Chapter 1336 【1336】Someone Overheard

Hearing that her answer was based on the idea he gave before, Yu Xuexian nodded again and again: Fortunately, there is no chaos.

So to be a doctor, whether you want to be a surgeon or an internist in the future, you have to take turns in surgery during your internship, the purpose is to let you form a comprehensive way of thinking. Instead of just thinking about holding a scalpel every day, we must learn to cooperate with multiple subjects and adopt a comprehensive treatment method. Once the internal medicine can't cure it, you should quickly seek the assistance of the surgeon, and then go back to the internal medicine for treatment. In the acute stage, surgery can't do a knife, and internal medicine must come up with a solution.

What she said was obviously what Director Yang wanted. The hospital specially arranges medical students to rotate in several departments, and needs to know how the students are learning. Director Yang nodded to her, indicating that his intentions were basically the same as his own.

Internal medicine can carry out immunotherapy treatment targeting the cause, but surgery must solve the problem of pus drainage, which is not something that internal medicine can do.

Speaking of the surgical strategy she is good at, Xie Wanying said bluntly: "In other hospitals, I failed to help patients drain the pus. According to the simplest surgical thinking, it must be because the drainage tube is placed in the wrong position."

Director Yang stretched out his hand, as if he wanted to point to the tip of her nose: You have reached the point of your words, please continue.

Dr. Jiang nodded together: Yes, yes, this is the way of thinking, but where should the drainage tube be placed? The doctor in the other hospital opened the abscess and drained the pus. It is reasonable to say that the situation in the abdominal cavity was clearly observed and then the drainage tube was placed. The possibility of the drainage tube being placed incorrectly is extremely low. So he, Dr. Jiang, didn't dare to casually question his colleagues from other courts at first.

"We often encounter such problems during and after open surgery." Xie Wanying said, "After the abdominal cavity is opened, due to the intervention of the surgeon, the internal organs of the patient's abdominal cavity will be in a state of being invaded and disturbed. Functional activities will be disturbed after the operation. It is manifested in intestinal adhesions and abnormal intestinal activities after the operation. Back to this patient, because he has Crohn's disease itself, the disease itself has the performance of intestinal dysfunction, so it is called After the surgical intervention, the activities of his intestines and surrounding organs were further affected. Afterwards, the position of the pus would change. It may be that his physical changes were beyond the expectations of the doctors in previous cases. Doctors from other hospitals have done drainage tubes Debugging, I tried the idea of ​​the second operation, but the patient was too weak and did not dare to operate again. How to determine the position of the drainage tube became a difficult problem, so that the negative pressure bottle was not dared to use casually. At the same time, it shows that the first operation may There is a possibility of misjudgment, and the surgeon did not identify the location of the greatest inflammation."

The door of the office was secretly opened a crack from the outside, it seemed that there was a head and ears following everyone in the room and listening to Xie Wanying.

"Okay." Director Yang saw that what she said was good, and asked her to solve the problem according to this way of thinking, "tell me what specific measures you will take."

The leaders of the medical education department are really not afraid of putting pressure on others, so they took advantage of the victory and pursued it.

"We must return to the original point, which is the internal structure of the patient's body." Xie Wanying said.

As if he knew what she was going to do next, Pan Shihua flipped through the patient's medical records and opened them to several CT scan results. Then he took out a pen and notebook from the pocket of his white coat.