This is the first time that the two of them have encountered each other since the surgery since the envelope was dropped that day.
Xie Wanying's attention fell on the patients.
The heart rate is 126 beats per minute, and the blood pressure is a little low. It is estimated that there are signs of incision in the intestinal duct. Xie Wanying speculated.
Soon, Dr. Liu Chengran arrived at the hospital.
"Get the ct film." Liu Chengran, who walked into the operation room, directed.
Various preoperative patient information were submitted.
Liu Chengran checked the patient's information and asked Xie Wanying: "Tell me, what's the situation with this patient?"
The emergency teacher asked a nervous question at night. Xie Wanying quickly expressed her understanding of this case: "The initial diagnosis of paraduodenal hernia PDH. This disease is very easy to misdiagnose and misdiagnosis. Therefore, when the patient's symptoms were not obvious, it was not discovered in other hospitals when the patient had symptoms worsened. This time the patient's symptoms were aggravated due to strenuous exercise after eating, and the family rushed to our hospital for help. After taking pictures of CT, there was no particularly big obstacle in the diagnosis. Paraduodenal hernia is divided into the left and right. Judging from the results of CT, this patient should have occurred on the left and the jejunum enters the Landzert crypt. On the CT, the cystic intestinal anus can be seen slightly obvious between the pancreas and the stomach in the upper abdomen."
"What do you think this surgery can be done?" Liu Chengran continued to ask her.
"The patient has symptoms of intestinal obstruction, vomiting, intestinal torsion, and intestinal strangulation and necrosis. Digestive endoscopy cannot be used, so a laparotomy is required. Incision is made from the midline of the abdomen, the intestinal canal in the hernia sac is removed and the hernia ring is closed. I hope the intestinal canal has not ruptured and necrotic, otherwise it will be peritonitis. Now the patient has no symptoms of peritonitis for the time being, so this surgery should be performed as soon as possible."
Hearing her answer quickly and steadily, Liu Chengran confirmed that Tan Kelin's order could be executed and ordered: "You do it."
What did the teacher say? It was too sudden and the students couldn't react.
Liu Chengran waved his hand: "Go and wash your hands, you will be the main surgery tonight."
Li Qi'an sniffed: What?! Didn't I hear that surgical students tried to do an appendicitis surgery?
Appendicitis? If appendicitis is laparoscopic if laparoscopic examination is basically severe diffuse peritonitis, their main treatment may not necessarily save the patient. The appendicitis surgery performed at the time of the time is now laparoscopic, so where can I give interns a chance? It is best for interns to learn to lay a solid foundation for traditional laparoscopy first, and then do laparoscopy.
Now that there is such an opportunity, you can try it out for the interns. After passing this store, there is no next one.
Whether this surgery is difficult or not is not necessarily much more difficult than the appendicitis that was used to practice for interns. In fact, the previous appendicitis surgery was quite difficult. Some interns only took a long time to find the location of the appendix when they were in. For surgical interns, how to quickly find the lesion when they entered the abdomen is a threshold. Interns need to connect imaging films to the thinking experience of the actual anatomical location of various organs in the patient's abdomen.
You can take it for granted in your mind, but it is another matter when it comes to actual operations. Otherwise, why do seniors often say that juniors are very jealous and have low eyes. They can speak well, but they are all bad when they do it.
"Have you done it with your Teacher Sun?" Liu Chengran said to the students.
Teacher Xiao Sun had an operation before. She found a paraduodenal hernia to treat it. She was lucky enough to participate in it. She had an impression that she was clearer about how to follow the steps of the surgery.
Chapter completed!