Chapter Seventy-Nine, Let Me Investigate
It should be said that most of the people are reasonable! But there are a few people who are unreasonable!
In this regard, we would like to mention another procedure before surgery. Consent to surgery, signed by the patient's immediate family before surgery.
This is clearly written, including the risks of surgery, anesthesia accidents, and some possible problems after surgery! Basically know what may happen and write clearly! The family members will sign only after they understand! It has the effect of law!
However, when something goes wrong during or after the actual operation, the family will forget all the understanding when signing at that time! It's not negotiable to trouble you! At this time, it is better, the doctor-patient relationship is not so tense!
After a few years, I was nervous, and even formed an antagonism for a while! It's like both sides of the enemy, and they don't even have the basic minimum credit! Isn't it sad?!
There are many factors that lead to such a formality, both internal and external! There are reasons for hospitals and medical staff, patients and their families, drug agents and media! There are some indescribable reasons! Not much to say here!
Hospitals and medical staff have to find ways to alleviate these problems, and the health administration department and the entire state agency are trying to find a way to solve it! But the effect was not good, and it was not solved until Li Qi crossed!
The doctor-patient relationship has accumulated too many problems and contradictions over time! This is a proposition with a long way to go!
"Doctor Ye! What is the maximum duration of anesthesia? Bu Feng! What are the patient's vital signs? Li Yuan opened his eyes and asked the two of them. Fingers come out too! It seems that the location of the ectopic appendix has still not been found!
At this time, Li Yuan's forehead was sweating! Do you really want to widen the surgical incision? Do you pull all the bowels out of the abdominal cavity? "It can be guaranteed to be no problem within twelve hours, and if it is longer, it will be administered intravenously under general anesthesia!" Dr. Ye said with certainty. Master Ye is already a master in the field of anesthesiology, the time is accurate, and the effect is guaranteed!
Anesthesia is absolutely damaging to the human body! But the pros outweigh the disadvantages, and the merits outweigh the disadvantages! Relatively speaking, local anesthesia is less harmful to the human body, and general anesthesia is greater! That's why Master Ye said this! "The vital signs are relatively stable! Blood pressure is slightly low! Rob looked closely at the changing curves and numbers on the monitor and said!
"Hmmm! That's it! Bu Feng, you go and ask the family to sign again! After that, closely observe the patient's vital signs, and report any changes immediately! Ye An is ready to rescue the medicine and record it carefully! Get ready to extend the incision! "Li Yuan very decisively began to arrange!
It's also Li Yuan's decision! It is also the point that Li Qi admires the most about his eldest brother! Get on the operating table, do a good job of surgery to treat the patient first, and don't care about the rest! Whether it's troubles or disputes, it's all after stepping down! No matter if he is full of wind and rain, I stand up to the sky!
At this time, Li Yuan's figure became tall in everyone's eyes!
In any surgery, it's a race against time! Time is of the essence! A minute earlier or a second later could have a different ending! Good or bad, life or death, heaven or hell! It's the same for everyone on stage or offstage!
"Wait a minute! Let me find out! Li Qi spoke! Li Qi said that he regretted it a little! Doesn't this show that you are not at ease with your eldest brother, Dean Li? This embarrass everyone!
The wait was long, and Li Qi was a little apprehensive in his heart! Slight sweat began to break out on my forehead too! Nervous and tired!
Suddenly, a white towel helps me sweat! I saw a pretty face right next to my face! It was Wei'er who used a disinfected white towel to help the two people on the stage sweat! It cannot be wiped on the operating table, as wiping can easily destroy the sterile area and increase the chance of infection! And the seal will be much better!
What a smart and beautiful girlfriend! After printing the sweat, he also stretched out his jade finger and praised one! Show your support and encouragement! Li Qi nodded, saying thank you for knowing it!
"Good! Watch the time! Keep it gentle! Li Yuan groaned and agreed! With approval in his eyes!
Li Yuan may have thought a lot in a thought! Li Qi didn't know what he was thinking about! But there is no blame for sure! I didn't get angry with my brother's skepticism either!
Li Yuan often said that no matter whether it is academic or life, especially the unknown or the future, we should study and explore with a skeptical attitude! It is possible to progress and grow!
Ye Shi also smiled at Li Qi! Ye An, Bu Feng and the others bowed down! Almost written on the face and in the eyes! Brother Qi! You cow! Even Li Yuan dared to doubt it! You cow B, we'll top you!
It's a long story, but in fact, it has only been about fifteen minutes since the incision was opened! It's too early to have a normal appendicitis surgery! But for the people on stage, it is long and tortuous!
It should be said that human thoughts and thinking are very strange! When I don't want to, it's empty, and I don't even have a thought! When you think about it, you can think about it, and you can think about it for 5,000 years! It's really weird and complicated!
Under the watchful eye of all people, in fact, under the gaze of several people in the operating room, Li Qi began to explore the abdominal cavity! But at that time, Li Qi really felt a little in the limelight!
This made Li Qi feel more nervous than when he faced the three beauties of Wei'er, Ping'er and Ling'er alone! It's also more exciting than having hundreds of millions in your bank account! Well! It's a bit complicated!
When his fingers slid into his abdominal cavity, Li Qi was quiet, and all his selfish thoughts were thrown out of the Nine Heavens Cloud! Close your eyes gently! This is Lee's unique signature!
In fact, it's useless to open your eyes, you can't turn your gaze! It's useless to turn around, you can't see anything clearly in it! It's better to close it and explore with your heart!
With the groping of the fingers, a three-dimensional anatomy diagram of the abdominal cavity appeared in my mind! In the past, it was possible to produce such an illusory sketch with your eyes closed! Right! It's just a sketch, an anatomical figure of some internal organs that I imagined for myself! With this this time produced a vivid image of the graphic!
This is the ileum, this is the cecum, this is the appendix fossa! Clearly and clearly let Li Qi's fingers probe one by one! Even the pulsation of blood vessels and blood flow can be clearly seen! Well! There is a lot of pus and blood discharge in the posterior pelvic fornix!
"Found it! It turned out to be in the back of the ileum, no wonder it was difficult to detect! "After a full abdominal cavity exploration, I finally found the broken appendix on the back side of the ileum! Li Qi gently pinched it with two fingers and brought it to the side of the incision, and said with a sigh of relief.
At this time, I could only hear the sound of exhalation all around! I sweated, and if I didn't find it, it wouldn't be easy! Who knows what will come next? That's a big boulder on the ground!
"Why don't I get another ultrasound doctor! You're going to come up and take charge of the operating room!? Li Yuan didn't praise it, but this sentence is a real appreciation!
"That's just a coincidence! Forget about changing jobs! It's good to do B-ultrasound! Li Qi gasped, if the eldest brother insisted on doing this, it would be really troublesome! Once in the operating room, don't think about anything else!
"Wei'er, Dianfu Mianqiu! Sheep intestine with needle! After speaking, Li Qi set out to deal with the ruptured and perforated ectopic appendix affected area! Li Yuan gently clamped it with tissue forceps, and Li Qi used surgical scissors to clean up the residual appendix! After that, disinfect with a cotton ball! Re-embedding sutures! Sutured with a needle sheep gut!
There are two types of threads used in surgery, one is absorbable and the other is non-absorbable!
The absorbable human body can absorb it on its own, without removing stitches, and is generally used for suturing in the body, which is expensive! Especially with stitches! The non-absorbable human body cannot absorb on its own, and it needs to be removed for stitches, which are generally used for suturing on the outside of the body, which is very cheap!
Absorbable threads are not prone to rejection! The non-absorbable thread is not removed when the suture is removed, and the rejection reaction occurs. Such as redness, swelling, suppuration, itchy skin, etc.!
The so-called rejection reaction is a reaction of the human body to a foreign body that is not its own, and the performance is different from that of the foreign body or the reaction is different from that of the foreign body! To put it bluntly, the white dot is a reaction of the human body to something that is not its own! People react differently! Well! It's that simple and easy to understand!
There's something in between! Li Qi used the hair of the human body itself for stitching!
I remember that there was a time in that life when the little girl fell and broke her lip! The girl's mom is worried about breaking the image! It's heart-wrenching! Li Qi sewed it up with the girl's own hair! Fortunately, my daughter has longer hair, otherwise she would have to use her mother's if she wants to use it!
Hair is smooth and fine, without rejection and no visible scarring! Hair is also called blood surplus in traditional Chinese medicine, which is an extension of blood outside the human body! Therefore, in traditional Chinese medicine, to see how a person's qi and blood are, look at the hair! The blood is vigorous and prosperous, and the blood is exhausted and withered! Stop! Occupational disease is committed!
Later, the girl's lips did not look unusual, and she could not see anything if she looked closely! However, at that time, giving a few stitches to a girl was more stressful and tiring than having an operation!
Writing this, let's simply talk about the needles used for suturing! Generally, there are two kinds, triangular needles and round needles! Round needles are used to suture internal organs or in the body, first, the damage is small, and the round hole is easier to heal than the triangular hole.
The second is that the internal organs are relatively smooth and tender, and it is easier to suture with a round needle! Triangle needles are used outside the body, the skin is tougher than the internal organs, and the triangle needles are easier to pass through! Better grasp!
After the ruptured and perforated appendix is removed, gently pinch the ileum with tissue forceps or fingers and slowly return it to its original place!
"Wei'er! 0.9 percent saline, plus a little pawn! After Li Qi let go, it was difficult to prepare to clean the pelvic cavity and some intestinal tubes full of pus and blood secretions!
At this time, Li Yuan skillfully struck, not inferior to Li Qi at all! Hehe! Just kidding! Definitely better than Richie!
It is not surprising that everyone is anti-guest to Li Qi, and it is not surprising that he has changed to help! In the academic field, this is good, knowing is knowing, who does it, no one gossips!
Adding a little bit of dianfu to normal saline is also to strengthen the disinfection and antibacterial effect! Sometimes after washing, it is washed again with metronidazole injection! Metronidazole, also known as metronidazole, has a good effect on anaerobic bacteria! And such as this appendicitis is most susceptible to anaerobic bacterial infection after rupture, perforation!
Therefore, it is necessary to clean with metronidazole injection!