Chapter 1499

"Director, come and have a look. I can't find my appendix." Feng Jianguo gave up the struggle and sighed.

I can't find it. Let the director come up and have a look. If not, it's really

incorrect! And boss Zheng!

Such an idea suddenly appeared in Feng Jianguo's mind.

But this kind of thing, Director Wei can solve is the best. Don't make trouble to find boss Zheng to solve it.

Appendicitis can't be done. It's embarrassing to think about yourself.

"All over?" Director Wei Ningmei asked cautiously.

"Yes." Feng Jianguo nodded with another professor leading the group.

Director Wei doesn't want to have this kind of operation.

This is not a matter of technical level. Even if you go to school, you have a high probability of not finding your appendix.

But I'm the director. All the bad things will come to me in the end.

This is the responsibility and obligation of the chief director.

There's no way. Director Wei brushed his hands on the stage.

The operating room was quiet, and the background music was turned off early. At this time, all the practitioners have bad temper. If it's music, it's a disaster.

It's not just music. There's nothing like driving and Biao jokes.

No one was driving, and even his voice was kept low.

Even if a word annoys the operator, it is often that he starts to fall instruments on the operating table.

The incision was covered with white gauze. The two professors gave up their last struggle and simply waited for Director Wei to come on stage.

Quan Xiaocao stood aside, waiting for Director Wei to come out and wear sterile clothes. He rushed up at any time to tie the belt for the director.

Although this is a small detail, it can also try to make a good impression on Director Wei.

And surgery... Quan Xiaocao has long been confused.

The patient's appendix seems to have been lost out of thin air. It can't be found at all.

Director Wei, with a gloomy face, brushed his hands, disinfected and wore sterile clothes to the position of the operator.

When he opened the white warm saline gauze, he saw that the incision had been extended to nearly 10cm.

The initial appendix incision extends upward and becomes a straight mouth with a small hook. It looks particularly "ugly".

Every time you encounter this ugly incision, it means that the operation is extremely difficult.

What a headache. Director Wei took a deep breath, stretched out his hand, asked the instrument nurse for big tweezers and began to look for the "disappeared" appendix again.

After 2 ′ 12 seconds, Director Wei's heart sank.

Sure enough, it was not Feng Jianguo's fault. The appendix was not in all familiar positions.

No contralateral appendix, high appendix or retroperitoneal appendix was found by simple exploration.

No way, start stroking your intestines and looking for it a little. I really don't believe it. I can't find this little guy.

Because he was too focused and nervous, and his sympathetic nerves were highly excited, Director Wei felt that the position of his armpit was a little cold.

It was sweating, he knew in his heart.

The incubation period of mental sweating from stimulation to sweating is very short, only a few seconds to 20 seconds.

Nervous emotions constantly stimulate the sympathetic nerve, and nerve impulses are transmitted from the cerebral cortex to the palms, armpits, frontal and facial sweat glands.

The increase of norepinephrine concentration leads to the rapid enhancement of secretory and excretory activities of eccrine glands in a short time, that is, mental sweating.

First, the apocrine glands in the armpit began to secrete sweat, and immediately other exocrine sweat glands began to secrete sweat.

6 ′ 23 ″, Director Wei turned his head and asked the itinerant nurse to tie white sterile gauze.

Plan ahead. If you can't find the appendix, but sweat drops in the operation area, don't be a man in the future.

However, no matter how many hormones the sympathetic nerve induces the body to secrete because of tension, Director Wei's attention and hands are more stable, and his technology has been brought into full play. However, all this is in vain.

After 23 ′ 45 ", Director Wei began to sweat.

Acetylcholine camp began to increase the energy of nerve cells, but there was no egg, and more and more sweat.

The intestines have been stroked almost, from the cecum up to the duodenum. Down, almost touched the rectum, and the appendix seemed to be nonexistent.

"Is the preoperative diagnosis clear?!" Director Wei said in a deep voice.

"Clear." Another professor with a group said with a guilty heart: "metastatic pain, the first time of onset is epigastric pain, followed by periumbilical pain, and finally fixed in the right lower abdomen. There is tenderness, rebound pain and no muscle tension in the appendix area of the right lower abdomen. Blood routine..."

He began to report his illness.

A very simple and clear medical history.

Physical examination, symptoms and clinical examination showed that except for the absence of B-ultrasound in the right lower abdomen, all the evidence directly pointed to acute simple appendicitis.

Really special! Director Wei scolded in his heart and continued to stroke his intestines.

Duodenum, when I was young, I encountered a case of appendicitis, which was found here.

I hope it's OK this time.

After 2 ′ 12 ", Director Wei was disappointed again.

All the intestines were stroked. There was nothing.

Even the rarest retroperitoneal appendix does not exist.

Director Wei was in despair. Even the retroperitoneal appendix had ruptured and perforated due to severe swelling.

Although the operation is extremely troublesome, it is better than that in which there is no appendix at all.

He turned his head and the anesthesiologist immediately came up to wipe his sweat.

After all, the treatment of a senior director is different from that of a professor with a group.

Director Wei turned his head back and looked at the operation area without moving.

He is recalling the cases he has experienced over the years.

The most complicated and troublesome is the retroperitoneal appendix, also known as the extraperitoneal appendix. And this kind of careful search, but I can't find the appendix at all. It hasn't happened yet.

Do you want to capsize in this small gutter?

My great reputation was ruined by appendicitis.

Is it an endoluminal appendix? Director Wei suddenly remembered such a term.

He found the ileocecal part, gently squeezed the intestinal tract with his hand, and looked up and down for 6-8cm respectively.

Or nothing.

"Director, why don't you ask boss Zheng for a slap?" Feng Jianguo whispered his suggestion.

"The intestines have been smoothed, and there must be no appendix. It's useful to have a look at boss Zheng?" Director Wei stared at Feng Jianguo.

“……”

Feng Jianguo dared not speak.

The voice of communication was very low. The patient lay on the operating table and knew that something big had happened. His upper limbs trembled and his upper and lower teeth collided and banged.

Because he couldn't see anything across the sterile sheet, he could only vaguely hear the sound on that side.

Until there was silence on the operating table, the patient pretended to be brave and asked in a low voice, "director, I won't die."

"..." Director Wei really wants to cry.

But because of sweating too much, the amount of body fluid is obviously insufficient. At the moment, even if you cry, you can't cry.

The body distributes body fluids to the most important organ, the lacrimal gland? It doesn't matter there, okay.

Director Wei didn't answer the patient. He was silent for a few seconds, sighed and said, "call boss Zheng."