Grade three involves rupture of the splenic hilum, and grade four is the most serious, where the spleen is severely fragmented, and the entire spleen needs to be removed.
The reason why Dr. Zhou was so surprised was that when the patient arrived at the county hospital, he had already explained that the surgery here was not qualified to operate on infants and young children, and no doctor could do it.
"We can only send him to the hospital above." Dr. Zhou hurriedly told Xie Wanying, Nie Jiamin and others, and asked the nurse to call the nearest hospital in the city that could accept the patient.
Seeing that Senior Dr. Zhou might not understand what Teacher Nie meant, Xie Wanying helped the teacher add: "Dr. Zhou, we will not send him to the hospital in the city. Teacher Nie's idea is that the child must be operated on in the operating room here.
Because there was no time to send him to the hospital in the city."
Doctor Zhou was so restless that he jumped up and down and said to her: "Don't you know? Didn't I tell you before? No one did it. Give the child a blood transfusion first, give her more blood, and try to save her life as much as possible."
Go to the hospital in the city, where doctors will perform surgery on her. It takes about two hours to get there."
"Two hours were too late. Her spleen hilum ruptured and she was bleeding profusely," Xie Wanying said.
Her words caught Nie Jiamin's attention. Turning his head, Nie Jiamin looked at her with a flash of light in his eyes: I think the B-ultrasound doctor just reported a simple sentence, how could she hear that the splenic hilus was ruptured, unless she was like him?
I can understand the B-ultrasound images myself.
"No, no." Dr. Zhou insisted on his opinion. It could be seen that he was very afraid that the child would die on the operating table here, and expressed his strong dissatisfaction with Xie Wanying, "I think you are just a student. I have never seen anything like this."
Patient. I have seen many similar patients. There are others who are more serious than her and can be safely sent to the city for surgery."
"How serious it is if it's more serious than hers. If we can't do abdominal exploration to stop the bleeding as soon as possible, the amount of blood loss will be unimaginable. She is an infant."
Dr. Zhou was extremely surprised after hearing her words: "Where did you come to this conclusion?"
"The splenic hilus is ruptured, the splenic artery and splenic vein are ruptured, and you can percuss her abdomen again and there is shifting dullness," Xie Wanying said.
If there is moving dullness in the abdomen, it is close to 1000 ml of abdominal effusion in adults, and the condition is definitely worse in infants and young children. Dr. Zhou was speechless: "This -" I think she just listed the data, and he had to refute it.
Let’s bring out the relevant data as well.
Someone laughed out loud.
Dr. Zhou turned around and saw the taciturn expert, Mr. Nie, smiling.
Some people are eloquent because of sophistry, and some people are eloquent because of their strength. The laughter that couldn't be suppressed in Nie Jiamin's throat was because seeing such an upright person like her being so eloquent was undoubtedly the latter. After hearing this, people couldn't help but speak from the bottom of their hearts.
smile.
Hearing the teacher's smile, Xie Wanying stopped talking. After thinking for a while, she seemed to have talked too much and was trying to make a fool of herself in front of the teacher.
The student didn't say anything, so Nie Jiamin took the time to say: "Perform abdominal puncture. If the diagnosis is clear, send it to the operating room."
"But, but the surgeon -" Dr. Zhou blinked fiercely at the experts from the capital: Experts, please don't embarrass us, even if you are members of the National Association, you can't mess around. No one can catch them up.
On the operating table.
Teacher Nie was modest, but the doctor didn't notice it this week.