"Director Zhao, I'm afraid the patient won't be able to hold on for long if he comes to the stage in this state. Do you want him to cut off the entire small intestine?"

Wu Xiangdong walked in. Not only Zhao Guoqiang, but also the radiologist on the side was confused by his arrival.

"How did you get in?" The doctor was a little confused. You must know that only the staff of their radiology department have the right to enter the back room. Everyone else can only enter from the examination room, even Zhao Guoqiang, who is acting as the director.

.

But now Wu Xiangdong walked in so openly, which really puzzled the doctor.

"Maybe you can't hear the sounds outside." Faced with the doctor's inquiry, Wu Xiangdong shrugged and said, "More than ten minutes have passed since this patient entered the examination room, and the people outside waiting for examination have already passed.

It was about to explode, so I told the staff to check the situation inside and let me in."

"So that's it." The doctor suddenly realized that they were indeed equipped with thick lead doors for examinations inside. Since they can block radiation, they can also isolate sounds.

But what the doctor didn't know was that the reason why Wu Xiangdong was able to come in from the back room was because he had previously helped the staff in the appointment room solve the problem of the strong man, so he made a favor and let him into the examination room.

Otherwise, everyone only needs to negotiate to get in, and the specially set up access control in the radiology department will be meaningless.

However, Wu Xiangdong's words did not arouse the doctor's suspicion, but they caused Zhao Guoqiang to question him.

"What did you do before? If you didn't do the examination with the patient, what's the use of coming in now?" Zhao Guoqiang was still aggrieved that Wu Xiangdong left without saying hello, but now he naturally didn't feel like it when he saw him from here.

Good look.

Maybe Zhao Guoqiang couldn't stand the confident look on Wu Xiangdong's face. Anyway, he just didn't like him. Even if he came to help now, Zhao Guoqiang was still very dissatisfied.

However, Wu Xiangdong didn't care about this. He didn't even pay attention to Zhao Guoqiang's question. Instead, he walked straight to the patient with the things in his hand.

At this time, the patient's face was blue from suffocation, his lips were frighteningly white, his whole body was huddled up, his expression was listless, and he looked like he was about to die.

The most shocking thing is that at this time, the patient's entire abdomen has become hard, and the skin has become hard due to the leakage of abdominal fluid, without any elasticity.

"Sure enough, the most serious complication of strangulated intestinal obstruction occurred." Wu Xiangdong did not dare to delay and took out the contents of the bag directly.

There are disposable medical sterile latex gloves, iodophor and cotton balls for disinfection, blue treatment towels and tweezers.

What was finally taken out was a long puncture needle. The silver steel needle looked extremely cold under the light, and the little finger-long needle was even more emitting a faint light, making people shudder.

When Wu Xiangdong took out this thing, Zhao Guoqiang looked startled at first, and then his expression changed drastically. He immediately stepped forward and yelled at Wu Xiangdong: "Do you know what you are doing?"

"Of course I know." Faced with the question, Wu Xiangdong did not raise his head, or even blink his eyelids. He placed the items one by one beside the patient's bed, and then asked: "Director Zhao, do you know what you are doing?"

"

As soon as these words came out, Zhao Guoqiang was suddenly stunned. Wu Xiangdong asked him such a cold question, which made him a little dumbfounded.

For a moment, he even had the illusion that Wu Xiangdong was the director of the department, but on the other hand, he was just the assistant next to the director.

"What do you mean?" Zhao Guoqiang's face was completely downcast now, and even the radiology doctor could feel the chill on his body through the glass.

"The reason why I disappeared halfway was because I was afraid that the patient would be in such a situation." Wu Xiangdong tore open the cotton ball bag and poured iodophor into it. "So I went to the treatment room in advance to get the abdominal puncture tube, just because I was afraid that the patient would be on the way.

problem appear."

"? You must know that small intestinal strangulating intestinal obstruction is a mosaic obstruction caused by factors such as clamping, compression, torsion and traction of a section of small intestine and mesentery by the same lesion. Such a small intestine has two obstruction points, which is called

Closed loop small bowel obstruction.”

The patient originally suffered from simple intestinal obstruction due to eating sweet potatoes, and now the condition is aggravated by improper diet. The same part is repeatedly compressed. Therefore, the closed loop causes blood supply obstruction to the patient's small intestine and quickly leads to ischemia and hypoxia in the intestinal wall.

, which further leads to blood stasis, edema, exudation and even necrosis of this section of the small intestine.

"Are you saying that the patient's small intestine has begun to die?" If Zhao Guoqiang still doesn't understand what Wu Xiangdong is talking about, he can no longer be the acting director of the general surgery department.

It's just that such remarks make it difficult for Zhao Guoqiang to accept. How could a patient who is almost recovering from illness deteriorate to this extent after just drinking a few mouthfuls of eight-treasure porridge? The condition is progressing too fast. Zhao Guoqiang has never encountered this before.

This situation.

Seeing that Zhao Guoqiang still didn't believe it, Wu Xiangdong tapped the patient's distended abdomen. Immediately, the old man's abdominal muscles contracted, like a hard board that could no longer dent.

"Irritant peritonitis plus plate-shaped abdomen." The most serious clinical manifestations of gastrointestinal diseases have appeared in front of Zhao Guoqiang's eyes, which left him speechless.

"Don't be stunned now. Prepare to perform abdominal puncture and drainage. Otherwise, let alone going on stage, the impurities accumulated in the old man's intestines will kill him." Wu Xiangdong saw Zhao Guoqiang standing there stupidly, his hands all numb.

I didn't know how to move, but I immediately threw it away when I was told a lesson.

This shocked the radiologist who rushed over. My dear, a rookie who had just joined the job actually dared to call the director of the department. The auditory impact was simply shocking.

However, Zhao Guoqiang did not reply at this time, because the current situation was special, and the issues Wu Xiangdong mentioned naturally attracted his attention.

As Wu Xiangdong said, the old man's intestines have begun to swell and leak fluid due to obstruction, and this will change the permeability of the intestines. Once the impurities in the intestinal cavity are absorbed by the blood vessels attached to them, there is a high probability of causing

Systemic bloodstream infection, once septic shock occurs, the elderly person may die on the spot.

Thinking of this, Zhao Guoqiang couldn't help but break out in a cold sweat, and his hands and feet began to feel cold. You must know that septic shock is a nightmare for their surgeons. Once a patient suffers from septic shock, no matter how successful their operation is, they will end up in trouble.
Chapter completed!