"No, no!" He Guangyou was so anxious that he shouted at the top of his lungs. Looking at Song Xuelin's unhurried face, he, a senior, couldn't help it anymore. He glared at the young junior's face, "Who told you that this is the case?
of."
"Everyone doesn't think so, it's pretty good." Song Xuelin opened his mouth and spoke slowly, as if setting a rhythm for everyone to think about.
A group of seniors listened to his words and fell silent for the time being.
In the silence, everyone realized what the problem was: the jaundice had never subsided, and there was no other means of conservative treatment except injections. Surgical exploration might be the only option. The two newcomers were right, and the results were in front of them.
"Perhaps, we can try ERCP on him?" Qiu Ruiyun pinched his chin, thinking hard and then mentioned a new method that could avoid surgery.
ercp refers to endoscopic retrograde cholangiopancreatography, in which a duodenoscope is inserted into the descending part of the duodenum, and then the stone is removed from the common bile duct through the opening of the duodenum. The examination method is similar to a gastroscope.
It is not necessary to use a scalpel to make an incision on the patient's body surface when entering the microscope from the patient's mouth. Therefore, in the National Association, it is done by a physician who is good at doing endoscopic surgery.
"Should we contact Neiwu?" several doctors discussed.
When Xie Wanying heard this, she became anxious and said to the seniors: "No. If the stone is removed by ERCP, a duodenal sphincterotomy is required, which will damage the sphincter."
Wait, has she been to Neiwu? Why does she seem to be very familiar with this examination? Someone from the General Surgery Department told her about it? A group of doctors were surprised when they heard her talk about the fatal points of ERCP.
"Do you know what a sphincter is?" Gong Xiangbin asked her suspiciously.
"The duodenal sphincter is a one-way valve that can control the entry of bile into the intestine but prevent intestinal contents from entering the biliary tract. The destruction of the sphincter is equivalent to the loss of this natural barrier. He has symptoms of gallstones, and after surgery
Intestinal contents can easily reflux and contaminate the biliary tract, which will make future biliary infections worse." Xie Wanying was precise and concise.
Gong Xiangbin shut his mouth, not daring to ask her this intern any more questions.
He is a true academic master.
"Laparoscopy can be done carefully to avoid damaging the sphincter, cutting open the common bile duct and inserting the choledochoscope, which is faster and more convenient. We are surgeons, and we have greater advantages in direct inspection of the patient's body. There is no need to ask the internal medicine department
The doctor will do it, right?" Xie Wanying said to the seniors.
Yes, why would you let a physician do such a thing? Wouldn't it be like throwing your job directly to other people? What are they doing with a bunch of surgeons? The seniors at the table couldn't help but laugh, and almost burst into laughter.
A trace of microwave appeared on Song Xuelin's delicate lips.
"Yingying."
Seeing Tao Zhijie speak, the others fell silent for the time being.
After being called by her nickname by Senior Brother Tao, Xie Wanying turned around and waited quietly for Senior Brother Tao to raise academic questions again.
"What kind of person do you think your senior brother Cao is?" Tao Zhijie asked her, suddenly the question was not an academic question.
Xie Wanying was stunned for a moment and replied: "Senior Brother Cao is a gentleman."
There are many handsome guys. Senior Brother Cao may not be the most handsome, but he is definitely a very well-educated gentleman.
After listening to her answer, everyone else here realized that Tao Zhijie asked her what Cao Yong did. It turned out that what she said before was very similar to Cao Yong.
Cao Yong, what all his colleagues admire the most is: Dare to do it!
When others were timid, Cao bravely stood up and said it. This is the confidence of a super famous doctor, which makes people admire him.