Chapter 8 It’s too late, only cesarean section for appendix perforation

Emergency office,

“puff!

What?

Qin Feng is on the operating table again! ”

Zhou Xianren picked up the cup, squirted it out as soon as he took a sip, and looked at Liu Juan suddenly.

He just got off the operating table and found that Qin Feng and Zhao hadn’t been there all day, so he called the head nurse Liu Juan to ask where these two guys were.

Unexpectedly, the answer he got turned out to be that Qin Feng took Zhao Yitian to the operation!



He was so frightened that he shook his hand and almost smashed the cup on the ground.

“What’s the situation? Come on!”

He stood up abruptly and shouted with a serious expression.

“A pregnant woman came, 33 weeks pregnant, and Dr. Qin judged it was acute appendicitis.”

Liu Juan quickly explained the situation briefly.

Zhou Xianren frowned when she heard her words.

“What about the inspection report?”

“I’ll get it.”

Liu Juan ran back and forth, bringing the man and the inspection report to the office.

Zhou Xianren looked at the report and was silent.

It is indeed acute appendicitis, and the inflammation has begun to spread.

If the operation is not performed in time, once the perforation affects the uterus, I am afraid that both adults and children are in danger.

In this situation, it is not optimistic.

“Doctor, is something wrong?”

When the man saw that the nurse led him to another doctor, he was immediately anxious.

“Oh, no no, I just look at it.”

Zhou Xianren hurriedly smiled and shook his head when he heard the words.

“Your spouse’s situation does require surgery, but it depends on the situation during the operation. You have to be prepared for a Caesarean section.

But don’t worry, the child has reached the conditions for survival outside the palace after eight months. ”

“Isn’t it just an appendicitis? Why do you all say that you want a caesarean section!”

The man was anxious and roared with a flushed face.

At this moment, the two told him that the child might have a C-section.

Completely defeated his psychological defense!

“Don’t worry, if you get to that point, this is the only way to keep both adults and children safe, understand?”

Zhou Xianren was also used to seeing these manic conditions in the emergency department, and patiently persuaded.

“I’m Zhou Xianren, director of the emergency department. Don’t worry, we will ensure the safety of mother and child.”

Finished,

He looked at Liu Juan.

“Have you notified the obstetrics and gynecology department?”

“It has been notified. Director Xu is on duty in the Obstetrics and Gynecology Department tonight, and he can come over at any time.”

Liu Juan nodded and said confidently.

I couldn’t help but admire, Dr. Qin had thought of what Director Zhou said.

Cattle!

After speaking, Director Zhou also left the office and walked straight to the operating room.

Although Qin Feng gave everyone a surprise last time, he was a new trainee after all.

He is still a little worried!

“Huh? Teacher Zhou, where are you going?”

Xiao Jing had just sutured the operation on the patient Zhou Xianren had left her and was about to return to the office when she saw him hurriedly approaching.

“Go to the operating room.”

“Oh.”

Xiao Jing heard Director Zhou’s answer and didn’t say anything.

Seeing Liu Juan followed with a man with a worried face, she curiously stopped her and asked in a low voice.



“Sister Juan, is there another patient?”

“No, Qin Feng brought Dr. Zhao to the stage, Director Zhou came to have a look.”

After speaking, he hurriedly followed Director Zhou to leave.

Only Xiao Jing’s face was dull, her eyes were shocked, and she whispered with a weird expression.

“Qin… Qin Feng brought Zhao Yitian on stage?

Oh My God!

I heard it right! ”

After a few seconds, ecstasy suddenly appeared on his face, and he turned and ran along.

no!

I also want to see…learn to learn!

The shock that Qin Feng left her last time has not dissipated, and the precision and speed of the stitching is simply terrifying.

I didn’t even have time to understand!

Xiao Jing must not miss this time to see what kind of surgery Qin Feng did.

“What are you doing here?”

In the disinfection area, Zhou Xianren asked Xiao Jing angrily when he saw that Xiao Jing had followed up.

Xiao Jing looked embarrassed and smiled.

“I will study with you, the teacher.”

Operating room,

Qin Feng separates the external and internal oblique muscles layer by layer to protect the peritoneum.

With the entry of the laparoscope, a picture of the appendix appeared on the monitor.

At this time, the appendix was severely congested, nearly ten centimeters long, almost only one finger away from the uterine wall.

And there are purulent exudates that are spreading around, yellow pus, a little nauseous.

The most important thing is that a hole has been broken at the end of the appendix, and a large amount of red and yellow blood is leaking out.

When he saw this picture, his heart sank a little.

It’s still too late!

If he sent the pregnant woman directly to the operating table after his judgment at that time, it would certainly not happen.

In just ten minutes, the speed of inflammation development is too fast.

It’s pierced!

“Qin Feng, how about cesarean section, this situation is not so good~”

Zhao Yitian also saw the piercing, and approached him and said.

“The appendix has just been perforated, and the pelvic cavity and uterus have not been infected yet. I will try it first. I can’t contact the obstetrics and gynecology department for cesarean section.”

Qin Feng shook his head and refused in a low voice.

Although the eight-month-old child has reached the conditions for survival outside the uterus, he is not full-term after all.

If the pregnancy can continue, it is good for the development of the fetus.

“pliers…..”

Doctor Yizhu Zhao Yitian handed Qin Feng the appendix forceps.

Appendices forceps: The front end is enlarged to form a hollow structure, which can just fix the tubular appendix in it.

Qin Feng carefully avoided the uterus with the appendix forceps and clamped the appendix.

Next is free.

All the tissues near the appendix are peeled off, and finally taken out and cut off.

I saw him go through the main and auxiliary operation holes, quickly freeing the part of the appendix exposed in the field of vision.

Immediately afterwards, slowly pull the appendix out little by little.

Because the force of the uterus is so great, it is impossible to use the uterine lifting device.

At this time, Director Zhou Xianren and Doctor Xiao Jing also walked in.

Zhao Yitian saw Director Zhou coming, and quickly moved away from the position of the first assistant, and stood in the position of the second assistant with Xiao Jing.

“Qin Feng, are you sure?”

Director Zhou frowned when he saw the situation on the monitor.

“I’m afraid it won’t work. The pressure on the uterus is too great. I will free the tissues first.”

Qin Feng heard the sound in his ear and whispered back.

“Director Zhou, please contact the Obstetrics and Gynecology Department. If it doesn’t work, just go to cesarean section.”

“good.”

Zhou Xianren nodded, his eyes swept across Xiao Jing and Zhao Yitian.

Xiao Jing stretched out his hand and pushed him, Zhao Tian’s lips curled up, turned and left the operating room.

What a bully!

Xiao Jing stared at the monitor intently, and was shocked again.

Because the speed of Qin Feng’s hand is too fast!

And the device is almost affixed to the wall of the uterus for operation, as long as it is a little distracted.

If the wall of the uterus ruptures, it will be bleeding in minutes!

Qin Feng couldn’t notice the generality at all, after he had freed part of it, he pulled out the appendix a little bit, and moved away again.

Not only her, but Zhou Xianren was shocked to see this scene.

“Fuck!

This free level is a bit awesome! ”

He couldn’t help being shocked. Seeing that the rotary knife was almost against the wall of the uterus, even he couldn’t help shaking his whole body.

The courage is too big!

Can’t you wait after cesarean section?

But Qin Feng didn’t think so. He was still working hard, hoping to cut off the appendix completely.

It’s just that the time may be too late.

If there is no perforation in the appendix, he is absolutely sure!

Now the pus and blood in the appendix are constantly oozing out, even if he finishes freeing as quickly as possible, remove the appendix.

The pelvic cavity can also be infected, and cesarean section is also required.

It was not him who caused this consequence, but the pregnant woman herself and her husband outside.

Abdominal pain occurred at 8 months of pregnancy,

Even dare to endure it?

If he is this man’s father or old man, he can just kill him with a stick!

“It’s too late, notify the family members to sign.”

Qin Feng stopped moving and said helplessly when he saw the pus and blood accumulated in the pregnant woman’s body.

If this is an ordinary person, just attract these pus and blood directly.

However, pregnant women cannot use a suction device, which will affect the fetus.

Nothing!

“Okay, let me go.”

Director Zhou Xianren took the initiative to walk out of the operating room and talked to the man about signing.

After a few minutes,

Zhao Yitian came in with another middle-aged woman in sterile clothes.

“Qin Feng, Director Xu is here.”

“Are you Qin Feng?”

The woman looked at him curiously, with surprise and joy in her eyes.

“Your name has spread in our city, not bad! Well done!”

Director Xu praised Qin Feng in the first sentence, which made him a little embarrassed.

“No, the situation is urgent. I also drove the ducks to the shelves.”

Qin Feng smiled and said lightly.

“Director Xu, it’s up to you next.”

“Do not worry.”

After speaking, he removed the equipment and voluntarily retreated to let Director Xu come on stage.

at this time,

Everyone was waiting, the door of the operating room opened, Director Zhou came back, Qin Feng and Director Xu on the stage nodded.

“The family members agree that they can undergo cesarean section.”

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