086 Immediate discontinuation of surgery
(Thanks to my friend Hell Tongue Puller for his encouragement)
Two days passed in a hurry, and Liu Banxia was the most shining figure in the second courtyard in these two days. The emergency thoracotomy operation that day, with Li Mingwu's comments afterwards, suddenly put him on the cusp.
It's just that the original negation has changed to the current affirmation, after all, not everyone has the courage and technology to do such an operation.
The decision in the courtyard is still very correct, and the reason why it is exceptional is also that there is a reason to be exceptional, and Liu Banxia has such a ability.
Liu Banxia has been quite nourishing in the past two days, and everyone likes to listen to compliments. He doesn't need to play deep, whoever praises him will follow the hilariousness of giggling.
I also relied on the daily tasks of the past two days to upgrade to level 23, and by the way, I increased my dressing change skills a little bit. The other skill points have not increased much, because the emergency department has been very peaceful in the past two days.
"Brother Xu, why are you still sad. Are you worried about sending people to the emergency department?" asked Liu Banxia curiously.
"Hey...... , that thing is also worried. It is said that the salary of being transferred to the emergency department can be increased a little, but it must be much more tiring than it is now. Xu Hui, the attending doctor of internal medicine, sighed.
"Now I'm mainly worried about the case that Director Qin asked us to consult just now, and I always feel that something is wrong, but Director Qin feels that it is better to cut it directly. ”
"My God, what kind of case has made you tangled up like this, let me and my secretary take a look. Liu Banxia said seriously.
Liang Xiaolin on the side rolled her eyes, this secretary is her.
Xu Hui called up the patient's test data from the computer, and Liu Banxia looked at it briefly and frowned.
"Brother Xu, there's nothing wrong with it. The wall of the ascending colon and cecum are irregularly thickened, and the surrounding mesenteric lymph nodes are enlarged. A malignant stricture with a diameter of 5 cm was also found in the ascending colon on colonoscopy, a primary malignant tumor. Liu Banxia said.
"You look at the biopsy results on the next page. Xu Hui said, clicking the mouse by the way.
At this time, Liang Xiaolin was curious, "Eh, why didn't the biopsy results detect malignant tumor cells?"
Task released: Patients with colon lesions
Open-ended task: Because imaging and biopsy findings conflict, the host suspects the diagnosis and further verification is required. Task rewards are issued or deducted based on the diagnosis results
"That's right, whether it's CT or colonoscopy, no matter how you look at it, it's colon cancer, and it's still stage II. But the biopsy said it was fine, and it shouldn't have been the wrong tissue during the biopsy. Xu Hui said with a wry smile.
"Brother Xu, let me take a closer look. Liu Banxia directly squeezed Xu Hui out of his position.
The system has sent tasks, you can't just be curious, you have to understand it.
Xu Hui didn't mind, don't look at him as the chief Liu Banxia, who just finished the arrangement. In the process of diagnosis, all that is needed is that little bit of inspiration, which is not a qualification.
Moreover, he himself was skeptical of Qin Hai's advocacy of direct surgery rather than further diagnosis to confirm the cause.
"Brother Xu, is this patient the one who came over the day before yesterday with abdominal pain?" and then the one who was directly treated by Director Qin?" asked Liu Banxia after looking at it for a while.
Xu Hui nodded, "That's it, the biopsy results only came out today." ”
"Brother Xu, look at the symptoms ahead. From the CT and colonoscopy, we think it is colon cancer, but the biopsy does not support it. Liu Banxia pointed to the computer screen and said.
"And the patient's blood test and some other symptoms are also very similar to the symptoms of colon cancer, diarrhea, blood in the stool, etc. However, there was one point where the patient was sweating profusely on the initial record. ”
"In our minds, it may have been caused by abdominal pain, because the pain was so bad, so it hurt and sweated. However, if you look at the cases on the second and third days, the patient still has profuse sweating. ”
"I always feel that something is wrong, if it really hurts and sweats, and it lasts for such a long time, the patient still has to roll all over the bed?
Xu Hui frowned, "That's really the case." Sweating should also be a symptom, not a concomitant manifestation of a condition. Shouda, you won't ...... , can't you?"
Liu Banxia shook his head, "I don't know either." The only thing I know is that if the surgery is really done, our hospital will be in trouble. ”
"I don't understand what you're talking about. Liang Xiaolin asked depressedly.
Xu Hui took off his glasses and pinched his eyebrows, "Shoutian and I now think that the patient may be a rare intestinal tuberculosis, if it is really intestinal tuberculosis, the first choice is anti-tuberculosis treatment." Surgical treatment can be very risky and dangerous. ”
Liang Xiaolin was shocked when she heard Xu Hui's words, if such a situation really happened, if the patient really had a problem in the next treatment, if the patient did not give up, the second hospital would have to suffer.
"Then you should quickly notify the operating room, don't do the operation yet. Seeing that there was no movement between the two, Liang Xiaolin was anxious.
"Silly girl, we're just suspicious now, what if we guess wrong? Just call off an operation, or Lao Qintou's operation, do you think I can have good fruit to eat?" Liu Banxia said with a wry smile.
"Then we can't ignore it, in case it happens after the excision and the certificate is issued, what will we think in the future? Liang Xiaolin dropped a sentence and walked out.
Liu Banxia, who was quick-eyed, hugged her, turned around and put her in front of the computer.
"We two big men are here, and you still use your little girl to stand out? Brother Xu, wait for my good news. Liu Banxia dropped a sentence and walked out.
It stands to reason that it is best to let Liang Xiaolin come forward, even if it is wrong, it doesn't matter. After all, Liang Xiaolin has a background, and Qin Hai can't target her.
But this thing can't be done, there is no need to let Liang Xiaolin be a gun. Now it's reasonable doubt, even if it's wrong, it's a fair mistake.
"Doctor Liang, you take care of the house, and I also have to help your family guard the field. Xu Hui also walked out.
Liang Xiaolin was a little dumbfounded, one was because Liu Banxia had just hugged her and turned around, and the other was what Xu Hui had just said. I always felt that there was something else in this statement, which made her a little worried.
Liu Banxia checked the operation records, and Qin Hai's operation was in the No. 4 operating room. He didn't dare to delay, he ran over directly, took out the phone and dialed directly to the operating room.
"Hello ......"
"I'm Liu Banxia, stop the operation immediately. Liu Banxia said as he ran.
"Who? Liu Banxia, hang up. ”
Qin Hai's voice was faintly heard on the phone, and then the phone was hung up.
Liu Banxia was really anxious, and the operation had already started 20 minutes. I'm afraid it's all open stomach now, and I don't know if there is a real cut.