The first operation shocked the whole country!Section 8
The first operation shocked the whole country!Section 8
Beads of sweat continued to drop, and his back was soaked.
Seeing the pregnant woman being pushed away, Qin Feng's heart couldn't help hanging.
"Qin Feng, what's going on?"
"Doctor Zhao, I suspect that the pregnant woman has acute appendicitis."
Hearing Qin Feng's diagnosis, Zhao Yitian only felt his scalp go numb and opened his mouth wide.
"You... how sure are you?"
"Although there is no confirmed diagnosis yet, it is estimated that it is close to ten."
After Qin Feng finished speaking, Zhao Yitian also became nervous.
Acute appendicitis during pregnancy, this is a terrible thing!
Ordinary people have appendicitis, whether it is chronic or acute, it is easy to solve.
This is a very small operation, even an attending doctor like Zhao Yitian can do it on stage.
But acute appendicitis in pregnant women is very dangerous.
Acute appendicitis during pregnancy is very easy to spread, prone to necrosis, perforation and peritonitis, and the disease develops very fast.
This is due to the congestion of the pelvic organs during pregnancy, as can the appendix.
At the same time, the uterus continues to grow and the abdominal organs move upward.
When the appendix is inflamed, the omentum cannot effectively wrap it, causing the inflammation to expand and aggravate, and then cause peritonitis.
After inflammation stimulates the uterus, it induces uterine contractions leading to miscarriage and premature delivery.
Seriously, it can lead to fetal hypoxia or even death!
"But appendicitis is not the only cause of abdominal pain in pregnant women. Why are you sure it's this?"
Zhao Yitian also became worried, and asked with a slight frown.
"So I need to do basic examination and B-ultrasound, she can't do CT, I added an MRI (a multifunctional imaging technology)"
Qin Feng nodded, affirming.
There are also many cases of abdominal pain during pregnancy, such as premature delivery, renal colic, placental abruption, and uterine fibroid degeneration.
So the diagnosis of the disease is extremely important!
Once the diagnosis is wrong, it is likely that both the pregnant woman and the child in the womb will be at risk.
Fortunately, there are not many people at night, and the machines are free.
He drove the rush again, and in about ten minutes, the man came back panting with a few inspection reports.
"Doctor...doctor, the report is coming."
After Qin Feng's result report, after glancing at the test diagnosis and images, his eyes suddenly sank.
Then handed the report to Zhao Yitian and said in a low voice.
"Look at it."
Zhao Yitian reported the results, and his expression froze after only one look.
Sure enough, it was acute appendicitis!
Moreover, the appendix has been inflamed and ruptured, and pus with bacteria is obviously oozing out, very close to the uterus.
Here's to trouble!
"What should we do now? Director Zhou is still on the operating table."
"It's too late, so we can only operate first and wait for Director Zhou's signature.
Dr. Zhao, please ask which director of the obstetrics and gynecology department is on duty tonight, just in case. "
Qin Feng shook his head and said in a deep voice.
He found through B-ultrasound that the appendix of the pregnant woman was partially covered by the uterus.
If it is normal, the appendix can be successfully removed without affecting the continued pregnancy, which is the best result.
However, if the inflammation continues to develop, or the uterus is severely covered, appendectomy cannot be performed.
Once the appendix is perforated with diffuse peritonitis and the pelvic cavity is infected, cesarean section can only be performed first.
of course,
This is not the result he wants to see, but he still prepares for the worst.
Although Qin Feng has also signed up for [World-Class Cesarean Section] during this period, it is better to let doctors in obstetrics and gynecology do this kind of surgery.
"Okay, then I'll contact the obstetrics and gynecology department to stand by."
Zhao Yitian nodded when he heard the words and did not refuse, and walked out quickly.
"Sister Juan, arrange the operating room immediately, notify the anesthesia, and prepare for the operation!"
"Okay, I'll do it right away!"
When Liu Juan heard his words, she turned and ran away without the slightest hesitation.
"Doctor, what's wrong with my wife? Need surgery?"
Hearing his words, the man panicked immediately, stepped forward to hold him, and asked in a trembling voice,
"My wife and children will be fine, they can't be fine!"
"Don't be nervous, it is confirmed that your lover has acute appendicitis, and the appendix must be removed now."
Qin Feng quickly comforted him,
"Of course, in some cases, I still have to tell you clearly in advance.
At present, the inflammation of appendicitis has begun to spread, and if it is not dealt with in time, it may also affect the fetus.
If it does cause a pelvic infection, the possibility of an early caesarean section is not ruled out, understand? "
"Early... caesarean section?"
When the man heard his words, he was struck by lightning!
The whole person stared wide-eyed and froze in place, opened his mouth and didn't know what to say.
Tears immediately rolled down his cheeks.
"Please, please save my child!
Doctor, I beg you to keep our child! "
In an instant, the man knelt down like lightning.
"Don't worry, I will do my best to keep your lover and children safe."
Qin Feng said with a serious expression and affirmative tone.
"Doctor Qin, the operating room is ready."
At this time, Liu Juan ran back and said.
"go!"
Hearing this, Qin Feng strode away, and the man staggered and cried and followed behind.
operating room,
Zhao Yitian stood beside him for disinfection, not only looking at him.
"Qin Feng, why are you so sure it's acute appendix?
Although the right lower abdominal plate shape and rebound pain are normal reactions, there are many causes! "
He is very curious, Qin Feng's diagnosis is simply too powerful.
Just touched it lightly, and the judgment is almost inseparable, it's amazing!
If it were him, I am afraid that pregnant women are still shuttled back and forth in various examination machines.
For every second that this emergency is delayed, the risk of pregnant women increases by one point.
The sooner it is resolved, the better for both the pregnant woman and the fetus.
"I touched the fetus and felt that the fetus was normal and there was no problem, and the pregnant woman did not bleed.
Therefore, other uterine diseases including ectopia can be basically ruled out.
The pregnant woman has been pregnant for eight months, and early pregnancy symptoms are unlikely to appear, so all that is left is the kidney and appendix.
Combined with the basic symptoms, you have not found that the condition of pregnant women develops very quickly from the time they enter the consultation room to the time they leave.
This is most likely acute appendicitis. "
As soon as Qin Feng finished speaking, Zhao Yitian was stunned.
This TM is powerless to refute!
Every sentence makes sense!
But with just a light touch, a conclusion is drawn.
Even Director Zhou, who has experienced many battles, dare not be so decisive and direct!
Is this really something an intern can do?
Outrageous!
"Hurry up, time waits for no one, and a pregnant woman will be in danger if she delays for a second."
Seeing him standing there in shock, Qin Feng touched him with a light smile.
Putting on sterile gowns and all other equipment, the two walked into the operating room.
"Dr. Qin, the patient has undergone continuous epidural anesthesia (local anesthetic injected into the epidural space, which will not affect the continued development of the fetus)."
Seeing the two people walking in, the anesthetist took the initiative to speak to Qin Feng.
"Okay, thanks for your hard work, Doctor Jiao.
But you can't go now. If you need a cesarean section, you have to work hard for general anesthesia. "
Qin Feng nodded at him and walked onto the operating table.
"no problem."
The anesthetist did not refuse, and retreated to a corner of the operating room, waiting patiently.
Of course, this is also the worst outcome.
"It's 1:52 in the morning, the patient Xu Jing is undergoing surgery for acute appendicitis during pregnancy.
Start now! "
As soon as Qin Feng finished speaking, he stretched out his palm.
One assistant beside him, Zhao Yitian, took the initiative to hand the puncture needle to his palm.
In fact, until now,
He was dumbfounded, originally he wanted to ask who would perform this operation.
But seeing Qin Feng's full confidence, he still didn't ask.
Especially when he saved his teacher last time, no one could have imagined that Qin Feng could solve such a difficult operation perfectly.
This time, though, it was acute appendicitis during pregnancy, which was also a relatively high risk.
But it must have been much smaller than a carotid suture, and he stopped talking.
It's just that the mystery in my heart is getting bigger and bigger.
An intern who looks like nothing but handsome.
There are too many fucking people who will!
Suddenly I felt that I had studied medicine for so many years in vain.
Sad.....(⊙︿⊙)
at this time,
novelPairMe