Chapter 521 [521] Quick Judgment Before Surgery

This is the first time the two of them have met since Xiao Yazhi's operation in the case of dropping the envelope that day.

Xie Wanying's attention fell on the patient.

The heart rate is 126 beats per minute, and the blood pressure is a little low. It is estimated that there are signs of intestinal incarceration. Xie Wanying speculated.

Soon, Dr. Liu Chengran arrived at the hospital.

"Bring the CT scan." Liu Chengran, who walked into the operating room, ordered.

Various preoperative patient data were submitted.

Liu Chengran checked the patient's information and asked Xie Wanying: "Tell me, what's the condition of this patient?"

In the evening, the emergency teacher’s torture made people nervous. Xie Wanying quickly explained her understanding of the case: “Paraduodenal hernia was initially diagnosed as PDH. This disease is very easy to be misdiagnosed and missed. Internal medicine treatment did not find it. This time, the patient’s symptoms aggravated due to intense exercise after a full meal and could not be relieved by drugs. The family members urgently sent the patient to the emergency department of our hospital for help. The parahernia is divided into left side and right side. Judging from the CT results, this patient should have occurred on the left side, and the jejunum entered the Landzert recess. A slightly obvious cyst between the pancreas and stomach in the upper abdomen can be seen on CT sex loop."

"How do you think this operation can be done?" Liu Chengran continued to ask her.

"The patient has symptoms of intestinal obstruction, vomiting, volvulus, and intestinal strangulation and necrosis cannot be ruled out. Digestive endoscopy cannot enter, so a laparotomy is required. Incision is made from the midline of the abdomen, and the intestinal tube in the hernia sac is taken out and given Correct, close the hernia ring. I hope the intestinal tube has not been ruptured and necrotic, otherwise it will be peritonitis, and now the patient has no symptoms of peritonitis, so this operation should be performed as soon as possible.”

Hearing her quick and steady answer, Liu Chengran confirmed that Tan Kelin's order could be carried out, and ordered: "You do it."

What did the teacher say? It was so sudden that the students couldn't react.

Liu Chengran waved his hand: "Go and wash your hands, you will be the one to perform this operation tonight."

Li Qi'an took a deep breath: What? ! Didn't you hear that a surgeon is trying to perform an appendicitis operation?

appendicitis? Appendicitis is basically severe diffuse peritonitis if the laparotomy is performed, and their attending treatments may not be able to save this kind of patient. The elective appendicitis operations are all performed laparoscopically now, so how can the interns be given the opportunity. It is best for interns to learn to do traditional laparotomy first, and then to do laparoscopy.

Now that there is such an opportunity, hurry up and give it to the interns to try. After passing this store, there is no next one.

Is this operation difficult? It may not be much more difficult than the appendicitis I used to practice for interns. In fact, appendicitis surgery was quite difficult in the past. Some interns had to search for a long time just to find the location of the appendix. For surgical interns, how to quickly find the lesion after laparotomy is a threshold. Interns need to connect the imaging film with the thinking experience of the actual anatomical position of each organ in the patient's abdomen.

It can be taken for granted in the mind, but it is another matter when it comes to actual operation. Otherwise, why do seniors often say that juniors have high eyesight and low hands. He can speak clearly and logically, but his actions are all rotten.

"Didn't you do it with your teacher Sun?" Liu Chengran said to the students.

Teacher Xiao Sun had performed an operation case before and found a paraduodenal hernia and treated the hernia together. She was fortunate to participate in it at that time. I have the impression that she knows how to go through this operation step.

"Do!"