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

It took more than 2 hours,

The patient's MR result was finally calculated.

As a result, Lin Feng breathed a sigh of relief.

·MR: Tumor in the spinal canal of the patient's ninth thoracic spine!

Because of tumor compression, the patient's spinothalamic tract and pyramidal tract were involved, and abdominal pain and abnormal muscle strength of the lower limbs appeared.

but……

Why are there abnormal white blood cells?

In theory, the increase in white blood cells should be the cause of inflammation, and it seems that it has little to do with tumors.

Therefore, the patient may also have "appendicitis"!

That is: intraspinal tumor + appendicitis, both at the same time.

at this time,

The patient and husband are dumbfounded and fearful.

"Doctor Lin, what should I do?"

Full of helplessness and fear of tumors.

Lin Feng: "You can only do surgery, direct surgery, cut off the tumor with a knife from the back..."

Then explained the operation.

This operation sounds very difficult, but for Lin Feng, it is still easy to catch. In Lin Feng's operation, the difficulty is not even among the top 100.

As for appendicitis... At present, there is only a slight change 08, but it is not really sure that it is appendicitis, and I need to be hospitalized for a few days to see the development of the disease.

"Be hospitalized..."

Admission of patients...

...

afternoon.

Lin Feng gets off work.

Then share this case to the work group of the emergency department.

Aroused widespread concern.

"This disease is interesting..."

"It's easy to confuse. When we diagnose appendicitis in the future, we must be careful."

"Very educational."

"I encountered this disease 5 years ago. The patient was diagnosed with acute appendicitis at first and was admitted to the hospital for appendectomy. However, after the appendix surgery, she still often felt pain in the right lower abdomen, accompanied by abdominal distension, and repeated attacks. …I did a lot of examinations around her abdomen at the time, including abdominal CT, abdominal MRI, abdominal B-ultrasound, gastroscopy, colonoscopy, gastrointestinal radiography, etc. I did everything I wanted, but I couldn’t find any problems... …It was later discovered that after using adrenal cortex hormones, the pain would be relieved... Finally, through mr, it was discovered that the spinal tumor was compressing the nerve..."

The group became lively.

Both are discussing these two peculiar cases.

"Wow, this disease is interesting..."

"Mengxin asked curiously: Why does glucocorticoid relieve pain?"

"Because hormones can reduce the edema of the spinothalamic tract, the nerve compression will be relieved, and the pain will be relieved. Therefore, the use of hormones is effective..."

"Of course, this kind of disease is still relatively rare. We have only seen this one encountered by Dr. Lin until now in our emergency department..."

"Dr. Lin was really awesome. He found out in one shot. Unlike me, he did a lot of examinations and found out that the patient had spent nearly 10,000 in examination fees... Fortunately, the patient was very grateful to me in the end and didn't think I cheated them. Money..."

"Dr. Lin is really awesome..."

"666..."

Soon, these two cases were spread to other departments, especially the gastroenterology and oncology departments, which caused a lot of discussion.

...

...

the next day,

Today in the imperial capital, the sky is gray, and it is estimated that pm2.5 is not small.

In one of the families,

A 10-year-old girl was crying.

"It hurts... it hurts... Mom..."

Mother cried anxiously.

Since yesterday morning,

Her daughter Lele suddenly developed fever, nausea, vomiting and diarrhea.

The whole family was terrified at the time and was grateful to take her to a nearby community hospital for treatment.

After questioning, the doctor thought she was suffering from acute gastroenteritis and gave her some medicine.

However, after the little girl Lele went home, her abdominal pain became worse and worse.

Ba Ba Ma Ma still thought that taking medicine should be OK, so he didn't go to the big hospital.

One day is delayed.

This morning, Lele’s condition became more serious. Her belly was swollen like a swelling, and she also had a fever as high as 40 degrees.

Seeing my lovely daughter become like this, mom and dad are heartbroken.

"Husband, go to the hospital now, don't delay."

"Go, now!"

Mom and Dad began to pack things quickly, ready to go out.

Grandma yelled in the kitchen: "Lele hasn't eaten breakfast yet...I've cooked her favorite soft-boiled poached eggs..."

Poached eggs with soft hearts are poached eggs whose yolks are not yet cooked. The outside is well cooked, and the egg liquid flows out from the inside...

And Lele’s favorite breakfast is poached eggs with sugar hearts.

Love it for breakfast every day.

Grandma has also practiced the practice of poached eggs with sugar hearts for this, and the skills have gradually become first-class.

Dad quickly said: "I can't eat anymore, now the baby's stomach is uncomfortable, and it will be more troublesome to eat..."

The grandmother said: "If you don't have enough food, you have no energy, it is more troublesome to get sick..."

Finally, grandma packed the sweet-hearted poached eggs and stuffed them into father's hands.

"Take it, you can eat if you are hungry in the hospital..."

"good……"

soon,

The little girl Lele's parents drove Lele to Harmony Hospital.

The attending doctor happened to be Lin Feng.

...

In the consulting room,

Lele lay on the bed, curled up, cold sweat...

"Tell me what happened..."

Lin Feng asked while putting on his gloves.

Mother: "It's like this... Lele didn't know why her stomach hurts suddenly since yesterday..."

Tell me what happened...

Lin Feng put on his gloves and came to the bed.

"Little sister Lele, the doctor's uncle will give you a check-up. Can you relax?"

"good……"

Lele nodded hard, Khan already wet her hair.

1 minute later...

The inspection is complete.

·There is obvious tension in the abdominal muscles,

· There is tenderness and rebound pain in the entire abdomen.

·The abdomen is a bit bulging, hard, 163 hard...

Lin Feng was initially diagnosed as "acute peritonitis".

"peritoneum",

It is a layer of membranous tissue. The peritoneum covers most of the organs in the abdominal cavity. It can secrete mucus to moisten the surface of the organs and reduce the friction between the organs.

It is not the same thing as the intestines.

The intestines are wrapped by it.

The physical examination result of Lele, a little girl in front of her, is typical of peritonitis.

Then why does the peritoneum become inflamed?

reason:

·Organs such as gallbladder and stomach are perforated, there is fluid leakage, and bacteria multiply in the peritoneum...

·Intestine perforation, excrement and urine flow into the peritoneum, causing inflammation...

·other……

Consider another sign: a bulging, hard abdomen, there should be gas.

It should be a perforation of the intestine, gas + liquid enters the peritoneal area, causing inflammation.

That's the problem,

What did you eat?

Cause intestinal perforation?

Lin Feng: "Have you eaten anything special recently?"

Mother: "Something special? Nothing..."

Dad: "Yes, Dr. Lin, we are very careful about what we eat for the child. We don't give her random food. They are all healthy meals made at home... and we all eat it, it's okay..."

Lin Feng nodded: "At the moment it seems to be acute peritonitis...Go for a "blood routine" + "X-film"..."

Lin Feng opens the order.

The parents quickly took Lele to the check-up.

...

/.

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