Surgical artist

Chapter 598 Don't Make a Big Mistake

That man came to see his old friend and acquaintance, Professor Xiao, an expert in gastroenterology, today because he suddenly felt abdominal pain.

After seeing the doctor, Professor Xiao said with a smile that it should only be peritonitis.

It happened to be around noon at this time, Professor Xiao asked the man to eat first, and after he finished his work, he would come to study his "peritonitis" condition.

When the man heard that it was only peritonitis, he felt a lot more relaxed.

I thought to myself, that is, he has this kind of relationship, otherwise, how could such a famous doctor like Professor Xiao only treat such a small disease as peritonitis?

Can……

In Zhao Peiru's opinion, what kind of peritonitis is this?

This is clearly a spontaneous rectal rupture.

After the two sides chatted for a while, Zhao Peiru induced the other party's purpose of coming to the hospital, to see a disease in the hospital.

The other party saw that Zhao Peiru was wearing a white coat and had the air of a famous doctor, so he didn't hide much about his illness.

Zhao Peiru said: "Your illness must be misdiagnosed, otherwise the doctor would not let you escape by yourself, and let you cook by yourself."

The patient frowned: "Misdiagnosed?" He shook his head and smiled: "Impossible, the doctor who saw me was a famous doctor in this hospital, you doctors from other hospitals have to come and learn from him, his experience in seeing a doctor It is so rich that doctors from nearby provinces all come to listen to his classes."

Zhao Peiru said: "If you believe me, go to the doctor again, do a few more tests, and remember to tell him to use the perforation to repair the closure and add a proximal fistula..."

After Zhao Peiru gave a few instructions, he got up and left.

He has already told the man the severity of the condition and how to confirm the diagnosis, and how to choose is his own business.

After Zhao Peiru left.

Men don't take it seriously either.

He would rather trust his old acquaintance, Professor Xiao.In terms of fame, qualifications, and rich experience, Professor Xiao is a well-known doctor nearby.

Besides, peritonitis is a minor illness, just take some medicine.And the ruptured rectum that the good-tempered doctor said just now needs to be operated on!

Subconsciously, people are unwilling to accept serious illness.

He continued to eat.But eating and eating, it feels wrong.

The pain in the abdomen, which was already painless, reappeared, and the pain was unbearable, and it gradually worsened.

In just 2 minutes, there were already a lot of beads of sweat on the man's forehead.

He couldn't even finish his meal, so he got up and walked quickly upstairs to Professor Xiao.

The man just entered the consultation room.

Professor Xiao had just finished his consultation work in the morning, and was studying the man's test results list there.

Professor Xiao frowned slightly. These inspection result sheets and laboratory test sheets seemed to be fine at first glance, but he always had a faint feeling that something was wrong.

At this time the man ran back, and he continued to ask the doctor: "Lao Shi, besides abdominal pain, you also have chronic constipation, right?"

“Especially when straining to have a bowel movement, with sudden onset of abdominal pain?”

The man surnamed Shi nodded again and again, with more and more sweat on his forehead, he quickly said: "My abdominal pain is getting worse now, and the pain is unbearable."

Professor Xiao's face is a little serious, I will give you a finger test.

He puts on sterile gloves and inserts his fingers behind the patient.His face became serious.

The fingertips were stained with blood, indicating that there was bleeding inside.

Professor Xiao thought about it: "Your disease is not as simple as peritonitis, it is probably accompanied by acute duodenal perforation, or acute suppurative appendicitis..."

In one breath, he even mentioned several root causes of the disease.

The man was a little frightened: "Aren't you sure?"

With Professor Xiao's rich experience, he can't even determine the root cause of his illness?

Professor Xiao nodded deeply and said: "These symptoms are not typical. There are several possibilities. A laparotomy is the best way. You believe me, I will cure you at the same time as the laparotomy."

The man suddenly thought of something, and hurriedly said: "I was eating just now, and someone in a white coat said that I had a spontaneous rupture of the rectum."

"What else... Ask the doctor to improve the upright X-ray of the abdomen, saying that it should be able to detect free gas in the septum... And ask the doctor to perform repair and closure of the perforation and proximal fistula?"

The man tried his best to recall what Zhao Peiru said just now, and tried his best to restore it verbatim.

Professor Xiao listened and blinked...

Spontaneous rectal rupture?
Without saying a word, he directly flipped through the patient's examination materials.

"Spontaneous rectal rupture is also possible..."

"Go and make up a [-]D X-ray..."

Professor Xiao immediately arranged for the man to go for several examinations, and used his personal relationship: "Now is the noon break, I will call my colleague in the X-ray room and ask him to make one for you temporarily."

If it is a spontaneous rectal rupture, time is running out!
Surgery must be scheduled ASAP!

The breach must also be repaired as soon as possible, otherwise it will lead to a big mistake.

Seeing the seriousness of Professor Xiao's words, the man also felt nervous. Could it be that he is really seriously ill?

The illness cannot be delayed, his mentality has changed at the moment, and the most important thing is to quickly cure his illness, so that he will no longer suffer from pain and worsen!
The man hurried to the X-ray room.

After Professor Xiao made a phone call to his colleagues in the X-ray room, he carefully studied several test results of the patient on the table.

"If it is a spontaneous rectal rupture, several conditions should be met... There is no clear history of trauma, the pain is on the left side of the abdomen, and the pain in the left lower abdomen is severe..."

He sifts and compares them one by one.

At a certain moment, he suddenly woke up!

His forehead was instantly covered with sweat.

"It doesn't look like a duodenal ulcer perforation, nor does it look like acute suppurative appendicitis...it's really more like a spontaneous rectal rupture!"

In his mind, he remembered what the man said just now.

Someone also in a white coat told him these words?

Even, what kind of technique was used?
Professor Xiao pondered in his mind...

There are several treatment methods for spontaneous rectal rupture, among which resection of the diseased bowel segment plus proximal fistula, repair of the perforation plus proximal fistula, and external fistula of the perforated bowel segment are the most famous.

There are more unknown spells, seven or eight.

"How did that white coat decide to use perforation repair and proximal fistula from these surgical procedures?"

Professor Xiao thinks that even if a patient is diagnosed with spontaneous rectal rupture, it cannot be determined directly. What kind of surgery is suitable?

At this moment, a new prompt appeared on his computer.

It was because the inspection results from the X-ray room had been uploaded to the intranet, and he could directly view them on his computer system.

Seeing this, his complexion suddenly changed!
There is indeed free gas under the insulation!
In addition, the peripheral blood picture has increased to varying degrees, especially the increase in neutrophils...

(End of this chapter)