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¡¾911¡¿Work hard to keep

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    A broken spleen like watery tofu.  Xie Wanying recalled the test questions that Senior Brother Tao gave to the surgical students. The real-life surgery scene was much more severe than the test questions that Senior Brother Tao had given. The current spleen was not something she could resew with a few needles.

    For grade three or four spleen rupture, the only option is total spleen resection.

    If the entire spleen, including the splenic hilum, is removed, doctors need to consider it more carefully, considering the child's young age and future growth space.

    Xie Wanying remembered what she had said to Wen Gui. Although she and her family members spoke very rationally, she could not bear it emotionally.

    "Teacher Nie. The Opsi of children is very high, higher than that of adults. This may be due to the complete removal of the spleen. If the spleen is preserved, it will be of greater significance to the child. The spleen not only stores blood, but also has  Hematopoietic function and irreplaceable immune function for a period of time, as well as anti-tumor function in the future." After Xie Wanying said these words, she also knew that the teacher only had this little time to consider.  Now it's up to the teacher to decide.  The teacher has more experience than she does, and I believe she can make the best choice for the child.

    Total resection is a one-and-done solution. If the spleen is to be preserved, the only way to preserve the spleen in this case is through autologous spleen tissue transplantation.  In the case of autologous spleen tissue transplantation, the biggest problem is the postoperative period.

    It is true that children need to pay more attention to Opsi than adults, but autologous spleen tissue transplantation also carries the risk of necrosis and infection.  Moreover, it is necessary to dynamically observe whether the child has recovered spleen function for a long time after the operation, which requires professional doctors to keep an eye on.

    If the patient has the surgery in their own hospital, everything will be easy to follow.  It is not the case now. It is difficult to say whether it is possible to ensure that the subsequent treatment of this child will be handled by professional doctors.  He saw the conditions of the county hospital with his own eyes tonight.

    Considering this, Nie Jiamin had already made a decision before the operation. If the problem could not be solved, he could only perform a complete resection.

    What he didn¡¯t expect was that the student opposite suddenly mentioned this to him.

    "Have you not considered other issues?" Nie Jiamin asked her deliberately.  Because he knew she was capable, he hoped to guide her to be more considerate and careful as a doctor in the future.

    "Teacher Nie." Xie Wanying cooperated with the teacher's hand operation without stopping.  The cooperation between teachers and students is to free the splenic pedicle. This step must be done regardless of whether the spleen is autologous tissue transplantation or not.  On the other hand, she continued: "If it is a postoperative problem, I personally think there is no need to worry too much. It is not far from the capital. It is okay to let them come to the National Association for follow-up treatment."

    It seems that she knows what he is worried about. He is not sure how domestic patients are transferred to other hospitals or whether they can be transferred after surgery. He asked: "Do you think she can be transferred to the National Association?"

    "She was a patient in a car accident, and the driver responsible for the accident has to pay for her medical expenses."

    The first criterion for whether domestic patients can be transferred to another hospital is whether they have enough money.  Nie Jiamin understood what she said and told her: "You need to check insurance when abroad."

    Maybe Teacher Nie was touched when she heard Qian, and felt deeply about it, and started talking to her about the situation abroad.

    After the obstacle is resolved, the patient will be given a spleen autologous tissue transplant.  Three vascular clamps were placed close to the splenic pedicle of the splenic hilum, and the splenic pedicle between the two hemostatic forceps near the spleen was cut. The spleen with the disconnected vascular clamps was placed in a balanced solution prepared at 4 degrees Celsius outside the body.

    First, double ligation of the blood vessels of the splenic pedicle was performed to fully stop the bleeding. The blood finally stopped gushing like a fountain.  Exploration of the abdominal cavity revealed no rupture or bleeding from other organs.  The child's blood pressure stabilized.

    ©¤©¤©¤©¤©¤Digression©¤©¤©¤©¤©¤

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