Chapter 585 If a Fish Bone Pricks My Hand, Will It Be Amputated? (Please Vote for Double Monthly Tickets on the Last Day)

A woman in her forties.

He has a strong body, a ruddy face and a loud voice.

Numbness in the hand.

So, what is numbness? Tenosynovitis? Carpal tunnel syndrome? Or is it caused by cervical bone hyperplasia and compression?

Gretel smiled and asked her to sit down and looked down. When his eyes fell, his pupils shrank instantly:

The entire hand was swollen like a carrot, and the skin on the five fingers of the right hand was tight, shiny, and purple. There was a large area of ​​abnormal waxy white on the back of the palm, with a large number of blood-type blisters on it, which looked shiny at first glance.

The edge is bluish-purple, extending from the back of the palm to the wrist, outlining an equilateral triangle.

This hand...

Gretel felt bad intuitively. He maintained a calm smile and spoke in a relaxed tone:

"Aunt Rita, what's wrong with your hands? When did you start to feel numb? How many days has it been? Do you have any other discomforts?"

"Hi!" The woman waved her hand nonchalantly. Gretel, who was sitting opposite her, could see a hint of deeply hidden nervousness in her smile:

"I'm usually in great health! Everywhere in the house, inside and out, there are a few old men and two little grandsons. I can't take care of anyone! It's just this hand. I stabbed it when I was killing fish the day before yesterday. , it’s actually swollen like this today! Look, look!”

History of trauma. Gretel secretly noted it down and asked patiently:

"How many days has this hand been hurting?"

"Two days. It was a bit swollen and painful yesterday. I applied some medicine myself and it seemed to be a little better." The woman talked gushingly:

"It turned out that the pain was severe at night. Thinking about it being late at night, I didn't want to bother anyone at this time. Besides, the temple doesn't accept patients at night - it's okay today, it doesn't hurt much..."

Severe swelling from fingers to wrist.

Large areas of blue and purple.

From severe pain to not much pain...

This is not a good sign. Gretel would rather her hand still hurt - it still hurt, which meant that the inflammatory reaction was still going on and the body was still alive. He reached out and pinched the woman's fingertips:

"Does it hurt?"

"It doesn't hurt! I don't feel anything at all!"

Aunt Rita shouted louder and louder. To either side of Gretel, at several square tables lined up for free clinics, there were priests looking back. Grete smiled at them, took out the smallest syringe, and pointed at the veins on the back of the woman's hand:

"Aunt, can I draw a little blood from your hand to see if it's okay? Your hand is a bit swollen. Drawing some blood will make it easier to figure out what's going on. If you can, put your palm flat here, don't Move. Don't worry, it won't hurt."

"Hey, you little guy. If you smoke it casually, is Auntie still afraid of pain?"

The woman answered very readily. Gretel forced a smile at her, held her fingertips, and gently inserted the needle into the vein on the back of her palm. Penetrating, withdrawing, needle point——

No blood!

Gretel's scalp suddenly exploded. There is no blood in the dorsal palmar vein, which means that the underlying tissue is about to die, or even has begun to die. Can these fingers, or even this palm, be saved?

He stood up immediately. He took the woman's hand and gently but firmly invited her to the operating room:

"Aunt, your hand is in trouble. You need to look inside. Come with me - by the way, are your family nearby? It's best to ask them to come over. It's better for your husband to come over..."

"My old man? He should be patrolling the city today. Should I call him over?"

"Don't! I'll ask someone to call you!"

The woman followed him in confusion. While Gretel was pulling people inside, he called over the nearest priest apprentice and said in a quick voice:

"Please come here, teacher! Please come here, the bishop! Please come here with her family! Hurry!"

As he said that, he had already placed the person into the operating room. [Delay pain] Throw it away, tie the tourniquet, and discharge a row of instruments beside the operating table. The silver light was shining and the air-conditioning was strong. The woman immediately became nervous:

"Little...Mage Nordmark, what's wrong? What's wrong with my hand?"

"Aunt Rita, please don't worry." Grete tried to persuade her as gently as possible. When he touched her forehead with his palm, as expected, the temperature was quite high. Gretel took out a thermometer without thinking:

"Put it in your mouth and press it under your tongue. Yes, that's it. Hold it with your lips, don't bite it with your teeth. Hey, someone, help me watch her. After five minutes, take it out and read the reading. I'll go brush my hands. ——”

Five minutes later, the report showed that the patient's temperature was as high as 39.2 degrees and the infection was obvious. Grete returned in a hurry and started the operation:

The skin on the back of the palm was cut open, and a familiar stench hit his nostrils. Grete sniffed and immediately had an ominous premonition:

Oops! Don’t run into an old friend with this taste!

When the skin flap was opened, a large amount of necrotic fat was seen in the lower part; when it was cut further down, a large amount of dishwater-like pus appeared in the superficial fascial plane of the necrotic tissue; when the aponeurosis was incised, the dorsal metacarpal artery was slightly touched, and there was almost no elasticity.

Grete became more and more worried. He cut the dorsal palmar artery, and a dark bruise slowly flowed along with a small amount of blood. Even the arteries are almost blocked...

It looks like necrotizing fasciitis. This disease has an acute onset and rapid onset. Moreover, the patient was delayed for three days!

Never have diabetes, never have diabetes, never have diabetes...

Gretel prayed repeatedly in her heart. He took a small tube of blood from the woman's radial vein and let the snake taste it. The little snake pounced in. After a moment, it raised its head and reported back:

"It's so sweet! This blood is so sweet!"

It’s over, I really have diabetes, combined with necrotizing fasciitis. Gretel's eyes darkened:

When diabetes and necrotizing fasciitis are combined, they are particularly prone to attacks, particularly difficult to heal, and particularly prone to recurrence. Diabetic foot has always been one of the difficulties in surgical wound repair.

What's more, the structure of the hand is dense and complex, and it is more difficult to retain function than the foot...

Can this hand be saved?

Just as he was thinking about it, the door of the operating room opened, and Elder Erwin and the bald bishop came together. Their eyes fell on the hand at the same time, they were slightly startled, and looked at each other:

"This hand..."

"This hand has almost no life left!"

The bald bishop spoke quickly and yelled out. The woman's whole body was shocked:

"What?!"

"This hand may need to be amputated." Gretel interrupted with a stern face:

"Master Bishop, please go and explain to Aunt Rita's husband. I will try my best to save this hand, but if I can't save it, for the sake of life, I will have to amputate it in the end. Of course, the premise is that they agree -"

"What? Do you want... to chop off this hand?" The woman's face suddenly turned pale. His right hand subconsciously retracted, and his left hand covered it, as if to protect the palm that was about to be lost:

"Little Gretel——"

"Hands down!"

Gretel yelled out faster than she did. With a finger, two vines flew out and tied her left arm tightly to her side:

"Aunt Rita, I know it's painful and inconvenient to lose a hand, and I will try my best to save it - but if you can't save it and a dead hand is attached to your body, you will die!"

****

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ps: The fever has not gone away today... a low fever of 37.3 degrees... I will push it all day long (24 hours) on January 9th the day after tomorrow. I am working hard to compile the manuscript. I will pay back all the rewards and updates I owe you...

Thanks to x-on:黉饕 for the 500 starting coins

ps: Necrotizing fasciitis is really, really dangerous, especially diabetes combined with necrotizing fasciitis...

Don’t take it seriously just because you have a small cut on your hand, foot or other part. If you feel something is wrong, you must seek medical treatment in time. According to the information I found, the fatality rate is as high as 20.8%, and 29.2% of patients have had their limbs amputated...