medical road high rise

Chapter 504
Chapter 507 Foreign body in eyeball
Although Zhang Kai's quality of life will be affected to a certain extent after resection of a part of the intestine, the impact is not serious. The main reason is that the capacity of the small intestine is reduced, and the absorption and digestion function is reduced, that is, there will be problems with appetite.

Therefore, Qin Feng quickly and accurately removed the necrotic intestine, and then performed end-to-end intestinal anastomosis, which is the most physiological way of intestinal anastomosis.

This kind of anastomosis is to bring the two sections of intestine that have been resected with necrosis close together, and suture the whole thickness of the intestine continuously, which is safe and effective.

"Gutgut." Qin Feng stretched out his hand to pass.

Because the first step is to suture the inner layer of the intestinal wall, which is deep in the tissue, you can only choose sutures that can be dissolved and absorbed by the tissue.

And during this period, patients need to pay attention to their diet. They can only eat liquid food. It is best not to eat those foods that are difficult to digest. Otherwise, frequent peristalsis will easily occur and cause collapse.

Qin Feng used a suture needle to wrap the intestinal tube in a circle, completing the inner suturing operation, and then there was no pause in the movements of his hands.

After the inner layer of the intestinal wall is sutured, the outer seromuscular layer is sutured directly. This layer is sutured with non-absorbable sutures, and interrupted sutures must be used.

This is to prevent the outer layer of non-absorbable suture from breaking after the inner layer of absorbable suture can support for a while, so as to ensure that the intestinal tube will not be split.

Continuous and interrupted suturing is also to improve the fault tolerance rate. The advantage of continuous and uninterrupted suturing is that it is fast, takes less time, and causes minimal damage to the suture site.

Intermittent sutures require multiple knots and multiple short sutures in multiple places. Even if the sutures in one place are broken, the sutures in other places can also play a supplementary role.

These are the two suturing methods that surgeons will choose according to different situations during the operation.

After 10 minutes, the stitching is complete.

Qin Feng checked the intestinal segment and mesentery again, and after confirming that there was no damage or embolism, he took another look at the appendix.

If the appendix is ​​diseased, this operation can be used to remove it, and everything will be better.

Fortunately, there was no disease in the appendix, so Qin Feng stuffed it back in and then sutured it.

After the suturing is completed, the operation is declared complete.

Qin Feng handed the patient to the general resident, and then left directly to go to the outpatient clinic. Qin Feng had not completed his outpatient tasks today.

Although Qin Feng is very famous now, the workload of the consultation has still been completed.

"Number 9." Yue Meng went out and shouted.

A patient wearing construction site clothes came in. Qin Feng was also a little surprised when he saw him, because Qin Feng's registration fee was very expensive, and generally he would not register with Qin Feng's account unless it was a special case.

"Doctor, can you see if something has entered my eye? It hurts so much." The worker sat down and said with wide eyes.

Qin Feng went forward to check and found that there was a small brown spot on the cornea next to the pupil of the worker, about 1mm in size. It should be that iron filings accidentally entered it when working on the construction site.

This situation is a corneal foreign body, and Qin Feng quickly diagnosed it.

"Can you tell me what's going on?" Qin Feng asked.

"I work as a welder on the construction site. I didn't wear goggles when I was welding the iron. I suddenly felt a pain in my eyes. I couldn't open my eyes because of the pain. Finally, I showed it to my workers. The workers said that there was a black spot in my eye. I really felt it. If you can't get it out, you have to go to the hospital." The worker said.

Qin Feng nodded. When soldering iron, high-temperature sparks will burst out, that is, iron filings. If you don't wear goggles, it is very likely that it will splash into your eyes.

The disease of the patient in front of me is corneal foreign body, which is also a common disease in ophthalmology. Generally, patients have corneal foreign body, and then rub it off, they will go to the ophthalmology department of the hospital to see.

As for the workers, they probably haven't registered much, and they feel that there is a reason why they are expensive, so they come to Qin Feng.

Qin Feng couldn't help shaking his head, but it is very difficult to refund the money, so Qin Feng still said a few words to the workers.

"When you register in the future, unless there are special circumstances, don't register as an expert, it is easy to waste money, just register as a general doctor." Qin Feng suggested.

Because ordinary doctors can't see well, he will ask for expert consultation, so it is best to spend the least amount of money for experts to see a doctor, and the general doctor is the best.

Qin Feng asked Zhang Yao to go to the ophthalmology department to get the tools. Then Qin Feng skillfully applied anesthesia to the worker's right eye, removed the foreign body in the cornea, and then applied anti-infective eye drops to the worker. When he took it out, what bacteria were found on the foreign body? etc. causing infection.

A few minutes later, Qin Feng took out the iron filings smoothly.

"Thank you, Doctor Qin." The patient said gratefully.

"It's okay, it should be."

The patient left, and Qin Feng continued to see the patient.

Half an hour later, the patient suddenly came back.

"Doctor Qin, something is wrong, my right eye still hurts!" the patient rubbed his right eye and asked in confusion.

"It still hurts?" Qin Feng froze for a moment.

Generally speaking, after the anesthetic is applied to the eyes, even if the corneal foreign body has not been raised, the patient's eye pain symptoms will be greatly relieved, and after the foreign body is removed, the patient's eye pain symptoms will disappear immediately.

But why does this patient still have eye pain after removing the corneal foreign body?

Qin Feng felt that there was a problem, and Qin Feng became more serious this time.

After carefully examining the patient's right eye, Qin Feng found that there was a very small wound on the eyeball of the patient's right eye. If you didn't pay attention, you would think it was red blood.

The wound should be caused by iron filings, which is a penetrating corneal injury, but Qin Feng suddenly thought of something.

Now that there is a wound, is it possible that there will be a foreign body in the eyeball?That is, iron filings enter the eyeball.

Qin Feng's expression suddenly became serious, "I suggest you go for a CT, because I found that your cornea was scratched by iron filings, and I suspect that another small piece of iron filings may have entered the inside of the cornea. I can’t see clearly, so I need to do a CT eye examination with the help of equipment.”

"Ok."

Half an hour later, CT came out, because Qin Feng wanted to rush it, otherwise, he wouldn't be able to get out for an hour.

CT showed that there was a small white spot in the patient's eyeball, that is, there was a foreign body in the eyeball. Obviously, another piece of iron filings did exist inside, and it penetrated the cornea, passed through the iris and entered the eyeball.

Qin Feng told the patient about the matter, but the patient did not expect that such a serious incident would happen to him just because he was lazy for a while.

"Doctor Qin, what should I do? Am I going blind?" the patient asked in a panic.

He felt that it had entered the inside of the eyeball, so he would definitely not be able to get it out. After all, no one dared to touch the eyeball.

"Don't worry, you won't go blind. The iron filings can be removed through surgery."

(End of this chapter)