After 100 Days Of Sign-In, The First Operation Shocked The World

"What? Dr. Lin had another operation?"

Soon, Lin Feng's operation was spread again in the hospital.

"Spleen cut this time?"

"The front is the heart and pancreas, now it is the spleen...I'm dropping mother, is there anything Doctor Lin can't do?"

"I heard that the medical office felt that the operation was done very well and decided to send a video to us to learn."

"Learning again, I like it!"

"The last pancreatitis video, I haven't finished learning, the more I try to figure it out, the more I feel that Dr. Lin is awesome."

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

"Make up the same number!"

"Make up the same number +1!"

"Make up the same number +10000!"

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

"Appendicitis, after all, Dr. Lin hasn't cut the appendix yet."

"This kind of small operation is done by hand!"

"Direct minimally invasive stomatoscope surgery will do, and there is no need to cut the abdomen."

"Appendix: I feel offended~~~~"

...

...

Lin Feng once again fell into the routine of receiving patients.

Cold and fever...cardio-cerebrovascular...pancreatitis...alcoholism...digestive tract disease...

Every disease is different, which is very interesting.

soon,

A female patient in her 40s walked into the emergency room with the support of her husband.

Lin Feng: "What's the situation?"

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

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

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

Lin Feng took a note on the computer, and asked, "Anything else?"

Female patient: "It's a bit nauseous, can't eat, lack of energy, empty..."

Lin Feng: "Nausea? Are you vomiting? Do you have a fever? Do you have diarrhea?"

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

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

Female patient: "49 years old."

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

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

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

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

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

Lin Feng nodded, but still cannot rule out dysmenorrhea.

After asking a few more questions, Lin Feng began to perform physical examinations on the female patient.

Inspection results: deep tenderness in the lower abdomen and right lower abdomen was obvious.

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

Then I did several other experiments: "Psoas Major Test", "Colon Inflation Test", "Obturator Inner Muscle Test"...

Results: Three items were positive.

Finally, Lin Feng made a rough judgment in his mind.

"appendicitis!"

However, Lin Feng did not tell the female patient of his guess, because more detailed auxiliary examinations are needed, otherwise the car will easily roll over.

Swipe~~~

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

Give it to the instructing doctor Zhang Yuan for his signature.

"Go and do these checks..."

"Okay, doctor."

The patient was very obedient and went for related examinations soon.

Next, Lin Feng received a few more patients. It took almost an hour. The female patient came back with the results of the examination.

"Doctor, this is the test result..."

"Let me see."

Lin Xuan took the checklist and looked at it.

· The ratio of neutrophils is significantly increased.

·Urine routine: rule out urinary tract infection or urinary tract stones.

· Blood amylase and lipase determination: exclude acute pancreatitis.

· Β-hcG measurement: exclude ectopic pregnancy.

·CT examination: it is found that the appendix is ​​thickened, the surrounding fat is swollen and fuzzy, and appendicitis is suspected

B-ultrasound: the diameter of the appendix is ​​greater than 6mm

Lin Feng nodded.

Combined with these examinations, it can be determined that this is appendicitis, and it can't be wrong.

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

Lin Feng: "It is certain that it is appendicitis. I will make an order. Are you going to be admitted to the hospital and undergo surgery..."

The female patient's face changed and she was shocked: "Huh? Appendicitis? Should surgery be required? Can surgery be omitted?"

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

Although appendicitis is famous, in fact, many ordinary people don't know it.

When I heard of surgery, I couldn't help being afraid.

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

"Don't worry, appendicitis is just a minor operation." Lin Feng smiled brightly and comforted.

Then I popularized the knowledge of appendicitis.

After hearing this, the female patient and husband couldn't help but relax.

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

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

"One is "laparoscopic appendectomy". The advantage is that the wound is small, the patient recovers quickly, the patient is discharged early, and the probability of complications is low. The disadvantage is that it costs more and the operation time is longer. "

"One is "open appendectomy". Complications are more likely, but the cost is less. "

The female patient discussed with her husband, and finally chose "open appendectomy" because they were a little less economical.

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

The husband went to pay the fee and was admitted to the hospital.

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ps: Many people say that the appendix is ​​useless, but it is not. The appendix plays an important role in the fetus and adolescence. In adults, the appendix is ​​mainly related to immune function. It reaches a peak around the age of 20, then declines rapidly afterwards, and disappears at the age of 60.

The frequent causes of appendicitis: The appendix wall is rich in lymphatic tissue, which itself is a degenerative organ, which can easily become a breakthrough for bacteria, causing bacterial invasion and causing infection. .

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