NovelTags Chapter 355
Chapter 355
Monkey steals peaches!!
Launch!!
As soon as Lin Feng probed, he felt that something was wrong!
The egg of the patient Yuan Student is obviously swollen!
The right egg is enlarged!
"Hiss... It hurts..."
Student Yuan was touched by Lin Feng like this, and he directly pumped the cold air, and he felt very painful.
Even the body couldn't help but shrink.
"'Acute epididymitis', that's right..."
Lin Feng breathed a sigh of relief.
Perhaps the cause of the patient's abdominal pain is only because of "acute epididymitis", and then because of the nerve cross conduction, it is mistaken by the patient for right lower abdominal pain. (Of course, it is not excluded that he has both acute gastroenteritis and epididymitis.) ）
As for specifics,
Acute epididymitis is more common and is locally engorged and edematous, so it becomes larger.
It is more common in young and middle-aged men, and may be caused by factors such as sedentary time, holding urine, and unclean life.
"What? Am I inflamed here? "
"Yes."
"No, Dr. Lin, will my egg be broken?"
This patient, who was still a student, was panicked at this moment.
O dignity of men!
Can you still be a man if it breaks down?
Eunuch?
I have the heart to cry!!
And the classmate who helped him next to him couldn't help but laugh a little while he was confused.
Lin Feng explained and comforted: ""Acute epididymitis" is generally a bacterial infection, and antibiotic treatment is enough..."
Of course
Things are not as simple as Lin Feng said.
If treated in time, most of them can recover, and a small number of patients may progress to ovocitis, at which time it may really affect sperm quality and even cause infertility.
However, the patient's visual inspection is "acute epididymitis", but it cannot be ruled out that there are other deeper problems, so further examination is done...
The patient and student cried: "Dr. Lin, whatever you say, I have no problem!" "
Lin Feng: "Then let's do a color ultrasound... See how much the epididymis is enlarged to learn more. "
soon
The tempera ultra results are out.
As a result, Lin Feng and the interns were taken aback!!
Color ultrasound results: local blood flow disorders in the epididymis...
Blood flow disorders... That is, the blood flow is not smooth ...
But
The patient has epididymitis", because the inflammation is congested, and the local blood flow will be very rich!
It's contradictory!
The only possibility is - "egg twist"!!
The patient is not only "epididymitis", but also "egg torsion"!!
The so-called egg torsion, as the name implies, is that the patient's egg blood vessels are knotted and rotated a few times, which will lead to local venous blood flow disorders in the egg, causing peripheral vascular congestion and ischemia, and the patient will have egg swelling and pain similar to egg eggitis.
Over time, egg ischemia will be severe, and necrosis will occur.
At that time, it will really be "chicken flying egg fighting"!
"Dr. Lin... What's wrong? "
Seeing the surprised expressions of Lin Feng and the others, the students suddenly realized that something was wrong!
Lin Feng looked at the male patient with sympathy:
"Now it's unfortunate to tell you that your right side is single, 'egg twisting'..."
Then Lin Feng explained what "egg twist" is.
"You need to do surgical reduction right now, you can't delay, every extra minute delayed, the probability of you breaking your life will increase..."
From a statistical point of view, if the egg torsion can be reset within 5 hours, it can basically save the egg rescue.
If it is delayed for 10 hours to reset, 30% of the eggs may die.
And if it exceeds 24 hours, egg necrosis is almost inevitable, and it can only be cut painfully.
And this patient has been in pain since last night, and it is now 10 o'clock ... Well...... It's been 12 hours...
Now we can only pray that the patient's pain at the beginning is not because there is no egg twist.
"Is it really going to die?"
Student Yuan almost peed on the spot.
"Dr. Lin, please operate on me immediately!!"
Don't dare to delay!
I'm afraid it's too late.
"Okay, I'll have people go and prepare the operating room... Then my nurse will tell you about the dangers of surgery, complications... Then you sign! "
"No need to talk about it, I'll sign it right away!!"
Student Yuan shouted anxiously.
As for the money...
Fortunately, his classmate brought the money, knew that it was saving 'life', and lent it directly to the patient.
......
Half an hour later...
The patient is pushed into the operating room.
Because anesthesia is not general anesthesia, but half of the body, there is no need for fasting and water fasting... It's too late.
Lin Feng main knife,
Urologists help one and two help...
First of all, it is to open the operation, out of the surgical field of view...
Cut the skin, tissue, where the right egg of the sac is...
Reveal the eggs...
Sure enough, I saw the right egg twist, blood vessels and the like twisted three or four times.
The good news is that although the egg is lilac, it does not appear to have avascular necrosis.
Perform a reset...
The blood began to return to normal...
The color of the egg began to return...
Ruddy and very healthy...
Next, it's the egg fixation...
The right egg is fixed to ensure that no more twisting occurs...
After thinking about it, Lin Feng also fixed the left egg with his hand...
Because people with problems on the right side, maybe when the left egg will also be twisted.
And then the stitching begins...
Shut down......
End surgery...
The patient remains awake all the time.
"Doctor Lin, is my egg saved?"
"That's right, saved."
"Phew~~~~~ Thank you Dr. Lin, thank you Dr. Lin..."
The patient was grateful and happily thanked him again and again.
"You bastard twist, it should be a problem with sitting for a long time, right?"
"Ahem... I've been playing games lately and I've been sitting for too long..."
"Don't do this next time... Exercise more... In addition, next time there is any disease, do not hide it, it will affect the doctor's judgment, just like this time, if you hide it for a long time, maybe your eggs will be gone..."
"Don't dare next time, really don't dare..."
End surgery...
At this time, Lin Feng recalled the entire course of the disease, the patient began to have stomach pain last night, and then developed into vomiting, plus the egg twist was not as severe as the expected 12 hours.
The patient should have gastroenteritis at the beginning and then egg torsion later.
......
The operation ended,
The patient needs to be admitted to the hospital for a few days to observe the condition.
As for ovocitis only, only antibiotics are needed to suppress bacteria, and cold compress treatment can be carried out ...
......
midday
News came from the ICU.
The relative patient of the big leader, because of his serious condition, could not undergo an electromyogram.
But
A "spinal tap" has been done, spinal fluid has been drawn, and then laboratory tests have been performed.
Result: "Guillain Barré syndrome", positive!
Confirmed Lin Feng's diagnosis!
ICU Joy!!
Director Chen can't wait for the electromyography examination, and directly treats the "Guillain Barré syndrome" drug symptomatically!
The treatment is: "gamma globulin shock therapy"!
The essence of Guillain Barré syndrome is inflammation of peripheral nerves, and it is possible to use "gamma globulin" or large doses of "glucocorticoids".
But the first choice is gamma globulin, although expensive, but there is expensive reason and curative effect.
......
The next night,
Lin Feng was on the night shift.
At this time, the student patient of Mizuki University had initially healed the egg torsion, but he still needed to stay in the hospital for observation.
But fame has spread throughout the school.
"Have you heard? That XXX, the egg twisted..."
This gossip, as if it had wings, spread from Mizuki to the imperial capital university next door...
It has become the laughing stock of many people...
Just then...
The ICU called, and Director Chen personally called.
"Dr. Lin, please come to the ICU, the patient's condition has improved... The big leader came to the hospital and asked to see you by name..."
。