A hundred days after signing in, the first surgery shocked the world!

"What? Dr. Lim had another surgery? "

Soon, the story of Lin Feng's surgery once again circulated within the hospital.

"This time it's cutting the spleen?"

"In front is the heart, the pancreas, now the spleen... I'm Di Mom, is there anything else that Dr. Lin won't do? "

"I heard that the medical office thought that the operation was very good, and decided to send us a video to learn."

"Study again, I like it!"

"The video of pancreatitis last time, I haven't finished studying, and the more I think about it, the more I feel that Dr. Lin is awesome."

"I was thinking, I probably came to the hospital to make up the numbers, right?"

"Count together!"

"Same number +1!"

"+10,000!"

"I was curious about what the next operation would be."

"Appendicitis, after all, Dr. Lin has not cut the appendix."

"This kind of minor operation, hand to hand!"

"Direct minimally invasive oral endoscopic surgery is enough, and seppuku is not required."

"Appendice: Feel offended ~~~~"

......

......

Lin Feng's side once again fell into daily patient reception.

Cold and fever... Cardiovascular and cerebrovascular... Pancreatitis...... Alcoholism...... Diseases of the digestive tract....

Every disease is different, which is quite interesting.

Soon,

A female patient in her 40s, supported by her husband, walked into the emergency room.

Lin Feng: "What's the situation?" "

Female patient: "Doctor, I have a stomachache right now..."

Lin Feng nodded: "Stomach pain, dull pain, sharp pain, what kind of pain are you?" "

The female patient thought for a moment: "Dull pain. "

Lin Feng took note of the computer and asked, "Are there any others?" "

Female patient: "A little disgusting, can't eat, lack of strength, weakness ..."

Lin Feng: "Disgusting? Vomiting? Do you have a fever? Diarrhea? "

Female patient: "No vomiting, no fever, no diarrhea." "

Lin Feng: "How old is it..."

Female patient: "49 years old. "

Lin Feng: "What was the last menstrual period." "

Gynecology, stomach pain may be menstrual pain, so ask clearly, otherwise it is easy to make jokes and easy to misjudge.

Female patient: "Menstruation on the 12th of last month..."

Lin Feng: "It's the 10th, will it be menstruation?" "

Female patient: "But I didn't have painful menstruation before..."

Lin Feng nodded, but it could not be ruled out that it was painful menstruation.

After asking a few more questions, Lin Feng began to give the female patient a physical examination.

Examination results: deep tenderness in the lower abdomen and right lower quadrant.

I tried the "gallbladder tenderness test" to see if it was acute inflammation of the gallbladder, and ruled out this possibility after the examination.

Then several other experiments were done: "psoas muscle test", "colonic inflation test", "obturator internal muscle test"...

Results: Three positives.

In the end, Lin Feng made a rough judgment in his heart.

"Appendicitis!"

However, Lin Feng did not tell the female patient his guess, because more detailed auxiliary examinations are needed, otherwise it is easy to overturn.

Brush brush brush ~~~

Lin Feng opened several orders: blood routine examination, urine routine examination, abdominal ultrasound, CT...

Take it to the supervising doctor Zhang Yuan to sign.

"Go and do these checks..."

"Yes, Doctor."

The patient was very obedient and quickly went for the relevant examinations.

Next, Lin Feng received a few more patients, and it took almost an hour, and the female patient returned with the test results.

"Doctor, this is the result of the examination..."

"I'll take a look."

Lin Xuan took the checklist and looked at it.

The neutrophil ratio is significantly increased.

Urinalysis: to rule out urinary tract infections or urinary tract stones.

Blood amylase and lipase determination: to exclude acute pancreatitis.

β-hcG measurement: to exclude ectopic pregnancy.

· CT examination: thickened appendix, blurred surrounding fat swelling, suspected appendicitis

· Ultrasound: The diameter of the appendix is greater than 6mm

Lin Feng nodded.

Combined with these examinations, it can already be determined that this is appendicitis and it is absolutely not wrong.

The female patient covered her stomach pain: "Doctor, how?" "

Lin Feng: "It can be determined that it is appendicitis, I will make a bill, you are ready to be admitted to the hospital and have surgery..."

The female patient's face changed and she was shocked: "Huh? Appendicitis? Actually need surgery? Can I do without surgery? "

The husband also said: "Yes, there is no need for surgery, right?" "

Although appendicitis is famous, in fact, many ordinary people do not know it.

When I heard that I was going to have surgery, I couldn't help but be afraid.

Because they don't understand it, they think that surgery is very 'dangerous', a very big event!

"Don't worry, appendicitis is just a minor operation." Lin Feng showed a bright smile and comforted.

Then popularized the knowledge of appendicitis.

After the female patient and husband listened, they couldn't help but let go of their hearts.

The female patient nodded: "Okay, I listen to the doctor, do this operation." "

Lin Feng: "There are two kinds of appendix surgery:"

"One is "laparoscopic appendectomy", which has the advantage of smaller wounds, faster recovery, early discharge, and lower probability of complications. The disadvantages are that it is more expensive and the operation time is longer. "

"One is "open appendectomy", which is a little more likely to have complications, but it costs less."

The female patient discussed with her husband and finally chose "open appendectomy" because they were a little worse financially.

Lin Feng smiled: "Then go through the formalities." "

The husband went to pay the bills and apply for admission.

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ps: Appendix, many people say it's useless, but it's not. The appendix plays an important role in the fetus and adolescence. The appendix in adults is mainly related to immune function, peaking around the age of 20, then rapidly declining and disappearing by the age of 60.

Causes of appendicitis: The appendix wall is rich in lymphoid tissue, and it is itself a degenerate organ, which is easy to become a breakthrough for germs, causing bacterial invasion and causing infection.