Da Song a knife
Chapter 599 Intestinal Carbuncle
Chapter 599 Intestinal Carbuncle
When Zhang Sijiu rushed out, the patient was writhing in pain.
A few people couldn't hold it down in a daze.
The patient was a fourteen or fifteen-year-old boy, howling and rolling, looking a little scary.
His parents came with him, pulling and persuading him, but it was of no use.
Seeing Zhang Sijiu coming, the doctor at the Imperial Medical Office hurriedly said: "Miss Zhang, the patient refuses to cooperate. If this continues, we can only tie him up."
Zhang Sijiu was speechless: "One presses the arm, the other presses the leg, press first."
The patient howled and shouted: "It hurts me, it hurts me! I'm going to die!"
His mother burst into tears immediately: "You bear it, bear it, if it hurts, tell the doctor—"
His father held him down reluctantly, but couldn't hold him.
Zhang Sijiu shouted loudly: "Deng Wen! Deng Wen!"
Deng Wen immediately stepped forward, and then followed Ting Yun from left to right, firmly holding him down.
In fact, if the child hadn't struggled too much, Deng Wen could hold it down by himself.
However, a boy of fourteen or fifteen years old has already approached the size of an adult and is full of energy, so after struggling desperately, it is really a bit difficult to hold it down.
Deng Wen pinched the boy tightly, but his father and mother rushed up and slapped Deng Wen: "Let go, let go, the child will be crushed!"
The boy even cried out in pain.
Zhang Sijiu couldn't stand it anymore, and pulled his mother over: "When is this? Let someone go crazy? If you don't want to hold it down, let us do it! How can he treat him like this? If the illness is delayed, Who does it belong to?"
You know, the more serious the disease is, the less it can be delayed.
The boy's mother cried: "But the child hurts. Hold him down, he hurts, this is enough to suffer—"
Just from this sentence, it is not difficult to see how much this family loves and loves their children.
Zhang Sijiu laughed angrily: "What time is this? Do you still think about this? Life is lost? We are not allowed to do anything, why don't you treat it?"
The boy's father finally had a sense of reason: "Then cure quickly, cure quickly. Get cured early and suffer less."
After speaking, he pulled the boy's mother away.
So Zhang Sijiu and the people from the Imperial Medical Office started to check the pulse with each hand.
But before he had time to check his pulse, Zhang Sijiu was startled by the scalding tentacles.
This temperature is too hot!Zhang Sijiu judged that it was probably approaching forty degrees.
Belong to high fever!
Just as he was startled, the boy suddenly started to tremble, and unconsciously twitched—febrile convulsion!
Zhang Sijiu hurriedly shouted: "Fever convulsion, bloodletting!"
The Tai Medical Office is very skilled in handling such things. One of them took out a bloodletting silver needle and pricked the acupuncture point a few times to bleed out a little blood.
The effect was immediate, and the person calmed down.
But also passed out.
Looking at the situation, Zhang Sijiu felt that it was difficult: the patient was in a coma, what should be done for the next questioning and palpation?
If it is modern, it is easy to do, just do CT directly.
Now... Zhang Sijiu could only turn his head to look at the teenager's parents: "When did he have a fever?"
His mother said: "It started in the morning, and I had a stomachache last night. We took medicine and rubbed our stomachs, and then fell asleep. When we woke up, it was early in the morning. At that time, it was a little hot to the touch. .Later he complained of a stomach ache, and then took medicine and rubbed his stomach, but it didn’t help.”
"We saw that he was in severe pain, so we brought him here."
His mother was very nervous at the moment: "Miss Zhang, we know that you are good at medicine, so you must save our Gu'er."
In fact, as soon as Zhang Sijiu heard that it was a stomachache, several possibilities had already popped up in his mind - cholecystitis, appendicitis, falling kidney stones and so on.
But these are different areas of the abdomen, and palpation and pressing are still needed to distinguish which organ is the problem.
Zhang Sijiu looked towards the Imperial Medical Office: "Is there anything you can do about this situation?"
The doctor from the Imperial Medical Office only said softly: "From the pulse condition, it is more likely to be an intestinal abscess. In this case, it can only be cured by promoting blood circulation to remove blood stasis, softening and resolving hard masses. His condition is too serious, and he needs to moisten the intestines." Just wait—but it will take time, his condition is so serious, I'm afraid he won't be able to endure it."
Zhang Sijiu understood that it took time for the medicine to take effect, but such a high fever might be acute appendicitis.
Such a situation, can't wait.
Later, the appendix will be perforated, contaminating the entire abdominal cavity and affecting other organs.
Zhang Sijiu made a decisive decision: "Let's prepare for the operation."
This time, without Zhang Sijiu's instructions, the Imperial Medical Office went to call Qi Jing.
Also helped to get the sputum scattered.
After Mafeisan was poured down, Zhang Sijiu asked Deng Wen to take the patient to the operating room, and he explained the situation to the family members intensively, asked the family members to sign the consent form for the operation, and made preparations in mind.
Zhang Sijiu spoke quickly for a long time, but Gu'er's parents obviously didn't listen to much, and instead turned pale with fright: "What? Someone will die? How can someone die? It's just a stomachache——"
"The situation is serious, and there is a risk and probability of death, but our doctor will do our best. Time is urgent, will you sign or not? Time is fate at this moment." Zhang Sijiu was a little helpless, but there was no time to explain so much now.
Zhang Sijiu's eagerness made Gu'er's parents even more nervous.
In the end, although Gu'er's father signed the contract, he obviously didn't know what to do. He only knew that he had to cut Gu'er's stomach open for treatment.
Then, Gu'er's father knelt down to Zhang Sijiu: "Miss Zhang, you must save Gu'er. Gu'er is only 15 years old and hasn't married a wife yet! Our family is just a single seedling. If we don't have him , me and his mother can only die together!"
His mother also knelt down: "Yes, if Gu'er is gone, our husband and wife can only die together with the child! Miss Zhang, as long as you cure Gu'er, we will give you all the money! "
Zhang Sijiu backed away and promised, "Don't worry, I will do my best."
After speaking, I hurried to prepare for surgery.
Appendicitis surgery is actually not difficult. It is to open the stomach, find the appendix, cut off the inflamed appendix, suture the intestines, let them go back and straighten them, and then suture the abdominal cavity, which is to observe and reduce inflammation.
But it seems not difficult, the risk is also great.
Especially if there is a perforation, the risk is multiplied.
Zhang Sijiu looked at Gu'er's reaction, and suspected that she had a perforated appendix—so she always had a little bit of worry in her heart.
After the operation was ready, Qi Jing also brought people here, and Zhang Sijiu and the others started the operation.
When the abdominal cavity was opened and the appendix was found, it was already swollen and black.
(End of this chapter)
When Zhang Sijiu rushed out, the patient was writhing in pain.
A few people couldn't hold it down in a daze.
The patient was a fourteen or fifteen-year-old boy, howling and rolling, looking a little scary.
His parents came with him, pulling and persuading him, but it was of no use.
Seeing Zhang Sijiu coming, the doctor at the Imperial Medical Office hurriedly said: "Miss Zhang, the patient refuses to cooperate. If this continues, we can only tie him up."
Zhang Sijiu was speechless: "One presses the arm, the other presses the leg, press first."
The patient howled and shouted: "It hurts me, it hurts me! I'm going to die!"
His mother burst into tears immediately: "You bear it, bear it, if it hurts, tell the doctor—"
His father held him down reluctantly, but couldn't hold him.
Zhang Sijiu shouted loudly: "Deng Wen! Deng Wen!"
Deng Wen immediately stepped forward, and then followed Ting Yun from left to right, firmly holding him down.
In fact, if the child hadn't struggled too much, Deng Wen could hold it down by himself.
However, a boy of fourteen or fifteen years old has already approached the size of an adult and is full of energy, so after struggling desperately, it is really a bit difficult to hold it down.
Deng Wen pinched the boy tightly, but his father and mother rushed up and slapped Deng Wen: "Let go, let go, the child will be crushed!"
The boy even cried out in pain.
Zhang Sijiu couldn't stand it anymore, and pulled his mother over: "When is this? Let someone go crazy? If you don't want to hold it down, let us do it! How can he treat him like this? If the illness is delayed, Who does it belong to?"
You know, the more serious the disease is, the less it can be delayed.
The boy's mother cried: "But the child hurts. Hold him down, he hurts, this is enough to suffer—"
Just from this sentence, it is not difficult to see how much this family loves and loves their children.
Zhang Sijiu laughed angrily: "What time is this? Do you still think about this? Life is lost? We are not allowed to do anything, why don't you treat it?"
The boy's father finally had a sense of reason: "Then cure quickly, cure quickly. Get cured early and suffer less."
After speaking, he pulled the boy's mother away.
So Zhang Sijiu and the people from the Imperial Medical Office started to check the pulse with each hand.
But before he had time to check his pulse, Zhang Sijiu was startled by the scalding tentacles.
This temperature is too hot!Zhang Sijiu judged that it was probably approaching forty degrees.
Belong to high fever!
Just as he was startled, the boy suddenly started to tremble, and unconsciously twitched—febrile convulsion!
Zhang Sijiu hurriedly shouted: "Fever convulsion, bloodletting!"
The Tai Medical Office is very skilled in handling such things. One of them took out a bloodletting silver needle and pricked the acupuncture point a few times to bleed out a little blood.
The effect was immediate, and the person calmed down.
But also passed out.
Looking at the situation, Zhang Sijiu felt that it was difficult: the patient was in a coma, what should be done for the next questioning and palpation?
If it is modern, it is easy to do, just do CT directly.
Now... Zhang Sijiu could only turn his head to look at the teenager's parents: "When did he have a fever?"
His mother said: "It started in the morning, and I had a stomachache last night. We took medicine and rubbed our stomachs, and then fell asleep. When we woke up, it was early in the morning. At that time, it was a little hot to the touch. .Later he complained of a stomach ache, and then took medicine and rubbed his stomach, but it didn’t help.”
"We saw that he was in severe pain, so we brought him here."
His mother was very nervous at the moment: "Miss Zhang, we know that you are good at medicine, so you must save our Gu'er."
In fact, as soon as Zhang Sijiu heard that it was a stomachache, several possibilities had already popped up in his mind - cholecystitis, appendicitis, falling kidney stones and so on.
But these are different areas of the abdomen, and palpation and pressing are still needed to distinguish which organ is the problem.
Zhang Sijiu looked towards the Imperial Medical Office: "Is there anything you can do about this situation?"
The doctor from the Imperial Medical Office only said softly: "From the pulse condition, it is more likely to be an intestinal abscess. In this case, it can only be cured by promoting blood circulation to remove blood stasis, softening and resolving hard masses. His condition is too serious, and he needs to moisten the intestines." Just wait—but it will take time, his condition is so serious, I'm afraid he won't be able to endure it."
Zhang Sijiu understood that it took time for the medicine to take effect, but such a high fever might be acute appendicitis.
Such a situation, can't wait.
Later, the appendix will be perforated, contaminating the entire abdominal cavity and affecting other organs.
Zhang Sijiu made a decisive decision: "Let's prepare for the operation."
This time, without Zhang Sijiu's instructions, the Imperial Medical Office went to call Qi Jing.
Also helped to get the sputum scattered.
After Mafeisan was poured down, Zhang Sijiu asked Deng Wen to take the patient to the operating room, and he explained the situation to the family members intensively, asked the family members to sign the consent form for the operation, and made preparations in mind.
Zhang Sijiu spoke quickly for a long time, but Gu'er's parents obviously didn't listen to much, and instead turned pale with fright: "What? Someone will die? How can someone die? It's just a stomachache——"
"The situation is serious, and there is a risk and probability of death, but our doctor will do our best. Time is urgent, will you sign or not? Time is fate at this moment." Zhang Sijiu was a little helpless, but there was no time to explain so much now.
Zhang Sijiu's eagerness made Gu'er's parents even more nervous.
In the end, although Gu'er's father signed the contract, he obviously didn't know what to do. He only knew that he had to cut Gu'er's stomach open for treatment.
Then, Gu'er's father knelt down to Zhang Sijiu: "Miss Zhang, you must save Gu'er. Gu'er is only 15 years old and hasn't married a wife yet! Our family is just a single seedling. If we don't have him , me and his mother can only die together!"
His mother also knelt down: "Yes, if Gu'er is gone, our husband and wife can only die together with the child! Miss Zhang, as long as you cure Gu'er, we will give you all the money! "
Zhang Sijiu backed away and promised, "Don't worry, I will do my best."
After speaking, I hurried to prepare for surgery.
Appendicitis surgery is actually not difficult. It is to open the stomach, find the appendix, cut off the inflamed appendix, suture the intestines, let them go back and straighten them, and then suture the abdominal cavity, which is to observe and reduce inflammation.
But it seems not difficult, the risk is also great.
Especially if there is a perforation, the risk is multiplied.
Zhang Sijiu looked at Gu'er's reaction, and suspected that she had a perforated appendix—so she always had a little bit of worry in her heart.
After the operation was ready, Qi Jing also brought people here, and Zhang Sijiu and the others started the operation.
When the abdominal cavity was opened and the appendix was found, it was already swollen and black.
(End of this chapter)
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