End of liver suture,
It represents Lin Feng's surgical part (resection of liver necrosis, ligation and hemostasis of bile duct bleeding), which is completed.
However, Lin Feng subconsciously continued to do it.
Gallbladder resection, adhesion tissue excision...
Zhang Yuan originally went up to the stage to continue the operation, but found that Lin Feng was too engrossed, did not stop, immediately smiled, and continued to stand back.
Watch and learn.
Lin Feng inserted the electric knife into the patient's right rectus abdominis incision, and used the spark ejected from the tip of the knife to free the intra-abdominal adhesion.
The free speed is fast,
And it's also very stable!
Lin Feng brush brush brush ~~~ quickly connect the adhesion of the bad tissue part to the entire gallbladder and slowly separate it.
The whole process takes about 23 minutes.
End of dissociation.
Then ligation.
Because the bile duct has been ligated and cut off when the liver has just been cut, the entire gallbladder has actually been isolated (the gallbladder has only one channel, that is, the cystic duct, and there is no channel leading to other organs).
Now that the free is complete, Lin Feng went down with a knife and cut off his gallbladder.
Place it in another surgical basin.
This also means that from now on, this old man will not have the organ of the gallbladder.
What are the consequences of not having a gallbladder organ?
After gallbladder removal, there is no place for bile to be stored, and bile cannot be regularly excreted after eating food, which is easy to cause that the food eaten cannot be digested by bile.
Consequences: Indigestion!
By extension, that is, try not to eat greasy, cold, spicy, poorly digestible food...
Otherwise, it is easy to have diarrhea!
......
At this point, the operation is basically over.
Lin Feng checked the other parts, and there was no problem.
At this time, the patient's real-time detection indicators, such as blood oxygen, BP, CVP, etc., are in the acceptable range.
"Okay, disinfect, close the abdomen..."
The nurse rinses and disinfects quickly.
The next step is to suture the abdomen.
Lin Feng only remembered at this time.
Hey, how did he do Director Zhang's part of the operation?
"Director, I'm sorry, I was too engrossed just now."
Immediately ashamed.
"It's okay, I just happened to study it too."
Zhang Yuan loves Lin Feng and does not have any negative emotions.
Lin Feng stepped down from the operating table.
"Director, the rest of the Guan belly..."
Zhang Yuan glanced at Wu Haoming, an intern with an expectant face, and said with a smile.
"Xiao Wu, come on..."
"Really?"
Wu Haoming jumped up excitedly!
"Thank you, Director!"
And then silly hehe,
I, finally, on the operating table!
I finally had my first surgery!
He held round needles and stitches, and felt like a treasure.
Thanks for the recommendation of Lin Feng!
"Come on!" Lin Feng smiled and cheered him up.
Stitches...
He was very careful, and the last case of a pregnant woman sneezing and breaking her abdomen after giving birth impressed him, and he knew that if he did not stitch it well, it could lead to this situation in the elderly family.
Be very careful.
......
At this time, Lin Feng left the surgical range, took off the surgical gown, picked up Wu Haoming's mobile phone, and took several photos of Wu Haoming's operating table sutured.
Well, leave him a memorial and leave no regrets.
Lin Feng: "Director, it's okay here, I'll go first..."
Zhang Yuan: "Okay, you go." "
Lin Feng left the operating room, and as soon as he went out, he met the patient's family daughter.
"Doctor, how is my dad?"
The middle-aged daughter asked Lin Fengdao nervously.
Lin Feng smiled and said, "Don't worry, your father's operation was successful... But Director Zhang is dealing with the finishing touches inside, you still have to wait! "
The woman listened, and couldn't help but be excited and grateful.
"Thank you doctor, thank you doctor..."
Saying that, he took out a black card from his arms, and said in a low voice: "This is a little bit of my heart, please accept it..."
Lin Feng: "........."
Hurry up and push it off.
Doctors generally do not accept red envelopes.
On the one hand, the red envelope cannot be too big, what to collect it for?
On the other hand, if you receive a red envelope, it may leave a stain, you may be reported, and it will be difficult to wash your name.
The benefits are not proportional.
Of course, Lin Feng doesn't care about 'income ratio' and the like, he doesn't like it and it's unnecessary.
Lin Feng left quickly.
......
Lin Feng returned to the consultation room.
Turn on the call machine and wait for the patient to enter.
First patient:
"Doctor, I dislocated ..."
A young man covered his right arm and walked in with a bitter look.
“?? How did you get it? Lin Feng was surprised.
The young man's face turned embarrassed.
"What's wrong? You have to explain how you got it, so I know how you got hurt and find the right treatment..."
"Sword practice..."
“???"
"Just buy a sword, and then learn the previous martial arts movies, and then..."
As he spoke, the young man blushed like a monkey's butt.
Lin Feng: "Oh, I see..."
Middle two ~ ~
Who hasn't?
Will Lin Feng tell others that he practiced palm out of the dragon descending tree against "Dragon Babu" back then?
"Come, I'll see..."
Lin Feng pulled the young man's dislocated right arm and checked it a few times, "the country's top orthopedic Chinese medicine orthopedic experience", so that he quickly found the root.
Lin Feng: "Wait for me to give you the bones, it's a little painful, you endure a little..."
The young man was surprised and excited: "Huh? Is it the kind that twists back like in the movie, clicks a few times? "
Lin Feng nodded: "That's right... I'll wait for the penultimate 5, 4, 3, 2, 1... You endure a little..."
The young man nodded seriously: "No problem!" "
Lin Feng grabbed his arm and prepared: "It's started..."
Lad: "Uh-huh, let's go!" "
Lin Feng counted down: "5, 4, 3... (Force) click ~~~"
"Ah~~"
The young man screamed in pain.
Doesn't it say that it is better to count to 1?
How do you count to 3 to start?
Doctor, you liar!
"Huh?? My hand! "
The young man moved his arm and was surprised to find that his right arm turned out to be good!
"I'll go, doctor, awesome! Shall I worship you as a teacher? "
He looked at Lin Feng with excitement, as if he was looking at a martial arts master.
Lin Feng held his words: "Roll!!" "
......
The next patient.
A young and beautiful girl, supported by her boyfriend, walked in with her stomach covered.
Sit down.
Patient girl: "Doctor, my stomach hurts so much, can you help me prescribe some painkillers?" "
Well, stomach ache.
Lin Feng guessed a lot at once.
What pancreatitis, appendicitis, gastroenteritis...
Lin Feng: "When did it start?" Did you eat anything unclean? Or something different from usual? "
Patient girl: "I didn't eat anything special, I went to work, after work, breakfast, lunch, dinner, very regular, are very normal meals, nothing special." "
The boyfriend said at this time: "No, there are still yes, cherries." "
The patient girl shouted: "Impossible, how can I have a stomachache when eating cherries, I am imported!" "
The boyfriend pouted: "Don't be so admiring and flattering, foreign things are good?" Cherry is cherry, change the name to cherry, is tall? "
Lin Feng hurriedly stopped them from quarrelling: "Wait... Don't worry, tell me, what is your current state? How many days? Diarrhea? Nausea and vomiting? "
The girl had a stomachache and couldn't speak, his boyfriend Balabala said.
"I started having stomach aches three days ago, I often go to the toilet, nausea and vomiting..."
"Why is it sent now? Don't send it sooner? "
"I thought it was just eating the wrong thing, taking some medicine and it would be fine, but it turned out to be fine for three days, so I came."
"Are there any other symptoms?"
"She got into the car and it looked like she had blood in her stool..."
As soon as the boyfriend said, the girl was anxious again: "This is not blood in the stool, it's just that cherries eat too much, cherries are red, so is also red ...!" "
Lin Feng moved.
Eat a lot of cherries?
Could it be iron poisoning?
Cherries are high in iron (red?). Eating too many cherries can lead to iron poisoning.
Lin Feng: "Tell me about your cherries, how much did you eat?" "
"That's terrible..." As soon as he said this, his boyfriend was about to spit out 10,000 words.
"Doctor, you don't know how much she likes cherries, it wasn't that cherries were too expensive before, and she couldn't afford too much... Recently, the price of cherries has been greatly reduced, good guy, my girlfriend directly bought a few pounds, ate on the way to work, ate at work, eat fruits after meals, and eat dramas at night... In this week, I ate more than a dozen pounds, and four or five hundred yuan was gone! "
Lin Feng sweated furiously!
Awesome!
A dozen pounds a week, won't it get tired?
Lin Feng probably judged that the 99% probability should be iron poisoning, and it is also acute iron poisoning.
There are two types of iron poisoning:
Acute iron poisoning.
Chronic iron poisoning.
Poisoning manifests differently.
Acute poisoning symptoms: epigastric discomfort, abdominal pain, nausea and vomiting, diarrhea, melena, and even purple face, lethargy or irritability, acute intestinal necrosis or perforation, and the most severe cases can cause shock and death.
Symptoms of chronic poisoning: liver and spleen have a large amount of iron, which can be manifested as cirrhosis, osteoporosis, cartilage calcification, brownish-black or gray skin, decreased insulin secretion leading to diabetes... Well, I heard that it also has an effect on male G pills.
Obviously, the girl in front of her should be chronic iron poisoning, and if you eat a lot for a long time, there may be manifestations of chronic iron poisoning.
So
Brush brush brush ~~~~
Lin Feng opened the bill.
Acute: serum iron detection, blood routine, blood biochemistry, arterial qi and blood analysis
Chronic: liver CT, chest X-ray.
Lin Feng handed over the checklist: "Let's go and check..."
"CT of the liver? Chest X-ray? The boyfriend looked at the checklist, panicked, and asked urgently: "Doctor, doesn't my girlfriend have abdominal pain?" Why take liver CT? And a chest X-ray? Is it serious? "
Lin Feng explained: "My suspicion is that your girlfriend eats too many cherries, because cherries are rich in iron, so consuming too much will lead to iron poisoning... These are all ways to check for iron poisoning. "
Burst~~~~
The girl sprayed on the spot!
"I don't believe it!"
"How is that possible?"
"That's imported cherries!"
"How could it be poisoned!"
Balabala shouted, extremely emotional, feeling that the humiliation of imported cherries was as if she was humiliated!
Lin Feng: "........."
Boyfriend: "........."
————————
The third chapter has a total of 9,000 words, and I will continue to work on one chapter.
。
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