【1336】someone overheard
Just listening to her answer as he said the idea he had given before, Yu Xuexian nodded repeatedly: Fortunately, there was no chaos.
So as a doctor, whether you are a surgeon or an internal medicine doctor in the future, you will have to take all the surgeons during the internship. The purpose is to enable you to form a comprehensive way of thinking. It is not just thinking about holding a scalpel every day, but learning to cooperate with multiple subjects and adopting a comprehensive treatment method. Once the internal medicine cannot be treated, you should quickly find the surgical assistant to handle the treatment and then go back to the internal medicine to treat it. In the acute phase, the surgical department cannot lay the knife, and the internal medicine department must think of a solution.
Her statement was obviously what Director Yang wanted. The hospital specially arranged several departments for rotation internships for medical students, and needed to know how the students were learning. Director Yang nodded to her, indicating that his intention was basically the same as his own.
Internal medicine can conduct immunotherapy treatments for the cause, but surgery must solve the problem of pus discharge, which is not something that internal medicine can do.
Speaking of the surgical strategies he is good at, Xie Wanying said bluntly: "If you fail to help patients discharge all the pus in other hospitals, you can infer from the simplest surgical approach that it must be because the drainage tube is placed in the wrong place."
Director Yang stretched out his hand, as if he was about to point to her nose: You have said something that is critical, continue to say it.
Dr. Jiang nodded: Yes, yes, this is the idea, but where should the drainage tube be placed? The doctor in the foreign hospital opened the abscess and discharged the pus. The situation in the abdominal cavity was logically observed and then placed. The possibility of the drainage tube being placed incorrectly was extremely low. Therefore, Dr. Jiang did not dare to question the possibility of the drainage tube being placed casually at the beginning.
"After the operation of open laparotomy, we often encounter such problems." Xie Wanying said, "After the abdominal cavity is opened, due to the intervention of the surgeon, the organs in the patient's abdominal cavity will be invaded and interfered, and their physiological function will be disordered after the operation. This is manifested in abnormal intestinal adhesions after the operation. Back to this patient, because he himself has Crohn's disease, the disease itself has symptoms of intestinal dysfunction. After the intervention of the surgery, the activities of the intestinal duct and surrounding organs and tissues of the intestinal tract are active.
It is further affected. After that, the position of the pus will change. Perhaps his body changes beyond the previous cases. The doctor in the other hospital has done drainage tube debugging and tried a second operation, but the patient is too weak and dared not take another surgery. How to determine the position of the drainage tube has become a problem, resulting in the negative pressure bottle being used casually. At the same time, it means that there may be a possibility of misjudgment in the first operation, and the surgeon did not find the maximum inflammatory position."
The office door was secretly moved open from outside, and there seemed to be a head and ears following everyone in the room and listening to Xie Wanying's words.
"Okay." Director Yang saw that she said it well, and asked her to solve the problem according to this idea, saying, "Let me tell me what specific measures you will take."
The leaders of the medical and education department are really not afraid of putting pressure on others and are pursuing the victory.
"We must return to the origin, that is, the internal structure of the patient's body." Xie Wanying said.
Chapter completed!