PS: A more sent, finally wrote about the operation, Lao Bai burst into tears, so much foreshadowing just to write the operation, crying, begging for a monthly pass, asking for a lot of monthly passes, today will make his family so happy.

Su Hongwen woke up and was about to ask who was outside, but before the words could be spoken, An Zinan's anxious voice came from outside: "Su Hongwen, open the door, my brother has an acute attack of chronic appendicitis." ”

This is also Fairy An, if other people are so anxious that they will remember what kind of disease their relatives have, even if they know, they probably won't say it so professionally.

Su Hongwen hurriedly put on his clothes and ran over to open the door in three or two steps, seeing An Zinan's anxious look, he was about to ask An Zifeng how he was, but An Zinan didn't give him a chance to speak at all: "We will go to your hospital immediately, and then you help us contact the car, we must go to the city immediately." ”

Su Hongwen said: "Let's send your brother to the hospital first, and the ambulance is in the hospital, so that you don't have to run back and forth, and save time." ”

An Zinan nodded and took Su Hongwen to An Zifeng's room, this time Zhou Siyuan was also inside, and when he saw Su Hongwen coming in, although he hated itchy, but now was not the time to trouble him, he opened his mouth and said, "Su Hongwen, what are you doing here?" Don't go get the ambulance yet, pig brain. ”

Su Hongwen lazily took care of Zhou Siyuan and glanced up at An Zifeng, and found that the man who was official and calm during the day was sweating profusely in pain at this time, and was lying there with a painful expression covering his stomach, his teeth were clenched, and the muscles in his cheeks collapsed. But he's a Chinese character, and if it were someone else, he would have screamed in pain at this time.

After a few steps, Su Hongwen turned around and squatted and said, "Pick him up." ”

"Su Hongwen, are you a pig? Do you want to carry him to the city? Zhou Siyuan scolded when he came up, he was also in a hurry, if An Zifeng had three long and two short, he would definitely not be better.

"Take my brother to their hospital first, the ambulance is there, if you wait for the ambulance to come, it will take time." Although An Zinan was also in a hurry, her tone of voice was far less flustered than Zhou Siyuan's.

Zhou Siyuan didn't talk nonsense and directly helped An Zinan to put An Zifeng on Su Hongwen's back, Su Hongwen stood up and ran outside while saying to An Zinan who was following him: "Go to my room and take out my mobile phone, I have to call Lao Wang immediately." Let him rush to the hospital and drive. ”

No one knows the environment of the hospital better than Su Hongwen. The operating room has not been used for a long time, and it can't meet the standard for appendicitis at all, and there is no anesthesiologist, let alone the instruments for appendicitis, and now the best way is to send An Zifeng to the hospital as soon as possible. Once the appendicitis is perforated, An Zifeng's life will have to be explained.

On the way, Su Hongwen called Lao Wang. Let him hurry to the hospital. But when he brought An Zifeng to the hospital, Lao Wang hadn't come yet, which couldn't help but make Su Hongwen very anxious.

"What bullshit hospital, is the driver of the ambulance lame? Why hasn't it been yet? Zhou Siyuan was scolding on the side. At this time, he was also in a hurry.

Lao Wang's family lives in the easternmost part of the town, which is quite a long distance away from the hospital, and it is understandable that he came late.

An Zifeng's clothes were wet with sweat at this time, he clutched the edge of the bed with both hands, the green tendons on his hands bulged one by one, his face was frighteningly white, and his whole body was trembling.

Su Hongwen reached out and touched An Zifeng's head, feeling that the soup was terrible, he chuckled in his heart, secretly snorted, and hurriedly found a thermometer and stuffed it into An Zifeng's armpit.

"I'm going to do a paracentesis for him, and I suspect there's oozing fluid in his abdomen." Su Hongwen raised his head and said to An Zinan.

"What? Exudate? How so? Hearing this, An Zinan couldn't stay calm anymore.

Appendicitis is not a big problem in the eyes of most people, and it will be fine to do an operation, but this disease is also fatal, the reason for appendicitis is that the first is obstruction, most people are fecal stones blocking the lumen of the appendix, a few are parasites, the second is infection, the appendix communicates with the cecum, once the bacteria in the cecum or the upper ascending colon enter the appendix, it can cause appendicitis, and the appendix will be swollen quite badly, and finally because the internal tension is too high, the appendix is ruptured and perforated, and the third is the tumorThis type is the least common and is why the appendiceum removed after appendicitis has to be pathological.

However, whether it is obstruction, infection or tumor, it will make the appendix edema, once the appendix is not treated in time, if the appendix is ruptured and perforated, there will be acute abdomen, that is, acute peritonitis, and the chance of death of patients under severe infection is as high as more than 90%.

Now An Zifeng has begun to have a fever, and the pain in his right abdomen is quite severe, which can only indicate that the internal tension of the appendix is too high, and it is likely to rupture and perforate.

If you want to verify whether the appendix is about to rupture and perforate, the best way is to use a syringe to puncture the abdominal cavity and draw it, if the exudate is drawn, that is, because of the inflammation and tension of the appendix, once there is this fluid, it means that the appendix may rupture and perforate at any time.

If this situation occurs even in a county-level hospital at this time, it is not too urgent, but this is a town-level hospital, and the environment simply cannot meet the needs of appendicitis, and who can do this surgery? An Zinan didn't believe that there were doctors in this hospital who could do this surgery.

Longyanquan Town is more than four hours' drive from the city, once the exudate is pumped out, it means that An Zifeng will not wait to go to the city The appendix will rupture and perforate, and this situation occurs on the road, and there is no way to get timely treatment, An Zifeng has a 95% chance of dying because of acute peritonitis.

This situation makes An Zinan not anxious, how can she stay calm?

"Su Hongwen, don't be alarmist, Brother Feng has been taking medicine for a while, even if the appendicitis attacks again, it can't reach the point of oozing." After Zhou Siyuan completed his internship in Anhe Hospital, he was rotated for half a year before he was assigned to the general public, and he had the confidence to say this.

"Whether it's alarmist or not, just smoke it." Su Hongwen had actually used see-through glasses to confirm that An Zifeng's appendix was quite swollen and could rupture and perforate at any time, but he couldn't say anything about this, and he definitely couldn't say anything about see-through glasses, to say that An Zifeng's appendix could rupture and perforate at any time was based on his own judgment, neither An Zinan nor Zhou Siyuan would believe it.

In order for them to believe, Su Hongwen must come up with evidence, and this evidence is to extract oozing in the abdominal cavity.

An Zinan nodded, she didn't say anything, she knew that this was the best way now, if there was really oozing, she would have to take the risk of letting Zhou Siyuan do the operation here, there was no other way, An Zifeng would not be able to survive the city hospital at all, it was too far away.

Thinking of this, An Zinan regretted a little in her heart why she let her brother come with her, and why she didn't urge him to take medicine more, but now it's too late to think about anything, and she can only hope that she won't pull out the exudate.

Su Hongwen took the syringe and was just about to start when he was snatched away by Zhou Siyuan: "What do you know as a village doctor?" Abdominal piercing looks simple, but do you know how to do it as a village doctor? In case you injure other organs in your abdomen, you can't afford to take this responsibility, get out of the way. ”

After Zhou Siyuan finished speaking, he first asked An Zifeng to lie on his left side, and after waiting for a while, he pierced it with a syringe, and there was no time to disinfect at this time.

Su Hongwen and An Zifeng watched Zhou Siyuan do abdominal puncture, An Zinan's eyes were fixed on the syringe, and Su Hongwen sighed slightly, even if appendicitis appears, there will not be too much exudate, and the exudate will generally be in the right lower abdomen, that is, near the left side of the Mai point, and it is rare to be drawn in the left abdomen.

Zhou Siyuan's abdomen was worn very carefully, and after a while, he pulled out the syringe, and seeing that there was no exudate in it, he let out a sigh of relief, and then said to An Zinan: "Xiao Nan has no exudate, don't worry." ”

Speaking of this, Siyuan turned his head and said coldly to Su Hongwen: "Su Hongwen, you are a little self-aware, okay?" You are just a village doctor, we are doctors at Anhe Hospital, I tell you that I work in the general surgery department of Anhe Hospital, I have seen too much appendicitis, how many cases of appendicitis have you seen here? Will you have appendicitis surgery? I don't think you will either, since that's the case, please don't be alarmist, do you know that your words just now frightened Xiao Nan? ”

Su Hongwen raised his head and glanced at Zhou Siyuan coldly, without saying a word, he took out another syringe from his coat pocket, and after opening it, he stabbed into An Zifeng's right lower abdomen, his movements were so fast that Zhou Siyuan and An Zinan didn't have time to stop it.

"Su Hongwen, you're fucking looking for death." Seeing this scene, Zhou Siyuan couldn't maintain his demeanor as a noble son, and directly burst into foul language, if Su Hongwen blindly injured his appendix, he didn't have a perforation, but as a result, he got a perforation, then An Zifeng would have to die here nine times out of ten, and Zhou Siyuan couldn't afford this consequence.

"You ......" An Zinan also understood these things, and she was in a hurry.

Zhou Siyuan was about to step over and kick Su Hongwen away, but at this time, Su Hongwen suddenly pulled out the syringe and shook it at Zhou Siyuan and said, "Zhou Dashao, since you are in the general surgery department of Anhe Hospital, didn't your teacher tell you that appendicitis produces very little exudate?" Didn't I tell you that I couldn't draw the anti-McMax point in the lower left abdomen? Didn't I tell you that sometimes you can't follow the textbook? You're a doctor, and if you're a doctor, sometimes you have to be bold because you're saving people's lives. ”

Su Hongwen frowned when he said this: "There is oozing, he can't wait to go to the city hospital, so he will operate here, immediately, I will prepare something." After Su Hongwen finished speaking, he ran out.

An Zinan and Zhou Siyuan were all stunned, their brains blank. (To be continued......)