Chapter 451： [451] Deadly reason given

Chapter 451【451】Proposes a fatal reason

How to answer this question? Xie Wanying thought about it, and kept silent for a while, her eyes fixed on the surgical field.

Teacher Tan stood half a step behind her.

Senior sister said, don't flirt with teachers who are not teachers, it is courting death.

Looking at her slightly stiff posture, Tao Zhijie smiled, turned his head and smiled at Tan Kelin behind him and said, "Dr. Tan, I always thought she was on the right track by learning from you."

Tan Kelin has always been indifferent and motionless.

Seeing this, Tao Zhijie turned around and said to his younger sister, "It doesn't matter, you say. You know Mr. Tan's character. If he doesn't want you to talk, he won't bring you here, and now he will directly ban you. I think, he It should have said the time he was going to go back. Is it about half an hour?"

This Senior Tao is like a fortune-teller, and he knows what Teacher Tan has said. Could it be that Brother Tao and Teacher Tan have friendship? Of course not, as you can see from Mr. Tan's wooden face.

Xie Wanying thought to herself, she wanted to help the teacher with the errand quickly. Brother Tao was not very clear about the patient's condition when she first arrived. If she could help, it would shorten the operation time, which would benefit the patient and everyone. It may be for this reason that Mr. Tan's refusal to express his position is equivalent to acquiescence.

"That's the case, Mr. Tao. I estimate that this patient either has viral hepatitis or may have a congenital hepatic artery-portal venous fistula. It's up to Mr. Tao to determine the specifics." Xie Wanying kept the focus during the operation. tell.

"Why do you think he has a hepatic artery and portal vein fistula?" When Tao Zhijie asked this question, others were equally puzzled.

Commonly speaking, liver cirrhosis caused by viral hepatitis and then gastric varicose vein rupture are the most common clinical patients. The first suspicion should be that the cause is correct. Otherwise, Dr. Gangpan would not have been left speechless by Tao Zhijie's question.

"Because he didn't say that he had a history of viral hepatitis, he didn't tell Dr. Pan that he had liver cirrhosis. There is a question mark about whether he has liver cirrhosis. Whether the patient lied, I think, on the other hand, we can observe whether he has jaundice. Liver One of the more significant symptoms of cirrhosis is that jaundice often occurs. He does not have it. Moreover, the rupture of gastric varicose veins is a symptom of late liver cirrhosis. It is impossible to say that you have not seen a doctor before. As long as you have seen a doctor, you should talk to your doctor. Speaking of this, I often have digestive tract problems in my body. Tell the doctor, so that the doctor can distinguish whether it is a car accident or a digestive tract disease?"

Dr. Pan heard it: Hey, it makes sense. When a patient comes to the emergency room, if he usually has abdominal pain and other symptoms of digestive tract discomfort, he must talk to the doctor before doubting whether it is a car accident. After all, I came back to the hospital the day after the accident.

What if it was another case?

"Congenital hepatic artery-portal venous fistula is much more insidious than cirrhosis, and requires angiography. And there may be no clinical symptoms, so this kind of patient can not be treated. It's just that the car accident injury may have detonated this time? Because of its first symptoms It's gastric variceal bleeding." Xie Wanying continued to finish her judgment.

The surrounding doctors frowned.

Especially Tao Zhijie needs to be considered: because the two causes are different, the surgical methods must be different.

"Please pull the hook out." Tao Zhijie turned to the person with the hook and said that the cause was to be determined.

(end of this chapter)