medical road high rise

Chapter 468 Another Severed Finger Patient

Chapter 470 Another Finger Severe Patient

After Qin Feng's examination, he found that the little girl's abdomen had obvious abdominal muscle tension, accompanied by abdominal tenderness and rebound pain. There was a hard lump in the abdomen, which was typical acute peritonitis.

The little girl's peritonitis should be gas plus liquid, and the perforation flows into the peritoneal area to cause inflammation, but one thing needs to be understood is what caused the patient's intestinal perforation.

"Has your child eaten anything special recently?" Qin Feng asked.

"No, we pay great attention to what we feed our children. We cook healthy meals at home for breakfast, lunch and dinner, and we eat them all, and we are fine," said the patient's mother.

"The patient's current condition is acute peritonitis and he needs to undergo several examinations." Qin Feng said.

Qin Feng issued the checklist, and the patient's mother took the patient for the checkup.

The results of the examination came out soon. The blood routine showed that the patient's white blood cells had doubled. On the X-ray, there was obvious free gas under the patient's diaphragm, accompanied by a certain amount of water, which was the same as Qin Feng's diagnosis.

"The position of the patient's intestinal perforation is obvious now. We need to perform a minor operation on the patient's abdomen to clean out the pus inside and then suture it again." Qin Feng pointed to the film and said.

When the patient's mother heard this, her expression changed.

"Does minor surgery also require surgery? But my daughter is still so young..."

"Then there is no way, the patient's perforation is in the small intestine, and the laparotomy must be done, but don't worry, I will make the incision smaller, and the sutures will be finer, so as not to leave scars on the patient." Qin Feng reassured road.

But after Qin Feng said so, the patient's mother could only sigh and glance at her child distressedly.

"When will the surgery be?"

"Your child still has a slight fever now. The surgery can't be performed until the fever subsides," Qin Feng said.

"Then can my child eat? Her grandma also made her favorite soft-boiled eggs." The patient's mother said.

Soft-boiled eggs?
Qin Feng looked at the patient's mother in surprise, "Can you give me this poached egg? I'll take it for a bacterial culture. I suspect that your child just ate soft-boiled eggs and caused intestinal perforation."

"Ah, isn't it just a poached egg? Is it so serious?" The patient's mother didn't understand.

"There are very few sterile eggs in our country, and most of them are contaminated with Salmonella. Soft-boiled eggs are for the yolk to appear liquid. If you eat them, there is a high probability that you will be infected with Salmonella. Long-term consumption will lead to Salmonella. The intestinal tract multiplies in large numbers, causing gastroenteritis, and finally causing perforation, which spreads to the peritoneum and causes acute peritonitis." Qin Feng explained, "To completely kill salmonella, it must be kept at 70 degrees for more than 5 minutes to avoid infection. "

The patient's mother handed the lunch box to Qin Feng, and Qin Feng sent Zhang Yao directly to the laboratory for bacterial culture.

At ten o'clock in the evening, after the patient's fever subsided, Qin Feng arranged surgery for the patient.

Enter the operating room.

After the anesthesia was over, Qin Feng started the operation, opened the peritoneum, and could see the yellow-green pus flowing in the patient's abdominal cavity.

"Attractor, suction."

The device nurse sucks up the pus with a suction device, then washes and disinfects it with antibiotic saline, and then continues to suck it up, cleaning up the surrounding area all the time.

As the operative field was cleaned up, Qin Feng quickly found the patient's small intestine perforation. The perforation was about 0.5cm in size, and the surrounding small intestine had inflammation and edema.

Qin Feng arranged to send the pus to the laboratory department for bacterial culture, then cut out the surrounding suppurating tissue and sent it to the pathology department for pathological examination. After the final inspection was correct, sutures were performed.

The operation is considered complete.

It's just that it takes a little time to wait for the test results, and the patient still needs to stay in the hospital for a day.

At four o'clock in the afternoon the next day, the test results came out.

Salmonella was cultured from the patient's peritoneal pus, and Salmonella was cultured from the middle leaf of the soft-boiled egg. There were no other pathological findings, and everything was normal.

Therefore, the patient ate undercooked egg yolks, which led to Salmonella infection, enteritis, small intestinal perforation and peritonitis.

After Qin Feng told the patient's mother, the patient's mother also regretted it for a while.

After sending away the patient's mother, Qin Feng posted content about the condition on the Intranet, and at the same time posted a short video on Douyin.

The content is very simple, that is to appeal to parents and grandparents, not to give children soft-boiled poached eggs, and undercooked meat products, etc.

The physique of children is different from that of adults, and there are some germs that they cannot resist.

After lunch, Qin Feng didn't have time to rest, so he received a call from the general manager of the hospital, saying that an old employee from Modu Heavy Industry was strangled by a machine, and was sent for medical treatment, and asked Qin Feng to come and have a look.

Qin Feng hurriedly went to the emergency room to wait. Modu Heavy Industry can be said to be one of the regular customers of the hand surgery department of Ruijin Hospital. Many workers there have been injured. After all, when doing this kind of thing, there are times when they are negligent.

This is also the reason why those heavy industrial enterprises strongly demand safe production, and they really can't stand it.

After meeting with the hospital manager, Qin Feng asked directly: "What's the patient's condition now, is the hand transected or comminuted?"

"It's not that serious, it's just a little strange." The inpatient always had a weird expression on his face.

Qin Feng didn't understand. His hand was broken. What else could be strange?

Entering the emergency room, the hand surgery doctor was already in place, but because of Qin Feng's glorious experience before, the hand surgery doctor kept absolutely silent, waiting for Qin Feng's speech.

Qin Feng glanced at the patient's arm, there were obvious signs of fracture, and two fingers were broken, but what attracted Qin Feng was not the patient's arm injury, but the patient's lips.

The patient's lips were swollen even more like sausages, which made Qin Feng curious. Qin Feng finally understood why the resident's face was so weird. Anyone who saw it couldn't help it.

Qin Feng's literacy is still very good, and there is no unnecessary expression. First, he checked the patient's arm injury. The index finger, middle finger, and ring finger of the right upper limb were all amputated.

The index finger was broken at the first joint, and the phalanges of the other two fingers were crushed by the machine.

For a patient with this kind of injury, Qin Feng's expression is still very normal. After all, Qin Feng has undergone surgery for injuries more serious than this, which made the doctor in Sakura Country unable to breathe.

Qin Feng was the least afraid of severed fingers, and at worst he transplanted his toes onto his fingers.

"Doctor, can I get my fingers back?" the patient asked with a sigh.

After all, he has seen a lot of people who were crushed by mechanical equipment, and most of them could not be reattached. In the end, they could only be forced to retire directly due to work-related injuries.

There is a big difference between full-time retirement and work-related retirement.

(End of this chapter)