Starting from the skin, the subcutaneous tissue, fat, and all the way down to the peritoneal layer, the surgery went smoothly. Pen % fun % Pavilion www.biquge.info

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 in omentum, and he began to carefully separate it.

In a state of high tension, Lin Siyang's body was soaked, and his forehead was soaked with sweat, Hu Meijiao picked up a handkerchief and wiped the sweat drops for Lin Siyang.

"Thank you" Lin Siyang did not raise his head, still paying attention to the condition in the patient's abdominal cavity.

After the peritoneum separation was completed, it did not cause a large area of bleeding, and further probed inside, Lin Siyang found that there was a dirty liquid overflow in the abdominal cavity, he hurriedly picked up gauze to wipe it, and instructed Hu Meijiao to open a bottle of normal saline, and then irrigate the abdominal cavity.

At the same time that Lin Siyang was looking for the location of the appendix, the patient suddenly moved, and Lin Siyang was so shocked that he broke out in a cold sweat, in case he accidentally cut the patient's visceral blood vessels or nerves with a sword, the consequences would be unimaginable.

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

For appendicitis surgery, sometimes the more troublesome thing is to find the appendix, and some patients have the location of the appendix that is not in the normal anatomical position, and it is very difficult to find the posterior or even ectopic appendix.

"Don't rush, take your time," Li Wenyong said comfortingly, although he was anxious in his heart.

Lin Siyang nodded, he didn't speak, after further searching, he finally found the location of the appendix, due to the severity of the patient's suppuration of the appendix, although the appendix was found, however, the appendix had been adhered to the surrounding organs.

Peeling off the adhesion tissue has almost become the key to the success of this operation, because the surgery usually done by the health center is only some ordinary trauma sutures, and the surgical instruments are simple, Lin Siyang feels very difficult to use these unmatched scalpels and scissors.

"Somewhat faster" Li Wenyong looked at the patient and was a little restless, he was worried that after the anesthetic failed, it would bring more trouble to the operation.

Time is passing little by little, although Lin Siyang is also anxious in his heart, his subordinates dare not be sloppy.

The patient finally began to be irritable, and as a last resort, Lin Siyang injected some more anesthetics, and after the adhesion tissue was successfully peeled off, Lin Siyang's tense nerves relaxed slightly.

As for the process of removing the appendix, it is not a difficult thing, and to remove the purulent appendix, Lin Siyang made a purse suture on the stump of the appendix.

After closing his abdomen, Li Wenyong finally let out a long sigh, and he praised from the bottom of his heart, "Xiaolin, you are really not simple, I really sweated for you."

"It's also thanks to the dean who has been by his side to cheer me on," Lin Siyang smiled.

Although the surgery was successful, the patient's body infection was severe, and if effective antimicrobial treatment was not obtained, the patient was likely to develop problems such as sepsis or sepsis, which could be life-threatening.

After coming out of the emergency room, Lin Siyang instructed his family members to go to the county hospital immediately to buy pioneer mycin, and the family members were overjoyed when they heard Li Wenyong say that the operation was quite successful, so they had to invite Li Wenyong and the others to the snack bar in the town to drink.

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

Li Wenyong gave a few words, he left the health center, Hu Meijiao reported the basic situation of the patient to Lin Siyang, Lin Siyang nodded slightly, he returned to the emergency room and did not dare to leave the patient for a moment.

After two hours, the patient began to develop a fever and then his blood pressure became extremely unstable, according to the patient's current condition, Lin Siyang believes that it is due to septic shock secondary to peritonitis, and the only way to deal with this situation is to give effective antibiotic treatment.

The patient's family had just been walking for more than an hour, and even if the pioneer mycin was successfully purchased from the county hospital, it would take at least half a day.

"Xiaolin, what should I do if the patient's blood pressure drops further?" After Hu Meijiao finished measuring her blood pressure, she said with a frown.

Lin Siyang wandered in the house for a while, as the saying goes, it is difficult for a good woman to cook without rice, in this matter, not only does she have no 'rice', but she is not a 'good woman'.

"Increase the dosage of medication" Although Lin Siyang knew that this was against the principle of conventional medication, for the sake of today, before the arrival of pioneer mycin, he might have to make this decision.

Hu Meijiao pulled Lin Siyang outside the rescue room, and she repeatedly reminded, "Xiaolin, you should know better than me in terms of medication, if you exceed the scope of conventional medication, if something happens, it will be a big deal, I advise you to be cautious."

"However, now we have no other way, the infection of the patient is not controlled, and everything we have done before will be lost."

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

Hu Meijiao said this, Lin Siyang is not incomprehensible, his decision is naturally a great risk, if the rescue is successful, he gets a kind of conscience comfort, and the rescue is ineffective, the family is held accountable, he loses his job, and if he doesn't do it well, he may be imprisoned.