Chapter 7 Night shift reception, acute appendicitis during pregnancy!

“Doctor, is she okay with my wife? She is still pregnant with a child!”

Seeing his expression and tone, the man immediately became anxious.

“Don’t worry about it, take it to me as soon as the inspection report comes out!

Did you hear that? ”

Qin Feng shook his head when he heard the sound of a stretcher in the corridor.

The man nodded frantically like a chick, clinging to the checklist.

“The stretcher is coming!”

Zhao Yitian and Liu Juan, the head nurse behind him, have pushed the stretcher to the door.

Then the pregnant woman was stretched on a stretcher by the four people. At this time, her painful face turned pale.

Dou Da’s sweat drops continuously, and his back is already soaked.

Seeing the pregnant woman being pushed away, Qin Feng couldn’t help but hang up.

“Qin Feng, what’s the matter?”

“Doctor Zhao, I suspect that the pregnant woman has acute appendicitis.”

Hearing Qin Feng’s diagnosis, Zhao Yitian felt his scalp numb momentarily and opened his mouth.

“You…how sure are you?”

“Although it has not been diagnosed yet, it is estimated that it will not be far from ten.”

When Qin Feng’s words fell, Zhao Yitian suddenly became nervous.

Acute appendicitis during pregnancy is a terrible thing!

Ordinary people get appendicitis, whether it is chronic or acute, it can be resolved easily.

This is a small operation, even if the attending doctor like Zhao Yitian can come on stage to do it.

But acute appendicitis in pregnant women is very dangerous.

Acute appendicitis during pregnancy easily spreads, necrosis, perforation and peritonitis are prone to occur, and the condition develops extremely fast.

This is due to congestion of the pelvic organs during pregnancy, and congestion of the appendix.

At the same time, the uterus continues to enlarge, and the abdominal organs move up.

When the appendix is ​​inflamed, the omentum cannot be effectively wrapped, causing the inflammation to expand and aggravate, and then cause peritonitis.

After inflammation stimulates the uterus, it induces contractions and leads to miscarriage and premature delivery.

In severe cases, it can lead to hypoxia and even death of the fetus!

“But the case of pregnant women’s abdominal pain is not limited to appendicitis. Why are you sure that this is the case?”

Zhao Yitian also became worried, and asked with a frown.

“So I need to do basic examination and B-ultrasound, she can’t do CT, I added an MRI (a multi-functional imaging technology)”

Qin Feng nodded, affirmed.

There are also many cases of abdominal pain during pregnancy, such as premature birth, renal colic, abruption of the placenta, and degeneration of uterine fibroids.

So the diagnosis of the condition is extremely important!

Once the diagnosis is wrong, it is very likely that pregnant women and the children in their stomachs are in danger.

Fortunately, there are not many people at night, and the machines are free.



He drove the expedited again, and in about ten minutes, the man ran back out of breath with a few inspection reports.

“Doctor…Doctor, here comes the report.”

Qin Feng reported the results. After taking a look at the diagnosis and imaging, his eyes sank suddenly.

Immediately after handing the report to Zhao Yitian, he whispered.

“Look at it.”

Zhao Yitian reported the results, and his expression suddenly froze after only one glance.

It really is acute appendicitis!

Moreover, the appendix has been inflamed and ruptured, and the pus with bacteria is obviously oozing out, very close to the uterus.

This is in trouble!

“What should I do now? Director Zhou is still on the operating table.”

“It’s too late. I have to perform the operation first and wait for Director Zhou to sign.

Dr. Zhao, can you 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 pregnant woman’s appendix was partly covered by the uterus.

If it is normal, it is the best result to remove the appendix smoothly without affecting the continuation of the pregnancy.

However, if the inflammation continues to develop or the uterus is severely obscured, appendix surgery cannot be performed.

Once the appendix is ​​perforated with diffuse peritonitis, and the pelvic cavity is infected, then only a cesarean section can be performed.

certainly,

This was not the result he wanted to see, but he had better prepare for the worst.

Although Qin Feng has also signed in for [World Class Cesarean Section] during this time, this kind of operation still allows the doctors in the obstetrics and gynecology department to do better.

“Okay, then I’ll call the obstetrics and gynecology department on standby.”

Zhao Yitian nodded when he heard the words and did not refuse, and walked out quickly.

“Sister Juan, immediately arrange the operating room, notify the anesthesia, and prepare for the operation!”

“Okay, I’ll do it right away!”

Liu Juan heard his words and turned and ran away without hesitation.

“Doctor, what’s the matter with my wife? Need surgery?”

Hearing his words, the man panicked suddenly, stepped forward to hold him, and asked with a trembling voice.

“My wife and children will be fine, right? They can’t be fine!”

“Don’t worry, you can be sure that your spouse has acute appendicitis, and now the appendix must be removed.”

Qin Feng quickly comforted.

“Of course, there are some situations I still have to tell you clearly in advance.

At present, the inflammation of appendicitis has begun to diffuse, and if it is not treated in time, it may also affect the fetus.

If it really causes a pelvic infection, the possibility of an early caesarean section is not ruled out, understand? ”

“Early… Caesarean section?”

When the man heard him, he was struck by lightning!

The whole person’s eyes widened and froze in place, and he opened his mouth and didn’t know what to say.

Tears suddenly slipped from his cheeks.

“Please, I must save my child!

Doctor, please keep our baby! ”

In an instant, the man knelt down like lightning.

“Don’t worry, I will do my best to keep your spouse and children safe.”

Qin Feng’s expression was serious, and his tone was affirmative.

“Doctor Qin, the operating room is ready.”

At this time, Liu Juan ran back and said.

“go!”

Qin Feng strode away when he heard the words, and the man wept and followed behind him staggeringly.

Operating room,

Zhao Yitian stood beside him to disinfect, not only looking at him.

“Qin Feng, why are you so sure that it is an acute appendix?

Although the right lower abdomen and rebound pain are normal reactions, they cause many situations! ”

He was very curious, and Qin Feng’s diagnosis was simply too powerful.

Just touch it lightly, and I have already judged that it’s inseparable from each other, it’s amazing!

If he were to be replaced by him, I am afraid that the pregnant woman is still in various inspection machines and only sees back and forth.

For every second of this kind of emergency, 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 have touched the fetus and felt that the fetus is normal, there is no problem, and the pregnant woman did not bleed.

Therefore, other uterine diseases including ectopic can be basically ruled out.

The pregnant woman has been pregnant for eight months, and the symptoms of early pregnancy are unlikely to appear, so only the kidneys and appendix are left.

Combined with the basic symptoms, and you haven’t noticed that the condition of pregnant women develops rapidly from entering the clinic to leaving.

This situation is likely to be acute appendicitis. ”

As soon as Qin Feng’s words fell, Zhao Yitian was stunned.

This TM is powerless to refute!

Every sentence is reasonable!


But just touched it lightly and came to a conclusion.

Even Director Zhou, who has experienced many battles, dare not be so decisive and direct!

Is this really what an intern can do?

It’s too ridiculous!

“Hurry up, time waits for no one. A second delay will be dangerous for a pregnant woman.”

When Qin Feng saw him staying where he was in shock, he smiled and touched him.

Putting on sterile gowns and other equipment, the two walked into the operating room.

“Dr. Qin, the patient has undergone continuous epidural anesthesia (local anesthetics injected into the epidural space will not affect the continued development of the fetus).”

Seeing the two of them walk in, the anesthesiologist actively spoke to Qin Feng.

“Okay, Doctor Jiao worked hard.

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 anesthesiologist did not refuse, and voluntarily retreated to the corner of the operating room and waited patiently.

Of course, this is also the worst result.

“It is 1:52 in the morning, and patient Xu Jing has undergone surgery for acute appendicitis during pregnancy.

Start now! ”


As soon as Qin Feng spoke, his palm stretched out.

Yisuke Zhao Tianyi, who was beside him, took the initiative to hand the puncture needle to the palm of his hand.

Actually up to now,

He was all dumbfounded. Originally, he wanted to ask who would do this operation.

But seeing Qin Feng’s confident look, he still did not ask.

Especially when he saved his teacher last time, no one would have thought that Qin Feng could solve such a difficult operation perfectly.

This time, although it is also a relatively high-risk acute appendicitis during pregnancy.

But it must be much smaller than the carotid artery suture, and he stopped talking.

It’s just that the mystery in my heart is getting bigger and bigger.

An intern who seems to be useless except for being handsome.

There will be too many TMDs!

Suddenly I felt that I had studied medicine for so many years in vain.

Sad…..(⊙︿⊙)

at this time,

Qin Feng had already made a one-centimeter Mai’s incision in the pregnant woman’s right lower abdomen, whispering.

“Laparoscopy.”

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