Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 151 It's So Stinky! (Please subscribe!)

"Doctor, hurry up and take a look, what happened to him?"

The woman broke down and cried loudly.

After thinking about it, Lin Yi put his hand under his nose.

"His breathing was also abnormal."

"His situation is very dangerous now, and it is very likely that he will die!"

Lin Yi said to Wu Jiang.

"Then you have to save him quickly!"

When the woman heard Lin Yi say this, she panicked even more.

"What should we do now? Hurry up and rescue him?"

Seeing this situation, Wu Jiang was a little panicked, and couldn't help asking Lin Yi.

"He has this situation, it must be a problem in his head."

"It is very likely that there is a new cerebral hemorrhage and cerebral infarction, or there is something new about the tumor, otherwise the progress will not be so fast."

"So my idea is that we should push him to get a head CT now, and the results will be available in a few minutes. After the results come out, we will operate on him immediately."

Upon hearing this, Wu Jiang immediately nodded in agreement:

"That's fine, I'll take the patient for CT right now and let them expedite it."

"Well, let's go!"

Lin Yi said a word, then took out his mobile phone and called Zhang Tai.

"Hello? Brother Tai, the patient I told you about suddenly has a problem now! I have to arrange an operation quickly, so let your people come here quickly!"

After the call was connected, Lin Yi said hastily.

Upon hearing this, Zhang Tai immediately agreed:
"Okay! It's over there in your emergency department, right? I'll send people over now!"

Everyone quickly took action.

After a while, the CT results came out!
Lin Yi and the others got the result and looked at it.

I saw above that the edema of the left cerebellar hemisphere became more obvious, and the pressure of the fourth ventricle has been deformed!
"The current situation is very urgent! Surgery must be performed immediately, and the head should be cut open to decompress, otherwise there will be a brain herniation, and the heartbeat and breathing will be seriously affected. If that is the case, it will be troublesome!"

After Lin Yi saw it, he immediately said to the wife of the patient next to him,

"So you should hurry up and sign, we are going to operate on your husband immediately."

At this time, the woman panicked when she saw this situation, and she didn't know what to do, so she could only obey the doctor.

Then she said at once:
"Okay, I'll sign... Now that this situation has developed, I have no other choice."

"Okay, Wu Jiang, hurry up and make arrangements!"

"Yes!"

After a while, a neurosurgeon rushed over.

"Which one is Dr. Lin Yilin?"

"it's me!"

Lin Yi stared at him and said.

I saw that the doctor was in his 40s and looked serious.

"Hello, Dr. Lin. My name is He Sheng. Deputy Director Zhang asked me to come, saying that there is an operation to be done."

The doctor said to Lin Yi.

"The patient is in the operating room, come in quickly, come in and say!"

Seeing him arriving, Lin Yi directly pulled him into the operating room.

After a quick research, it was decided to perform a posterior fossa craniotomy on the patient!

The operation was performed by He Sheng.

Since Zhang Tai had a meeting to hold today and didn't have time, he sent an expert from their department, who was also a big boss.

It is enough to do this operation at his level!

Lin Yi and several doctors and nurses were beside him, helping He Sheng.

After He Sheng chose the position, he first used gentian violet to draw the incision line on the patient's head.

"disinfect."

He Sheng issued an order.

Subsequently, the medical staff performed routine disinfection on the patient, from his forehead, to his shoulders, in front of both ears and the side of his neck.

Immediately afterwards, He Sheng covered the drape with an incision film and pasted it on the skin to prevent slippage during the operation.

After finishing, he infiltrated each layer of tissue with 0.25% procaine along the incision line, punctured the occipital bone with long needles on both sides of the incision line, and injected 5ml of procaine in each place to reduce bleeding during the operation situation, while facilitating the separation of muscles.

Finally, he picked up the scalpel, cut the skin and subcutaneous tissue in the middle, and electrocoagulated the bleeding point.

Then above the external occipital tuberosity, the periosteum was incised from the middle, and bypassed on both sides of the external occipital tuberosity, leaving a small diamond-shaped fascia at the tuberosity for alignment suturing at the end of the operation.

Under the extraoccipital tuberosity, the nuchal ligament is cut along the midline, reaching the occipital bone, the posterior tubercle of the atlas, and the spinous process of the axis.

The muscles and tendons attached to the occipital bone were peeled away and pushed away from both sides with a periosteal stripper.

After incision and separation of the tissue on the posterior tubercle of the atlas, the periosteum was cut horizontally along the surface of the posterior arch on both sides, and the spinous process and muscles on both sides of the vertebral plate were peeled outward.

During the stripping process, the muscle was electrocoagulated to stop bleeding, and there were catheters on both sides of the subtrochanteric midline, and bone wax was used to stop bleeding.

The incision is then propped open with an automatic retractor.

After finishing it, He Sheng performed a skull window on the patient and completely opened his head!

When they saw the situation inside, everyone couldn't help being shocked!

I saw a yellow-white purulent liquid flowing out of it, and it had an obvious foul smell.

How can this be a brain tumor or cerebral infarction!
It's a brain abscess!
This………

He Sheng was also a little surprised, because the plans discussed before the operation were all for brain tumors.

After opening the head, it was found to be a brain abscess.

In this case, we can only drain the pus first.

After drainage, Lin Yi immediately arranged to send part of the pus and pus wall tissue for pathological examination. At the same time, the abscess cavity was washed with hydrogen peroxide and gentamicin solution, and a drainage tube was placed.

After all the operations, He Sheng closed the opening of the patient's head, and the operation was over!

When he stepped off the stage, He Sheng's entire clothes were already wet with sweat.

"Doctor Lin, for a patient like this, he must be treated with the best combination of antibiotics and anti-anaerobic antibiotics!"

"Such a foul smell is likely to cause anaerobic infection, so it must be covered!"

He Sheng couldn't help admonishing Lin Yi.

Lin Yi nodded and said:
"Ok, I know."

Lin Yi frowned at this moment and couldn't help shaking his head.

How strange!With such a severe brain abscess, the patient did not even have a fever!

Moreover, the infection indicators of so many re-examinations are not high, which is really unreasonable!
If it wasn't for opening the lesion and seeing it as pus, no one would dare to say it was an abscess, which is why the real cause of the disease has not been found before.

While Lin Yi was thinking, Wu Jiang couldn't help asking questions.

Lin Yi thought for a while and answered:
"His condition is not a typical brain abscess, it is an occult brain abscess, and such cases occur in very rare cases."

"It should be that the abscess is relatively limited, it did not enter the blood, and caused a systemic reaction, so there was no fever and high infection indicators."

Afterwards, Lin Yi let out a long breath and said:
"Okay, although the analysis has been wrong before, but for patients, this is also a good thing!"

"Brain abscess is better than cerebral infarction or glioma! Not to mention the lung cancer metastasis we analyzed!"

Wu Jiang also nodded and said with a smile:

"Well, that's true!"

"Let's go, let's go out, I'll explain the situation to the patient's family."

After finishing speaking, Lin Yi walked out first.

The operating room door opens.

The woman ran up excitedly.

"Doctor, how is my husband's operation going?"

For such a long time, every second is so long!
She couldn't bear to hear the result at this moment, for fear of hearing some bad news!

"Ma'am, listen to me first. During the operation, we found that your husband's actual condition was somewhat different from what was expected."

Lin Yi went straight to her and said immediately.

Hearing this, the woman almost rolled her eyes and passed out.

Is it different from what was expected? !
Could it be that his actual situation is more serious?

Seeing her like this, Lin Yi immediately knew what she was thinking.

So he quickly explained to her:

"Don't get excited, it's good news!"

"good news?"

The woman came back to her senses at this moment, looked at Lin Yi and said in surprise.

"Yes, what's in your husband's brain is not a glioma, nor a brain metastases from lung cancer, but a brain abscess."

Lin Yi nodded and said directly.

"Brain abscess... what is this, is it serious?"

The woman read these words and asked Lin Yi.

"A brain abscess is simply like a skin abscess, except that it looks different. It can be treated and cured."

Lin Yi simply explained to her.

The woman's face was filled with surprise, she looked at Lin Yi and asked:

"In other words, my husband's problem is not serious? Does he have advanced lung cancer?"

Lin Yi shook his head and said:

"Probably not. At first we speculated that it was advanced lung cancer, and analyzed it based on the metastatic tumor of lung cancer in his head."

"As for what exactly is in his lungs, further examination is needed."

After hearing this, the woman nodded repeatedly and said:
"That's great! Great! As long as it's okay! Then when will my husband wake up?"

"We have sucked out the abscess in his brain just now, and if he is awake, it will be almost tomorrow."

Lin Yi replied to her.

"Okay, I see, doctor."

After the woman finished speaking, she suddenly remembered, and quickly took out her mobile phone to call her parents-in-law.

"Hello? Dad, Mom, don't worry! He shouldn't have lung cancer, and the one in his head isn't a tumor. The doctor said it's an abscess, which is similar to a skin abscess, but it's just in his head."

"Yes, don't worry, the doctor said that the problem is not serious, and it can be cured after treatment!"

"Yeah, when he wakes up, I'll tell you about his situation. You don't have to worry about it at home!"

…………

the next day.

The patient woke up.

"Brother Yi, the tissue test results are out!"

Wu Jiang pushed open the office door and walked in, and said to Lin Yi excitedly.

"How about it?"

Lin Yi asked immediately.

"It's caused by anaerobic bacteria. No wonder the pus smells so bad! I was so smoky in the operating room yesterday even though I was wearing a mask!"

Hearing this result, Lin Yi nodded reassuringly:
"That's good!"

"By the way, what's more, we re-examined his lungs again, and found that it should be an ordinary pulmonary nodule. How to deal with it, we'll just have to wait and see."

"Anyway, it has nothing to do with his head problem!"

Wu Jiang suddenly remembered and said to Lin Yi.

Wang Qiaoya on the side heard it, and immediately asked in disbelief:
"The co-author of this patient doesn't have a serious problem, just a simple brain abscess?"

Lin Yi nodded and said:

"Yes, but his brain abscess is very special. It is recessive. No abnormalities can be seen from the laboratory data. If you don't open the cranium to see what's inside, you won't find it is an abscess!"

"That said, it was just a false alarm before! It's okay, it's okay, I was worried about them, they are so pitiful!"

After hearing this, Wang Qiaoya covered her chest and said repeatedly.

Wu Jiang couldn't help laughing seeing her like this, and then said:

"You can't be a doctor with this kind of mentality. If you have been a doctor for a long time, you will encounter any situation, even poor patients."

"What is life and death? White-haired people give black-haired people, too much!"

"Oh, but if you encounter too many, you will naturally become numb."

"I can't be numb! Don't talk about it, I feel uncomfortable when I talk about it!"

Wang Qiaoya shook her head again and again, with a pained expression on her handsome face.

Seeing her cute appearance, everyone couldn't help laughing.

When the netizens in the live broadcast room heard the result, they couldn't help launching a barrage:

"This big brother's mood is really like a roller coaster ride!"

"Haha! That's right! First he was said to have a cerebral infarction, then he had a brain tumor, and then he was said to have advanced lung cancer. In the end, it turned out to be a brain abscess!"

"Who made this disease so rare for him! It can only be seen through a craniotomy!"

"Very good, this is also a blessing in misfortune!"

"Indeed, this result is simply too good for them!"

"I was very uncomfortable at first, and worried about them, but now I am so happy!"

"Yes, me too!"

Afterwards, Lin Yi stood up and said to Wu Jiang:

"Come on, let's go to the ward to see the patient."

"go!"

The two opened the door and walked into the ward. The patient was sitting on the bed, leaning on the pillow, and his wife was sitting beside the bed.

"Did you tell him about your husband?"

Lin Yi walked in and asked the woman directly.

Seeing Lin Yi coming in, the patient immediately said excitedly before the woman could speak:

"She told me! Doctor, I don't have lung cancer, right? Is it not terminal?"

"Yes, the thing growing on your lung should be just a nodule, and there is an abscess in your head, which was only seen after the craniotomy yesterday."

Lin Yi nodded and said to him.

"I...I...that's great! It really scared me to death! Doctor, I really don't want you to be so scary!"

The man clutched his chest, unable to express his emotions for a while,
"You know what I felt when I heard that I had advanced lung cancer! I was about to collapse!"

"Now that you guys are telling me the result, I really feel like I've walked through the gates of hell!"

"It's like being reborn from Nirvana!"

"In the past few days, I have been holding the mentality that I must die, but I have thought about a lot of things, and I want to understand a lot of truths!"

"Since I'm fine now, then I have to live a good life! Oh hoo!"

Seeing the man's almost crazy state, Lin Yi and Lin Yi couldn't help but smile at each other.

(End of this chapter)