Chapter 1095 【1095】These Two Are "Lucky" Together

Too little water, no momentum, how to flush out the blockage? If it weren't for Song Xuelin's reputation as a talented scholar in the northern capital, Zhu Huicang would have suspected that 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 strange, she didn't hold anything with her hands, she was just pressing the patient's abdomen, lifting the patient's waist, if she was changing the patient's position.

Sometimes repositioning the patient is helpful for drainage. The problem is that such an operation does not make much sense for a pipe that is really blocked inside. If it is blocked to the point of being stuck, it is very unlikely that the stuck blockage will fall off by itself only by the gravity effect of changing the body position, which is smaller than the momentum of water flow. Therefore, it can only be washed with greater strength. If the washing is not successful, it needs to be dug out. Performing surgery or using other instruments, such as the choledochoscope used in the operation on Mr. Zhao, is a good way to observe and deal with postoperative drainage tube obstruction.

Why not use choledochoscopy?

It is necessary to use a choledochoscope in the postoperative drainage tube. For example, the drainage tube used in the original operation should be short, thick and straight. When the drainage tube is out of the body, it should be as vertical as possible to the extrahepatic bile duct to avoid angles, otherwise the choledochoscope will not be able to enter.

Therefore, the patient's current situation is that the doctor did not perform choledochoscopy during the operation, nor did he prepare for the postoperative use of choledochoscopy, which made the drainage tube obviously inappropriate for choledochoscopy. Speaking of the reason, it may be that the patient's own special situation is not suitable for using choledochoscope during the operation, or it may be that the doctor who performed the operation never thought of using choledochoscope.

In addition, choledochoscopy equipment is expensive. This patient is an HIV-infected person. For safety reasons, a separate set of equipment should be used for this type of HIV-infected person just in case. The Hepatobiliary Surgery Department of the National Association of China definitely does not have separate equipment for HIV-infected patients, because there are too few such patients, and if it is prepared, it means that it will be idle for a long time and will be scrapped if it is not used for a long time. There may or may not be an infectious disease hospital, because things are expensive.

The only option is another operation, and now Cao Yong and the others are standing here, and their opinions are consistent with those of the previous doctors. This patient does not have the conditions for another emergency operation.

A dead horse is treated like a living horse. 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 from trying. He has always been somewhat skeptical of Xie Wanying's operations. What was going on in her mind was too mysterious for him to imagine, and he always felt that this person was lucky, and his luck was very good all the way.

Will her "luck" continue tonight? How about "luck" with this kid from Beidu?

Zhu Huicang put his hand on the spectacle frame again, and the lens was full of emotion: He was thinking that these two guys were lucky, they were really "lucky".

Something like sand and sand came out of the drainage tube. It seems that it is not a stubborn "big rock" that blocks the drainage tube, but some accumulated "silt". If it is flushed with a large flow, the patient's physical condition is not very good, and it may cause massive bleeding. It is better to find an angle that can pry the "silt block". It is easier to control the flow rate and suction negative pressure to penetrate with a small flow of water, such as a 2ml syringe. After all, sand is easier to loosen than big rocks, as long as you find the right angle.

Roughly, the thinking of the two young doctors is like this, but it is not easy to find the angle to solve this problem. It is very important for the doctor who performs the water injection to feel where the resistance comes from at any time. It is not easy for a doctor to adjust the body position. It is equivalent to having a pair of see-through eyes to see the position of the organs and pipelines in the patient's body from the outside of the patient's body.