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【1115】How to look at the surgical angle

He is not good at talking and is not very good at speaking, but when he really has to say it, every word this person says must be of weight.

Fang Xueqing looked up at the verbial light in Song Xuelin's brown eyes, and nodded unconsciously.

When the medical record was opened, several doctors put their heads on it to study.

The families of patients outside could hardly wait, and today they had to ask for an explanation.

"It's a patient with severe gastrointestinal bleeding." Fang Xueqing pointed to the two young doctors at several key places on the medical record. "Those who arrived at our hospital's emergency department three days ago during the day were mainly hemorrhage and the amount of bleeding was large. The three-chamber dicystic tube compressed the bleeding, and the condition was slightly stable after the blood transfusion. The emergency CT examination report came out, and esophageal and gastric varicocele bleeding, cirrhosis, and portal hypertension were indispensable."

"Because there is no bed in the surgery department, the patient's condition has been stable. With the consent of the patient's family, he was transferred to our internal medicine department for treatment first." Dr. Ma followed the patient's condition. "In our internal medicine department, Director Zhang helped the patient with endoscopic esophageal and gastric varicose treatment the day before yesterday, and he was given a sclerosis, and had a ligation. After that, the patient suddenly became very irritable last night and was unclear the cause. The vital signs were relatively stable, and there was no bleeding again, and he did not lose consciousness, and all the examinations such as pupil reflexes were normal. The family was very nervous and always hoped to transfer to the surgery department for surgery before surgery."

I heard from Dr. Ma that it seems that the irritability caused by cerebral diseases such as acute cerebral hemorrhage and cerebral infarction can be ruled out first? There is no sign of severe bleeding. Indeed, the patient's irritability at this moment makes people feel a little strange.

Fang Xueqing knocked on the medical record with her fingers, and she felt that the patient's strange reaction was beyond her professor's experience in practicing medicine, and she couldn't figure it out for a moment. Turning back, she asked Song Xuelin: "Doctor Song, what do you think? Can this patient be sent to the surgery department for surgery?"

After the endoscopic treatment, emergency hemostasis is performed. If further radical treatment is required, a cessation or shunt can be performed, and a traditional surgery can be performed in the surgery department. TIPS transjugate intrahepatic portal vena cava shunt can also be performed.

Therefore, after the surgery came to the consultation, it was said that the patient could undergo an elective radical surgery to let the patient wait. Who has left the patient with no indication for emergency surgery?

"Let Dr. Xie talk first." Song Xuelin said.

He insisted that the female doctor student first say what Song Xuelin was thinking? Fang Xueqing was puzzled and had to look at Xie Wanying and asked: "You want to be a surgeon. What do you think should you view this case with the eyes of surgery?"

"I personally think that the consultation report given by the surgery department yesterday made sense. Yesterday, the patient's condition seemed to be in a particularly urgent situation and had to undergo surgery for esophageal and gastric varicocele." Xie Wanying said, "Yes, he was controlled by bleeding. Not only that, his initial hemoglobin 97 can only be considered mild anemia. I guess the family members of the emergency department said that the patient vomited a lot of blood at home was an exaggeration. Because when he arrived at the emergency department, the patient was clear and the amount of bleeding should not be very large. Endoscopic treatment does not seem to be too large bleeding."

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