Chapter 196: Doctor...... Tap!

Not long after, a woman in her thirties walked in, with a good face, just wearing a hospital gown, and after seeing Song Jie, she smiled awkwardly: "Doctor Song, you ...... today." You tap, I'm afraid it hurts......"

Song Jie smiled and nodded: "It's not that I'm heavy, if you don't scrape the carrion, the fresh granulation tissue will appear slowly, and the recovery will be very slow, so you can't stay in our department all the time...... What's more, long-term inflammation and infection can easily lead to other complications. ”

Qian Rou cried and sighed, she couldn't imagine how she got this disease.

"How long will it take for me to get better?" ”

Song Jie said: "You have just cut and drained, and the fistula has formed, and it is estimated that it will take a while to heal. ”

After speaking, the woman spread her own towel on the dressing change bed, consciously took off her pants, and after the left lying position was fully exposed, Bai Ye saw that there was a hole in the skin behind the woman's anal perianus, which was filled with gauze.

This is supposed to be a fistula formed after the abscess has been incised, and the purulent tissue and carrion have been removed.

Song Jie pointed to the wound and said to Bai Ye: "This is an acute perianal abscess, do you know the difference and connection between perianal abscess and anal fistula?"

Bai Ye thought for a while and said: "Perianal abscess, it is an acute purulent infection that occurs in the soft tissues or spaces around the rectal and anal canal, and anal fistula often forms after the abscess ruptures or is cut and drained, and the abscess is an acute manifestation of inflammation around the anal canal and rectum, while the anal fistula is the result of chronicity. ”

Song Jie paused: "Is the young man good?"

As he spoke, Song Jie had already taken out the drainage gauze in the fistula and fully exposed the wound.

Bai Ye frowned, stared at it carefully, and then asked, "Can I do it?"

Song Jie looked at Bai Ye with gloves and said, "Well, yes, give you this." ”

After speaking, he handed the tweezers to Bai Ye, got up and said, "You sit down, I'll see you get it." ”

Bai Ye nodded, and he didn't have stage fright, he directly took the tweezers, clamped a sterilized cotton ball, and after disinfecting the skin around the anus, he broke his buttocks with his left hand, at this time, a fistula appeared, Bai Ye looked at the wound and said: "This is three or four days after the operation, right? ”

Song Jie was really shocked by Bai Ye to be honest, because what Bai Ye said was exactly the same as Song Jie's analysis, and it was indeed 3 and a half days after the operation, after seeing the woman's wound just now, what he thought of was also hanging the thread treatment to prevent the formation of a secondary anal fistula: "Have you been in the anorectal department before?"

Bai Ye nodded: "I have been in the anorectal department for a long time, and I have also participated in surgery, and I often change dressings with the teacher. ”

Seems to be the only reason that can be said in the past, right?

Song Jie suddenly said: "Come on, you start, I'll give you a hand next to you." ”

Bai Ye nodded, and he was not humble, although it was in the disposal room, if you said that you had no confidence, it would undoubtedly reduce the patient's trust in you, so instead of prevaricating, it was better to start directly.

At this time, Qian Rou's body suddenly trembled! Hurriedly said, "Doctor Song...... Come on, I'm afraid it hurts......"

Bai Ye smiled slightly: "Don't worry, my hands are very steady, come, pout your butt." ”

Qian Rou sighed, gritted her teeth, and squeezed her hips towards Bai Ye.

Bai Ye said to Song Jie: "Teacher Song, give me 0.9 sodium chloride injection." ”

Song Jie smiled, handed the prepared syringe to Bai Ye, and looked at Bai Ye with great interest, who was not stage frightened at all and had a very stable technique and attitude.

Bai Ye took the syringe, rinsed the fistula, and then said, "It may hurt, you bear with it." ”

Qian Rou nodded, during this time she also knew something about her situation, and asked in a low voice, "Are you going to scrape the meat?"

I saw that Bai Ye was silent, took a knife and gently cut off the layer of broken and rotten tissue, then wiped off the scraped tissue with gauze, rinsed it with normal saline, looked at the new granulation tissue, and smiled: "You are still young and recover quickly." ”

Qian Rou gritted her teeth and strained her face: "You hurry up...... I've been preparing for a long time. ”

Bai Ye said: "I'm done shaving. ”

Qian Rou was stunned: "Why didn't I feel so much pain after shaving?"

Bai Ye Zhengse said, "You're too nervous. ”

After speaking, Bai Ye looked at Song Jie: "Teacher Song, will I hang the line or will you come?"

Song Jie saw that Bai Ye's technique of debridement and scraping off the ulcerated and purulent tissue was very light, and he was also a little curious and puzzled, this technique could not be practiced without seven or eight years, especially the grasp of the organization and structure of the anorectal department, at least there was a senior attending doctor's level.

Hearing Bai Ye's inquiry, Song Jie hesitated for a moment and said with seven points of consideration: "Come on." I'll help you get the probe and the thread. ”

Bai Ye nodded and said to Qian Rou: "You be careful these days, I will hang a thread for you, it may be a little painful these days, but it will speed up your ......"

Qian Rou was originally a little worried, but when she felt the feeling coming from the wound, she felt that this doctor was still credible, and then when she saw Song Jie's cooperation, she believed it even more.

"Well, thank you, doctor, excuse me, are you a new proctology doctor?" Qian Rou didn't have the nervousness just now, and asked casually.

Bai Ye snorted and didn't speak, and not long after, Song Jie came over with the medicine thread, and after putting it on, he handed it to Bai Ye.

After Bai Ye took it, he said to the patient, "You relax, don't be nervous." ”

After speaking, Bai Ye probed the probe from the outer opening of the fistula into the inner opening, then slowly stretched his fingers into the anal canal, skillfully bent the front of the probe with his right hand, pulled out the index finger of his left hand, and then connected the rubber band and removed the probe......

After Qian Rou got up, she turned around curiously and glanced at Bai Ye, who was wearing a mask, and her slender fingers, her little face flushed, and she said, "Thank you." ”

Then he put away his own bedding and walked out with his carefully figure-eight legs.

After Qian Rou went out, Song Jie didn't call someone immediately, but stared at Bai Ye and asked suspiciously, "Are you very skilled in this technique?"

Bai Ye said: "I actually wanted to apply for a graduate student in the anorectal department, so when I was interning, I stayed in the anorectal department for a long time, and often followed our doctor there to change dressings and perform surgeries. ”

Song Jie breathed a sigh of relief, but even so, this kid's methods and attitude are too old, looking at the level of a surgeon, it can be seen through a dressing change that Bai Ye's anorectal department has the level of a senior attending physician, which is not an exaggeration.

If nothing else, the technique of scraping off the purulent tissue just now is no worse than him!

Well, this is what he thinks, at least he thinks that Qian Rou's lack of pain should be the reason why she is too nervous......

Thinking of this, Song Jie nodded: "You change the medicine this morning, and I'll give you a hand." ”

He was about to say don't be nervous and anxious, but before the words came out, he thought of the scene where Bai Ye changed the dressing just now and swallowed hard.

Is he nervous? or anxious?

Song Jie thought about it, and it seemed that he was in a hurry......