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148, Pregnancy appendicitis

Su Jie and Li Minghui rushed to the obstetrics and gynecology department with familiarity. Since it was not an emergency consultation, they were in a relatively relaxed mood and their pace was not fast.

But when the two of them walked to the obstetrics and gynecology department, the attitude of the female obstetrics and gynecology doctor made them both feel, was this consultation wrong? Was the emergency consultation changed to a general consultation?

"Why are you here? Come with me quickly!" The female obstetrics and gynecology doctor had just finished making a phone call. She turned around and saw Su Jie and Li Minghui, and quickly pulled them to the ward.

"What's wrong? Are you in such a hurry?" Li Minghui asked doubtfully.

"The abdominal pain has worsened, and the patient's condition does not look good." The female obstetrician and gynecologist led the way, with obvious beads of sweat on her forehead.

"Is it really an acute abdomen?"

"Highly suspicious. The white blood cell count in the blood test was alarmingly high."

Li Minghui also realized the seriousness of the problem at this time and asked: "How many weeks pregnant are you?"

"At 35 weeks, I am about to give birth. If I have an acute abdomen at this time, wouldn't it be fatal?"

The three of them walked quickly towards the third bed.

As soon as he arrived at the door of the ward, Su Jie heard intermittent moaning coming from inside. The sound was not very loud, and he seemed very exhausted.

Walking into the ward, the patient was a young pregnant mother in her twenties. Her 35th week of pregnancy had blown her into a round shape like a balloon. Her hair was unkempt and her face was covered with grease.

The belly that is about to give birth is like a big ripe watermelon. Even the thick quilt in winter cannot completely hide its traces. It has a small peak protruding and standing high.

Everyone could see that the patient was in severe pain at this time.

His face was pale, his fingers were tightly grasping the white quilt, and blue veins popped out on his forehead.

Su Jie had a strange feeling, as if...she was in labor, and it was difficult to give birth.

When the family members saw that the doctor finally arrived and found help, they quickly came over nervously and asked: "Doctor, what's wrong with my wife? Why does her stomach suddenly hurt so much? Is she about to give birth?"

"The due date is still three weeks away. I didn't go into labor early. It might be an acute abdomen."

"Acute abdomen?" The patient's family members did not understand the meaning.

The female obstetrician and gynecologist did not continue to explain, but calmed the patient's family members a little, then gave up their seats to Li Minghui and Su Jie, and asked the nurse to bring over all the examination reports that had just been done on the three beds.

Li Minghui and Su Jie walked to the patient's bedside together, conducted a simple physical examination, and asked the patient's feelings in detail.

"If you press it here, does it hurt?"

"It hurts, it hurts! Hiss! It hurts so much!"

Li Minghui frowned as he looked at the painful part when pressed.

Then he pressed it hard and then released it quickly: "I don't press it anymore, does it still hurt?"

"It hurts! It hurts even more!"

At this time, the nurse also sent over the examination report. Li Minghui and Su Jie each took half of it. After checking it carefully, they exchanged it with each other.

"What do you think it is?" Li Minghui already had a certain guess in his mind and turned to ask Su Jie, hoping to get some kind of confirmation.

Su Jie thought for a moment and did not rush to give the answer. Instead, he turned to the female obstetrics and gynecology doctor and asked: "Is it possible that the ovarian cyst is torsion or the fallopian tube pregnancy has ruptured?"

"Our director looked at her medical records during his ward rounds in the morning, and the B-ultrasound results just came out this morning, so we can rule it out."

Su Jie nodded: "Then the possibility of appendicitis is quite high."

"Appendicitis?" The female obstetrician and gynecologist clicked her tongue, feeling quite troubled.

"Well, regular appendicitis causes typical pain in the right lower abdomen. However, during pregnancy, the uterus expands and pushes the appendix upward and outward. When the corresponding area is pressed, the mother will feel obvious pain."

"Moreover, the pain becomes more severe after I release the pressure. This is already a symptom of peritoneal irritation. The appendix may have been perforated, and surgery must be arranged quickly."

Su Jie's inference was almost the same as Li Minghui's consideration.

When the patient's family members heard that it was appendicitis, they immediately came over nervously and whispered: "Doctor, if we perform surgery at this time, the child... the child will not be saved."

The female obstetrician and gynecologist said solemnly: "We will try our best, but if it doesn't work, we can only have an early caesarean section."

"Ah? Isn't it only 35 weeks? I heard from others that it is only full term at 38 weeks. If it is cut out so early, there will be no problems with the baby."

"The month is already very close, so the impact won't be big."

The female obstetrician and gynecologist frowned and said, "Your wife's life is almost gone now. If you don't do surgery, appendicitis and perforation will kill her."

The patient's family members were stunned, but they still said: "Try to give birth to full term, doctor, please."

"I understand." The female obstetrics and gynecology doctor agreed angrily, and left the ward with the two people from the emergency department.

As soon as she returned to the office, the female obstetrician and gynecologist couldn't help complaining: "What kind of person is this? My wife is almost dead, and the child is still in my head. If he dares to talk to me later about protecting the child but not the child,

, see if I can bear with him or not!"

Su Jie reminded at this time: "Hurry up and contact the general surgery department to prepare for emergency surgery. Appendicitis during pregnancy is very easy to perforate, and the patient has already shown signs of peritoneal irritation. The situation is indeed not good."

Pelvic organs are congested during pregnancy, and the appendix cannot escape the fate of congestion. Inflammation develops rapidly, and appendiceal necrosis and perforation are prone to occur.

In addition, because the greater omentum is pushed by the enlarged uterus, it is difficult to wrap up the inflammation. Once perforated, it is difficult to localize the inflammation, resulting in diffuse peritonitis.

Once the inflammation spreads to the uterine serosa, it can induce uterine contractions, leading to miscarriage, premature delivery or uterine tonic contractions. Its toxins may cause fetal hypoxia or even death, threatening the safety of the mother and child.

All in all, if the surgery is not done quickly, the problem will only get worse.

"I'm going to contact the general surgery department. Zhang Wei is so stupid. It's so difficult to ask him to take a look at the three beds. If the problem is discovered earlier, maybe it won't be so serious!"

The female obstetrician and gynecologist picked up the phone and dialed the number of the general surgery department.

After some negotiation, the phone was hung up. The three of them waited for less than ten minutes before the bald Dr. Zhang Wei appeared in the office.

"Are you sure it's appendicitis?"

Zhang Wei seemed to have just stepped off the operating table. He was wearing a green hand-washing gown and only a white coat outside. When he entered the door, he asked the female obstetrics and gynecology doctor directly, his tone was a bit aggressive.

"How about you come and make a diagnosis yourself?" The female obstetrician and gynecologist also didn't give him a good look.

At this time, Zhang Wei noticed the two unfamiliar faces in the office and looked at the badges on each other's chests with confusion. When he saw that they were emergency doctors, his expressions suddenly became unnatural.

"Emergency Department MDT?" Zhang Wei asked.

Li Minghui and Su Jie nodded at the same time, and Li Minghui said: "The patient who came here for consultation is most likely to have appendicitis, and there is a possibility of perforation. Emergency surgery is required as soon as possible."

Zhang Wei glanced at Li Minghui, and then focused more on Su Jie beside him. After a pause, he said: "Let's go see the patient first. If it is confirmed that it is appendicitis, our department will be able to finish it immediately."
Chapter completed!
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