Xie Wanying was thinking that the positions of these puncture holes were a bit special, slightly different from the usual surgical puncture positions. Manifestation is that at least three puncture holes form a straight line under the costal margin.
If her prediction is correct, could it be that the surgeon, Senior Brother Tao, made the puncture hole in this way to facilitate the conversion to laparotomy? When the time comes to convert to laparotomy, he can cut along this straight line.
"Senior Brother Tao is very careful and takes precautions in advance, which shows that Senior Brother Tao is probably not very optimistic about Student Zhao's situation.
A look of severity flashed across her face.
When Yue Wentong was thinking about what she saw, a doctor on the operating table spoke: "The color of the liver has changed."
I saw that it was He Guangyou, who was the first assistant, who was giving advice to the chief surgeon.
The monitor screen shows the actual condition of the liver in the patient¡¯s abdominal cavity relatively clearly.
A normal liver has rich blood supply and is dark red to purple in color. A laparoscopy revealed that the patient's liver had actually become lighter in color. The local tendency is like partial cirrhosis, which is very different from the mild reversible fatty liver that we have previously predicted.
"Isn't it fatty liver?" Gong Xiangbin said in the ears of Qiu Ruiyun and the others.
"If not, what will happen?" Guo Yiping, who didn't like to talk, looked quite worried about the patient's condition.
"Liver abscess, there must be an infection." Qiu Ruiyun pinched his chin with his hand, "As for what kind of infection it is -"
A bunch of doctors just blurted out the worst possible outcome. Someone has to be the "bad guy". So, He Jiuliang said loudly: "I think we may need to be mentally prepared. The patient may have intrahepatic cholestasis. With this disease, it cannot be ruled out that the patient's liver cells themselves have problems. And he is chronic. The prognosis is going to be worse than anything we expected."
The super big splash of ice water poured on everyone¡¯s heart.
Cholestasis is a syndrome with complex causes. So far, medical scientists have many difficult mysteries about this disease that they have not been able to solve.
There is something very special about this disease. Chronic disease is more difficult for doctors to deal with than acute disease.
The cause of acute disease is relatively easy to trace. As long as it is not caused by the liver cells themselves, it is considered relatively good.
If it is chronic, it is hidden and develops slowly. When the patient or the doctor notices it, the disease will easily turn into severe hepatitis and cirrhosis at a certain stage, and the prognosis is very poor. The cause is often defined as a problem with liver cell metabolism, for which there is basically no solution and no cure. The only solution may be: liver transplant.
"Fortunately, surgical exploration was performed." A group of doctors now feel lucky. If there is any further delay, Zhao Zhaowei may suddenly deteriorate into acute liver failure and die if he is really ill. Therefore, sometimes when auxiliary examinations such as CT cannot find the cause, it is best to perform surgery to explore the actual situation in the patient's body.
"Looking directly is better than blind guessing. This is the most important meaning of surgery."
"Do a biopsy. If it is determined to be a liver cell problem, you need to discuss liver transplantation with the patient's family." He Guangyou said, as if he had changed from a slow senior to a brave and active senior. He was eager to change the patient's liver immediately. Liver.
¡°Is Mr. Zhao¡¯s liver really dead?
¡°Beep, beep, beep, the patient¡¯s heart rate fluctuated slightly, as if he heard something.
Zhang Tinghai adjusts the anesthetic dose for the patient.
During anesthesia, sedatives, muscle relaxants, and analgesics are commonly used by anesthesiologists.
Purple Pen Literature (remember the website address: www.hlnovel.com