"Bunker, right? Age? Warrior level?... How big is a deer?"
Grete asked during the examination. Well, the breathing is 20+ times/min, no rales are heard during cardiopulmonary auscultation, the abdomen is obviously distended, there is tenderness in the upper abdomen, no rebound tenderness, and no other obvious positive signs. You said you ate half a head.
Deer, may I ask how big a deer is?
The person Gretel had seen in his life who ate the most in a single time was probably Bernard. During the first meal when they met, Bernard ate most of the roasted chicken in one go, and roasted the whole chicken in one go.
The sheep (missing a leg of lamb), by the way, drank a barrel of beer to make it slit!
Then, Gretel watched helplessly as his abdomen was as flat as before, with no bulge at all. He didn't know where those things went, but from a clinical point of view, the fact that the abdomen was not bulging meant that the digestive system had not lost its ability to peristalsis and digestion.
, the working function is completely normal.
So Mr. Bunker, your warrior level roughly determines how high your food intake and digestion capacity are. How big can the deer you eat be?
"Bunker, 26 years old, intermediate warrior. The deer is about this big..." Someone next to him answered. When he mentioned the size of the deer, he paused and stretched out his hand to make gestures. Grete looked up in his busy schedule.
Missing the point:
So how big is it?
Gretel's concept of deer was still deeply ingrained in his mind. Using the sika deer as a template, it didn't seem to be particularly big. At least, it seemed inferior to the largest goat he had ever seen in his life.
As powerful as Bernard was when he ate a roasted whole lamb, he didn't think Bunker could stay on the ground after eating half a sika deer.
Also, what level is an intermediate warrior? Compared with Bernard, is he stronger or weaker?
"Bernard! Bernard" come here and see if you can beat him? Forget it, no one answered. Bernard was probably still swimming with people with weights and didn't follow him. Gretel didn't look back.
shouted:
"Cerela, look at this Bunker, who is stronger compared to Bernard?"
"Is there any difference?" The silver dragon girl's voice was vague, as if she was chewing something:
"You can't beat me anyway..."
"..."I thank you!
Of course, I dare not say this. First of all, he can't beat Miss Silver Dragon, not in all aspects; secondly, Bunker's warrior level must be above level five, and the [Endless Ink Pen] cannot be displayed after trying it.
so……
"Serila, lend me your forehead ornament!"
Alas, if it hurts like this, there is a certain probability of perforation. X-rays can still be used to detect perforation and intestinal obstruction. As for other cases, CT is usually relied on. However, now the abdomen is so distended, the stomach is full of contents, and it is almost empty.
The cavity organs have become solid organs, and the shape can probably be seen...
"Wow!"
Grete couldn't help but sigh. Cerira heard the sound and came closer. Grete waved to her and pointed at the patient's abdomen:
"This is the first time I've seen this! Look, the diaphragm is pushed up to the eighth rib, and the lower part has reached the pelvis!"
"Wow! Really!" Cerela poked out half of his head from behind him, glanced at him, and immediately exclaimed. The feather-crested old man Brock also stepped forward and took a look without saying a word. As soon as he moved, the barbarian elders A big circle came up with a roar, and everyone looked around:
"where?"
"Don't you see how bloated my belly is? The whole belly is occupied!"
"I saw it on my belly. How did I see it on my chest?"
"This is what he said, 'Is there some special way to see inside the human body'? Can we learn it?"
"I don't know...but he wants a totem beast. If we propose an exchange, maybe we can learn it?"
Gretel turned a deaf ear. He concentrated on continuing the examination. Well, the gastric cavity and esophagus were significantly dilated, and there was a large fluid level in them, which was suspected of pyloric obstruction; the stomach... The sign of gastric perforation on plain X-rays was a crescent-shaped crescent under the diaphragm. Free air, but Grete looked at that stomach, not to mention the diaphragm, where is there room in the entire abdominal cavity?
Forget it, let's do gastrointestinal decompression as soon as possible.
"Bunker, turn your head to one side and open your mouth as wide as possible! Serira, lock it down! I'll do a gastroscopy!"
Grete ordered while manually breaking off his head. Fortunately, Bunker was also very cooperative. He glanced at the old man with the feather crown, and when he nodded slightly, he obediently turned his head to one side. Grete summoned a floating saucer and asked people to lift the stretcher. He stood up, placed himself on the floating disk, and summoned vines.
The omnipotent vine passed through the mouth, passed through the esophagus, and traveled all the way into the stomach. The esophagus was about to come to an end, and soon Gretel frowned:
Can't make it through.
Vine, no, vine version of gastroscopy, can't pass.
On the light screen, the lower part of the esophagus changed from healthy pink to bright red representing inflammation, and it was violently expanding and shaking. Inflammation of the lower part of the esophagus, spasm of the cardiac lumen of the lower part of the esophagus...
Gastroscope cannot be inserted.
Gretel reluctantly made the vines grow a little thicker and tried to attract them, but only a small amount of liquid was sucked out, which was not enough. He frowned, stood up and looked around:
"There is only one way."
"What?"
"Open the stomach and take out the contents of the stomach!"
The hall suddenly became quiet. The elders of each village and tribe looked at me and I looked at you, their faces were ugly. After years of treating tribesmen, they would also cut a piece of flesh, drill a hole in the head, and put a hole in the arm. When an incision is made on the leg; however, the success rate of incision on the abdomen is...
Even with the help of treatment, there will be sudden surges of blood, and the treatment can't keep up. It may seem that you are cured, but you will die inexplicably a few days later. Various situations exist, and over time, it is not a last resort. , no one would take the initiative to dissect someone’s belly.
"Are you sure?"
The voice of the old man with feather crowns was still calm. As the most powerful high-level healer within a thousand miles, he naturally had a way to deal with stupid things like overstretching. With the confidence in his heart, he had enough time to see Gretel's methods: one more Treatment is always good, isn't it?
"I'm... not particularly sure." Gretel pondered for a moment. The suction of gastric contents alone is okay, but the treatment of gastric perforation is more problematic; if there is another piece of necrosis or something, it will be a headache:
"But if he is left alone, he will be dead."
I'm not particularly sure, but I'm somewhat sure. Elder Brock nodded: Very good, even if he had to open his stomach, the probability of him saving the person is not very high. The young pastor didn't do everything, I believe
Bragging, very good!
"If you are willing, you can give it a try. Of course, if it fails, the totem spirit will have nothing to do with you."
"Okay! Then, please give me a quiet, clean place, and I will take care of you! Cerela, shelter hut!"
"Have you heard that? Stay back!" Old Man Yuguan's sonorous voice sounded. Soon, the [Escape Cabin] unfolded and enveloped Grete, Serira, the patient who was lying on the bed, and Elder Brock.
Then, the old man with feather crown saw this servant of the God of Nature, shrunk the oak staff and put it in his chest pocket, raised his hand, and summoned a
Skeleton.
"you?!"
"There's nothing I can do." Gretel turned his head and gave him a grimace:
"I can't move!"
Cerira burst out laughing from behind.
Grete hurriedly scrubbed the patient, prepared the skin, and spread drapes. Seven or eight mage hands flew up at the same time, shook out four dark green sterile sheets, spread them on all sides, and then covered them with a hole towel and several cloth towels.
Going up, in the eyes of the healer, all that is left of a large living person is a bulging abdomen.
Then, Grete stood on the side of the operating table, handed the scalpel to the Silver Skeleton, and threw a [Demonized Weapon] on the knife.
Gretel closed his eyes and concentrated. The silver skeleton held the knife steadily and slashed it. Sure enough, the silver skeleton + the magic weapon + the dwarf's special scalpel were invincible and unstoppable. With just one knife, it cut right in the middle of the mid-level warrior Bunker's upper abdomen.
A 20cm long incision was made.
Gretel held his breath and manipulated the silver skeleton to open the abdomen layer by layer. The belly was so bulging that if you were not careful, it would be easy to scratch the underlying organs, so you need to pay special attention. The peritoneum was opened, and the four mage hands turned into flat hook shapes.
, slightly pulled outwards. The obviously expanded stomach wall immediately bulged up impatiently.
"so big……"
Serila let out a small cry. She also raised four mage hands and took over the work of pulling the hook, so that Gretel would not be distracted. Gretel looked carefully and saw that the stomach wall under the shadowless lamp was almost a purple-black color.
I don’t know whether it was due to ischemia or because the stomach wall was stretched too thin. I could see the color of the stomach contents itself.
Fortunately, the operation was done quickly, otherwise...
He sighed, manipulated the silver skull, and made a 2-centimeter incision on the stomach wall. The vines followed and stuck in. This time, there was no need to attract the air. The air flow hissed out of the hollow vines, and soon, darkly
Red gastric juice and food residue also poured out together.
"Get a basin and catch it!" Gretel shouted. He cut off the spirit that controlled the skeleton and threw a wind magic at the opening of the vine. The funnel-shaped whirlwind rotated rapidly, forming a negative pressure, allowing the stomach contents to be absorbed.
Forward momentum.
attract!
attract!
attract!
Grete carefully controlled the power of negative pressure suction. It should not be too slow, because the pressure in the patient's stomach is so high. If it were slower, more gastric contents would flow out from the perforation; nor should it be too fast, as the pressure would be decompressed too quickly.
Problems with the heart, lungs, and blood pressure will follow. This is the same principle as ascites cannot be drained out too much at one time, and urinary catheterization cannot be conducted too much at one time.
As for the things drawn from the vines falling into the floating dish, emitting a sour stench, Gretel was no longer in the mood to pay attention to this.
Controlling vines, controlling whirlwinds, and from time to time, he would do a blood oxygen test or an electrocardiogram to check his heart rate. Dense sweat soon poured out from his forehead.
Finally, Bunker's highly swollen belly deflated visibly to the naked eye. In the floating dish, there was a thick basin of stomach contents, which was estimated to be at least 4000 ml.
Gretel breathed a sigh of relief and freed up a mage's hand to wipe his sweat. Then he heard Elder Brock next to him ask:
"Ok?"
"Okay?" Gretel smiled bitterly:
"It's just the beginning!"
****
3,000 words completed! Another 3,000 words in the afternoon, and another update has been completed!
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