How to answer this question? Xie Wanying thought about it, kept silent for a while, and stared at the surgical field of view.
Teacher Tan stood half a step away from her back.
My senior sister said, don't flirt with teachers other than the teacher, that's asking for death.
Looking at her slightly stiff and motionless posture, Tao Zhijie arched his eyebrows and smiled. He turned and smiled at Tan Kelin behind him and said, "Dr. Tan, I always thought she was right to learn from you."
Tan Kelin has always been indifferent and unmoved.
Seeing this, Tao Zhijie turned back to his junior sister and said, "It doesn't matter, just tell me. You know your Teacher Tan's character well. If he didn't want you to talk, he wouldn't have brought you here, and he would have banned you directly. I think, he
He should have told you the time he will go back. Is it about half an hour?"
This Senior Brother Tao is like a fortune teller, and he can tell everything that Teacher Tan has said like a god. Could it be that Senior Brother Tao and Teacher Tan have a relationship? Of course not, you can tell by looking at Teacher Tan's stern face.
Xie Wanying thought to herself that she had to quickly help the teacher complete the errand. Brother Tao didn't know much about the patient's condition when he arrived. If she could help, it would shorten the operation time, which would be beneficial to the patient and everyone. Maybe for this reason, Teacher Tan didn't
Taking a stand is tantamount to acquiescing.
"That's the situation, Teacher Tao. I estimate that this patient either has viral hepatitis, or he may have a congenital hepatic artery-portal fistula. It's up to you, Teacher Tao, to confirm the details." Xie Wanying kept speaking quickly during the operation.
Tell.
"Why do you think he has a hepatic artery-portal fistula?" When Tao Zhijie asked this question, others were also confused.
Generally speaking, liver cirrhosis caused by viral hepatitis and then gastric variceal rupture are the most common clinical patients. The first suspicion should be that this cause is correct. Otherwise, Dr. Gang Pan would not have been asked by Tao Zhijie
I was speechless for a moment.
"Because he didn't say he had a history of viral hepatitis, and he didn't tell Dr. Pan that he had cirrhosis of the liver. There is a question mark as to whether he has cirrhosis. Whether the patient lied, I think, on the other hand, we can observe whether he has jaundice. Liver
One of the more obvious symptoms of cirrhosis is that jaundice often occurs. He does not have it. And gastric variceal rupture is a symptom of the late stage of liver cirrhosis. It is impossible to say that he has not been to the hospital before. As long as he has been to the hospital, he should be able to talk to the doctor.
Speaking of this, I often suffer from digestive tract problems. Tell the doctor so that the doctor can identify whether it is a car accident or a digestive tract disease, right?"
Dr. Pan heard this: Hey, that makes sense. If a patient comes to the emergency department and has symptoms of gastrointestinal discomfort such as abdominal pain, he must talk to the doctor before he doubts whether it was a car accident. After all, he comes to the hospital the day after the car accident.
of.
What if it was another situation?
"Congenital hepatic artery-portal vein fistula is much more secretive than liver cirrhosis and requires angiography. And it may not have clinical symptoms. This kind of patient does not need to be treated. But this time it may be caused by a car accident injury? Because it is the first symptom.
It's gastric variceal bleeding." Xie Wanying continued to finish her judgment.
The doctors around me frowned after hearing this.
Especially Tao Zhijie needs to consider: because the causes of the two diseases are different, the surgical methods must be different.
"Please pull the retractor out a little more." Tao Zhijie turned to the person retracting the hook and said to determine the cause of the disease.
