My medical skills are a billion points

They sewed up the 5 cm long wound on his left forehead.

When the man was sent to the general ward, the man's parents came over and asked, "Doctor, how is my son doing now?"

Xiao Chu said: "Your son accidentally fell down, and there was a cut about 5 cm long on his forehead.

I have performed debridement and sutures on him, and he has had tetanus. Don't worry, the cut on his forehead will basically not leave scars! "

Xiao Chu can guarantee this point.

After all, he is a world-class stitcher.

The man's mother immediately said: "Thank you doctor, thank you!"

Xiao Chu glanced at the man, he had already noticed his skin and sclera, the jaundice was very obvious.

So Xiao Chu said to the man's parents:

"Your son now has jaundice and fever, which means that there is a problem with his liver and gallbladder system. You can't go home now and need to be hospitalized!"

If the man had simply suffered a head wound, he would not have needed hospitalization at all.

But when Xiao Chu was suturing his wound, he found that this man had a serious problem.

Therefore, he must be hospitalized for treatment, otherwise he may be in danger after returning home.

Jaundice is caused by an increase in serum bilirubin concentration due to bilirubin metabolism disorders.

Clinically, the sclera, mucous membranes, skin and other tissues are stained yellow.

Because the sclera contains more elastin, it has a strong affinity with bilirubin.

Therefore, in patients with jaundice, yellow staining of the sclera is often first noticed before the mucous membrane and skin.

Jaundice is further divided into hemolytic jaundice, hepatocellular jaundice, cholestatic jaundice, bile duct obstructive jaundice, and drug-induced jaundice.

This man's jaundice is already very serious.

Damage to his biliary tract and bowel was already evident.

Therefore, the man's jaundice cannot be ruled out to be caused by drugs.

Xiao Chu knows that patients with general mental disorders need to take a kind of medicine frequently to relieve symptoms.

So he asked the man's parents: "Since you said he has a mild mental disorder, what kind of medicine do you usually take at home?"

"Risperidone, what's wrong?"

said the man's mother.

"I think your son's jaundice has something to do with taking this medicine!"

"We need to give your son an abdominal MRI before we can make the next treatment plan!"

Xiao Chu already knew what kind of disease this man was.

But you know what you know, and you must have the necessary inspections.

Otherwise, the family members would not believe what he said.

Due to the slight shaking of the man's body, an MRI cannot be done.

Xiao Chu only gave him a sedative to make him fall asleep, and then gave him an abdominal MRI.

It turned out that his biliary tract was significantly narrowed, and next to his biliary system, there was a huge abscess.

This is also the reason for his high fever.

And he accidentally fell, it may be caused by convulsions caused by high fever.

However, the abscess next to the biliary tract shown on the MRI is extremely inconspicuous, and it will be missed if you are not careful.

Xiao Chu showed the inspection results to Zhou Ziqiang and Gao Yingjun.

Because this patient needs surgery.

Even if Xiao Chu is the chief swordsman, Zhou Ziqiang or Gao Yingjun are needed as assistants.

Because Wang Panpan was not capable enough, Xiao Chu didn't look for her.

Zhou Ziqiang and Gao Yingjun looked at the examination results, and naturally had no opinion on Xiao Chu's diagnosis.

They all competed to have surgery with Xiao Chu, and finally decided that the three of them would go on stage at the same time.

And Xiao Chu started a conversation with the man's parents.

"Your son not only has jaundice, but also has conjunctivitis, commonly known as pink eye.

It is mainly caused by the conflict of the immune system, which causes the spots we see in the digestive system.

The treatment plan is to have an operation to enter the abdominal cavity and remove part of the damaged intestine, otherwise, if the operation is not performed as soon as possible, life will be in danger! "

The man's parents expressed understanding.

His mother asked: "Doctor Xiao, we believe in your medical skills, so we will entrust our son to you!"

The man had already been pushed into the operating room, Xiao Chu took out the man's film to Zhou Ziqiang, and pointed to the location of the abscess.

"I think there is an abscess in this place. When the operation is performed later, you must pay attention to it, and don't break it!"

Zhou Ziqiang was a little surprised.

"I didn't even see it. There is an abscess on this film. How can you be so sure?"

Xiao Chu smiled.

"How about we make a bet?"

When Zhou Ziqiang heard it, he also became interested.

He said happily: "Okay, if there is an abscess inside after the operation, then I will lose you a barbecue, if it is opened and there is no abscess, then you will lose to me a barbecue, how about it?"

"no problem!"

Gao Yingjun also looked lively beside him.

"I bet Xiao Chu can win!"

Now Gao Yingjun blindly believes in Xiao Chu.

"Hey! You don't think it's a big deal to see the excitement, do you?"

Zhou Ziqiang said: "If Xiao Chu wins this time, I will also treat you to a barbecue. If Xiao Chu loses, you owe me a meal. How about it, Lao Gao?"

Zhou Ziqiang smirked, and wanted to drag Gao Yingjun into the water and join their bet.

Chapter 335 I won

Gao Yingjun smiled from ear to ear.

He felt that Zhou Ziqiang's bet with Xiao Chu was beyond his control.

At the same time, I also felt that Zhou Ziqiang would definitely lose a barbecue to himself.

"It's settled, Brother Zhou, you lose, and you owe us both a barbecue!"

"What a problem!"

Naturally, these three people don't care who wins or loses, they just want to have fun.

While the three of them were washing their hands, the nurse in the operating room hurried over.

"Director Xiao, the patient's blood pressure suddenly dropped, and he became restless, hurry up and take a look!"

The man had just been pushed into the operating room, and the anesthesia had not yet started.

Sudden irritability, emotional instability, appearing to be in great pain.

The nurse in the operating room hurriedly called Xiao Chu.

The three hurried to operating room No. 5.

It was found that the man was lying on the operating bed, extremely irritable, clutching his stomach.

With a very painful expression, several nurses were pressing him.

When Xiao Chu saw this situation, he knew what was going on.

He hurriedly said: "He probably has a perforated intestine, and he may be complicated with septic shock, and needs to be operated on as soon as possible!"

Of course Zhou Ziqiang was also aware of this problem, and he hurriedly said to the anesthesiologist: "His intestine has been perforated, hurry up and anesthetize him, we will operate immediately!"

The anesthetist moved swiftly and anesthetized the man.

The man lay quietly on the operating bed and passed out.

This time, it was Gao Yingjun who did the disinfection and laying of towels.

Xiao Chu is the chief swordsman, Zhou Ziqiang is the first assistant, and Gao Yingjun is the second assistant.

Standing at the position of the main sword, Xiao Chu said:

"The specific location of the intestinal perforation cannot be determined for the time being, so what is the fastest way to see the entire intestine?"

Gao Yingjun said first: "Draw a complete midline incision! Cut along the line, and you can see the entire intestine."

"Okay, let's start drawing!"

So, Gao Yingjun picked up a sterilized marker pen, and began to draw a midline incision on the man's stomach.

Zhou Ziqiang saw that the position line drawn by Gao Yingjun was not bad, so he nodded and said, "What should I do after opening the intestines?"

Gao Yingjun said while drawing a line: "Take out the entire intestine so that every necrosis site can be examined!"

"Okay, let's get started!"

The equipment nurse handed the scalpel to Xiao Chu.

He picked up the scalpel, and cut open the skin along the midline drawn by Gao Yingjun.

Then the subcutaneous tissue, fascia, blunt dissection of the muscles, and then the peritoneum was cut open to enter the abdominal cavity.

In this series of operations, Xiao Chu was steady and fast.

Almost no major bleeding points.

Seeing Xiao Chu's cutting technique, Zhou Ziqiang nodded secretly.

I feel that Xiao Chu is worthy of being a master of technology!

The three men pulled the man's large and small intestines out of his abdominal cavity.

Check it centimeter by centimeter to find out where the perforation is.

While checking the reddened large intestine, Gao Yingjun said, "I found a 5mm proximal jejunum with sclerosis, but no perforation."

Zhou Ziqiang said, "Record it down, continue the operation, and continue to find the location of the perforation."

At this moment, Xiao Chu's hand was stretched out in the man's abdomen, motionless.

Zhou Ziqiang suddenly couldn't figure it out.

He and Gao Yingjun were checking the patient's intestines, while Xiao Chu remained motionless.

It is estimated that some serious problems have been discovered.

So Zhou Ziqiang asked softly: "Xiao Chu, did you find any problems?"

Xiao Chu's hands still didn't move, he said calmly: "I found out..."

"You found the piercing?"

Zhou Ziqiang hastily interrupted Xiao Chu's words.

"With the clamps in place, I immediately used the enterectomy scissors and cut away the perforation that had broken down."

Xiao Chu remained motionless.

"Although I found a piercing, you don't do that."

Zhou Ziqiang and Gao Yingjun looked up at the serious Xiao Chu at the same time.

Zhou Ziqiang seemed to realize the seriousness of the matter.

It was impossible for Xiao Chu to make fun of them during the operation.

Because this is the patient's life, no one can afford it.