Chapter 288: A Belly of
"Yes!" Guo Xiang looked at Song Tingshen, and he also walked over when he heard the voice.
"Doctor Song!" The patient stood up.
"Teacher Song, can you let me take this patient?" Lin Wen said with a smile.
Song Tingshen glanced at him, "Yes!" ”
"But Dr. Song, I'm here to find you, I'm afraid it's the same as the patient you operated on that day, I only believe you." The patient is in a hurry.
Lin Wen's face was a little embarrassed.
"It's okay, let him see it first, and I'll see it later, they are all doctors and interns in our department, and they have learning tasks, you cooperate with them, and your condition will not be delayed." Song Tingshen said.
"Alright then!" The patient nodded and sat down.
Lin Wen had a smile on his face and pulled a chair over, Guo Xiang rolled his eyes and moved away a little, not wanting to be so close to him.
Lin Wen began to ask for a consultation.
As soon as the patient spoke, he clearly felt that the patient's mouth stinked badly, and his brow furrowed, and then unfolded quietly.
When the question was finished, he picked up the patient's clothes.
I saw that the patient's belly was as big as that of a pregnant woman, the belly was collapsed tightly, the epidermis was shiny, and the subcutaneous veins were in a state of distension, which was not normal at first glance.
"I've had stomach pain for three days and I can't stand it anymore." The patient said bitterly.
Why didn't you come and see it earlier? Guo Xiang wanted to ask, but it was useless to ask, and it would not have been this result if I had seen it earlier.
Guo Xiang opened the perspective and looked into the patient's stomach.
After a series of consultations, Lin Wen began to make an order, "Let's do a B-ultrasound!" ”
He looked at Song Tingshen, "Teacher Song, is this right?" ”
"No need!" Guo Xiang suddenly stood up and looked at the patient, "Have you been constipated since you were a child?" ”
"yes, how do you know?" The patient was a little surprised, "I haven't been happy to go to the toilet once since I was a child, I only go to the toilet once every few days, and I have taken a lot of medicine, but it doesn't have much effect." ”
"I often have stomach aches and want to come to the hospital to see it, but my family said that it was just constipation, it was no big deal, and it cost money, so I didn't come to see it. It really hurts this time......"
Guo Xiang nodded, most of the people in this period are relatively poor and afraid of spending money, they can delay for a while, and they will not come to see a doctor until the last moment.
In fact, Guo Xiang has seen through perspective just now that the patient is not a hepatic cavernous hemangioma, but a megacolon, to put it bluntly, his stomach is full of!
"Hold your hand out and I'll see!" Guo Xiang said again.
In fact, she wanted to use her name as a TCM physician to make an excuse for perspective.
Guo Xiang checked the patient's pulse, and he could also diagnose that there was a problem with the intestines.
Guo Xiang walked up to Song Tingshen and said in a low voice: "Teacher Song, I suspect that it is Hirschsg'sprung, and I should go to the Department of Gastroenterology!" ”
Song Tingshen nodded, Guo Xiang had helped patients prescribe prescriptions in the anorectal department before, and she was still a traditional Chinese medicine practitioner.
"You can do it!" Song Tingshen said.
Guo Xiang walked to the patient, "You don't have liver disease, it's a problem with your intestines, I'll take you to the Department of Gastroenterology to find a doctor there to help you see!" ”
"Yes, yes?" The patient was puzzled, but his stomach was very similar to what was reported in the newspaper.
"You go first, if there is a problem, you can come back, and the registration fee here can be refunded to you." Song Tingshen said.
Dr. Song said so, and the patient had no choice but to agree.
Seeing Guo Xiang take the patient away, Lin Wen's rare face sank.
Guo Xiang took the patient to the gastroenterology department, and the doctors there were curious when they saw her coming, "Ah, what kind of wind blew Dr. Guo here?" ”
After the hype of newspapers and magazines, there are few people who don't know Guo Xiang.
Guo Xiang smiled and looked at Director Qian of the Department of Gastroenterology.
"Director Qian, this patient is suspected to be megacolon, and Teacher Song asked me to bring it here."
said that it was ordered by Teacher Song, and others would not be suspicious.
"Come and I'll take a look!" Director Qian beckoned to the patient.
Another interrogation and palpation, and then a B-ultrasound order was prescribed.
Guo Xiang didn't leave, she wanted to see the results, and she could explain to Teacher Song when she went back.
When the results came out, everyone looked, good guy, this giant colon is at least sixty or seventy centimeters, about ten kilograms, and it is swollen like a monster.
Director Qian's expression was complicated, "Xiao Guo, I don't know whether to thank you or hate you!" ”
"Director Qian, what did you say?" Guo Xiang laughed.
"This case you brought is rare, but this is really embarrassing for us, the surgical nurse will definitely hate you to death!"
"Because it's all, needless to say when we operate, it stinks, and if you don't do it well, you may get a body, and the nurses in the operating room will definitely curse when you tidy it up!"
Guo Xiang laughed, but it is true, how many years of in this can really smoke people to death.
The patient's face turned red with shame.
"Don't worry about it, just kidding, just have surgery." Director Qian patted the patient on the shoulder, "Go through the hospitalization procedures, and when the operation is over, your pain will be over." It's long overdue, it's been delaying for so long. ”
The patient blushed, "Thank you, doctor!" ”
Guo Xiang returned to the hepatobiliary department, and An Zehan immediately walked over.
"How?"
"The results are out, it's Hirschsprung!" Guo Xiang said.
"Hirschsprung's disease? So big? Hirschsprung's disease is generally congenital, right? Why did you find out at this time? An Zehan was surprised.
"People are reluctant to spend money, so they have been delayed." Guo Xiang shook his head.
Hirschsprung is a congenital intestinal malformation that typically occurs in the rectum and distal parts of the sigmoid colon.
The diseased intestinal segment is often in a state of spasticity, the lumen is narrow, and the feces cannot pass through the diseased intestinal segment or it is difficult to pass, so the normal peristalsis of the intestinal tube is affected, and a large amount of feces accumulates in the upper colon.
Over time, the top of the narrowed segment of the bowel becomes hypertrophic and coarse due to the accumulation of stool, which forms Hirschsprung's disease.
The patient's belly was so big, and the megacolon was huge, and it was full of feces that couldn't be discharged.
Therefore, if the child has been constipated since he was a child, and he is still old and bad after taking medicine, he really has to take it to the hospital. Surgery is better sooner and don't suffer for so many years.
"So his belly is full of?" An Zehan said that he was disgusted.
Guo Xiang smiled and nodded, "If the giant colon is cut by surgery, it's fine." ”
Lin Wen looked at Guo Xiang's eyes with more surprise, she could actually diagnose the pulse?
This woman really surprises people every day.
"Dr. Guo or Chinese medicine practitioner?" Lin Wen asked.
An Zehan nodded, "Yes, we knew when we interned in the anorectal department, Dr. Guo is a licensed Chinese medicine practitioner with a Chinese medicine practitioner's license. ”
"Amazing!" Lin Wenxiao, it is not easy to learn Western medicine well, she actually learns Chinese medicine so well, this woman is really different.
This strengthened the idea of poaching Guo Xiang.
It doesn't matter if you refuse, the more capable people are, the more difficult it is to invite, and if you can't do it once, it will be two or three times.
Let her see her sincerity.