What is written on the medical record is not as intuitive as the CT scan. Now the patient's condition is so critical that there is no condition to do an imaging examination.
The doctor can only make assumptions based on what is written in the medical record.
Geng Lingfei and Fan Yunyun swallowed nervously, and the anatomy they had learned turned over in their minds. Where is the common bile duct? The anatomy textbooks have printed diagrams and text explanations. However, it becomes another story when it comes to individual patients.
It's over.
Individuals are different, and it is difficult to imagine the transformation from two-dimensional to three-dimensional in anatomical diagrams.
Whether it is the patient's bile duct or drainage tube, they are all in the three-dimensional space of the abdominal cavity in the blind area of vision.
It is written in the textbook that in this case, you can try to squeeze the drainage tube and other measures to try to reopen the bile duct. It is impossible that the doctors in the hospital have not made similar attempts for such a long time.
They failed. Moreover, they operated on this patient. They cut open the bile duct and placed the drainage tube with their own hands. They definitely knew the condition of the patient's body better than the doctors who took over. In this way, they failed, and they, the doctors who took over, were even less aware of the situation.
What should the doctor do?
If you are a senior doctor, may you rely on your medical experience at this time?
How the so-called medical practice experience is accumulated and broken is mainly based on the success of each attempt, finding the feel, and summarizing the relationship between the feel and medical theory. The specific analysis is an academic paper.
Song Xuelin and Xie Wanying frowned, looking for relevant papers in their minds to see if they could solve the problem.
Suddenly, the two of them seemed to come up with an idea.
"I need physiological saline and a syringe." Xie Wanying said to the nurse sister.
"A 50 ml syringe?" the nurse asked, probably guessing that they were going to do low-pressure flushing of the patient's drainage tube, but there was a question mark as to whether it would be useful, because the doctors and nurses in the hospital must have done it before.
"No, 2 ml." Xie Wanying said.
Hearing her words, Song Xuelin narrowed his dark brown eyes. The patient's current situation is indeed not suitable for flushing with a large amount of water with a 50 ml syringe, because improper flushing with a large amount of water can easily cause complications such as bleeding.
However, there is only a 2 ml syringe, and only a small amount of water is injected. Can it clear the blockage in the drainage tube? The nurse retains a trace of doubt.
The teacher may be about to perform a magical operation. Geng Lingfei and Fan Yunyun came up to observe and learn.
Song Xuelin and Xie Wanying changed their gloves, put on masks, put on disposable surgical gowns, asked others to go away and take precautions, and took a 2 ml syringe and a large bag of normal saline to solve the problem.
In fact, the best protection is to be vigilant at all times and practice this protective thinking regularly.
Someone came outside the ward at this time.
Yu Xuexian and Zhang Shuping carried the clothes and other sundries that Teacher Lu needed for hospitalization. Jiang Mingzhu helped Teacher Lu. Teacher Lu refused to let her help and said: "I am fine now, I can walk, and my legs are not broken. You
What to support?"
Jiang Mingzhu had no choice but to follow Teacher Lu.
Several people walked to the door of the Hepatobiliary Surgery Ward and saw a note posted on the door: If you need anything, please call the department.
Yu Xuexian pushed the door open and heard the sound of a chain inside. It seemed that it was locked. He complained, "I never heard Tao Zhijie say they were going to lock the door before."
"Call." Teacher Lu said, asking him to act according to other people's rules. People in the same hospital need to know how to abide by rules and regulations.
Yu Xuexian called Tao Zhijie.
The bell rang a few times, then the elevator door opened and a group of people came out.