Early the next morning, when Lin Siyang went to work, the first thing Hu Meijiao said when she met was, "Xiaolin, don't listen to Sister Feng's nonsense, how can you talk to people so straightforwardly, I haven't slept well all night." Pen? Interesting? Pavilion wWw. ｂiquge。 ｉｎfo

Lin Siyang smiled, he shook his head and said, "Sister Feng is a warm-hearted person, but she speaks a little unscrupulously, she said hers, let's just take it seriously."

While the two were talking, a group of people suddenly poured in outside the door, and everyone was carrying a middle-aged man, who kept moaning 'oo

"Hurry up and put it on the examination bed," Lin Siyang commanded, he separated the crowd and walked to the patient, "Where is it uncomfortable?" ”。

The patient pointed to his lower abdomen, Lin Siyang lifted his clothes, glanced at the position pointed by the patient, and then he ordered the patient to bend his leg and gently press along the other side of his abdomen, "Does it hurt?" ”。

"A little".

When Lin Siyang gradually touched the patient's pain point with his palm, the patient groaned in pain.

The location of the pain was the McCephalic point of the appendix, and the tenderness rebound was positive, and Lin Siyang did another psoas muscle test and still had a positive reaction.

Lin Siyang took the thermometer and asked others to put it under his armpit, and he asked about the patient's medical history.

The patient said that he used to have frequent abdominal pain, and because the pain was not severe, he only took a few painkillers to relieve the pain.

Lin Siyang took off the thermometer and looked at the body temperature of 39.4 °C, this temperature surprised Lin Siyang, when the body was examined, the patient had a tendency to have a plate-like abdomen, and now the patient's body temperature has reached the level of severe hyperthermia, which shows that the patient not only suffers from acute appendicitis, but also has signs of perforation.

Without further ado, Lin Siyang asked Hu Meijiao to call Dean Li Wenyong quickly, he hurriedly hung up the liquid for the patient, because he didn't have time to do an allergy test, he first gave the patient a set of amicanamycin, and then added a large amount of dexamethasone to the drip pot.

After the preparation, Lin Siyang summoned the patient's family to immediately explain the condition to the family, "Your patient's condition is very critical, and if the operation is not performed in time, it is likely to be life-threatening."

When the patient's family heard Lin Siyang say this, they all lost their opinions, and an old man who seemed to be the head of the family took Lin Siyang's hand, "Doctor, don't look at us so many people, but we are all laymen in this situation, you are also for our good, you can say what to do."

"The patient's condition is critical, the conditions of our health center are limited, and if you decide to operate here, I hope you will be psychologically prepared."

Lin Siyang was talking, Li Wenyong came in a hurry, he asked about the patient's situation, then pulled Lin Siyang aside, and said with a calm face, "Xiaolin, don't blame me for saying you, the operation of appendicitis is indeed not a major operation, but we have never done such conditions before, in case something goes wrong, I am afraid it will be difficult to explain to the family."

"Dean Li, this patient is very critical after passing the examination, and now there are signs of peritonitis, if we don't rescue immediately, I'm afraid that it will be too late to transfer to the hospital, and the patient will be in danger."

Li Wenyong wandered back and forth for a few steps, and he sighed, "I'm worried that if there is a medical accident, we will have a lawsuit."

"Dean, I understand what you mean, when I was interning in Tiandu, I also saw a lot of medical disputes, but if the patient is allowed to be transferred like this, in case the patient dies on the way, we still have an unshirkable responsibility......."

Before Lin Siyang's words were finished, a family member ran over and shouted in a panic, "Doctor, go and see, our patient is dying."

Hearing this, Lin Siyang and Li Wenyong did not dare to slack off, and when they came to the consultation room, they found that the patient was already in a coma.

Lin Siyang quickly measured the patient's blood pressure of 70/45mmHg, and according to the patient's condition, the patient had septic shock.

Pressed for time, Lin Siyang again set up a set of intravenous access to infuse vasopressor drugs for the patient, while Li Wenyong arranged the relevant surgical matters.

When the patient's blood pressure gradually rose and remained relatively stable, Lin Siyang instructed the family to carry the patient to the injection room.

Li Wenyong let Lin Siyang take charge of the surgery, he was Lin Siyang's assistant, and Hu Meijiao was responsible for monitoring the patient's vital signs and preparing the necessary surgical supplies.

As Li Wenyong said, the health center has never performed appendicitis surgery, and the surgical gown used for the operation is not prepared, but fortunately, the patient's peritoneum has been perforated, which is itself a polluted operation.

After the two of them performed a simple hand disinfection, Li Wenyong nodded at Lin Siyang, and after Lin Siyang understood, he took an anesthetic and applied it to the patient's abdomen for invasion anesthesia.

Although Lin Siyang personally performed this kind of surgery when he was an intern at Tiandu Medical College, it was all operated under the guidance of a senior physician, and now in the face of such a serious patient, Lin Siyang couldn't help but feel a little nervous in his heart to complete this operation independently.

"Be bold," Li Wenyong encouraged on the side.

Lin Siyang picked up the scalpel from the operating plate, he calmed down, and cut the skin ...... the patient's abdomen with a knife.