Chapter 739 【739】Estimated the Worst Result

Xie Wanying was thinking in her heart that the positions of these puncture holes were a bit special, and they were slightly different from the usual positioning of surgical holes. Now, there are at least three puncture holes forming a straight line under the costal margin.

If her prediction is correct, will Senior Brother Tao, the chief surgeon, make the puncture hole specially for the convenience of converting to laparotomy, so that when the time comes to convert to laparotomy, he can make a one-size-fits-all cut along this straight line.

Brother Tao is careful, and he took precautions first, which is enough to show that Brother Tao is not very optimistic about Zhao's situation.

A stern look crossed her face.

While Yue Wentong was thinking about what she saw, a doctor on the operating table said, "The color of the liver has changed."

Seeing that He Guangyou, the first assistant, was giving advice to the chief surgeon.

The monitor screen showed a relatively clear actual situation of the liver in the patient's abdominal cavity.

A normal liver has rich blood supply and is dark red to maroon in color. Laparoscopy revealed that the patient's liver had actually lightened. Partial cirrhosis tends to be partial, which is very different from the slightly reversible fatty liver that everyone inferred before.

"Isn't it fatty liver?" Gong Xiangbin said next to Qiu Ruiyun and the others' ears.

"If not, what's going on?" Guo Yiping, who doesn't like to talk, showed considerable concern about the patient's condition.

"Liver abscess, there must be an infection." Qiu Ruiyun squeezed his chin, "As for the infection—"

A bunch of doctors just blurted out the worst possible outcome. Someone has to be the "bad guy". So, He Jiuliang said: "I think we may need to be mentally prepared. The patient may be of the type of intrahepatic cholestasis. It is this disease, and it cannot be ruled out that the patient's liver cells have problems. And he is chronic, The prognosis is going to be worse than anything we expected."

The super big ice water splashed and poured on everyone's hearts.

Cholestasis is a syndrome with complex etiology. So far, medical scientists have many difficult puzzles that have not been solved in this disease.

There is a very special thing about this disease. The chronic disease is more difficult for doctors to deal with than the acute disease.

The acute cause is relatively easy to trace, as long as it is not caused by the liver cells themselves, it is considered relatively good.

If it is chronic, it is concealed and develops slowly. When the patient or the doctor notices it, the disease will easily turn into severe hepatitis and cirrhosis at a certain stage, and the prognosis is very poor. The etiology is often defined as a metabolic problem of the liver cells itself, which is basically unsolvable and curable with no medicine. The only solution may be left: liver replacement.

"Fortunately, surgical exploration was done." A group of doctors feel lucky now. If it is delayed again, if this disease is true, Zhao Zhaowei may suddenly deteriorate into acute liver failure and die. Therefore, sometimes when CT and other auxiliary examinations cannot find out the cause, it is best to perform surgery to detect the actual situation in the patient's body.

Looking directly is better than guessing blindly, which is the most important meaning of surgery.

"Make a slice. If it is confirmed that it is a liver cell problem, you need to discuss liver transplantation with the patient's family." He Guangyou said, as if he had changed from a slow-moving senior to a brave and active impatient senior. Liver.

Is student Zhao's liver really useless?

Beep, beep, the patient's heart rate fluctuated slightly, as if he heard something.

Zhang Tinghai adjusted the dose of anesthesia given to the patient.

During anesthesia, anesthesiologists commonly use sedatives, muscle relaxants, and painkillers.