Chapter 150: It Stinks So Bad! (Ask for a subscription!) )
"Doctor, let's see, what's wrong with him?"
The woman cried out loudly.
After Lin Yi thought about it, he put his hand under his nose.
"His breathing was also abnormal."
"Now his situation is very dangerous, and it is very likely that he will not die!"
Lin Yi said to Wu Jiang.
"Then you have to save him!"
When the woman heard Lin Yi say this, she panicked even more.
"What do we do now? Hurry up and rescue him? ”
Seeing this, Wu Jiang was also a little panicked, and couldn't help but ask Lin Yi.
"When he is in this situation, it must be a problem in his head."
"It is very likely that there is a new cerebral hemorrhage cerebral infarction, or something new in the tumor, otherwise the progress would not be so fast."
"So my idea is that we should now push him for a CT of the head and the results will be available in a few minutes, and as soon as the results are available, he will be operated on immediately."
When Wu Jiang heard this, he immediately nodded in agreement:
"Okay, I'll take the patient for a CT right now and get them expedited."
"Well, let's go!"
Lin Yi spoke, and then took out his mobile phone and called Zhang Tai.
"Hello? Brother Tai, the patient I told you about before suddenly has a problem! You have to arrange for surgery quickly, you can ask your people to come over quickly! ”
After the phone was connected, Lin Yi hurriedly said.
When Zhang Tai heard this, he immediately agreed:
"Okay! In your emergency department, right? I'm letting people go now! ”
The crowd quickly went their separate ways.
After a while, the CT results were in!
Lin Yi and the others got the results and looked at them.
I saw that the left cerebellar hemisphere edema was more obvious, and the pressure on the four ventricles had been deformed!
"The situation is very urgent! It is necessary to perform surgery immediately to cut open the head and decompress, otherwise the brain herniation will follow, and the heartbeat and breathing will also be seriously affected, which will be troublesome! ”
After Lin Yi saw it, he immediately said to the wife of the patient next to him,
"So you better sign it quickly, we're going to operate on your husband immediately."
At this time, the woman had already panicked when she saw this situation, and she didn't know what to do, so she could only obey the doctor.
So she immediately said:
"Okay, I'll sign it...... Now that this is the case, I have no other choice. ”
"Okay, Wu Jiang, you hurry up and make arrangements!"
"Yes!"
A moment later, a neurosurgeon rushed in.
"Which one is Dr. Lin Yilin?"
"It's me!"
Lin Yi stared at him and said.
I saw that the doctor was in his forties, and he didn't smile.
"Hello, Dr. Lin. My name is He Sheng, and Deputy Director Zhang asked me to come and said that there was surgery to be done. ”
The doctor said to Lin Yi.
"The patient is in the operating room, come in, come in and say!"
Lin Yi saw him arrive and pulled him directly into the operating room.
After a quick study, it was decided to perform a posterior fossa craniotomy on the patient!
The operation was performed by He Sheng.
Since Zhang Tai had a meeting to hold today and didn't have time, he sent an expert from their department over, who was also a big man.
Doing this surgery at his level, it's enough!
Lin Yi and several doctors and nurses were beside him, giving He Sheng a hand.
After He Sheng chose the position, he first used gentian violet to draw an incision line on the patient's head.
"Sanitize."
He Sheng ordered.
The patient was then routinely disinfected, from the top of his forehead to his shoulders, in front of his ears and on the side of his neck.
Immediately afterwards, He Sheng covered a single towel and fixed it on the skin with an incision film to prevent sliding during the operation.
After it was done, he infiltrated each layer of tissue with 0.25% procaine along the incision line, punctured the occipital bone with a long needle at the points on both sides of the incision line, and injected 5ml of procaine into each place to reduce bleeding during the operation and facilitate the separation of the muscles.
Finally, he picked up the scalpel and cut the skin and subcutaneous tissue in the middle to electrocoagulate the bleeding point.
Then, above the extraoccipital tuberosity, the periosteum is cut from the middle position and bypassed from both sides of the extraoccipital tuberosity, leaving a small piece of rhombic fascia at the tuberosity for alignment suture at the end of the procedure.
Under the external occipital tuberosity, it is incised along the midline neck ligament to the occipital bone and the posterior atlantovertebral tubercle and the spinous process of the pivotal vertebra.
Use a periosteal stripper to peel off the muscles and tendons attached to the occipital bone to both sides.
After the superior tissue of the posterior tubercle of the atlas is cut and separated, the periosteum is transversely incised along the surface of the posterior arch on both sides, and the vertebral spinous process and the supralaminar muscles on both sides are peeled outward.
In the process of dissection, the electrocoagulation muscle stops the bleeding, and there are blood vessels on both sides of the lower midline of the tuberosity, and the bleeding is stopped with bone wax.
The incision is then opened with an automatic retractor.
After getting it done, He Sheng opened the patient's skull and opened his skull completely!
When they saw the situation inside, everyone couldn't help but be shocked!
I saw a yellowish-white purulent liquid flowing out of it, and there was a distinct foul smell.
This is a brain tumor or cerebral infarction!
It's a brain abscess!
This.........
He Sheng was also a little surprised, because the plans discussed before the operation were all for brain tumors.
When I opened my head, I found that it was a brain abscess.
In this case, the only way to do this is to drain the pus first.
After drainage, Lin Yi immediately arranged to send part of the pus and pus wall tissue for pathological examination, and at the same time flushed the pus cavity with hydrogen peroxide and gentamicin solution, and left the drainage tube indwelling.
After all the operations, He Sheng closed the opening of the patient's head, and the operation was over!
When he stepped down, He Sheng's entire clothes were already wet with sweat.
"Dr. Lin, in this case like the patient, be sure to treat him with the best combination of antibiotics and anti-anaerobic antibiotics!"
"Such a foul smell is a high possibility of anaerobic bacterial infection, and it must be covered!"
He Sheng couldn't help but admonish Lin Yi.
Lin Yi nodded and said:
"yes, I know."
Lin Yi frowned at this time and couldn't help but shake his head.
It's weird! With such a severe brain abscess, the patient did not even have symptoms of fever!
And the infection indicators of so many retests are not high, which is really unreasonable!
If you hadn't opened the lesion and saw it with your own eyes, no one would have dared to say that it was an abscess, which is why the real cause has not been found before.
While Lin Yi was thinking about it, Wu Jiang couldn't help but throw out questions.
Lin Yi thought for a while and replied:
"His case is not a typical brain abscess, it is a occult brain abscess, and there are very few cases like this."
"It should be that the abscess is relatively localized, does not enter the bloodstream, and causes systemic reactions, so there is no fever and high infection indicators."
Then, Lin Yi let out a long breath and said:
"Okay, although the analysis has been wrong before, but for the patient, this is also a good thing!"
"A brain abscess is better than a cerebral infarction or a glioma! Not to mention the lung cancer metastasis we analyzed! ”
Wu Jiang also nodded, and said with a smile:
"Well, that's right!"
"Let's go, let's go out, I'll explain the situation to the patient's family."
After speaking, Lin Yi took the lead and walked out.
The operating room door opens.
The woman suddenly ran up excitedly.
"Doctor, how is my husband's surgery?"
So long, every second is so long!
She couldn't bear to listen to the results at the moment, for fear of hearing some bad news!
"Madam, listen to me first, during the operation, we found that your husband's actual situation is a little different from what was expected."
Lin Yi went straight to her and said immediately.
Hearing this, the woman almost rolled her eyes and passed out directly.
It's different from what was expected?!
Could it be that his actual situation is more serious?
When Lin Yi saw her like this, he immediately knew what she thought.
So he quickly explained to her first:
"Don't get excited, it's good news!"
"Good news?"
The woman came back to her senses a little at this time, looked at Lin Yi and said in surprise.
"Yes, what is in your husband's brain is not a glioma, nor a brain metastasis of lung cancer, but a brain abscess."
Lin Yi nodded and said directly.
"Brain abscess...... What is this thing, is it serious? ”
The woman read these words in her mouth and asked Lin Yi.
"A brain abscess is simply like a skin abscess, but it looks different, and it can be treated and cured."
Lin Yi explained to her briefly.
The woman's face was suddenly full of surprise, and she looked at Lin Yi and asked:
"So, my husband's problem is not big? So is he in the advanced stage of lung cancer? ”
Lin Yi shook his head and said:
"Probably not. At first, we speculated that it was an advanced stage of lung cancer, and the analysis was based on the tumor in his head that had metastasized from lung cancer. ”
"As for what exactly is in his lungs, it needs to be further examined."
After hearing this, the woman nodded again and again and said:
"That's great! That's great! It's okay! So when will my husband come to his senses? ”
"We've sucked the abscess out of his brain just now, and if we're awake, it's about the same tomorrow."
Lin Yi replied to her.
"Okay, I see, doctor."
After the woman finished speaking, she thought about it violently, and quickly took out her mobile phone to call her parents-in-law.
"Hello? Mom, Dad, don't worry! He shouldn't have lung cancer, and the head wasn't a tumor, and the doctor said that an abscess was similar to a skin abscess, but it was just in the head. ”
"Yes, don't worry, the doctor said that the problem is not big, and it can be cured after treatment!"
"Mmmm, when he comes to his senses, I'll tell you about his situation, you don't have to worry at home!"
…………
The next day.
The patient came to his senses.
"Brother Yi, the results of the laboratory test are out!"
Wu Jiang pushed open the office door and walked in, and said to Lin Yi with some excitement.
"How?"
Lin Yi immediately asked.
"It's caused by anaerobic bacteria, no wonder the pus stinks! Yesterday in the operating room, although I was wearing a mask, I was smoked! ”
Hearing this result, Lin Yi nodded reassuringly:
"That's good!"
"By the way, also, the curcumbers have re-examined his lungs again, and found that that thing should be an ordinary lung nodule, how to deal with it, just look at it then."
"It has nothing to do with his head problem anyway!"
Wu Jiang suddenly thought about it and said to Lin Yi.
After listening to this, Wang Qiaoya on the side immediately asked in disbelief:
"The co-author of this patient doesn't have much of a problem, just a simple brain abscess?"
Lin Yi nodded and said:
"Yes, but his brain abscess is very special, it is hidden, and there is no abnormality from the test data, if you don't open the cranium to see the situation inside, you won't find that it is an abscess!"
"In that case, it was just a false alarm before! It's okay, it's okay, I was still worried about them, they are so pitiful! ”
Wang Qiaoya covered her chest after hearing this, and said again and again.
Wu Jiang couldn't help but smile when he looked at her, and then said:
"You can't be a doctor with this kind of mentality, you have been a doctor for a long time, you will encounter any situation, and even poor patients will see it."
"What kind of life and death, white-haired people send black-haired people, more!"
"Alas, but if you encounter it too much, you will naturally become numb."
"I can't be numb! Don't say it, as soon as I say it, I feel uncomfortable! ”
Wang Qiaoya shook her head again and again, with a painful expression on her handsome face.
Everyone couldn't help but laugh when they looked at her cute appearance.
When netizens in the live broadcast room heard the results, they couldn't help but launch a barrage:
"This big brother's mood is really like a roller coaster!"
"Haha! Oh, yes! First he said he had a cerebral infarction, then a brain tumor, and then he said that he had advanced lung cancer, and in the end, it turned out to be a brain abscess! ”
"Who made this disease so rare! Only a craniotomy can be seen! ”
"It's good, it's a blessing in misfortune!"
"Indeed, this result is simply great for them!"
"Originally, I felt very uncomfortable, worried about them, but now I'm so happy!"
"Yes, yes, so do I!"
Then, Lin Yi stood up and said to Wu Jiang:
"Let's go, let's go see the patient in the ward."
"Let's go!"
The two pushed the door open and walked into the room, where the patient was sitting on the bed, leaning on a pillow, and his wife was sitting on the edge of the bed.
"Did you tell him about your husband?"
Lin Yi walked in and asked straight to the woman.
Seeing Lin Yi come in, before the woman could speak, the patient immediately said excitedly:
"She told me everything! Doctor, I don't have lung cancer, do I? Nor is it late? ”
"Yes, your lungs should be just nodules, and you have an abscess in your head, which I only saw after yesterday's craniotomy."
Lin Yi nodded and said to him.
"I......... I...... That's great! It scared the hell out of me! Doctor, I don't want you to be so scary! ”
The man clutched his chest, and it was difficult to express his emotions for a while,
"You know how I felt when I heard that I was in the terminal stage of lung cancer! I'm breaking down! ”
"Now that you're telling me the results again, I really feel like I've walked around the ghost gate!"
"It's like Nirvana being reborn!"
"I've been holding on to death for the past few days, but I've thought about a lot of things and figured out a lot of truth!"
"Now that I'm fine, then I'm going to have to live a good life! Oh roar! ”
Looking at the man's almost crazy state, Lin Yi and the two couldn't help but smile at each other.
"Brother Shen!"
"Hmm!"
Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.
But it doesn't matter who it is.
There was no superfluous expression on everyone's face, as if they were very indifferent to everything.
on this.
Shen Changqing is used to it.
Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.
Arguably.
In the Demon Suppression Division, everyone has a lot of blood on their hands.
When a person is accustomed to seeing life and death, then he will become indifferent to many things.
When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.
The Demon Suppression Division is huge.
The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.
Shen Changqing belongs to the latter.
Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.
Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.
Then step by step, he is expected to become a town guard.
Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.
Have memories of the predecessor.
He is also very familiar with the environment of the Demon Suppression Division.
It didn't take long for Shen Changqing to stop in front of an attic.
Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.
At this time, the attic door is open, and there are occasional people entering and exiting.
Shen Changqing only hesitated for a moment, and then stepped in.
Access to the attic.
The environment has changed in vain.
A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.
The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.