Yiguanzheng began to give Xu Jiuyan popular science knowledge, saying: "Appendectomy is used for the treatment of acute appendicitis, purulent appendicitis, gangrenous appendicitis and so on. In general, surgical procedures are easier, but sometimes they are difficult, such as ectopic appendix. This is an extremely common acute abdomen. Most people are born with the appendix descending into the right iliac fossa, and if the embryo is abnormally developed, the appendix can remain in any part of the abdominal cavity. When acute inflammation occurs in the appendix in an abnormal position, it is difficult to diagnose, and the most common ectopic appendix in clinical practice is pelvic, subhepatic and left-sided. Ectopic acute appendicitis is not easy to diagnose and is often misdiagnosed as an inflammatory disease of the organ where the ectopic is located, for example, subhepatic or high acute appendicitis is often misdiagnosed as acute cholecystitis, and acute appendicitis deep in the pelvis of women can be misdiagnosed as an inflammatory disease of the pelvic organs. In the case of heterogeneity in the left lower quadrant, it is difficult to diagnose the diagnosis before surgery, except for the known non-rotation malformation of the midgut or the right heart, so as a doctor, it is necessary to take a careful medical history and do a thorough physical examination for patients with pain and fixed tenderness located outside the right lower quadrant, and to consider the possibility of ectopic appendicitis.

The small intestine is located on the right side, the colon is located on the left cecum, and the appendix is ectopic in the left lower quadrant. Also, incomplete rotation refers to the fact that the cecum and appendix are located in a part of the rotation, such as the left upper quadrant or the lower liver, the latter is also called the high appendix. The insufficiency of the ascending colon is due to the variable position of the appendix due to the insufficiency of the blind ascending colon. At the same time, reverse transposition is extremely rare, and the midgut rotates clockwise so that the small intestine is all on the left side, the ascending colon on the right, and rarely the cecum and appendix in the median position. Therefore, appendectomy should never be considered a minor operation. Attention must be paid to improve the treatment effect and avoid or reduce the occurrence of postoperative complications and sequelae.

The appendix, also known as the vermide, is a slender and curved blind tube, located in the lower right of the abdomen, between the cecum and the ileum, its root is connected to the posteromedial wall of the cecum, the distal end is free and atresia, the range of motion varies from person to person, varies greatly, affected by the mesangium, etc., the appendix can extend to any direction of the abdominal cavity. The appendix, located on the lower right side of the abdomen, between the cecum and ileum, is an elongated, curved blind canal with distal atresia.

The appendix is rich in lymphoid tissue, which participates in the immune function of the body and should be attributed to the peripheral immune organs, which are responsible for the two major functions of cellular immunity and humoral immunity of the body. The latest research results have confirmed that the appendix also has secretory cells, which can secrete a variety of substances and various digestive enzymes, as well as hormones that promote intestinal peristalsis and growth-related hormones.

After the fetus is born, a small amount of lymphoid tissue begins to accumulate in the appendix, which is essentially a lymphoid organ whose lymphatic fluid returns in the same direction as venous blood return, reaching the ileocolic lymph nodes. The lymphoid tissue of the appendix begins to appear after birth, peaks at the age of 12 to 20, gradually decreases thereafter, and gradually disappears after the age of 55. But for small children, it will affect the immune system to some extent.

In the early stages of human development, the appendix acts as a lymphatic organ that contributes to the maturation of B lymphocytes. B lymphocytes are a type of white blood cell and produce antibodies called immunoglobulins. Heard of this, right? ”

Xu Jiuyan nodded and said, "I know this." Then when you become an adult, can you cut your appendix? ”

Guan Zheng continued: "It is generally believed that the appendix in childhood and youth has well-developed lymphoid tissue that can transfuse immunoactive lymphocytes, so the appendix can be called one of the immune organs, and in adulthood, this immune function has been replaced by the lymph nodes and spleen of the whole body. In addition, the appendix mucosa has a secretory function, and the appendix wall also has a peristaltic function. By causing white blood cells to affect various antigens or foreign bodies present in the gastrointestinal tract, it is possible for the appendix to inhibit the humoral antibody response that destroys the blood and lymphatic production, and promote local immune function. The appendix, in turn, resembles a very thin collection of Pylelymphatic structures in other parts of the gastrointestinal tract that absorb antigens from the intestinal contents and react to those contents. This local immune system plays a vital role in the biological and control of food, medicine, microbes and viral antigens.

Therefore, the appendix can help inhibit the potentially damaging humoral antibody response while being able to provide local immunity. The appendix absorbs antigens in the gut and responds to them. This local immune system plays an important role in physiological immune responses and the control of food, drugs, bacterial, or viral antigens. If there is an imbalance of bacteria in the intestines, it can lead to ulcerative colitis and segmental ileitis, as well as food poisoning, so don't remove the appendix lightly. In view of these physiological effects, doctors urge people to treat the appendix well and not remove it easily, even in adults. ”

"I see!" Xu Jiuyan pouted and said, "Okay, what are you doing for that person?" Now that the doctor-patient relationship can't be handled by doctors, what are you doing as a policeman? ”

Guan Zheng smiled and said: "You don't understand this, who doesn't want to talk to someone who has a common language?" I do this to let them know that we all have medical experience, that we can be considerate of each other, that we will have more tacit understanding between us, which will be very helpful for our inquiries. ”

Xu Jiuyan looked at Guan Zheng with disgust and said, "Why do you have so many eyes? It's just a wolf, you. ”

Guan Zheng pulled Xu Jiuyan into his arms and said, "Then you have also entered the wolf's arms." ”

The corners of her mouth raised slightly, and she said, "A pervert!" ”

Guan Zheng smiled and said, "Scared? ”

"I'm married, what's there to be afraid of?" Xu Jiuyan said briskly.

Guan Zheng and Xu Jiuyan waited for a long time, and the doctor came out.

Guan Zheng walked over and asked, "Is this patient with appendicitis okay?" ”

The doctor nodded and said, "It's okay, the operation was successful." You can go to see him in a while, fasting on the day of surgery, which is today, liquid on the first day after surgery, soft food on the second day, and under normal circumstances, general food on the third or fourth day. and irritating soapy water**, so as not to increase intestinal peristalsis, which may cause the ligature of the stump to fall off or the suture wound to dehisce. You can get up and move 24 hours after surgery to promote the recovery of intestinal peristalsis and prevent intestinal adhesions. Patients should pay attention to keeping warm after surgery to prevent falling pneumonia. ”

Guan Zheng also breathed a sigh of relief and said, "Well, that, we are not his family." ”

Xu Jiuyan took out her ID and said, "We are policemen." Doctor, I still have a few more questions for you, do you have time? ”