Chapter 31: The Patient Gets Wrong

The sudden scolding made everyone in the conference room stunned.

turned his head to look, only to see Liu Guowei walking in.

"Liu Guowei, what are you crazy about?!"

Peng Tao is also a figure with a head and a face in the Third Hospital, and it is the first time he has been scolded in front of so many people.

"Not only is Lao Tzu crazy today, I'm going to beat you!"

Seeing that Liu Guowei was really about to rush up, everyone hurriedly stepped forward to stop him.

"Deputy Director Liu, what do you have to say!"

"Yes, yes, calm down first!"

"It's completely unnecessary for everyone to have a colleague!"

"Yes, you can't look up and look down, don't be impulsive."

“……”

Just when everyone was dissuading me from saying a word, someone suddenly pointed to the big screen of the live broadcast of the operation and shouted, "No, Deputy Director Liu is here, who is in the operating room?" ”

Peng Tao was also stunned, and then said with a smile, "It is worthy of our Deputy Director Liu, a small appendicitis operation also requires a flying knife, but you really have it." ”

"If you can't do it, say it early, it's a waste of time!"

Everyone also pulled the corners of their mouths, and those present were the backbone of the Third Academy.

Everyone knows that Liu Guowei is well-connected and likes to invite flying knives.

But this appendicitis surgery...

Isn't it a bit too big to overdo it?

"Chew your tongue so much, I'm not done with you today!"

Liu Guowei was completely furious.

At this moment, Fu Qing slapped the table, "Enough!" ”

Only then did Liu Guowei notice that the dean was also there, "Peng Tao, you are really ruthless!" ”

The other party knew that the new dean had not been waiting for him, and now he invited the dean to do such a show, where is the director fighting for, it is clear that he wants to sweep him out of the house and drive him out of the third hospital.

Everyone is a colleague, Liu Guowei never expected Peng Tao to be so vicious.

Peng Tao smiled, "I said Liu Guowei, isn't it just a simple appendicitis operation, are you concerned?" ”

"Simple appendicitis surgery?"

Liu Guowei smiled, turned his head behind him and said, "Cheng Yi, you come!" ”

Only then did Peng Tao notice Cheng Yi at the back of the crowd.

"Why are you here?"

Cheng Yi is the attending doctor of the emergency department, and he should be on duty in the department at this time.

"Director, I..."

Seeing Cheng Yi's support, Peng Tao's heart tightened.

I was the patient who sent Cheng Yi to send him to the general delivery before, could something have happened?

"Say, what's going on?"

"Director, I... I got the patient wrong! ”

"What ?!!"

……

In the operating room,

The assistant doctor and the little nurse are in a panic!

Appendicitis during pregnancy in pregnant women is very likely to cause inflammation to spread.

If not treated properly, it can cause other problems, such as diffuse peritonitis or perforated appendix.

Once the inflammation spreads to the uterus and the toxins are absorbed, it can cause premature birth or even miscarriage.

Especially in the second and third trimesters of pregnancy, the female pelvic organs are congested and the appendix is also congested, and the inflammation will spread more rapidly.

Once necrosis and perforation occur, it will pose a serious threat to the lives of both mother and child.

The three of them panicked, not knowing what they could do now.

Then

"Wet yarn pads."

"Arc Hook No. 4."

"Metronitre."

"Warm saline."

“……”

"Ready!"

On the operating table, Li Xiyang shouted out a series of surgical instruments.

When I looked up, the three of them were still in a daze.

"Hurry!"

"Oh oh oh!"

Coming back to their senses, the three of them hurried to prepare.

Li Xiyang lowered his head and once again set his eyes on the patient's B ultrasound.

As the uterus enlarges, the cecum and appendix gradually shift upwards and outwards.

So this surgery can no longer be laparoscopic, it must be open.

And this incision point, which cannot be done with ordinary appendicitis surgery, must be determined according to the size of the uterus.

In general, at the end of the 3rd month of pregnancy, the base of the appendix will be located 2 transverse fingers below the iliac crest;

At the end of 5 months, the base of the appendix will be at the iliac crest level;

At the end of 8 months, it will reach the place where 2 horizontal fingers are located on the iliac crest.

If the patient is 22 weeks pregnant...

It should be here.

Li Xiyang judged the location of the incision.

"The patient leans slightly to the left to move the enlarged uterus to the left." ”

"Be careful that the procedure should be as gentle as possible to avoid irritation of the uterus."

"Okay Dr. Lee!"

When the patient was in the correct position, Li Xiyang took the scalpel handed by the assistant, "Now make an incision next to the right rectus abdominis muscle that is higher than the McCephalic point." ”

The voice fell, and an incision appeared.

"The pregnancy time is long, the uterus is large, and the surgical field is not well exposed."

No. 4 arc retractor, gently pull the uterus to the lower left...

Wet gauze pad to protect the fundus...

The inflammation of the appendix was found to be more severe,

Passing 0.5% concentration of metronitrite solution, combined with warm normal saline, continuously cleansing the abdominal cavity...

Hand the small gauze strip and wipe the exudate clean...

Complete!

"Dr. Li, I see the appendix."

"Local inflammation, it hasn't started to spread yet!"

The two assistant doctors looked excited, and at the same time shocked by Li Xiyang's operation just now.

The two of them saw clearly that from the moment Li Xiyang went under the knife just now, all operations were like flowing water, without the slightest stagnation.

The whole process looks simple, but anyone who has actually experienced surgical practice knows that the level is absolutely terrifying.

And he is still so young, where did Deputy Director Liu invite this high-end master?

The little nurse on the side stared at Li Xiyang with big eyes and blinking.

Young, handsome, and so capable.

What girl isn't impressed?

Li Xiyang did not let up, because the next thing is the key to the success or failure of the operation.

Looking up at the three of them, he said, "The patient's appendix inflammation has begun to spread, and a drainage tube needs to be placed urgently, and the drainage tube will increase the irritation of the patient's uterus.

So we had to do it quickly, preferably within 10 minutes. ”

"What?"

"Ten minutes?"

The three of them were stunned.

Open surgery for appendicitis is generally about 30 minutes to an hour, and this is still acute appendicitis during pregnancy.

The longer the time is delayed, the more dangerous the patient is, Li Xiyang didn't have time to explain too much to them, and said directly, "During the operation, the patient is likely to have hypoxia and low blood pressure, so I need you to be highly vigilant and report the patient's vital signs to me at all times." ”

The three of them looked at each other, all of them in disbelief.

Is there anyone who can do an open surgery in 10 minutes?

But I couldn't help but recall Li Xiyang's miraculous operation just now,

Maybe it's his words, it's really possible.

At that moment, his expression was solemn, "Okay Doctor Li!" ”

Li Xiyang nodded.

"Let's get started!"