Chapter 911 【911】Efforts to Keep

Spleen that crumbled like watery tofu. Xie Wanying recalled the exam questions that Senior Brother Tao gave to the surgical students. The actual surgical scene was much more severe than Senior Brother Tao's exam questions. Now this kind of spleen is not something she can suture with a few needles.

The third and fourth grades of spleen rupture can only be completely removed.

If the entire spleen is removed together with the hilum of the spleen, the doctor needs to consider it more carefully considering the child's young age and future growth space.

Xie Wanying remembered what she said to Wen Gui. Although she and her family members spoke rationally, she was also emotionally unbearable.

"Ms. Nie. The child's OPSI is very high, higher than that of adults. It may be due to the total removal of the spleen. If the spleen is preserved, it will be more meaningful to the child. The spleen not only stores blood, but also has Hematopoietic function for a period of time, irreplaceable immune function, and anti-tumor function in the future." After Xie Wanying said these words, she also knew that the teacher only had this time to consider. Now it's up to the teacher to decide. The teacher has more experience than her, and I believe he can make the best choice for the child.

All of them are done. If the spleen is preserved, the only way to preserve the spleen in this situation is autologous spleen tissue transplantation. In the case of autologous spleen tissue transplantation, the biggest problem is after surgery.

It is true that children need to pay more attention to OPSI than adults, but autologous spleen tissue transplantation also has the risk of necrosis and infection. Moreover, it is necessary to observe whether the child has recovered its spleen function after a long period of dynamic observation. This requires the attention of professional doctors.

If the patients were operated on in their own hospital, everything will be easy to follow up. Not now, it is hard to say whether it is guaranteed that the follow-up treatment of this child will be handled by a professional doctor. The condition of the county hospital, he saw with his own eyes what happened tonight.

Considering these, Nie Jiamin had already made a decision before the operation, and if he couldn't solve this problem, he had to cut it all.

Unexpectedly, the student on the opposite side suddenly mentioned this to him.

"Have you not considered other issues?" Nie Jiamin asked her on purpose. Because he knows that she has strength, he hopes to guide her to be more thoughtful and meticulous as a doctor in the future.

"Ms. Nie." Xie Wanying cooperated with the teacher's hand operation without stopping. The teacher-student cooperation is to free the spleen pedicle, regardless of whether the spleen autologous tissue is transplanted or not. On the one hand, she continued: "If it's a postoperative problem, I personally don't think you need to worry too much. It's not far from the capital, so it's okay to let them come to the National Association for follow-up treatment."

It seemed that she knew what he was worried about. He was not clear about how domestic patients could be transferred to hospitals after surgery. He asked, "Do you think she can be transferred to the National Association of China?"

"She was a car accident patient, and the medical expenses are paid by the driver who caused the accident."

The first criterion for whether domestic patients can be transferred to another hospital is whether they have enough money. Nie Jiamin understood what she said, and said to her, "You need to check your insurance when you go abroad."

Maybe Ms. Nie felt deeply when she heard that Qian was touched, and exchanged with her about the situation abroad.

The threshold of obstruction is resolved, and then the spleen autologous tissue transplantation will be performed on the child. Three vascular clamps clamped the splenic pedicle close to the splenic hilum, cut the splenic pedicle between the two hemostatic clamps near the spleen, and put the spleen with the vascular clamps disconnected into the balance solution prepared at 4 degrees Celsius outside the body.

The blood vessels of the splenic pedicle were double ligated first to fully stop the bleeding, and the blood finally stopped gushing like a fountain. Exploration of the abdominal cavity showed no rupture or bleeding from other organs. The patient's blood pressure stabilized.

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