Hearing that her answer was based on the idea he gave before, Yu Xuexian nodded repeatedly: Fortunately, there was no confusion.
So when it comes to being a doctor, whether you are going to be a surgeon or an internist in the future, you will have to do all the surgical rounds during your internship. The purpose is to let you develop a comprehensive way of thinking. Instead of just thinking about holding a scalpel every day, you must learn to
Cooperate with multiple departments and adopt a comprehensive treatment approach. Once internal medicine cannot cure the disease, you must quickly seek help from surgery, and then return to internal medicine for treatment. In the acute stage, surgery cannot perform surgery, and internal medicine must come up with ideas.
What she said was obviously what Director Yang wanted. The hospital specially arranged for medical students to rotate internships in several departments and needed to know how the students were doing. Director Yang nodded to her, indicating that the intention was basically the same as his own.
Internal medicine can treat the cause of the disease with immunotherapy, but surgery must solve the problem of pus drainage, which is not something that internal medicine can do.
Talking about the surgical strategies she is good at, Xie Wanying said bluntly: "In other hospitals, patients have not been able to help patients drain the pus. According to the simplest surgical thinking, it must be because the drainage tube was placed in the wrong position."
Director Yang stretched out his hand as if to point to the tip of her nose: You have hit the nail on the head, keep talking.
Doctor Jiang nodded together: Yes, yes, that's the idea, but where should the drainage tube be placed? The doctor from the outside hospital opened the abdomen to incise the abscess and drained the pus. Logically, the situation in the abdominal cavity was clearly observed before placing the drainage tube.
, the possibility that the drainage tube was placed incorrectly was extremely low. Therefore, Dr. Jiang did not dare to question colleagues from other hospitals casually at first.
"We often encounter such problems during and after laparotomy operations." Xie Wanying said, "After the abdominal cavity is opened, due to the intervention of the surgeon, the organs in the patient's abdominal cavity will be in a state of being invaded and disturbed, and their physiology
Functional activities will be disrupted after surgery. This is manifested in postoperative intestinal adhesion and abnormal intestinal activity. Returning to this patient, because he has Crohn's disease, which itself has symptoms of intestinal dysfunction, he was
After surgical intervention, the activities of his intestines and surrounding organs and tissues were further affected. After that, the location of the pus would change. Maybe his body changes were beyond the doctor's expectation in previous cases. Doctors from other hospitals made drainage tubes.
Debugging, I tried the idea of a second operation, but the patient was too weak and did not dare to have another surgery. How to determine the position of the drainage tube became a problem, so the negative pressure bottle was not dared to be used casually. At the same time, it was explained that the first operation might
There is a possibility of misjudgment, and the surgeon did not identify the location of the greatest inflammation."
The door of the office was secretly opened a crack from the outside. It seemed that there was a head and ears following everyone in the room, listening to Xie Wanying's words.
"Okay." Seeing that she said well, Director Yang asked her to solve the problem in one go according to this idea, and said, "Please tell me what specific measures you will take."
The leaders of the medical and educational department are really not afraid of putting pressure on people and are taking advantage of the victory.
"We must go back to the starting point, that is, the internal structure of the patient's body." Xie Wanying said.
As if he knew what she was going to do next, Pan Shihua flipped through the patient's medical record and opened it to several CT scan results. Then he took out a pen and notebook from the pocket of his white coat.