Chapter 1029 - Identifying the Condition
Bai Zecheng seemed to be calm, but in fact, he was only forcibly restrained, and there was still a sense of nervousness and excitement in his voice: "It has been prepared for a long time and can be used at any time." ”
Fu Shi looked at Bai Ze's state, and comforted him: "Don't be nervous." ”
After all, it was the first time to have surgery, and Bai Ze's state was also very normal.
Bai Zecheng took two deep breaths, and then nodded to indicate that he had calmed down.
Then Fu Shiyi asked Chunli to help him open the door, and at the same time explained softly to several other people: "The first medicine to do surgery is to keep it clean, not only to keep yourself clean, but also to keep the patient clean, the operating room clean, and the surgical instruments clean." ”
"Especially with your own hands, don't touch anything again after washing your hands before you go into the operating room. Even if you enter the operating room, don't touch anything other than the surgical instruments. ”
"It's best that the temperature in the operating room isn't too high. Otherwise, it is easy to sweat. It can also lead to the failure of surgery, poor postoperative healing, and even systemic infection. ”
Fu Shiyi has no way to explain to them what bacteria are. After all, this thing can't be seen or touched.
So I can only talk about it in general terms.
Fortunately, no one asked, why they just silently wrote it down.
Especially Bai Zecheng, even if he is so famous, he is serious like an obedient elementary school student at this moment.
Fu Shiyi likes such a serious and studious person very much.
Immediately, their attitudes were more kind, and their speed of speech slowed down, trying to make Bai Zecheng remember and listen more clearly.
When I entered the house, the sick man was crying out.
Obviously it hurts a lot.
But Fu Shiyi had noticed that the patient had already changed his clothes.
He also wears a hat on his head.
This is what she had confessed to Bai Ze before.
In order to save time, Fu Shiyi told Bai Zecheng that if he felt that surgery was necessary, he would first ask the patient to wipe his body and then change into specific clothes.
In this way, it can be ensured that after she arrives, if there is a need for surgery, the operation will be carried out immediately.
Now it seems that Bai Ze transcribed this very well.
Fu Shiyi asked a few simple questions.
"Where is the location of the abdominal pain?"
The patient pointed to the right lower quadrant, not far from the navel.
That location is indeed the location of the appendix.
"When did it start hurting?" Fu Shi asked again and again.
The patient thought about it for a moment and said firmly: "At first, it was not particularly painful, and it was not a pain here but a chest pain, which gradually moved down, and finally became a pain here." ”
Speaking of this, the patient was a little frightened: "They all said it was a worm, crawling in my stomach!" It's going to bite my intestines to pieces! ”
After speaking, he had to grab Fu Shiyi's arm: "Doctor, you help me cut open my stomach and then take out the worms!" ”
The patients are a little crazy when they look like that.
Fu Shiyi took a step back, just avoiding the patient's hand, and then comforted him: "Don't worry, if there are really bugs, we will definitely help you catch them." ”
"But first you answer my question, how is your pain? A dull ache or a severe, persistent ache? Or labor pains and gas pains? Have you ever had nausea and vomiting? ”
Fu Shiyi asked a series of questions, and the patient was stunned for a moment, and then replied: "It's a burst, it's indeed a little painful!" I've had diarrhea a few times, and I'm a little nauseous now—"
Fu Shi nodded, then glanced at Bai Zecheng, and nodded slightly.
Almost all of them can be confirmed to be appendicitis.
And it's acute appendicitis, and possibly even purulent appendicitis.
If left untreated, perforated appendix can develop, and peritonitis can occur, leading to systemic infection.
Bai Zecheng immediately raised his voice and ordered: "Bring the medicine in!" ”
The patient cooperated, and drank the medicine in one go.
And fell asleep in the time of a stick of incense.
Fu Shiyi glanced at Bai Zecheng in surprise: "Doctor Bai's anesthetic is really powerful." ”
It looks much more powerful than what Except Xin has studied.
Bai Zecheng said humbly: "It's just an ancient recipe, which has been handed down by predecessors." ”
"If you need to stop the bleeding, there is also acupuncture that can cooperate. When time is urgent, you can also consider using needles to make people unconscious. But the effect is definitely not as good as the medicine. ”
Fu Shiyi was even more surprised.
Then he secretly glanced at Except Xin: It's time for a wave of stealing teachers.
Except for Xin, he responded with a wink, and the expression on his face did not change in the slightest.
Bai Zecheng didn't know if he had seen through Fu Shiyi's thoughts, but said with a smile: "If there is someone here who wants to learn, I can teach it." ”
Fu Shi was not polite: "That's great." Let's go back and teach! ”
After saying this, the operation officially began, Fu Shiyi picked up the sterilized lancet, took a deep breath, found the right position and went under the knife.
In order to appear that there was not so much psychological pressure, the rest of the patient was covered with a white cloth sheet, leaving only the abdomen.
The moment the knife cut through the skin, blood came out.
However, because it did not hurt the large blood vessels, the bleeding was not serious, but it looked a little scary.
In addition to Xin, he thought about Fu Shiyi's previous instructions, so he glanced sideways at Bai Zecheng.
After all, Bai Zecheng saw the operation for the first time, and if he didn't get used to it, he might as well let him out in time, so as not to faint inside for a while, who would he save first?
As a result, Bai Ze watched Fu Shiyi's movements attentively, and was not affected by the blood gushing out in the slightest.
Except for Xin, he withdrew his gaze and ignored him.
Fu Shiyi has successfully cut through the fat layer.
When he got here, Fu Shiyi explained: "The reason why it is necessary to cut it in layers is to stitch it later. Only by suturing separately in this way, layer by layer, can we best ensure postoperative healing and not easily disintegrate. ”
"The thread we use is a special fish intestine, which can generally be absorbed by itself. However, you must be careful not to use force, otherwise it is easy to open the wound. ”
When Fu Shi spoke repeatedly, he successfully cut the abdominal muscle layer.
I have to say that watching Fu Shiyi do surgery, in fact, aside from the stimulation of these skin and flesh, it can be regarded as smooth and beautiful.
Isn't Bai Ze next to him stupid?
When he arrived at the peritoneal layer, Fu Shiyi explained to a few people: "This layer is the most susceptible to infection, and any leakage or infection in the abdominal cavity may eventually affect it." Therefore, we must pay attention to the fact that no items are left in the abdominal cavity after the operation. It is also best to clean the abdominal cavity and then suture it. ”
After saying this, Fu Shiyi cut open the peritoneal layer, revealing the scarlet internal organs inside.