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¡¾1115¡¿How to look at it from a surgical perspective

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    He doesn¡¯t like to talk and is not very good at talking, but when he really has to say something, every word this person says must have weight.

    Fang Xueqing raised her head and looked at the true light in Song Xuelin's brown eyes, and nodded unconsciously.

    The medical records were opened, and several doctors were studying them with their heads bent.

    The family members of the patients outside can hardly wait. They must ask for an explanation today.

    "It's a patient with massive gastrointestinal bleeding." Fang Xueqing pointed to the key points in the medical record to the two young doctors. "The patient arrived at our hospital's emergency room during the day three days ago. The main symptoms were hematemesis and heavy bleeding. Three-lumen two-capsule tube  Compression stopped the bleeding, and after the blood transfusion, the condition became slightly stable. The emergency CT examination report showed bleeding from esophageal and gastric varices, liver cirrhosis, and portal hypertension."

    "Because there are no beds in the surgical department, the patient's condition has stabilized. With the consent of the patient's family, he was first transferred to our internal medicine department for treatment." Dr. Ma then added about the patient's condition, "In our internal medicine department, Director Zhang performed endoscopic esophageal surgery on the patient the day before yesterday.  After treatment of gastric varices, sclerotherapy and ligation were performed. Then last night, the patient suddenly became very irritable and the reason was unclear. The vital signs were relatively stable, there was no further bleeding, and there was no loss of consciousness.  The pupillary reflex and other examinations were all normal. The family members were very nervous and always hoped to be transferred to a surgery department for further surgical treatment."

    Listening to what Dr. Ma said, it seems that the irritability caused by brain-derived diseases such as acute cerebral hemorrhage and cerebral infarction can first be ruled out?  There were no signs of further bleeding.  It is true that the patient's current condition is agitated, which makes people feel a little strange.

    Fang Xueqing tapped her fingers on the medical record, feeling that the patient's strange reaction was beyond her medical experience as a professor, and she was a little confused for a while.  Turning around, she asked Song Xuelin: "Dr. Song, what do you think? Can this patient be sent to the surgery for further surgery?"

    ?????????????????? After emergency hemostasis after endoscopic treatment, if further radical treatment is required, devascularization or shunting can be performed, and the patient can be sent to the surgery for traditional surgery, or interventional surgery such as tips transjugular intrahepatic portocaval shunt can be performed.

    Therefore, after the surgeon came for consultation, he said that elective radical surgery could be performed and asked the patient to wait.  Now the patient has no indication for emergency surgery.

    "Let Dr. Xie speak first," Song Xuelin said.

    "I have to let this female medical student tell me first, what is Song Xuelin thinking about?"  Fang Xueqing didn't understand what he meant, so she had to look at Xie Wanying and ask: "You want to be a surgeon, how do you think this case should be viewed from a surgical perspective?"

    "I personally think that the consultation report given by the surgery department yesterday is reasonable. Yesterday's patient's condition did not seem to be particularly urgent and he had to undergo surgery for esophageal and gastric varices." Xie Wanying said, "Yes, his bleeding was under control.  Lived. Not only that, his hemoglobin at the beginning was 97, which can only be regarded as mild anemia. I think the family members of the patients in the emergency room said that the patient vomited a lot of blood at home was an exaggeration. Because the patient was conscious when he arrived in the emergency room, and the amount of bleeding should be  It¡¯s not very big. It doesn¡¯t appear to be too much bleeding after endoscopic treatment.¡±

    "What do you mean?" Fang Xueqing and Doctor Ma heard that there was a deeper meaning buried under her words.

    Xie Wanying looked serious and said: "I am afraid that if the patient's condition continues to deteriorate, he will be transferred to surgery immediately, not to general surgery, but to cardiothoracic surgery." (Remember this website's website address: www.hlnovel.com
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