Chapter 930： monkey

Ling Ran is indeed doing emergency surgery.

Patients under general anesthesia can see a small amount of fluid exuding when they open the abdominal cavity. Near the spleen, there is a large amount of **** fluid exuding. In addition, the adhesion between the spleen and the abdominal cavity can be described as messy, like fast. The dried hot pot looks like it.

Such patients, more than two years ago, must have called general surgery directly, and quickly sent them to add boiling water.

However, today's surgeon, Dr. Zhou, thinks a lot, and calls Ling Ran over. When he meets, he asks, "Ling Ran, you will do the surgery on your spleen and peritonitis, right? What about the pancreas?"

"The pancreas won't, and peritonitis doesn't deal with much." Ling Ran answered very directly.

He has the skills of total splenectomy. In the face of treating the spleen like playing, it is not difficult to deal with peritonitis. It belongs to the state of learning, but the difficulty of the pancreas is higher. He has not encountered it so far.

Dr. Zhou nodded while he was washing his hands, and said, "The patient has had a plain abdominal and pelvic scan. The initial diagnosis should be a spleen rupture accompanied by a spleen effusion. In addition, there may be peritonitis and pancreatic pseudocysts. .After a while, you continue to do open-up exploration, while dealing with the spleen and pancreas. If there is a problem, I call out to the general public, no problem. "

Ling Ran answered without thinking about it. In his opinion, this is also a slightly more complicated emergency operation, and it can also be considered as the scope of the technical strike.

Dr. Zhou was relieved. Recently, the relationship between the emergency center and the general public has not been as easy as it seems.

With the emergence of the name of the emergency center, the proportion of patients in emergency surgery has increased significantly, and the number of surgical patients in Gein from outer districts and even foreign cities has increased. This is also the subtle influence of hospital style and reputation.

Medical patients who also come from external hospitals, such as myocardial infarction and cerebral infarction, are likely to choose the provincial or army general hospital for treatment. On the other hand, Huo Congjun's strength is mainly focused on surgery, and his coverage of internal medicine is not great, and his willingness to expand internal medicine is not as strong as surgery.

Coupled with Ling Ran's treatment group, the amount of surgery has been greatly increased, so that the proportion of surgical patients in the emergency center has greatly exceeded the average level, which naturally invaded the field of general surgery.

Although the general surgery still maintains a relatively calm attitude, after all, their surgery and patients are too many to complete, so that they become a burden, but this will not make them blind to the emergency invasion.

In the past, emergency surgery was performed on the appendix and intestinal obstruction. Generally, they didn't just care, but they were happy.

Ling Ran's liver does not affect the development of general surgery itself, but gastrointestinal diseases belong to the borderline. For operations such as gastrectomy, the general public is still vying for digestive surgery. Emergency treatment is naturally unwelcome, that is, there is no response from gastroenterology. In addition, Huo Congjun's suppression did not lead to conflict between the two sides.

However, from the expansion of the emergency center to now, the attitude of the general public has naturally changed. If before, Dr. Zhou had encountered such a patient, he must have no hesitation in calling the general public, but now he has to think more .

The ownership of the spleen is also unclear. If the general public took this opportunity to intervene in the emergency spleen surgery, the doctor would be in trouble that week.

Think about how Huo Congjun's student looked when he was hospitalized. Dr Zhou, who was a monkey at that time, had absolutely fresh memories.

"The spleen can do it, let's do it by ourselves, but the patient's symptoms are also special, and you also need to pay special attention." Dr. Zhou considered office politics in his head, but only said the symptoms of the illness in the face of Ling Ran.

As long as the symptoms can be resolved, office politics can be resolved naturally, and Dr. Zhou also has this confidence.

Ling Ran rushed with water, feeling the power of the current, and asked, "What's special?"

Dr. Zhou sorted out the language and reiterated: "Two months ago, the patient began to have unexplained left upper quadrant pain, persistent pain, accompanied by lumbar pain, and it was more severe. After attending the county hospital, the other party She was given supportive treatment, and her condition was relieved. Soon after she was discharged, there was no obvious cause for the recurrence of pain. After being hospitalized again in the regional hospital, the symptoms could be relieved after symptomatic support, but she relapsed soon after she was discharged, so she came to Yunyi Seeing a doctor ... "

"Do you want further diagnosis and treatment? Then you should find a specialist ..."

"The patient arrived in an ambulance. He arrived late and couldn't register, so he went to the emergency department. He was originally considered for a referral. The result may be the labor of a boat ride on the road, and in the event of shock, he can only be sent emergency Entered the operating room. "Dr. Zhou did not elaborate on the issue of registration.

In the top three regions in areas such as Yunyi, some expert accounts have yellow cattle upside down, so that in front of the registered window, they often start line up one day in advance.

For patients like this, the abdomen continues to ache, and temporarily cannot be registered. Of course, they can only come to the emergency department.

This can also be regarded as a kind of consultation technique. If it is a patient in need, register to the emergency department and then refer to a professional department, which is a curve to save the country. Correspondingly, with this method, you cannot control where you will eventually be referred. It is more like checking "Subject to transfer" during the college entrance examination.

After he was rushed into the operating room, who the surgeon was, he became even more out of his control. Dr. Zhou opened his belly to investigate. If it is a general job, you can find general or Ling Ran or do it by himself. If you find other problems, naturally call another doctor in another department for emergency surgery.

Ling Ran listened to Dr. Zhou's introduction to the patient one by one, brushed his hands, and threw his hand towel into the bucket. With his hands parallel, he held his chest upright and returned to the operating room. He was sucking the **** liquid with a bad focus.

"There is still fresh blood coming out?" Ling Ran stretched his head and glanced.

"Yes, the abdominal cavity is very complicated." Ren Qi, as a training doctor, is well-informed and belongs to the fighting power in the Ling Ran group. In sports, it is equivalent to the blue-collar and talent of the year of playing. Generally, the technology is average, but because of years of experience and hard work, it is very suitable for temporary use in various occasions.

He is not good at anything, he is an ordinary doctor, but there are no obvious shortcomings, and the mistakes are relatively small. Most of them are easy to be controlled. Instead, he got a lot of surgical opportunities in Ling Ran group.

However, in terms of vision, Ren Qi is very ordinary.

Dr. Zhou grabbed the abdominal cavity and gently flipped it twice, saying: "The problem now is that the adhesion is too severe, the abdominal cavity and the abdominal wall are adhered, and the body and tail of the pancreas are covered with adhesion tissue. The bleeding should be the spleen ... ... "

Ling Ran's "En" sound also followed.

Open surgery can be said to be a bug-level technique in surgery. For example, the patient in front of me and various film examinations did not find the cause, but the open surgery found that the spleen was bleeding and there were so many adhesions. Easy to diagnose.

"It seems to be an old spleen rupture." Dr. Zhou sighed and asked, "I am afraid that the adhesion is so severe that the spleen and the body and tail of the pancreas will be cut off together."

Ling Ran looked up and said, "I haven't cut it."

"Then ... if it doesn't work, I'll call general surgery ..."

"I can separate the spleen from the body and tail of the pancreas." Ling Ran said another sentence, but it made Dr. Zhou feel the peak circuit.

Dr. Zhou was happy at once, and hesitated for a moment: "Don't be too reluctant, it's not good if something goes wrong, it's good to keep the pancreas ..."

"I'll give it a try." Ling Ran didn't say for sure, the pancreas is famous for its soft waxy, which is similarly described with a pinch and a pack of oil, and the difficulty of separation can be imagined.

Dr. Zhou was relieved immediately ~ www.novelhall.com ~ laughed: "It is best to be separated ..."

"Yes, I have to say something to Zuo Cidian." Ling Ran reminded Dr. Zhou that once this operation is done, it will not be completed in half an hour.

Dr. Zhou uttered "Oh" and asked, "What's up with Zuo Cidian?"

"The Dean of the Junan Clinic invited the chairman of the Dongjia Group to Yunyi. It should be almost in the special needs building." Ling Ran explained.

Dr. Zhou's eyes flew out: "Is it today?"

"Yes. I sent a message half an hour ago and landed."

"Is it today, and is it now?" Dr. Zhou reaffirmed.

Ling Ran nodded, and then said, "I started to separate."

Having said that, Ling Ran ignored Dr. Zhou and started the operation by himself.

Dr. Zhou stood on the spot and muttered to himself: So, am I still in trouble?