The amount of water is too little and there is no momentum. How to flush out the blockage? If Song Xuelin hadn't been famous as a talented student in the northern capital, Zhu Huicang would have quickly wondered if there was no teacher who had taught this student well, and he didn't even understand this basic common sense.
Xie Wanying was even more surprised. She didn't hold anything with her hands. She was just pressing the patient's abdomen, lifting the patient's waist, and changing the patient's position.
Sometimes changing the patient's position will help with drainage. The problem is that such an operation is of little significance for the pipe that is actually blocked. If it is blocked to the point of being stuck, the gravity effect of changing the position alone will be greater than the momentum of the water flow.
Smaller, it is extremely impossible for the stuck blockage to fall off on its own. Therefore, the only way is to flush it with greater force. If the flushing fails, it needs to be dug out. Surgery or other instruments are used, such as the original treatment for Zhao
The choledochoscope used by my classmates during surgery is a good way to observe and deal with postoperative drainage tube obstruction.
Why not use choledochoscope?
It is necessary to use choledochoscope in the drainage tube after surgery. For example, the drainage tube used in the original operation must be short, thick and straight enough. When the drainage tube comes out of the body, it should be as vertical as possible to the extrahepatic bile duct to avoid angulation, otherwise the choledochoscope will not be able to enter.
go.
Therefore, the patient's current situation is that the doctor did not perform choledochoscopy during the operation, and did not prepare for the use of choledochoscope after surgery. As a result, the drainage tube is obviously not suitable for choledochoscopy. Speaking of the reason, it may be the patient
Due to the special circumstances, it is not appropriate to use choledochoscope during surgery. It is also possible that the surgeon who performed the surgery never thought of using choledochoscope.
In addition, choledochoscopy equipment is expensive. This patient is an HIV-infected patient. For safety reasons, a separate set of equipment must be used for such HIV-infected patients. The Hepatobiliary Surgery Department of the National Association certainly does not provide HIV-infected patients.
Separate equipment is prepared for infected patients, because there are too few such patients, and if it is prepared, it will be left unused for a long time and will be scrapped. Infectious diseases hospitals may or may not have it, because the equipment is expensive.
The only option is to have another operation, and now Cao Yong and the others are standing here, with the same opinion as the previous doctors. This patient does not meet the conditions for another emergency operation.
A dead horse has become a living doctor. Zhu Huicang thought that it might be for this reason that Tao Zhijie and the others who were present did not stop the two young doctors' attempts. He had always been a little suspicious of Xie Wanying's operations. She thought in her mind
The things were so mysterious that he couldn't imagine them. He always felt that this person was just getting lucky and had great luck all the way.
Will her "luck" continue to be good tonight? She will be "lucky" with this guy from Beidu?
Zhu Huicang put his hand on the glasses frame again, and the lenses were full of emotion: He was thinking that these two guys were lucky, they were really "lucky".
Something like sediment flows out of the drainage tube. It seems that what blocks the drainage tube is not a stubborn "big rock", but some accumulated "sand". If flushed with a large flow, the patient's physical condition It's not very good, I'm afraid it will cause massive bleeding. It's better to find an angle that can pry the "sand block". It's easier to control the flow rate and suction negative pressure with a small flow of water, such as a 2 ml syringe, to penetrate it. After all, sediment is worse than big rocks. The block is easy to loosen, as long as the angle is correct.
The idea of the two young doctors is roughly like this, but it is not easy to find the angle to solve the problem. The doctor who does the flow injection is very important, and he must feel where the resistance comes from at all times. The doctor who adjusts the posture is even more difficult.
It’s simple. Being able to see the location of the organs and pipes in the patient’s body from outside the patient’s body is equivalent to having a pair of clairvoyant eyes.
