a small case of appendicitis. Can't you two handle it?"
Zhu Zeming completely hated Lin Hao. Naturally, he had nothing nice to say. He opened his mouth and said to Ren Junqi: "He is just a training doctor. How can we help by taking him for surgery? Director, don't worry, I haven't come to the emergency department before.
But I often do this surgery. It is no exaggeration to say that I can do this kind of small surgery with my eyes closed. As long as you give me a start, I can complete the surgery within half an hour. Come on, let’s go to the surgery and leave him alone.
…”
"Shut up!" Ren Junqi had endured this guy all afternoon, and finally couldn't bear it any more. He scolded him: "You always say that he is just a training doctor, a training doctor! What's the result? If he hadn't discovered your misdiagnosis in time, he would have
If you can buy the patient time for surgery, you will have to lose money and face a lawsuit, and you are still here saying that he is just a training doctor!"
Zhu Zeming blushed from being scolded and could not say a word.
Seeing that Ren Junqi continued to scold Zhu Zeming, Lin Hao couldn't help but smile bitterly, "Ren Junqi, why are you still grinding here? Why don't you hurry up and get the surgery while the perforation is not serious?"
Ren Junqi said: "Then you should come!"
Lin Hao had no choice but to follow them to the operating room...
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