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

Based on her own experience and knowledge, Wang Qiaoya thought of a possibility.

But she also felt that this might hardly exist, so she stopped talking halfway through.

Of course, Lin Yi also knew the purpose of Wang Qiaoya's question, so he said:

"The purpose of my checking these two is to suspect that the little boy has a twisted bowel."

"Ah, the little boy really has intestinal twist, how is this possible?"

"The kid had stomach pains intermittently, and after one meal, he had violent somersaults."

"Therefore, the possibility of intestinal volvulus cannot be ruled out. If intestinal volvulus is diagnosed, surgical treatment is required as soon as possible."

Regarding Lin Yi's explanation, because Wang Qiaoya had never seen such a situation, she only nodded in doubt.

She had never seen such a relatively rare case, so she could not think of this possibility.

Of course, she still expressed her doubts to Lin Yi:

"Brother Yi, this child has had stomach pains intermittently for a while. There is no major problem, and at his age, is it possible that the stomach pain is caused by mesenteric lymphadenitis?"

"The possibility of intestinal volvulus should not be high. You can see that he does not have a fever now, nor does he have nausea and vomiting."

Lin Yi shook his head and said:
"Don't look at the appearance when you see a doctor, and you need multiple observations and careful examinations to make an accurate judgment.

After the child comes back from the examination in a while, you have to go through the hospitalization procedures for him, and let him observe overnight until tomorrow, and you can see the changes. "

"Really? Brother Yi."

Wang Qiaoya still has some doubts.

"You just do as I said, first go through the hospitalization procedures for him, and observe for one night. Tomorrow or not, if the child's condition changes, you will understand."

"Okay, Brother Yi."

When the parents came back with the boy for examination, Wang Qiaoya asked them to go through the formalities of hospital observation.

The little boy's parents were still a little reluctant.

I feel that my child just has a stomachache and there is no major problem, so why should he be hospitalized?
After Wang Qiaoya's detailed explanation, the child's parents reluctantly agreed to stay for one night.

If nothing happens tonight, they must be discharged tomorrow.

Moreover, their son is in school and cannot delay his studies.

Although the little boy's parents didn't believe Wang Qiaoya's words, they still decided to go through the formalities of hospitalization for observation for the sake of the child's health.

A day passed quickly, and it was almost time for Lin Yi to get off work.

At this moment, the little boy in the ward turned over and suddenly vomited on the bed.

Then, with a painful expression, he clutched his stomach and yelled.

The little boy who was sleeping soundly just now suddenly became so painful, his father was at a loss for what to do.

"Doctor, doctor!"

The little boy's father yelled down the corridor.

Lin Yi hurried over, picked up the little boy, and walked out.

"Your son's volvulus is getting worse and needs surgery now!"

Lin Yi said without a doubt.

The little boy's father panicked all of a sudden.

"Doctor, I'm sorry before, it's all my fault, I will listen to you!"

The little boy's father hurriedly apologized to Lin Yi, then took out his mobile phone, called his wife, and told her to come to the hospital as soon as possible.

Seeing the little boy, Wang Qiaoya felt a little bad, so she asked, "Brother Yi, what's going on?"

"His intestinal volvulus is serious, and now he must be operated on immediately!"

"Quickly check the blood biochemistry, amylase, and do an abdominal CT!"

Lin Yi ordered immediately.

"Blood biochemistry, amylase has been checked, his value is slightly higher, I'm going to take a CT of his abdomen now!"

As Wang Qiaoya spoke, she and Lin Yi carried the boy to the CT room!
Soon, the results came out, and the little boy had torsion!
It is already very serious and requires surgical reduction as soon as possible.

Otherwise, after a long time, the necrotic part of the small intestine will be removed.

Lin Yi carried the little boy to the operating room, ready to wash his hands and go on stage.

Emergency surgery, anesthesia quickly.

Surgery can begin!

Small bowel volvulus reduction is only a secondary operation in general surgery.

For Lin Yi, it was as simple as drinking cold water.

Lin Yi picked up a scalpel and made a central incision next to the right abdomen, cutting each layer layer by layer to open the abdominal cavity.

Wang Qiaoya, who was looking at Lin Yi, was very nervous all the time, and saw Lin Yi opening his abdominal cavity skillfully.

While he was relieved, he also secretly admired Lin Yi's technical level, which was extraordinary.

Fortunately, after listening to Lin Yi's words, the little boy was hospitalized for observation, otherwise the consequences would be disastrous.

Lin Yi continued to perform his own operation, so he naturally didn't worry about Wang Qiaoya's reaction.

After entering the abdominal cavity, it can be seen that the intestinal loop is stagnant, and there is bloody ascites.

Lin Yi lifted a section of intestinal loop with his left hand, and probed along the mesentery with his right hand to the root of the mesentery.

From the root of the transverse mesocolon or the lower abdomen, locate the root of the twisted mesentery.

After identifying the direction of twisting and confirming that it is twisted clockwise, restore the entire small intestine to the opposite direction of twisting.Rotate 360° to return to normal position.

Lin Yi carefully observed the color of the intestines.

It was found that the intestine and mesentery did not have serious congestion and bleeding points; the color of the intestinal serosa layer was relatively normal, and intestinal peristalsis existed.

There was no thrombus in the mesangial vein, and there was no foul smell in the abdominal cavity.The most important thing is that the mesangial artery and the marginal intestinal artery have pulse.

All this shows that the boy's intestines are not necrotic and only need to be repositioned.

And after observing for a while, the blood supply of the small intestine has been restored.

Lin Yi sucked up the exudate in the abdominal cavity and washed it with warm salt water.

Mainly to avoid infection.

After the treatment, a drainage tube was placed in the abdominal cavity, and Lin Yi began to close the abdomen layer by layer.

The whole operation took Lin Yi less than an hour.

Seeing Wang Qiaoya as an assistant, she was taken aback for a while.

Lin Yi's surgical skills have far exceeded her imagination.

However, she quickly regained her composure.

Reduction of intestinal volvulus is only a second-level operation, and Lin Yi can do it as a matter of course.

After the little boy got off the operating table, he was not placed in the intensive care unit, but went to the general ward.

Because the boy sees his parents after waking up, it will not affect his emotions, and it will also benefit his recovery.

After the little boy's parents settled him down, they both came to the office and found Lin Yi.

"Dr. Lin, thank you so much. If you hadn't stopped us in time and allowed us to be hospitalized for observation, if we returned home, the consequences would be disastrous!"

"The child suddenly appeared in this situation. We really don't know what to do. You saved my child's life!"

The little boy's parents were very emotional and thanked Lin Yi again and again!