Chapter 247: Appendix perforation
Because the appendix is located at the beginning of the colon, it is a blind tube with only one end opening, and the opening communicates with the colon, and the digestive juices, feces in the colon and other substances can enter the appendix cavity, but it is not easy to return to the digestive tract.
Therefore, when appendicitis occurs with an appendix perforation, pus and inflammatory substances in the appendix cavity, and even feces in the appendix cavity will flow into the entire abdominal cavity, and if left untreated, these pus and contaminants can cause serious abdominal infection. In more severe cases, sepsis may occur due to the absorption of pus and toxins, and even septic shock.
However, before, Lord Xie had passed out in pain and shock, and the body surface temperature had reached at least 40 degrees, which showed that now Lord Xie is in this situation, and the appendix has been perforated.
Appendix perforation is a serious complication for most patients with acute appendicitis who fail to be operated on in time.
The perforated appendix needs to be removed, abdominal pus removed, and the abdominal cavity flushed thoroughly.
In this ancient period, medical treatment was not developed, and there was no equipment to assist him, and Lord Xie was extremely dangerous now.
Even if Huang Shiso gave him surgery immediately to remove the appendix.
After perforation, sepsis is caused by abdominal infection, pus, and toxin absorption, and subsequent anti-infection treatment is required, which causes high fever, which is a little more difficult than other people who have the opportunity to survive the surgery.
"Doctor Xiaohuang, how is my husband doing now? If you have found the cause of my husband's disease, you can cure my husband's disease! Mrs. Xie on the side asked with a tight heart after seeing Huang Shisu's solemn look on her face.
"It's not going well, and you need to go under the knife right away.
People have internal organs such as internal organs, large intestine, and small intestine.
The reason for Mr. Xie's illness was that a small protruding small intestine in his left lower abdomen was infected, resulting in intestinal perforation.
Now it is necessary to remove that small section of perforated intestines and clean his abdomen, so that Lord Xie can be completely cured.
Let's not talk about how dangerous it is to use the knife, Lord Xie has dragged on for a long time, and his condition has further worsened.
After the knife, the chance of survival is less than fifty percent, and now it can't be delayed any longer, you have to start the knife immediately, delay for an extra quarter of an hour, and Lord Xie's chance of living will be one point less. Huang Zisu said to Mrs. Xie in a long story short.
As for Huang Zisu's previous chance of surviving is less than fifty percent, this just refers to her conventional way of saving people, if she uses those life-saving needles, the chance of Lord Xie surviving is as high as seventy percent.
"Here, please also ask Dr. Xiao Huang to use the knife for my husband.
No matter what happens afterwards, we will never blame Dr. Huang. Mrs. Xie didn't think much about it, so she said to Huang Zisu with a firm face.
They have also invited many doctors to treat their husbands before, but these doctors have not been able to solve their husband's pain under the prescription, and they have not yet found the cause of their husband's illness.
This little yellow doctor has only been here for so long! Just pressed a few times on his husband's right lower abdomen and asked a few questions, and then found the cause of his husband's illness and the way to treat it.
It can be seen that now only by listening to Dr. Xiao Huang can he have a chance to save his husband.
"Okay, now immediately prepare a bright knife room, and prepare a utensil for Lord Xie to lie down.
Do you have any things to use the knife here, bring them all, I'll pick what I can use, and prepare two special hoses for me.
In addition, I will prescribe a few prescriptions, and after the knife, feed them to Lord Xie to drink, and always be ready.
Ma Boiling San immediately fed it to Lord Xie to drink, and then prepared two people to move the knife with me, handed me a tool to move the knife, and one person was ready to perform the needle at any time to deal with emergencies. Huang Shisu saw that this matter should not be delayed, and she arranged it in an orderly manner.
After a while, the room where the knife was used was cleared, and Ma Boiling was scattered to feed Lord Xie in the afternoon.
Huang Shisu prescribed the medicine and asked Mrs. Xie to take it to her subordinates to grab the medicine and prepare it, and Huang Shisu also prepared the things that needed to be used one by one from the knife tools brought by the three doctors.
in a temporary operating room.
After Huang Shiso was ready, she took a deep breath, looked for the place of appendicitis, made two diagonal incisions, cut a six-centimeter-sized incision, and opened the abdominal cavity.
After opening the abdominal cavity, Huang Shisu looked from the outside from the abdominal cavity of Lord Xie, and sure enough, it was the same as what she said before, acute appendicitis, due to the delay for too long without surgery, the appendix has been suppurated and rotten, and the appendix can no longer be found after surgery.
And the two doctors who followed Huang Zisu to the knife also saw the situation in Lord Xie's abdominal cavity, they were surprised that Lord Xie's abdominal cavity was so bad, fortunately, it was Dr. Xiao Huang who came to treat Lord Xie, if he didn't use the knife and continued to delay like this, Lord Xie's abdominal cavity would directly rot and die.
After the appendix is suppurated and cannot be found, as in this case, drainage is required, that is, two tubes are placed in the ileocecal area of the appendix to drain out the pus and infected things.
After draining the pus and infection, and cleaning the abdominal cavity, the wound can be sutured, and the subsequent treatment is anti-infection.
Yellow perilla is so easy to say, but it is extremely time-consuming, laborious and mind-consuming to do, and it is even more difficult to fight infection in the future.
After carefully draining the pus and infected things, Huang Shisu deliberately cut the wound two centimeters longer in order not to damage other organs in the abdomen, because she also had to clean up the perforation, and the feces in the tail cavity would flow into the abdominal cavity, and the opening would be wider, so that she could clean up the dirt in the abdominal cavity.
In order to avoid the second operation and avoid the abscess not being cleaned up, it took an hour for Huang Shisu to clean up and suture the wound.
"Okay, the source of the cause has been removed, and then it's up to Master Xie to get through this dangerous period of using the knife.
The two of you also know how to give Master Xie medicine and acupuncture next, and I will leave it to you next. After Huang Zisu stitched up Master Xie's wound, she said to the two doctors who followed her knife.
"Dr. Huang is amazing! Not only did he find the cause of Lord Xie's illness in a very short period of time, but he also used the knife to eradicate the cause.
His knife technique is proficient, which shows that Dr. Huang has a lot of kung fu. "Seeing the doctor who used the knife in Huang Shisu throughout the whole process, I was amazed that Huang Shisu was so powerful.
It's really the back waves of the Yangtze River pushing the front waves, and it's not okay to be old if you don't accept the old, and sure enough, the name of Dr. Xiao Huang is worthy of his name.
Huang Zisu smiled, didn't say much, and after cleaning his hands, he went out of the temporary operating room and told Mrs. Xie so that she would not worry