Chapter 904 [904] Debating Whether to Transfer to Another Hospital

The third grade involves the rupture of the splenic hilum, and the fourth grade is the most serious and the spleen is severely fragmented. What needs to be considered is the removal of the entire spleen.

The reason why Dr. Zhou was so surprised was that when the child arrived at the county hospital, he had already explained that the surgery here did not have the conditions to operate on infants and young children, and no doctor could do it.

"I can only send it to the hospital above." Doctor Zhou hurriedly told Xie Wanying and Nie Jiamin and the others, and asked the nurse to call the nearest hospital in the city that could accept the child.

Seeing that Dr. Zhou’s senior may not have understood Mr. Nie’s meaning, Xie Wanying added an explanation for the teacher: “Doctor Zhou, don’t send him to the hospital in the city. Mr. Nie’s idea is that the child must be operated on in the operating room here. Because there was no time to send it to the hospital in the city."

Dr. Zhou was restless and jumped anxiously, and said to her: "You don't know, didn't I tell you before? No one does it. Give the child a blood transfusion first, and give more, try to save her life. Go to the hospital in the city, where a doctor will perform an operation on her. It takes about two hours to drive to her."

"Two hours is too late, her spleen door ruptured, and the whole body was bleeding profusely." Xie Wanying said.

Her words caught Nie Jiamin's attention. Turning his head, Nie Jiamin looked at her with a glint in his eyes: Thinking about the simple report from the B-ultrasound doctor just now, how could she hear the rupture of the spleen door, unless he understood the images of the B-ultrasound by himself.

"No, no." Doctor Zhou insisted on his own opinion. It was obvious that he was very afraid of the patient's death on the operating table, and expressed strong displeasure to Xie Wanying, "I think you are just a student, and you have never seen such an operation." Patient. I have seen many similar patients. Some are more serious than her, and they can be safely sent to the city for surgery."

"How serious is it if it is more serious than her. If there is no abdominal exploration to stop the bleeding as soon as possible with her, the amount of blood loss will be unimaginable. She is an infant."

Doctor Zhou was very surprised after hearing her words: "Where did you come to this conclusion?"

"The splenic hilum was ruptured, the splenic artery and splenic vein were ruptured, and when you percussed her abdomen, there was a moving dull sound." Xie Wanying said.

In terms of abdominal shifting dullness, it is true that the ascites is close to 1000 ml or more in adults, and the situation in infants and young children is definitely worse. Dr. Zhou was speechless: "This—" I think she listed the data, and if he wants to refute, he must show the relevant data.

Someone laughed.

Dr. Zhou turned his head and saw the inarticulate expert Mr. Nie smiling.

Some people's eloquence is sophistry, and some people's eloquence is their strength. The uncontrollable laugh in Nie Jiamin's throat was the latter, seeing that such an upright person like her could speak eloquently, it was undoubtedly the latter, and it made people smile from the heart.

Hearing the teacher laugh, Xie Wanying stopped talking for now, thinking about it, she seemed to have talked a little too much, and was playing tricks in front of the teacher.

The student didn't speak, Nie Jiamin seized the time and said, "Abdominal puncture will be performed, and if the diagnosis is confirmed, it will be sent to the operating room."

"But, but the chief surgeon—" Dr. Zhou blinked fiercely at the experts from the capital: Experts, please don't embarrass us, even if you are members of the National Association, don't mess around. No one can't drive them to the operating table.

Teacher Nie is modest, but the doctor didn't realize it this week.