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

Diarrhea caused by a packet of pickled pepper claws!

Facing Lin Feng's questioning.

The patient said with an innocent face: "It was all right, I thought it would be okay to stop the drug, where would I think that the consequences would be so serious!"

"Stop the drug without authorization, that will lead to repeated symptoms!" said Lin Feng.

Proscar (finasteride) is originally the conversion of tissue testosterone to dihydrotestosterone, so it can treat prostate hypertrophy. Because the main factor of prostate hypertrophy is excessive androgens.

Basically, all men, as long as they live long enough, as long as they still have functional testicles, sooner or later will have an enlarged prostate, of course, generally after the age of 50.

Like this patient in his 40s, there are also prostatic hyperplasia, but it is rare.

After a pause, Lin Feng spoke: "You don't want your wife to know that you stopped the drug?

In the face of Lin Feng's questioning, the patient's face had a complicated expression, and after a moment sighed: "Hey, it's hard to say a word!

Faced with this mentality of the patient, Lin Feng did not intend to persuade, after all, everyone's perception of this kind of thing was different, and then said softly: "I still need to take medicine in the future, and I may need surgery!"

The patient's prostate hypertrophy is obviously aggravated, the urethra must be seriously blocked, otherwise the urinary catheter will not be able to be inserted, even if the urologist comes at this time, I am afraid that it can only solve the problem violently.

Lin Feng does not want this, violent solutions will only make the patient more painful, and some accidents occur repeatedly, which are all unstable factors.

However, the patient's bladder was about to explode, and he was panting, and he could not delay time any longer.

Cystocentesis!

Immediately, Lin Feng thought of this method.

That's right!

Just like the literal meaning, it is to use a thick needle, aim it at the bladder, insert it directly, and draw the urine out!

The patient was immediately told this method.

I thought that the patient would refuse, but I didn't expect that this time he was quite happy, gritting his teeth and agreeing.

It seems that the patient really can't hold back.

See the patient nod.

Lin Feng immediately went out to communicate with the patient's wife.

The advantage of puncture is that it can immediately draw urine out to relieve the patient's discomfort, and may immediately relieve heart failure, relieve breathing difficulties, and relieve the patient's danger.

The risk is that the puncture may cause bleeding, prick into other organs, or cause urine leakage, etc.

The patient's wife was already six gods and masterless at the moment, and when she heard that her husband had promised Lin Feng to undergo surgery, she naturally signed her name without saying a word.

For security, though.

Lin Feng still decided to push the patient to the ultrasound room first.

He had to see his swollen and urine-holding bladder before he could perform the operation.

Soon.

Lin Feng saw the result he wanted to see.

Immediately arrange for the manpower to start preparing for the operation.

Several regular training doctors have not seen cystocentesis, and Lin Feng explained by the way: "Cystocentesis is very simple, such a large bladder, you touch the most swollen place, just enter the needle, much simpler than passing blood vessels, piercing the pericardial cavity and so on!"

Routine disinfection cloth, local anesthesia.

Lin Feng held a thick needle, aimed at the patient's swollen bladder, and directly pierced it.

Although the patient is a little painful, it can be tolerated.

Compared to holding urine, this pain is nothing.

Soon.

The hot urine was pumped out by Lin Feng.

Pumped 500ml in one go.

Halfway through, it is obvious that the patient is much more comfortable.

After pumping 500ml, the patient's heart rate slowed down, there were more than 100 times, and his breathing was slightly smoother.

Now it seems!

The patient was indeed held back by urine!

Although 500ml is pumped, it is estimated that there is still a lot of urine in the bladder, but you can't pump too much and too fast at once to avoid any problems.

Completed.

Pull out the syringe.

Pressure to stop bleeding.

After returning to the ward.

Lin Feng explained to the patient: "Bladder puncture and urine is just an expedient measure. You can't pull it out now, the catheter can't go in, you still have to do surgery in the later stage, and the urethral obstruction still has to find a way to solve it. "

The patient and his wife nodded.

After the urine was released, it was observed for half an hour, and the effect could be said to be immediate.

The patient is still a little painful except for the bladder puncture location, and the rest of the discomfort is almost fine.

This also shows that Lin Feng's judgment is not wrong.

The patient is heart failure, but this heart failure is caused by urinary retention, not myocardial infarction, let alone pneumonia and other common diseases.

As for why there is acute urinary retention.

Very simple, the patient itself has prostatic hyperplasia, the urethra is originally a little with care, are better after taking Proliji, but helplessly appeared 1% sexual dysfunction, so I stopped the drug without authorization, did not expect that the urethral obstruction intensified, almost suffocated by a soak of urine.

Just before Lin Feng left, the patient asked, "Doctor, can I continue to take Baolizhi in the future?"

Lin Feng turned his head and replied, "I can't be sure of this for the time being, I'll wait until tomorrow to check your body." Perhaps, you need surgery, transurethral prostatectomy, minimally invasive, the results are very good. "

This time the patient did not say anything more!

As long as he can be cured, he doesn't need to take Paulech anymore, he doesn't need to feel this pain anymore, he can accept it.

Still, there is something to say here.

Proscar (finasteride) is still a good drug, most people use the effect is very good, but over time will be resistant, and 1% of people will have sexual dysfunction, need to be vigilant.

Of course, if there is really a 1% probability, do not panic, do not avoid medical treatment, do not stop the drug without authorization, and adjust the treatment under the guidance of the doctor.

How to tell if you have prostatic hyperplasia!

The method is also very simple, frequent urination, urgency, incomplete urination, and weak urination.

The treatment of this patient was over, and the time was also three o'clock.

Lin Feng left in a hurry.

......

The next day.

Lin Feng came to the hospital as usual.

Last night's patient is out of danger.

After breakfast.

Lin Feng continued to sit in the clinic.

The first patient walked in.

Female, in her forties.

After drinking some wine, eating another bag of pickled pepper claws, diarrhea appeared.

And very serious.

Before the patient was troublesome, he did not come to the hospital, but went to get some medicine himself.

As a result, I arrived at the company early this morning, and as long as I sat down, I was ready to come up.

The ass pulled at the end was hot.

Only then did he take leave and rush to the hospital.

After listening to the patient's situation, Lin Feng said: "Eat less of what you shouldn't eat, and eat less of what you like to eat, in order to protect your intestines." "

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