Chapter 302 Paralytic ileus?
But when Wei Ping finished packing and was about to go out.
Zhang Yang came to the door.
"Doctor Wei, you're still here. That's great. I have a patient who needs surgery, but I'm short of an assistant. Would you be willing to come and help me?"
As luck would have it, Zhang Yang showed up.
Cui Ying felt very unhappy.
Because it was so hard to have a meal with Wei Ping.
So, she said, "Doctor Zhang, Doctor Wei hasn't eaten yet."
"Let's eat later. The patient really needs surgery right away!" Zhang Yang said.
If an ordinary person said this, they would have ignored you long ago, but this is a hospital, not anywhere else.
Wei Ping also wanted to watch the operation and learn something.
So, he agreed.
"Okay, let's go!"
He was about to leave when he saw Cui Ying again.
He immediately said, "Cui Ying, don't be embarrassed. The patient's life is important. Let's eat when we have time, okay? You go back and eat first."
Can Cui Ying say no?
If you say no, that would be too unreasonable.
Obviously, the patient's life is more important. Look at Wei Ping, who is devoted to the patient. That is a caring person.
"Okay, then remember to eat."
"Okay, I'm leaving now!"
After Wei Ping left, Cui Ying stomped her feet in anger.
But she couldn't say anything.
God knew how long this operation would take, so she could only walk out of the office and head home.
Wei Ping didn't know all this.
At this time, he said to Zhang Yang, "What's the problem?"
"It's intestinal obstruction. The patient is only fourteen years old. These kinds of diseases are really becoming more and more common among younger people."
"Yeah, pity those kids."
"Is it a girl?"
"Yes, a girl. Her stomach is very bloated. She hasn't had a bowel movement in a few days and hasn't eaten much either. She says she throws up everything she eats."
"Are there any other symptoms?"
"Others, I've had appendectomy surgery before. Look back at the case file for the details."
"good!"
So the two of them walked quickly to the operating room.
At this time, a couple was standing outside the operating room. They must be the child's parents.
When they saw Zhang Yang, they immediately walked over.
"Doctor Zhang, when will the surgery be?"
"It's OK now. I've asked Dr. Wei to come with me."
Zhang Yang said.
At this time, the two recognized Wei Ping.
"Is it Doctor Sanquan? That's great. With you here, my child will be fine." said the man.
"Doctor Wei, you are my child's idol. She said she wants to be like you when she grows up."
Wei Ping smiled and nodded at them.
At this time, Zhang Yang said: "Okay, now is not the time for small talk, let's go in!"
"Don't worry, with Doctor Zhang here, everything will be fine." Wei Ping said finally.
Then the two of them walked into the operating room.
As soon as Wei Ping entered the operating room, he smelled some strange smell.
He didn't say anything.
Instead, he looked at the case quickly.
It was diagnosed by Guo Yongping.
The handwriting inside was in a flamboyant style, but he could still understand it.
The report states that the patient had no bowel sounds. A normal person's stomach would produce 3-5 bowel sounds per minute, indicating that the intestines were active and digesting food. If no bowel sounds were heard for even a minute, it could indicate a problem.
Look below, it says to rule out ectopic pregnancy.
Last time he took care of a girl with an ectopic pregnancy, but fortunately the girl recovered later.
Next are some CT report lists.
So the final diagnosis was paralytic ileus.
The so-called intestinal obstruction refers to the obstruction of a certain section of the intestine, and the intestinal contents cannot pass through. Then this section of the intestine will become more and more expanded, and the patient will experience abdominal pain, vomiting, abdominal distension, and the anus will stop expelling gas and defecation, especially the cessation of gas and defecation.
That is to say, the intestines are not moving much, which is a dangerous signal. If things go wrong, the intestines may soon become ischemic and necrotic, so surgery must be performed as soon as possible!
The reason she developed this disease at such a young age was because of the appendectomy surgery.
It should be noted that patients who have undergone abdominal surgery still have a high probability of developing adhesive intestinal obstruction.
If you have an abdominal surgery, the intestinal lining will be damaged to some extent. Some damaged linings may adhere to each other, and over time they may tighten the local intestine and cause intestinal obstruction, which is very common.
"Doctor Zhang, do you smell a strange smell?"
Wei Ping asked at this time.
Everyone in the operating room followed suit and said, "It seems so."
"Isn't that the smell of disinfectant?"
Following Wei Ping, I walked towards the girl and saw that her skin was particularly dry and her breathing was a little rapid.
He reached out and touched the girl's hand; it was ice cold. She was suffering from insufficient Qi and blood, and severe dehydration.
Coupled with that strange smell, Wei Ping made some judgment.
When the girl saw that it was Wei Ping, her heart rate became extremely high.
"Relax, I'm here!"
Wei Ping said.
She calmed down a little.
"Have you not eaten or drunk much in the past two days?" he asked.
"I vomit everything I eat and can't even drink water."
The girl said.
After the girl finished speaking, the smell became stronger.
At this time, Zhang Yang said: "I have arranged for fluid replacement, and the symptoms will be relieved soon. Doctor Wei, please help me, we can almost start."
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