Next, until 11 o'clock in the evening, most of the patients who did not come for surgery were mostly those with fever and colds.

After a short period of time, all the doctors and nurses had to rest for a while.

Seeing that Jiang Yurong was still feeling a little depressed, Ruan Bin asked: "Director, do you want to drink coffee?"

In fact, as an emergency department doctor, especially the surgeon, I feel very disappointed when I cannot save a life. Sometimes I often have to save it by just a little bit, but unfortunately God still doesn’t give me a chance.

"Yes." Jiang Yurong nodded.

Zhou Tianlei next to him also found that Jiang Yurong was in a low mood, and said with a smile: "Director, are you hungry? I know there is a spicy hot pot nearby. I'll order you a takeaway?"

Zhou Tianlei thinks that now is the best time to care for beauties. Beauty is in a bad mood? Let the food cure it!

"It's working hours now, what to eat? What if you have diarrhea if you eat this kind of junk food, will you be responsible for the operation? If you have time, learn more about Dr. Ruan for basic surgery." Jiang Yurong is very disliked Zhou Tianlei's behavior of ordering takeout at work! Especially when the surgery was performed before, the other party was asked to intubate the tracheal system, and the other party dared not. It was really terrible.

"Uh... Yes yes yes..." Zhou Tianlei's glass heart was broken in an instant. What was said online was wrong. What food can heal a girl's mood!

"Director, your coffee." Ruan Bin brought back two cups of coffee and handed one to Jiang Yurong.

"Thanks."

Just after I finished drinking the coffee, there was a noise outside the emergency department.

Not long after, I saw the family hurriedly sending an old and patient in his 80s in.

"Doctor, doctor, save my grandfather, save my grandfather!" The young man rushed in with his 80s in his arms, panting and saying sadly.

When Ruan Bin saw that the elderly patient had fainted and didn't know what was going on.

"Send it to the operating room first!" Ruan Bin helped carry the person.

"How did your grandfather get confused?" Jiang Yurong asked.

"My grandfather said he had an upper abdominal pain and vomited! By the way, his body temperature was very high, and he seemed to have a fever. He fainted on the way he sent it to him." The man said hurriedly.

In fact, if you say this, it is difficult for ordinary doctors to determine what disease it is.

Perhaps it is acute pancreatitis, acute ulcer perforation, high-level acute appendicitis, right kidney stones, etc.

"Do you have a B-ultrasound now!" Jiang Yurong said.

Soon, Zhou Tianlei and the nurses sent him to do B-ultrasound.

"You are a patient's family, right? What's the patient's name? Are there any other diseases?" Jiang Yurong asked.

The man said, "My grandfather's name is Wang Deming, and he has a heart attack!"

Brush, Jiang Yurong recorded on the side.

"Okay, you can register and pay the fee first. Your grandfather needs to exceed the b to know what the disease is."

In less than ten minutes, the result was out.

Jiang Yurong frowned after seeing the results of B-ultrasound!

Based on her many years of experience, it can be judged from the above that Wang Deming suffered from acute cholecystitis, and it was also very serious suppurative cholecystitis. What's worse is the perforation of the gallbladder!

"How is it?" Ruan Bin and Zhou Tianlei both looked at Jiang Yurong.

"Suppurative cholecystitis, and the gallbladder is perforated, so surgery is needed!"

"Ah? So serious? But this old man has a heart disease. If the gallbladder is surgically removed, anesthesia and infection are the most difficult problems before us!" Ruan Bin said solemnly.

Because it is very troublesome for patients with a history of heart disease to undergo anesthesia. The prerequisite for using anesthesia is to master the indications of anesthesia and control the heart disease. It depends on the seriousness of the degree, what anesthetic is used, and how much dosage is used! Especially this heart disease patient is still an elderly person in his 80s.

Once the anesthetic takes too long, you may not be able to wake up! However, the major surgery requires a long-term anesthetic...

The second is infection, suppurative cholecystitis, and the gallbladder perforation, which is a big problem.

In other words, the operation is not difficult, but how to make a decision is a difficult problem!

At this moment, Jiang Yurong was also hesitating. If the patient was subjected to a cholecystectomy, it might be successfully removed, but the patient might not be able to wake up due to heart disease and anesthetics. Even if he woke up, what should he do if the infection was problem?

But if the cholecystectomy is not performed, the patient will definitely die!

Dilemma!

The young man next to him saw the two doctors silent and was sweating profusely: "Two doctors, you guys, you guys, are you saying something! My grandfather has been dizzy for more than ten minutes."

"Director, our emergency department always saves our lives before treating the disease! Why not relieve the patient's condition first and then perform a cholecystectomy when the condition is not that serious?" Ruan Bin suggested.

After hearing Ruan Bin's words, Jiang Yurong's eyes lit up: "Okay, you're right. Faced with this situation, we cannot just think about curing the patient's disease directly, but we must save the patient's life first!"

"I am going to do liver and gallbladder puncture and catheter drainage on the patient! Prepare things, Ruan Bin, Zhou Tianlei, learn it well." After Jiang Yurong got Ruan Bin's inspiration, she also thought of a treatment plan in her heart, so she felt very happy.

While sending it to the operating room, Zhou Tianlei asked curiously: "Director, how can you save your life first?"

As a novice, he was a little confused at this time!

"I think the director will perform liver and gallbladder puncture and catheter drainage on the patient first, so that the patient can improve significantly and wake up. In the next few days, it is estimated that the percutaneous puncture and drainage of abdominal pus and erCP (endoscopic retrograde cholangiopancreatography) will be performed and placed in the biliary stent drainage tube to reduce the biliary tract pressure! Finally, when the patient's condition stabilizes, then perform cholecystectomy!" Ruan Bin guessed.

After all, he also has a director-level cholecystectomy. When Jiang Yurong said that he was going to undergo liver and gallbladder puncture and catheterization drainage, he thought of the second and third steps.

"Haha, that's right! The patient cannot withstand a major surgery that lasts a long time. Abdominal acute illness is coming in a fierce way, but the more critical it is, the more unable to "solve the problem with one knife". The risk of surgery needs to be reduced in steps. When the patient's physical condition is well adjusted and the gallbladder does not have serious adhesion to the surrounding tissues, a laparoscopic cholecystectomy can be solved by using a laparoscopic cholecystectomy." Jiang Yurong looked at Ruan Bin in surprise and smiled. Because the other party's thoughts coincided with her. Just now, the other party reminded her to save the person first and then treat the disease, which made her think of this method with a clue.

Suddenly she realized that Ruan Bin was really a little tricky! She didn't look like a resident doctor who came out of a county hospital.
Chapter completed!