Section 166
I saw Zhang Yi rushing to the gate like a gust of wind.
Damn!
Teacher Zhang is so fast? !
At the gate.
A car from the township health center stopped here.
The phone call only said that the patient had pain in the buttocks and abdomen.
But the specific cause was not found out.
The conditions in the small hospital are relatively poor, so the patient can only be sent to a large hospital as soon as possible.
A woman in her sixties was carried down by her family and doctors.
Immediately, a foul smell from nowhere instantly drifted towards Zhang Yi's nostrils.
Behind him, Yu Jian couldn't help but retched on the spot!
Chapter 127 Necrotizing fasciitis with a strange odor
Damn!
What the hell is this smell? !
Did the stinky socks cheat or did the canned herring cheat? !
How could such a bad smell be produced? ?
"Ugh..."
Yu Jian took out the mask from his bag and put it on while retching.
Zhang Yi glanced at him with disdain.
What's wrong with the smell? You can't even stand it?
Yu Jian looked at Zhang Yi cautiously.
His eyes were a little aggrieved:
Teacher, I didn't mean to vomit, it's just that the smell is too bad! !
Zhang Yi ignored him and endured the smell and walked to the ambulance. Only then did he realize that the unpleasant smell came from the old lady.
He took a closer look.
Immediately, Zhang Yi's face darkened a little!
This old lady actually has necrotizing fasciitis! !
And the necrotic part has spread to the lower abdomen!
That is, above the entire perineum!
No wonder it smells bad!
One of the characteristics of necrotizing fasciitis is that it emits an unpleasant odor!
"Quick! Send to the emergency room quickly, draw blood for routine electrolyte tests and do a blood culture."
"Okay!" The nurse hurriedly trotted to prepare for blood draw.
Necrotizing fasciitis is one of the critical and severe surgical diseases.
It is a disease in which aerobic and anaerobic bacteria are widely infiltrated and infected at the same time.
And it is also easy to cause systemic toxic shock.
Why is it called necrotizing fasciitis? It is because these mixed bacteria only invade the subcutaneous tissue and fascia, and do not damage the muscle tissue.
The speed of invasion is also very fast.
It is necessary to detect and treat early, and perform surgical debridement as soon as possible, plus combined antibiotics.
The necrotic fascia and subcutaneous tissue must be completely removed before the person can be saved.
Otherwise, once the bacteria cause toxic shock and have invaded the fascia of the whole body.
Then it is really a matter of death.
The doctor who came from the township health center explained:
"This aunt seemed to have fallen at home and hit her buttocks.
Then she felt pain in her entire buttocks when she woke up the next day.
She didn't care much, but it became more painful on the third day, so she came to our township health center for treatment.
Then I considered that she was over 60 years old, and the cause of the pain might not be caused by the fall, so I suggested that she go to the county hospital for examination.
As a result, she didn't go, saying that she couldn't bear the money.
Then she was infused with cephalosporin at our township health center.
But after two days of infusion, there was no effect at all.
This afternoon, before the infusion was finished, she felt a little strange, and there was a strange smell on her body.
I immediately notified our health center to arrange a car to send her to the county.
As soon as we arrived at the county, the chief doctor took a look and said that it was suspected to be fasciitis and surgery was required. The county hospital could not do it, so it would be better to take us directly to the city.
After many twists and turns, she was sent to your city people's hospital. ”
Zhang Yi turned his head and looked at the family member beside him and asked:
“When did she start to smell? Yesterday or today?”
The family member was a man in his sixties.
Judging from their clothes, they were all simple farmers in the countryside.
He shook his head and said:
“I can’t smell it... I just remember that she was breaking corn kernels at home a few days ago, and then the stool broke with a snap.
Then she fell on her buttocks, and then she kept saying that her buttocks hurt, and then she said that her stomach hurt.
I can’t smell whether it is smelly or not, and we country people don’t care about the smell or not. ”
Unable to get an answer from the family member, Zhang Yi had to do the examination himself.
In Zhang Yi's sight, the whole perineum, lower abdomen and thigh root of the aunt.
Part of the fascia has turned gray!
In other words, the fascia inside has completely necrotized!
That's why it smells bad!
If so, it's already very serious!
When blood vessels are damaged by bacteria or embolism occurs, the local skin will turn purple or even black.
So the whole perineum and lower abdomen of this aunt must have corresponding symptoms.
"Help to take off all the pants of this aunt, and lift up the upper body clothes for inspection."
Immediately, the nurse, Yu Jian and the family members came forward to help.
Once the pants were taken off, the situation was clear at a glance.
Below the navel and above the perineum, there were purple lines of varying degrees.
Then Zhang Yi put on a glove and touched it.
While touching, he said:
"When you press down on the entire lower abdomen, you can feel resistance, and the skin is sunken after releasing your fingers, indicating that there is edema inside.
Looking at the other muscle groups next to it, there is no such symptom when touching.
This is a typical necrotizing fasciitis."
"Necrotizing fasciitis??"
When the nurse heard this, her nerves tensed up!
This disease may be fatal!
The nurse on the side quickly said to the uncle:
"Family member, please go register and pay the fee now. The patient is not in good condition and needs to be examined and operated on immediately."
The family member was confused.
What examination and operation?
He didn't understand.
He looked at Zhang Yi and asked:
"Doctor, how much does it cost to treat this disease?"