Chapter 131: Carbuncle of the intestines
When Zhang Sijiu rushed out, the patient was rolling on the ground in pain.
A few people were stunned and couldn't hold it down.
The patient, a fourteen or fifteen-year-old boy, was howling and rolling at the moment, looking a little scary.
His parents came with him, pulling and persuading him, but to no avail.
Seeing that Zhang Sijiu was coming, the doctor at the Imperial Medical Department hurriedly said: "Little lady Zhang, the patient refuses to cooperate, and if it continues like this, it can only be tied up." ”
Zhang Sijiu was speechless: "One person presses the arm, the other presses the leg, hold it down first." ”
The patient howled and shouted, "It hurts me, it hurts me!" I'm going to die! ”
His aunt immediately cried: "You bear with it, bear with it, where does it hurt, you tell the doctor——"
His father barely held him down, but he couldn't hold it anymore.
Zhang Sijiu shouted loudly: "Deng Wen! Deng Wen! ”
Deng Wen immediately stepped forward, and then followed Tingyun left and right, holding the person down.
In fact, if it weren't for the fact that this kid struggled too much, Deng Wen would have been able to hold it down alone.
It's just that the fourteen or fifteen-year-old boy is already close to an adult, and he is energetic, so under the desperate struggle, it is really a little difficult to hold it down.
Deng Wen clamped the young man stiffly, but his father and his mother rushed up at once and slapped at Deng Wen: "Let go, let go, the child is going to be broken!" ”
The boy screamed and cried out in pain.
Zhang Sijiu couldn't stand it anymore, and pulled his mother over: "When is this?" Crazy by people? If you are reluctant to hold it, then let us come! How can he be cured like this? Whose fault is it if the illness is delayed? ”
You must know that the more serious the disease, the more it cannot be delayed.
The boy's mother cried: "But the child hurts." Hold him down, he hurts, it's enough to suffer—"
From this sentence alone, it is not difficult to see how much the family cares and loves their children.
Zhang Sijiu smiled angrily: "When has this been, still thinking about this?" Don't want to die? If we are not allowed to do anything, why don't you cure it? ”
The young man's father finally had some sense: "Then treat it quickly, treat it quickly." Heal sooner and suffer less. ”
After speaking, he pulled the young man's mother away.
So Zhang Sijiu and the people from the Imperial Medical Department began to check the pulse one by one.
It's just that he didn't have time to look at the pulse, and Zhang Sijiu was startled by the hot tentacles first.
This temperature is too hot! Zhang Sijiu judged that this was probably approaching forty degrees.
It's a high fever!
Just as he was startled, the young man suddenly began to tremble and twitched unconsciously—febrile convulsions!
Zhang Sijiu hurriedly drank: "Febrile convulsions, letting!" ”
The Imperial Medical Department is very skilled in handling this kind of thing, and one of them took out a silver needle for bloodletting, and pricked the acupuncture point a few times, releasing a little blood.
The effect was immediate, and the person was relieved.
But he also passed out in a coma.
Zhang Sijiu looked at the situation and only felt that it was tricky: the patient was in a coma, what should I do with the next interrogation and palpation?
If it's modern, it's easy to do, just do CT.
Now...... Zhang Sijiu could only turn his head to look at the young man's parents: "When did he get a fever?" ”
His aunt said: "It started in the morning, I had a stomachache last night, we took medicine, rubbed my stomach again, fell asleep later, and woke up in the morning, and it was a little hot to the touch at that time." Later, he complained that his stomach hurt, and if he took medicine and rubbed his stomach, it didn't work. ”
"We saw that he was in a terrible pain, so we brought him here."
His aunt was so nervous at this moment: "Little lady Zhang, we know that your medical skills are good, you must save our Gu'er." ”
In fact, as soon as Zhang Sijiu heard that his stomach hurt, several possibilities had already popped up in his mind - cholecystitis, appendicitis, kidney stones falling and so on.
However, this is a different area of the abdomen, and palpation and pressure examination are still needed to determine which organ is the problem.
Zhang Sijiu looked at the side of the Imperial Medical Department: "In this case, what can you do about it?" ”
The doctor from the Imperial Doctor's Department only said softly: "Judging from the pulse, it is more likely to be an intestinal carbuncle." In this case, it can only be treated by activating blood and removing stasis, and dispersing soft and hard knots. His condition was too serious, and he had to wait for a laxative - but it would take time, and his condition was so serious that he was afraid that he would not be able to survive. ”
Zhang Sijiu understands that it takes time for the drug to take effect, but such a high fever is probably acute appendicitis.
In such a situation, can't wait.
A little later, it is a perforation of the appendix, which contaminates the entire abdominal cavity and affects other organs.
Zhang Sijiu immediately decided: "Let's prepare for surgery." ”
This time, without Zhang Sijiu's orders, the Imperial Medical Department went to call Qi Jing.
I also helped to make hemp boiling.
After the hemp boiled down, Zhang Sijiu asked Deng Wen to send the patient to the operating room, and he also explained the situation to the family members intensively, asked the family members to sign the surgical consent form, and was prepared.
Zhang Sijiu spoke quickly for a long time, but Gu'er's parents obviously didn't listen much, but turned pale with fright: "What? Will there still be dead people? How can this kill people? It's just a stomachache—"
"The situation is serious, there is a risk and probability of death, but our doctors will do their best. Time is urgent, do you sign it? Time is of the essence. Zhang Sijiu was a little helpless, but now he didn't have time to explain so much.
Zhang Sijiu's eagerness made Gu'er's parents even more nervous.
In the end, although Gu'er's father signed, he obviously didn't know much about what to do, only knew that he had to cut open Gu'er's stomach and treat the disease.
Then, Gu'er's father knelt down for Zhang Sijiu: "Little lady Zhang, you must save Gu'er." Gu'er is only fifteen years old, and she hasn't married a daughter-in-law yet! Our family is such a lone seedling, if there is no him, my mother and I can only die together! ”
His mother also knelt down: "Yes, if Gu'er is gone, we can only die with the child!" Little lady Zhang, as long as you cure Gu'er, we will give you all the money! ”
Zhang Sijiu avoided getting out of the way and promised: "Don't worry, I will do my best." ”
After saying that, I hurriedly went to prepare for surgery.
Appendicitis surgery is actually not difficult, that is, the stomach is opened, and then the appendix is found, and then the inflamed appendix is cut off, the intestine is sutured, and the abdominal cavity is sutured, which is to observe and reduce inflammation.
But it doesn't seem difficult, but the risk is also very high.
Especially in the case of perforation, the risk increases exponentially.
Zhang Sijiu saw that Gu'er reacted so much, and was a little suspicious that an appendix perforation had already occurred - so she always had a little bad worry in her heart.
The operation was ready, Qi Jing also brought people here, and Zhang Sijiu and they began to operate.
When the abdominal cavity was opened and the appendix was found, the entire appendix was swollen and blackened.
(End of chapter)