【1095】These two people are so "lucky" to be together

The amount of water is too little and there is no momentum. How can I flush out the blockage? If it weren't for Song Xuelin's reputation as a talented scholar in the northern capital, Zhu Huicang would have quickly wondered if there was no teacher who had taught this student well, and he didn't even understand this basic common sense.

Xie Wanying was even more surprised. She didn't hold anything with her hands. She was just pressing the patient's abdomen, lifting the patient's waist, and changing the patient's position.

Sometimes changing the patient's position can help with drainage. The problem is that such an operation is of little significance for pipes that are really blocked inside. If the blockage is so severe that the force of gravity from changing positions is smaller than the force of water flow, it is extremely unlikely that the stuck blockage will fall off on its own. Therefore, the only option is to use greater strength to flush. If flushing fails, it needs to be dug out. Performing surgery or using other instruments, such as the choledochoscope used during the surgery on Mr. Zhao, is a good way to observe and deal with postoperative drainage tube obstruction.

Why not use choledochoscope?

It is necessary to use choledochoscope in the postoperative drainage tube. For example, the drainage tube used in the original surgery should be short, thick and straight enough. When the drainage tube comes out of the body, it should be as perpendicular to the extrahepatic bile duct as possible to avoid angulation, otherwise the choledochoscope will not be able to enter.

Therefore, the patient's current situation is that the doctor did not perform choledochoscopy during the operation and did not prepare for the use of choledochoscope after surgery. As a result, the drainage tube was obviously not suitable for choledochoscopy. When it comes to the reasons, it may be that the patient's special circumstances do not allow the use of a choledochoscope during the operation, or it may be that the surgeon who performed the surgery never thought of using a choledochoscope.

In addition, choledochoscopy equipment is expensive. This patient is an HIV-infected person. To be on the safe side, a separate set of equipment should be used for such an HIV-infected person. The Hepatobiliary Surgery Department of the National Association certainly does not have separate equipment for HIV-infected patients, because there are too few such patients, and if it is prepared, it will be idle and will not be used for a long time and will be scrapped. There may or may not be an infectious disease hospital, because things are expensive.

The only option was to have another surgery, and now Cao Yong and the others were standing here, agreeing with the previous doctors that this patient did not meet the conditions for another emergency surgery.

A dead horse is treated as a living horse. Zhu Huicang thought that it might be for this reason that Tao Zhijie and others who were present did not stop the two young doctors' attempts. He had always been a little skeptical of Xie Wanying's operations. The things in her mind were too mysterious for him to imagine. He always felt that this person was just getting lucky and had great luck all the way.

Will her "luck" continue tonight? Is it "lucky" to be with this guy from Beidu?

Zhu Huicang put his hand on the glasses frame, and the lenses were full of emotion: He was thinking that these two guys were lucky, they were really "lucky".

Something like sediment flowed out of the drainage pipe. It seems that what blocks the drainage pipe is not a stubborn "big rock", but some accumulated "sand". If the patient is flushed with a large flow, the patient's physical condition is not very good, and it is feared that it will cause massive bleeding. It is better to find an angle that can pry the "sand block". It is easier to control the flow rate and suction negative pressure with a small flow of water, such as a 2 ml syringe, to penetrate it. After all, sediment is easier to loosen than large rocks, as long as you find the right angle.

The idea of ​​​​the two young doctors is roughly like this, but it is not easy to find the angle to solve this problem. It is very important for the doctor who performs water injection to feel where the resistance is coming from at all times. It is even more difficult for a doctor to adjust postures. He must be able to see the position of the organs and pipes in the patient's body from outside the patient's body, which is equivalent to having a pair of clairvoyant eyes.