Rebirth in the medical world

Chapter 66 Intestinal volvulus

what's the situation?Could it be an alien?Before Ouyang Chenhui was ready to take the move, Jin Mao San fell to the ground by himself.

"God can testify, I really didn't do anything!" Ouyang Chenhui shrugged his shoulders towards the stunned two people on the ground.

The rat didn't care about the pain in his butt, so he quickly got up and rushed to the golden retriever, "Brother San, what's going on?"

The Golden Retriever's face was pale from the pain, and he was sweating profusely.No one could speak, but pointing feebly at his stomach.

abdomen?

Ouyang Chenhui narrowed his eyes, and slowly looked into his abdominal cavity, omentum, and various organs, and finally his gaze was fixed on the intestine, and immediately, he understood the problem.

It turned out that the cause of the golden retriever's pain was a sudden intestinal torsion
What is volvulus?In layman's terms, the intestinal tract is twisted together like twisted twists. After volvulus, the intestinal cavity is compressed and narrowed, causing obstruction, twisting and compression, affecting the blood supply of the intestinal tube, and directly causing strangulated intestinal obstruction. .

Acute small bowel volvulus is more common in young adults.There are often triggering factors such as vigorous activities after a full meal. At noon, the brothers of the Golden Retriever Sanyi just ate the Overlord Meal on Xicheng Road. collapsed.

"Third brother!" After all, the mouse is still young and has never seen anything in the world. There is one lying on the ground whose shoulder joints have been removed. Now the leader has fallen to the ground in an unexpected situation. He really doesn't know what to do. .

"Third brother, how about I take you to the hospital?" After hesitating for a long time, the mouse still opened his mouth. He knew that the most annoying thing for the golden retriever was to go to the hospital, but the situation was so pressing, it seemed that there was only one way up.

Although Jin Maosan was in unbearable pain, he knew very well in his heart that this time things were not done well, and he even got himself into the hospital. How will the boss think of him in the future?I'm afraid that if he is ridiculed by everyone in the gang, it will be more difficult to get mixed up.

So, holding back the pain, the third golden retriever resolutely shook his head, isn't it a shame to be on this road?What's the point if you don't even want your face?

"Third brother, I, I can't do it anymore, I have to go to the hospital, this arm of mine is about to fail!" Originally, Heizi kept silent and wanted to wait for the third brother to speak to send him to the hospital, but now the third brother himself Resisting not to go to the hospital, I will definitely not send myself to the hospital.He is still a rookie, so he doesn't want to be crippled before he develops!

"Third brother..." The mouse looked at the two lying on the ground, one screamed with his arms covered, the other bent over, his facial features twisted and sweating profusely.

"What's the point of trying to be strong? The boss will give you a bonus? If you become disabled later, see if your boss will give you a pension!" Ouyang Chenhui wanted to let them go and let them enjoy it, but in the end he didn't Hold back, the doctor's parents are heartbroken, they can't help but step forward to save a patient when they see a patient.

Although he was complaining, he still stepped forward and knelt down in front of Jin Maosan.

Intestinal volvulus is a kind of serious mechanical intestinal obstruction. Intestinal strangulation and necrosis often occur in a short period of time. The mortality rate is 15% to 40%. The main cause of death is often too late to see a doctor or treatment delay. Timely surgical treatment.

The purpose of the operation is to reverse the twisted intestinal loop in the opposite direction of its twist and reset.Because the naked eye can't see where the torsion is, it is basically necessary to get a knife, and some necrotic intestines even need to be resected.

Ouyang Chenhui has basically positioned himself using his clairvoyant eyes, so what he has to do next is to use the strength of his hands as much as possible to quickly reset those twisted intestines!
Ouyang Chenhui remembers that there are two non-surgical methods. One is the bumping method. The patient takes the knee-elbow position and increases the distance between the knee and elbow to fully expose the lower abdomen.The surgeon stands on one side of the hospital bed, puts both hands together on the lower abdomen of the patient, then raises the abdomen and suddenly relaxes, gradually aggravating the bumps, focusing on the navel and lower navel.If the abdominal distension is obvious, you can shake the abdomen from side to side and up and down repeatedly. Generally, it lasts for 3 to 5 minutes and then rest for a while, at least 3 to 4 times in a row.Usually after 1 or 2 bumps, there is a sense of lightness and the symptoms are relieved.

This requires physical strength. Although Golden Retriever San is relatively capable, he still has sixty to seventy kilograms. He must not be able to bear it after such a lot of tossing, so Ouyang Chenhui didn't plan to use this method.

Another method is massage therapy. The patient takes the supine position, smears talcum powder on the abdomen, and then gently strokes from the xiphoid process to the lower abdomen for 2 to 3 minutes. The patient feels comfortable.Then massage around the abdomen, but it must be in the opposite direction to the twist, otherwise the twist will be aggravated.When the massage is effective, the resistance of the abdomen becomes soft. At this time, hyperactive bowel sounds can often be heard, and there is also the sound of breath passing water.

This method is much easier for him, because he can clearly see the direction of intestinal torsion, and the effect of reset can be seen clearly.

Therefore, he resolutely put Jin Maosan's bowed body down slowly!
"What do you want to do?" Seeing that Ouyang Chenhui didn't say a word, he came up and directly pushed Jin Maosan down, the mouse was a little scared!There are two lying on the ground at this moment, and I can't help but fight, if they take the opportunity to counterattack, then I will be miserable.

"Of course it's saving people! I'm a doctor in the future! Not a gangster!" Ouyang Chenhui didn't want to waste his time, this volvulus is also a fight for time, if the intestinal tract is in a state of ischemia and necrosis for a long time, then it will be true. It's time for surgery!

Jin Maosan looked at Ouyang Chenhui with suspicious eyes, but he didn't even resist, but there was something strange in his eyes.

Putting him in a good position, Ouyang Chenhui rubbed his hands together, and pressed down as gently as possible. Wherever he could see, he could clearly see the direction of intestinal twisting, and he slowly pushed and held it in the opposite direction.

Golden Retriever felt relaxed for a while, and gradually he didn't feel so much pain.After a few minutes, the pain was completely gone!
Before Ouyang Chenhui asked him to get up, he straightened up like a carp, and jumped up very chicly!

Seeing that he was alive and kicking like he had just been injected with stimulants, Ouyang Chenhui felt relieved, got up slowly, and prepared to leave this place of right and wrong!

"Wait a minute!" Seeing that Ouyang Chenhui was about to get out of the way, Jin Maosan immediately stopped him, Jin Maosan is not an ungrateful person, and today he was here to teach Ouyang Chenhui a lesson, but he got down first instead, Not only didn't people make trouble, but instead they helped each other out, what an honorable thing!As a person who wanders in the rivers and lakes, he still understands these rules!

"May I ask your surname and great name!" Jin Maosan's face was sincere at the moment, and he couldn't see the domineering before.

"Ouyang Chenhui!"

"Thank you for saving my life, I will definitely come to the door to thank you another day!"

"No, I'm just a student and I don't like getting involved with you!"

After finishing speaking, Ouyang Chenhui turned around and strode away.

"And me, my arm, my arm..."

(End of this chapter)