916 Acute necrotizing pancreatitis
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Ding! First aid treatment is completed
Gain experience value 200 points, glory value +2 points
This mission is rated as flawless, with experience value of 200 points, glory value of 3 points + 2 points
As the operation was completed, the system also gave Liu Banxia the reward for this mission.
Although it is very rare, Liu Banxia is not picky. The efforts are proportional to the gains. This time he did not give any operation, just watched it all the time.
If he hadn't been there since the beginning of the treatment and had given his due judgment, he would probably not even have these rewards. For him, this operation was just a minor operation.
"You will have confidence in the future, right? You have to be alone in your own hands," said Liu Banxia.
"What is the popular thing now? Don't panic when encountering problems. You don't need to post a circle of friends first, but you must calm your heart down."
"You two are a little panicked. If you are more at ease, you can at least stop the bleeding of the patient more than one minute in advance."
"It doesn't take too much, just one minute, this can have a great impact. It can save surgery time and reduce the blood transfusion of patients a lot."
Huang Bo and Liu Yiqing didn't dare to say anything. This is comparing with experienced emergency doctors. What if they were comparing with Liu Banxia? I'm afraid this surgery will waste more time.
Perhaps before the abdomen was fully aspirated, he had already done clamping and successfully stopped bleeding. He had never done such a thing before, and he could even pinch the blood vessels.
"Send the patient back, take a CT scan on the head, and then send it to the ICU for a night of observation." Liu Banxia continued.
The patient's condition is still a bit complicated. After all, the abdominal cavity has been contaminated for so long, and the chest cavity has also undergone alveolar resection. Sending it to the ICU is more safe, and it is also convenient to use medicine if it is in case of a situation.
When we walked out, we happened to see Xiao Jun and the others coming out too.
"How is your patient's condition?" Liu Banxia asked.
"The situation is not very good. My head hit the car window glass and it has a very big hematoma. It's very miserable. The family members have not arrived yet?" Xiao Jun said.
"I don't know, I probably haven't arrived yet. We have just finished our business. The family of three is the only child's injury." Liu Banxia said.
"But I heard that the driver who caused the accident has been controlled, it's better. At least their medical expenses have been settled. Otherwise, such a series of surgeries would be a lot of money."
The cost is a topic that can never be avoided. Not to mention that the operation is successful now, even if the operation fails and is not rescued, the fees that should be charged will be charged.
This is actually the special nature of medical care, and it is also a place that can easily cause conflicts.
When they returned to the downstairs, the child was now being accompanied by nurses on the clinic bed. The fracture on his leg had been fixed, and there was no problem in the rest.
But after all, it’s a child, and such a fright is not so easy to recover.
"The family members have not arrived yet?" Liu Banxia asked.
"We are all from other places, and we will not arrive tomorrow morning as soon as possible." Qi Wentao said.
"Hey... let the nurses worry more tonight. His parents' surgery was fine, but they were all sent to the ICU, so the child must be taken care of first." Liu Banxia sighed.
"I heard that the dump truck driver was still driving drunk. This time the matter was not so easy to deal with, so maybe he had to argue." Qi Wentao said.
"My God, how brave is this? This is too lawless, right?" Liu Banxia asked in surprise.
"There are courageous people at any time, and this is not something you can control." Qi Wentao said.
It is an iron rule to drink but not drive, and to drive but not drink. Any qualified driver must follow this principle. But what about this driver? He is driving a dump truck full of dump trucks and still dares to drink. He is so brave that he has already lost all his courage.
I guess I am used to being arrogant when driving. I feel that at night, I have to give in to him if I drive such a car, and no one dares to investigate. I guess after this matter is out, I will have to wait for a while for drunk driving at night.
Anyway, Liu Banxia thought it would be good if she had a harder investigation and could also regulate her driving discipline so that she would not have caused car accidents that she should not have.
What are the plugs, road rage certificates, and turning directly without turning on the turn signal. These are all required to be standardized.
At this time, the drunken army had already appeared. According to Liu Banxia's instructions in advance, the interns and regular doctors were responsible for the fight.
Liu Banxia walked around for a short time. Although they were nervous when they were receiving the doctor, they were still able to complete the doctor's task successfully.
Liu Banxia was very satisfied. At least today's inspection achieved the goals he hoped to see.
The treatment of drunk patients is not that complicated, but requires more carefulness. As a doctor, carefulness is also a must.
"Comment, your performance tonight is still remarkable." After finishing his work, Liu Banxia called these people in front of him.
"But for us, there is still a long way to go to survive this drunken army. Even when it is colder, it is still drunk, but it is not as much as it is now."
"I don't need to say anything else. Leave the people who take care of me and find the rest to rest. You have to do your work and sleep. Otherwise, if you don't have enough energy tomorrow, how can you learn with me?"
Listening to his words, the interns breathed a sigh of relief.
The nervousness of the treatment seemed to be far less nervous than Liu Banxia's waiting and watching not far away. No matter what Liu Banxia said, she would sweat from the forehead when she looked at them from afar.
Now I have given affirmation. I did not make any mistakes tonight, which is quite good.
"How do you think their performance?" After the interns spoke three times, Liu Banxia asked the six little ones again.
"I performed very well. When I first came, if I had such a large number of medical treatments, I might not be able to take care of me." Li Hao said.
"Teacher Liu, you can go to rest too, anyway, there is nothing wrong now." Huang Bo said.
"It's not very sleepy yet. I haven't been on duty for a long time, so it's not that easy to sleep." Liu Banxia said with a smile.
"We should have communicated in private, right? Basically, this is also an assessment of your treatment ability, surgical ability, etc., which covers all aspects."
"Although you have done some training to communicate with the patients' families before, you were too passive at that time. Now you should take the initiative. No matter what the condition is, you also need to communicate with the patients and families."
"Especially for some major diseases, if you choose to talk to the patient directly or fool it first, you need to make temporary judgments on your own."
"There are no fixed standards, but it will be a necessary lesson for you to become a real doctor. Xu Yinuo has enjoyed it today, but this is not enough, and you will have to participate more in the future."
"Teacher Liu, I understand too. But what if the patient comes to the hospital alone? How should I judge that?" Xu Yinuo asked.
"According to the scene, this is the most important thing." Liu Banxia said.
"Some people can face it positively, and the treatment effect in the later stage will be better. Some people face it negatively, and the effect in the later stage will be worse, but these are just a matter of probability."
"Just like the esophageal cancer patient I met last time, the family's financial conditions were average and he had lost hope of treatment. I think no matter whether he could accept it or not, he should tell him."
"The starting point I consider is to eat more before eating is really affecting my eating. Eat more if I can, and eat whatever I want."
"In another situation, telling him directly can also let him take care of his own affairs. You don't have to leave any regrets if you explain and arrange what you should do."
"But if you are accompanied by a family member, I think you should communicate with the family first and leave the decision in the hands of the family."
"Actually, it's very simple. Even if we hide it from the patient, he can make a judgment based on the situation. It's just because he wants to have a good idea in his heart and doesn't want to believe it."
Liu Xiao nodded, this is also difficult to grasp when practicing medicine.
It is difficult to announce such news to patients or families, and there is still so much to consider. It feels too difficult to think about it.
But I also know that Liu Banxia said that she would strengthen this training, and that would inevitably continue to be implemented.
In fact, there is no so-called willingness or not to these tasks, and you will experience them sooner or later.
"Looking back, you can also open them more about the surgical permissions." After the six little ones dispersed, Liu Banxia said.
"At least in the early stages, even if there is no surgeon, the rescue work cannot be stopped. However, it still needs to go through strict assessments, otherwise it may be a medical dispute."
"Just catch these yourself, I won't worry about them." Qi Wentao said with a smile.
Liu Banxia was also happy. Seeing that nothing was wrong, she would go with her own eyes.
The only thing that patients today need to pay more attention to is the child. What they are worried about is the embolism that is easily caused by fractures of the bones. Don’t pay too much attention to anything else.
I was sleeping soundly in bed and felt awakened.
"Teacher Liu, I just received a patient with acute abdominal pain, which seemed to have acute pancreatitis." Seeing him open his eyes, Su Wenhao hurriedly said.
Liu Banxia rubbed her face, "Is it serious?"
"From CT, there has been a certain degree of necrosis." Su Wenhao said.
Hearing him say this, Liu Banxia suddenly became nervous. Necrotic acute pancreatitis is a must-surgical intervention.
As such a surgery, it is also a very dangerous operation with a very high difficulty coefficient. He must take a look at it himself and then contact Zhou Shuwen.
Chapter completed!