Fleeing from famine and farming: I made a fortune by relying on medical skills
Chapter 247 Perforated appendix
Because the appendix is located at the beginning of the colon, it is a blind tube with only one end open, and the opening communicates with the colon. Digestive fluid, feces and other substances in the colon can enter the appendix cavity, but it is not easy to return to the digestive tract.
Therefore, when appendix perforation occurs in appendicitis, the pus and inflammatory substances in the appendix cavity, and even the feces in the appendix cavity will flow into the entire abdominal cavity. If not treated in time, these pus and pollutants will cause severe abdominal infection .Severe cases may cause sepsis and even septic shock due to the absorption of pus and toxins.
However, Master Xie had already passed out from pain and went into shock before, and his body temperature had reached at least 40 degrees. It can be seen that in Master Xie's situation, his appendix has been perforated.
Perforation of the appendix is a serious complication in most patients with acute appendicitis when surgery is not performed in time.
Resection of the perforated appendix, removal of peritoneal pus, and thorough irrigation of the peritoneal cavity are required.
In this ancient time, medical treatment was underdeveloped, and there was no equipment to assist, Mr. Xie is extremely dangerous now.
Even if Huang Zisu gave him an immediate operation to remove his appendix.
After the perforation, abdominal infection, pus, and toxins are absorbed to cause sepsis, followed by anti-infection treatment, which will inevitably cause high fever, which is a little more difficult than other people's chances of surviving after surgery.
"Little Doctor Huang, how is my husband's condition now? Have you found the cause of my husband's disease? You can cure my husband's disease!" Mrs. Xie who was on the side saw Huang Zisu's serious face, her heart tightened asked.
"The situation is not good and needs to be cut immediately.
People have viscera, large intestine, small intestine and other internal organs.
The reason Mr. Xie became ill was because a small protruding small intestine in his left lower abdomen was infected, which led to intestinal perforation.
Now it is necessary to remove that small section of perforated intestines, and then clean his abdomen, only then can Mr. Xie be completely cured.
Leaving aside how dangerous it is to use a knife, Mr. Xie dragged on for a long time, and his condition worsened further.
After using the knife, the chance of surviving is less than [-]%. Now we can't delay any longer, we have to use the knife immediately, if we delay for another quarter of an hour, the chance of Mr. Xie's surviving will decrease by one point. "Huang Zisu said to Mrs. Xie with a short story.
As for Huang Zisu's previous statement that the chance of survival is less than [-]%, this is just referring to her conventional methods of saving lives. If those life-saving needles are used, the chance of Mr. Xie's survival is as high as [-]%.
"Here, please ask little doctor Huang to give my husband the knife.
No matter what happens afterwards, we will never blame Dr. Huang. Madam Xie said to Huang Zisu with a firm face without thinking too much.
They also invited many doctors to see their husband before, but none of these doctors could solve their husband's pain after prescribing acupuncture, and they still haven't found the cause of his illness.
How long has this little doctor Huang been here!Just pressed a few times on my husband's lower right abdomen, asked a few questions, and found out the cause of my husband's illness and the way to cure it.
It can be seen that now only by listening to Dr. Huang, can he have a chance to treat his husband.
"Okay, now immediately prepare a bright room with a knife in it, and prepare a utensil for Mr. Xie to lie down in it.
Do you have any things for moving the knife here? Bring them all. I choose what I can use and prepare two special hoses for me.
In addition, I will prescribe a few prescriptions, and after the operation of the knife, I will feed it to Mr. Xie and drink it, so I am always ready.
Immediately feed Mafeisan to Mr. Xie and drink it. In addition, prepare two people to follow me to operate the knife, pass me a tool for moving the knife, and one person is ready to perform acupuncture at any time to deal with emergencies. "Huang Zisu saw that it was not too late, so she arranged it in an orderly manner.
After a while, the room where the knife was operated was cleared out, and Ma Feisan was fed to Mr. Xie for the afternoon.
Huang Zisu prepared the prescription and asked Mrs. Xie to give it to the servants to grab the medicine and prepare it. Huang Zisu also prepared the things that needed to be used from the knife tools brought by the three doctors.
In a makeshift operating room.
After Huang Zisu got everything ready, she took a deep breath, searched for the location of appendicitis, and made two oblique cuts, making a six-centimeter incision to open the abdominal cavity.
After the abdominal cavity was opened, Huang Zisu looked from the inside of Mrs. Xie's abdominal cavity from the outside, and it was indeed the same as what she said before. Acute appendicitis, due to too long a delay, the appendix was festered and rotten. After another operation, the appendix could no longer be found.
And the two doctors who followed Huang Zisu to move the knife also saw the situation in Mr. Xie's abdominal cavity. They were surprised that Mr. Xie's abdominal cavity was so bad. Fortunately, Doctor Xiao Huang came to treat Mr. Xie. If he didn't use the knife, he would continue like this If it is delayed, Master Xie's abdominal cavity will rot and die.
If the appendix suppurates 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 the pus and infection are drained, and the abdominal cavity is cleaned, the wound can be sutured, followed by anti-infection treatment.
Yellow perilla is so easy to say, but it is extremely time-consuming, labor-intensive, and mind-consuming to do, and it is even more difficult to fight infection in the future.
After carefully draining out the pus and infected things, Huang Zisu deliberately cut the wound two centimeters longer in order not to damage other organs in the abdomen, because she had to clean up the perforation, and the feces in the tail cavity would flow into the abdominal cavity Dirty things, the opening should be opened wider, so that it is convenient for her to clean up the dirty things in the abdominal cavity.
In order to avoid a second operation and prevent the abscess from being cleaned up, it took Huang Zisu an hour to clean it up and suture the wound.
"Okay, the source of the disease has been eliminated, the next thing is to see Mr. Xie survive this dangerous period of surgery.
The two of you also know how to give Mr. Xie medicine and acupuncture, and I will leave it to you. After Huang Zisu sewed up Master Xie's wound, she said to the two doctors who followed her.
"Little Doctor Huang is amazing! Not only did he find the cause of Mr. Xie's illness in a very short period of time, but he also used the knife to eradicate the cause.
He is familiar with the technique of moving the knife, which shows that Dr. Huang is very skillful. "The doctor who saw Huang Zisu wield the knife during the whole process was amazed that Huang Zisu was so powerful.
It's true that the waves behind the Yangtze River push the waves ahead, and it's not enough to refuse to obey the old. Sure enough, the name of Little Huang Doctor is well-deserved.
Huang Zisu smiled, and didn't say much. After washing her hands, she left the temporary operating room and told Mrs. Xie so she wouldn't worry about it.
Therefore, when appendix perforation occurs in appendicitis, the pus and inflammatory substances in the appendix cavity, and even the feces in the appendix cavity will flow into the entire abdominal cavity. If not treated in time, these pus and pollutants will cause severe abdominal infection .Severe cases may cause sepsis and even septic shock due to the absorption of pus and toxins.
However, Master Xie had already passed out from pain and went into shock before, and his body temperature had reached at least 40 degrees. It can be seen that in Master Xie's situation, his appendix has been perforated.
Perforation of the appendix is a serious complication in most patients with acute appendicitis when surgery is not performed in time.
Resection of the perforated appendix, removal of peritoneal pus, and thorough irrigation of the peritoneal cavity are required.
In this ancient time, medical treatment was underdeveloped, and there was no equipment to assist, Mr. Xie is extremely dangerous now.
Even if Huang Zisu gave him an immediate operation to remove his appendix.
After the perforation, abdominal infection, pus, and toxins are absorbed to cause sepsis, followed by anti-infection treatment, which will inevitably cause high fever, which is a little more difficult than other people's chances of surviving after surgery.
"Little Doctor Huang, how is my husband's condition now? Have you found the cause of my husband's disease? You can cure my husband's disease!" Mrs. Xie who was on the side saw Huang Zisu's serious face, her heart tightened asked.
"The situation is not good and needs to be cut immediately.
People have viscera, large intestine, small intestine and other internal organs.
The reason Mr. Xie became ill was because a small protruding small intestine in his left lower abdomen was infected, which led to intestinal perforation.
Now it is necessary to remove that small section of perforated intestines, and then clean his abdomen, only then can Mr. Xie be completely cured.
Leaving aside how dangerous it is to use a knife, Mr. Xie dragged on for a long time, and his condition worsened further.
After using the knife, the chance of surviving is less than [-]%. Now we can't delay any longer, we have to use the knife immediately, if we delay for another quarter of an hour, the chance of Mr. Xie's surviving will decrease by one point. "Huang Zisu said to Mrs. Xie with a short story.
As for Huang Zisu's previous statement that the chance of survival is less than [-]%, this is just referring to her conventional methods of saving lives. If those life-saving needles are used, the chance of Mr. Xie's survival is as high as [-]%.
"Here, please ask little doctor Huang to give my husband the knife.
No matter what happens afterwards, we will never blame Dr. Huang. Madam Xie said to Huang Zisu with a firm face without thinking too much.
They also invited many doctors to see their husband before, but none of these doctors could solve their husband's pain after prescribing acupuncture, and they still haven't found the cause of his illness.
How long has this little doctor Huang been here!Just pressed a few times on my husband's lower right abdomen, asked a few questions, and found out the cause of my husband's illness and the way to cure it.
It can be seen that now only by listening to Dr. Huang, can he have a chance to treat his husband.
"Okay, now immediately prepare a bright room with a knife in it, and prepare a utensil for Mr. Xie to lie down in it.
Do you have any things for moving the knife here? Bring them all. I choose what I can use and prepare two special hoses for me.
In addition, I will prescribe a few prescriptions, and after the operation of the knife, I will feed it to Mr. Xie and drink it, so I am always ready.
Immediately feed Mafeisan to Mr. Xie and drink it. In addition, prepare two people to follow me to operate the knife, pass me a tool for moving the knife, and one person is ready to perform acupuncture at any time to deal with emergencies. "Huang Zisu saw that it was not too late, so she arranged it in an orderly manner.
After a while, the room where the knife was operated was cleared out, and Ma Feisan was fed to Mr. Xie for the afternoon.
Huang Zisu prepared the prescription and asked Mrs. Xie to give it to the servants to grab the medicine and prepare it. Huang Zisu also prepared the things that needed to be used from the knife tools brought by the three doctors.
In a makeshift operating room.
After Huang Zisu got everything ready, she took a deep breath, searched for the location of appendicitis, and made two oblique cuts, making a six-centimeter incision to open the abdominal cavity.
After the abdominal cavity was opened, Huang Zisu looked from the inside of Mrs. Xie's abdominal cavity from the outside, and it was indeed the same as what she said before. Acute appendicitis, due to too long a delay, the appendix was festered and rotten. After another operation, the appendix could no longer be found.
And the two doctors who followed Huang Zisu to move the knife also saw the situation in Mr. Xie's abdominal cavity. They were surprised that Mr. Xie's abdominal cavity was so bad. Fortunately, Doctor Xiao Huang came to treat Mr. Xie. If he didn't use the knife, he would continue like this If it is delayed, Master Xie's abdominal cavity will rot and die.
If the appendix suppurates 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 the pus and infection are drained, and the abdominal cavity is cleaned, the wound can be sutured, followed by anti-infection treatment.
Yellow perilla is so easy to say, but it is extremely time-consuming, labor-intensive, and mind-consuming to do, and it is even more difficult to fight infection in the future.
After carefully draining out the pus and infected things, Huang Zisu deliberately cut the wound two centimeters longer in order not to damage other organs in the abdomen, because she had to clean up the perforation, and the feces in the tail cavity would flow into the abdominal cavity Dirty things, the opening should be opened wider, so that it is convenient for her to clean up the dirty things in the abdominal cavity.
In order to avoid a second operation and prevent the abscess from being cleaned up, it took Huang Zisu an hour to clean it up and suture the wound.
"Okay, the source of the disease has been eliminated, the next thing is to see Mr. Xie survive this dangerous period of surgery.
The two of you also know how to give Mr. Xie medicine and acupuncture, and I will leave it to you. After Huang Zisu sewed up Master Xie's wound, she said to the two doctors who followed her.
"Little Doctor Huang is amazing! Not only did he find the cause of Mr. Xie's illness in a very short period of time, but he also used the knife to eradicate the cause.
He is familiar with the technique of moving the knife, which shows that Dr. Huang is very skillful. "The doctor who saw Huang Zisu wield the knife during the whole process was amazed that Huang Zisu was so powerful.
It's true that the waves behind the Yangtze River push the waves ahead, and it's not enough to refuse to obey the old. Sure enough, the name of Little Huang Doctor is well-deserved.
Huang Zisu smiled, and didn't say much. After washing her hands, she left the temporary operating room and told Mrs. Xie so she wouldn't worry about it.
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