stjorthotic Chapter 357
Chapter 357
Chapter 357
Monkey steals peaches! !
launch! !
As soon as Lin Feng probed, he felt something was wrong!
The patient Yuan student’s egg is obviously swollen!
The right egg is swollen!
“His…It hurts…”
Yuan student was so touched by Lin Feng, he breathed cold air, and felt very painful.
Even the body couldn’t help but shrink.
“”Acute epididymitis”, yes…”
Lin Feng breathed a sigh of relief.
Perhaps the cause of the patient’s abdominal pain was simply “acute epididymitis,” and then because of the cross-conduction of nerves, the patient mistakenly thought it was pain in the right lower abdomen. (Of course, it is not ruled out that he may have both acute gastroenteritis and epididymitis at the same time.)
As for the specifics,
Acute epididymitis is more common. It is local congestion and edema, so the volume will increase.
It is more common in young and middle-aged men. It may be caused by factors such as sedentary sitting, holding back urine, unclean life, and so on.
“What? I have inflammation here?”
“Yes.”
“No, Doctor Lin, will my bastard break?”
This patient, who is still a student, panicked at this moment.
The dignity of a man!
If it breaks down, can you still be a man?
Eunuch?
The crying heart is gone! !
And the classmate who helped him here was confused, and couldn’t help but want to laugh a little.
Lin Feng explained comfortingly: “Acute epididymitis” is usually a bacterial infection, and antibiotic treatment is sufficient…”
certainly,
Things are not as simple as Lin Feng said.
If the treatment is timely, most of them can be recovered. A small number of patients may progress to egg inflammation. At that time, it may really affect the quality of sperm and even cause infertility.
However, the patient’s visual assessment is “acute epididymitis”, but other deeper problems cannot be ruled out, so further examinations are required…
The patient and the student cried: “Dr. Lin, you can do whatever you say, I have no problem!”
Lin Feng: “Then go for a color Doppler ultrasound…Look at how severe the epididymal enlargement is, and learn more about the situation.”
soon,
The egg color ultrasound results came out.
As a result, Lin Feng and the interns were surprised! !
·Color Doppler ultrasound results: local blood flow disorder in the epididymis…
Blood flow disorder…that is, the blood flow is not smooth…
but,
The patient has epididymitis” because the inflammation is congestive, and the local blood flow will be very rich!
This is very contradictory!
The only possibility is-“Dandan Twist”! !
The patient not only has “epididymitis”, but also has “egg torsion”! !
The so-called torsion, as the name implies, is that the patient’s blood vessels are knotted and turned a few times. This will cause local venous blood flow disorders and cause peripheral vascular congestion and ischemia. The patient will have eggs similar to egg inflammation. The performance of egg swelling and pain.
Over time, necrosis will occur in severe ischemia.
At that time, it will really be a “chicken and egg fight”!
“Doctor Lin…what’s wrong?”
Seeing the surprised expressions of Lin Feng and others, the students suddenly realized that it was not good!
Lin Feng looked at the male patient sympathetically:
“Unfortunately to tell you now, your right side alone, “Dandan twisted”…”
Then Lin Feng explained what a “dandan twist” is.
“You now need to have surgery to reset immediately. You can’t delay it. For every minute you delay, the probability of your death will increase…”
From a statistical point of view, if the torsion of the egg can be reset within 5 hours, the egg can basically be rescued and preserved.
If it is delayed for 10 hours before resetting, 30% of the eggs may become necrotic.
And if it exceeds 24 hours, necrosis of the egg is almost inevitable, and it can only be cut off with pain.
And this patient has been in pain since last night, now it is 10 o’clock… well… 12 hours…
I can only pray now. At the beginning, the patient’s pain was not because there was no reversal.
“Really necrosis?”
Student Yuan almost peeed on the spot.
“Doctor Lin, please operate on me immediately!!”
Don’t dare to delay!
I’m afraid it’s too late.
“Okay, I will send someone to prepare the operating room… and then my nurse will tell you about the risks and complications of the operation… and then you sign!”
“Stop talking, I’ll sign it right away!!”
Yuan student shouted anxiously.
As for the money…
Fortunately, his classmates brought the money, knowing it was saving a’life’, and directly lent it to the patient.
…
Half an hour later…
The patient was pushed into the operating room.
Because the anesthesia is not a general anesthesia, but a half-body anesthesia, there is no need to fast and water…It is too late.
· Lin Feng Chief Sword,
·Urology surgeon assisted with one help…
First of all, the operation is to get out of the surgical field…
Cut the skin and tissue at the position of the egg on the right side of the sac…
Revealing…
Sure enough, I saw the right side of the egg twist, the blood vessels twisted three or four times.
The good news is that although Dandan is lavender, it seems that there is no ischemic necrosis.
To reset…
The blood began to return to normal…
The color of the egg is beginning to recover…
Ruddy, very healthy…
Next, the egg is fixed…
The right side of the egg is fixed to ensure that it will not be twisted again…
After thinking about it, Lin Feng also fixed the left egg…
Because the person with the problem on the right side may turn around on the left side.
Then start stitching…
0 ········Find flowers·····
closure……
End the operation…
The patient remained awake all the time.
“Dr. Lin, is my bastard saved?” ”
“Yes, saved.”
“Huh~~~~~ Thank you Dr. Lin, thank you Dr. Lin…”
The patient was grateful and thanked again and again.
“You turn around, it should be the problem of sitting for a long time?”
“Ahem…I’ve been playing games recently, I’ve been sitting for too long…”
“Don’t do this next time… Exercise more… Besides, if you have any illness next time, don’t hide it. It will affect the doctor’s judgment. Just like this time, if you hide it for a long time, you may lose your bastard. …”
“Don’t dare next time, really don’t dare…”
End the operation…
At this time, Lin Feng recalled the entire course of the disease. The patient began to have stomach pain last night and then developed to vomiting. In addition, the torsion was not as severe as the 12 hours he had imagined.
0 …. 0
The patient should have gastroenteritis at the beginning, and later torsion.
…
Finished the operation,
The patient needs to be admitted to the hospital for a few days to observe the condition.
As for egg inflammation, only antibiotics are needed to suppress bacteria, and cold compress treatment is also available…
…
noon,
News came from the ICU.
The patient, a relative of the leader, was unable to undergo an EMG examination because of his serious illness.
but,
The “spinal puncture” has been completed, the spinal fluid has been drawn, and then a laboratory test has been performed.
Result: “Guillan Barre Syndrome”, positive!
Confirmed Lin Feng’s diagnosis!
icu is overjoyed! !
Director Chen can’t wait for the electromyography examination, and directly treats the “Guillain Barre syndrome” medicine!
The treatment method is: “gamma globulin shock therapy”!
The essence of Guillain Barre syndrome is peripheral nerve inflammation. It is possible to use “gamma globulin” or large doses of “glucocorticoid”.
But the first choice is gamma globulin. Although it is expensive, it has expensive reason and curative effect.
…
The next night,
Lin Feng is on night shift.
At this time, the student patient from Mizuki University had initially healed from the torsion, but he still needed to stay in the hospital for observation.
But the reputation has spread throughout the school.
“Have you heard? That XXX, Dandan turned around…”
This gossip, like wings, spread from Mizuki to the Imperial Capital University next door…
Has become a joke for many people…
at this time……
Icu call, Director Chen personally called.
“Dr. Lin, please come to ICU. The patient’s condition has improved… The leader came to the hospital and asked to see you by name…”
. again.