Chapter 277: Stranded intestinal obstruction
The outer subject is still the same, no one is willing to deal with Mi Zixuan and Xie Tianning, they are afraid of being affected by the master and apprentice, Lu Pengyu still has no good face for the two of them, and the master and apprentice are also happy, you don't care about us, we don't care about you, just hide in the duty room and swallow the fog.
It is said that now the annual leave has passed, but there are still not many patients, so the patients will not come up until the fifteenth day of the first lunar month, so the foreign department is not busy, and Mi Zixuan and Xie Tianning have a lot of time to idle.
Last time, Mi Zixuan came up with a way to treat a stoma fistula Xie Tianning had already sent the detailed information to his teacher, and also asked Mi Zixuan for a great benefit for him, but now his teacher didn't reply to him, because Xie Tianning asked Mi Zixuan for the benefits This matter is more difficult to do, Xie Tianning doesn't know if he can help Mi Zixuan get this thing done with his teacher's ability, and now there is no news Xie Tianning naturally didn't tell Mi Zixuan what benefits he asked him for, and he was also afraid that the thing would not be done and told Mi Zixuan, Let him rejoice.
But think about it, it is estimated that there will be movement on his teacher's side, after all, I told him a year ago, and I have to give a sentence after the New Year, right?
Time flies, four or five days have passed in the blink of an eye, this day is Xie Tianning's night shift, it stands to reason that he is the deputy director, and he doesn't have to be on the night shift like an ordinary doctor, but the bad luck is that he and Lu Pengyu are on the same page, and he is a deputy director, Lu Pengyu is the director of the first department of foreign affairs, so Xie Tianning has to be on the night shift obediently, and there is no place to reason, I really went to the hospital leader and said that I am the deputy director, and if I shouldn't be on the night shift, Lu Pengyu can make him and the hospital leader unable to say a word- Corey is understaffed.
It's not yet fifteen, there are no patients in Corey, the night shift is almost a sleep in the hospital, nothing is wrong, Xie Tianning is a little lazy on duty, and it is a coincidence, Xie Tianning's card friend called him, and asked him to build the Great Wall at night, Xie Tianning In addition to smoking, he also has a hobby to build the Great Wall, after receiving a call from a friend, his heart is like a cat scratching itchy, staying in Corey is five ridges and six beasts, how to stay is uncomfortable.
Xie Tianning soon couldn't help it, and discussed with Mi Zixuan to let him be on the night shift instead of him, while Xie Tianning went to play cards, and invited Mi Zixuan to a big dinner tomorrow regardless of whether he won or lost.
Seeing that Lao Xie was scratching like this, Mi Zixuan agreed, isn't he on duty, it's not a matter to him at all, and he can handle any patient who comes.
In this way, Lao Xie's buttocks ran away like a fire, and before leaving, he generously threw 200 yuan to Mi Zixuan, asking him to order whatever he wanted, Mi Zixuan was not polite, and after receiving the money, he called a restaurant outside the hospital to order food, and asked for a lot of delicious food.
After eating and drinking, Mi Zixuan wiped his mouth and went to the ward for a turn, and there was nothing to do, so he simply went back to the duty room to watch TV to pass the time, Liang Xianyu has been too busy recently, often works overtime, and has no time to use WeChat to tell Mi Zixuan about the pain of lovesickness.
Mi Zixuan was lying on the bed covered with a quilt and lazily watching TV, and it didn't take long for the sleepiness to come up, so he fell asleep in a daze, and I don't know how long it took Suddenly there was a quick knock on the door outside, and the nurse's anxious voice came: "Doctor Mi wake up, there is an emergency patient in the emergency department who asks you to go quickly." ”
Mi Zixuan has long developed an occupational disease, no matter how dead or heavy he sleeps, he wakes up as soon as there is movement, many doctors have this occupational disease, even at home, and he has developed a habit of being on duty in the hospital, so he is afraid that he will sleep too deeply and delay the treatment of patients.
Mi Zixuan immediately jumped up and picked up the white coat hanging on the hanger and went out, the first department was on the fifth floor, and the emergency department was on the first floor, Mi Zixuan didn't take the elevator, and trotted all the way down the elevator to the emergency department.
Mi Zixuan, the person in the emergency department, naturally knew everything, he could stay here for a period of time, and naturally he was familiar with the way to find the doctor and nurse and ask about the patient's situation, and the doctor on duty preliminarily judged that it was strangulated intestinal obstruction.
Once the necrotic intestinal tube is damaged due to edema and inflammation leading to excessive pressure in the intestinal lumen, the feces and fecal soup in the intestine will flow into the abdominal cavity in a very short period of time to cause acute peritonitis, which is fatal and can cause the death of the patient in a very short time.
Mi Zixuan didn't dare to delay and went straight to the emergency disposal room, outside he saw an old lady in her seventies wearing patches and patches, the old lady had tears on her face, holding a child with two hands and one hand, the two children were not very old, the older ones were only six or seven years old, and the younger ones were four or five years old, and they were also wearing tattered clothes, and those who didn't know thought they were little beggars, and what was even more pitiful was that the clothes worn by both big and small people on a cold day were very thin, and the children's little faces were frozen blue.
There were a few peasant men standing next to the old lady, all of whom looked anxious, but these people Mi Zixuan felt as if he had seen them there, but he couldn't remember it for a while, he knew very well that now was not the time to think about this, so he rushed directly into the disposal room.
There was an old man lying inside, and as soon as he saw him, Mi Zixuan immediately recognized him, isn't this Gan Tiejun from Sancha Village?
At this time, Gan Tiejun's dark face was blue, his forehead was full of cold sweat the size of soybeans, he was holding his stomach in pain and weakness, obviously it was so painful that he had no strength, compared to Gan Tiejun who Mi Zixuan saw two days ago, he lost weight three times at this time, Gan Tiejun was already emaciated, and he lost three times, and at this time the whole person had become skinny and bone-like, and they were all out of phase.
Mi Zixuan took three or two steps over and lifted the clothes on Gan Tiejun's abdomen, and at a glance, he saw quite obvious stomach peristalsis waves and intestinal shapes, and there was a big lump in the lower abdomen, which was not the most tricky, the most tricky thing was that his abdomen was quite swollen, just like a woman who was three or four months pregnant.
Gan Tiejun is so thin that he is skinny, but his stomach is swollen like this, it is obvious that his strangulated intestinal obstruction is quite severe, and nine out of ten the intestinal tube has been necrotic, this situation is too critical, and he must be operated on immediately, if it is delayed, even Da Luo Jinxian will not be able to save him.
Mi Zixuan didn't think about it, so he said to the nurse next to him: "Inform the operating room that there is a patient with strangulated intestinal obstruction here, and let them immediately prepare for laparotomy, ECG, chest X-ray, upright abdominal x-ray, blood routine, and coagulation These four preoperative examinations have been done?" ”
The nurse hurriedly said: "It's done, the electrocardiogram and chest X-ray are fine, but the patient's blood picture (white blood cells) is quite high, more than 20,000, and the four results of coagulation have not yet come out. ”
Mi Zixuan chuckled again when he thought of the flat abdominal film he had just seen, and he hurriedly said: "I know, hurry up and let the operating room pick up people, I can't delay, I'm going to write the surgical consent form, and it's the family members outside, right?" ”
The nurse nodded and Mi Zixuan hurriedly went out, and when she got outside, she said, "The family will come to the office with me." ”
When the old lady heard this, she immediately panicked, and said to a few young juniors around her, "What should I do?" What to do? ”
A young posterior said: "Third aunt, let's hurry up and go and see what the doctor says." ”
Mi Zixuan entered with his front foot, and the old lady took the hands of the two children and walked in with a few villagers from Sanchakou Village.
The old lady's first reaction when she saw Mi Zixuan was to kneel down with a "poof", kowtow like garlic and said, "Doctor, save my old man, please, save him." ”
As soon as the two children saw their grandmother kneeling, they also knelt down for Mi Zixuan in the same way, and cried while kowtowing: "Save grandpa, save grandpa." ”
When Mi Zixuan saw this scene, his nose immediately became sour, and he quickly picked up the old lady and the two children.
At this time, a villager in Sancha Village recognized Mi Zixuan and immediately exclaimed, "Aren't you a dog cub from Luedang Village?" ”
When he said this, the others also recognized Mi Zixuan, and one of the most impulsive ones immediately pushed Mi Zixuan away and said to the old lady: "The third aunt is a dog cub in Luedang Village, the third master can't let him be treated, let's go, let's go to the Chinese medicine hospital." ”
The old lady had already panicked so much that she had no master, and her brain was blank at this time, so naturally the people in the village were whatever they said, and they were going to leave with them.
Mi Zixuan suddenly yelled, "Do you want to kill him? I tell you, his illness must be operated on immediately, and if it is delayed, the king of heaven will not be able to save him. ”
Mi Zixuan is definitely not alarmist, Gan Tiejun's blood is more than 20,000, what does this mean? There are so many white blood cells, it can only mean that there is a very serious infection in his body, nine times out of ten the intestinal tube has leaked, feces and fecal soup have entered the abdominal cavity, causing abdominal infection, and there is no tabular abdomen, but Mi Zixuan According to his own experience, it should be the omentum that played a certain protective role and did not let acute peritonitis appear.
But in Gan Tiejun's case, the protective effect of the omentum will not last long, and soon the signs of acute peritonitis will appear in the tabular abdomen, and if it really appears, no one can save Gan Tiejun, Tianwang Laozi can't, and Mi Zixuan can't do it, this severe acute infection can make Gan Tiejun die in a very short time.
Mi Zixuan's roar directly frightened the old lady and a few villagers from Sancha Village, but Mi Zixuan's momentum was too strong at this time, so strong that several young descendants didn't dare to say a word, let alone scold him for being a dog cub in Luedang Village.
Mi Zixuan took a deep breath and said in a slow tone: "It's true that I'm from Luedang Village, but I'm also a doctor, I don't care how much hatred we had between the two villages before, now what I want to do is save people, I really can't delay, hurry up and sign the operation." ”