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"Now that you need to contact your family, we now suspect that the main cause of your abdominal pain is inflammation caused by the omentum. Liu Banxia looked at the patient and said.

"In this case, we can only open the abdomen, and if it is confirmed, we need to be treated as soon as possible. Combined with your current body, it is likely that necrosis has been caused and a portion of it needs to be removed. ”

Although the patient is still in pain, he was also frightened by Liu Banxia's words.

He first said that he had a problem with his appendix, and then he said that he had a problem with his gall. Now he says that there is something wrong with his omentum, and I have never heard of this omentum.

"Don't worry, the procedure will be easy. Liu Banxia continued.

"Doctor, then I'll call my family and discuss, I don't even know what this omentum is for. Said the patient holding his abdomen.

"It was my negligence, the omentum is a special ligamentous tissue that extends from the peritoneum of the stomach. Liu Banxia said with a smile.

"It's rare for the omentum to have lesions, and it's possible that you square dance after eating that caused the omentum to reverse. It is like a corner of paper that is folded, so the blood circulation is not smooth, and part of the tissue dies. ”

"There is also a possibility that the blood clot blocks the blood vessels, which also prevents the blood from flowing through, causing some tissue necrosis. ”

"You have had abdominal pain for a long time, and whether it is CT results, ultrasound results, or symptoms at the time of your visit, you can rule out the possibility of other organ lesions. ”

"The omentum is outside of the organs, and we don't move any of your organs when we do the surgery. If your family is close, we can wait for them to arrive before the surgery. ”

"If it's more than two hours to come, I suggest we do it first. Because tissue necrosis may cause other complications, it may be life-threatening at that time. ”

"Dr. Leung, tell the patient about the dangers and complications that may occur with this surgery. Samples were given to the children, and I went to make an appointment in the operating room. ”

Regardless of whether the patient agrees or not, the operating room must be booked first, otherwise it may not be available during the day. Even if there are two emergency operating rooms, there will be many patients in the hospital with so many patients.

The result of the appointment is also smooth, and the operating room can be found after an hour. There was a cesarean section, an intestinal perforation, and an appendicitis in the outpatient clinic, so the reserved operating room was occupied.

"You're really terrible now, I haven't even thought about the omentum, I'm still thinking about the intestines. Xu Hui said.

"I'm blind now, too. Didn't I see a patient with acute diffuse peritonitis, and I was very impressed at that time, and the plate abdomen was very serious. Liu Banxia said with a wry smile.

"Whether it is or not, you have to wait until you open your stomach to be able to see. Sometimes we just look at what kind of disease is in psychological construction, and sometimes we can't help but deviate from the past when we are examined. ”

"In fact, as long as the patient's appendix shape is a little bad today, I may diagnose acute appendicitis and cut it off while there is no suppuration. ”

"If I do, I'm used to making small incisions. To take out a healthy appendix, you have to enlarge the incision and continue to play, how embarrassing it is. ”

"Be content, that's enough for now. Xu Hui said helplessly.

This is to understand Liu Banxia's character, know what he says, and will not hide it with his friends. Otherwise, he would have thought that he was taking the opportunity to show off.

And according to Liu Banxia's temperament, if you want to show off, you won't be so showy, then you will come openly.

"If you have surgery in a while, take them all with you?" Xu Hui asked.

Liu Banxia nodded, "Let them enter the state in advance, and follow first." Even if they can't go on stage, it's good for their growth. ”

"When I was with me, I went to the operating room too rarely, otherwise there wouldn't be so many things happening, and it's normal for real friends to have a few surgeries. ”

"Okay, you have to worry about these eight children anyway. On the internal medicine side, Wang Huan and I are in charge now, and you can take care of them all. Xu Hui said.

"Then what have I become? I can't become an old mother. Liu Banxia said helplessly.

"Dr. Liu, the patient still disagreed, but the patient's family contacted him, and it took more than two hours to get to Binhai. If you get to our second hospital, I'm afraid it will take three hours. At this time, Liang Xiaolin walked over.

Liu Banxia glanced at Xu Hui helplessly, but he didn't expect something to go wrong in this.

"Go ahead. By the way, tell them who can persuade the patient to agree to the operation, and I will add chicken legs to lunch at lunch. If you can persuade Qingkova, be a helper. Liu Banxia said very seriously.

"Also, in the process of persuasion, it is not allowed to use false information to intimidate patients. It is important to be realistic and get the patient to really agree to the surgery. ”

Liang Xiaolin's face became bitter, and she felt that the difficulty coefficient of today's task was a little high. This is also a small problem with her, and there are some problems in communicating with unfamiliar people.

"It seems that it is troublesome, and the patient has been very resistant to surgery. Xu Hui said.

"That's why I let them grind, or I'll be too tired. Liu Banxia said with a wry smile.

As a doctor, there are three fears, the first is that the patient resists the examination, the second is that the patient refuses to operate, and the third is that the patient encounters incurable diseases.

Liu Banxia's luck today is very good, and he almost took advantage of all three.

The incidence of omentitis is very low, so it is not often encountered even in the emergency department. Many times, it is only after the laparotomy that the situation is found out that something is wrong and the problem is determined.

Although it can also help patients save lives, it will definitely give you a bad review for patients, so if you don't complain, then steal the fun.

Just like the intestinal tuberculosis patient last time, Qin Hai took Qi Wentao to advocate for the patient's laparotomy. Fortunately, Liu Banxia and Zhou Shuwen stopped it, otherwise if they really cut it, the hospital would be in trouble.

It's also very difficult now, but it's good if family members are present and we can do the work of patients. In the absence of family members, the patient's wishes must be taken into account.

Even if the patient's condition deteriorates, threatens his life, and falls into a coma, it is not so easy to define whether the surgery is done or not.

You could say that this is already a very dangerous situation, and the hospital has the autonomy of first aid. But after you do that, the patient's family may be emotional. What if you don't? If the patient does pass away, the patient's family will certainly not let it go.

Nowadays, in emergency medicine, there are some situations that are really not so easy to define.

Patients are cautious when they see a doctor, and they are afraid of being cheated by the hospital. Doctors should also be careful in the process of receiving medical treatments to avoid medical disputes. The penalty is a fine, and the qualification to practice medicine is revoked.

After more than half an hour, Xu Yinuo ran over.

"It seems that the patient has already been moved?" asked Liu Banxia.

"Teacher Liu, you have to add chicken legs. Xu Yinuo said.

"Okay, add one at lunchtime. Let's get ready for a preoperative check-up, and we'll go up when the operating room is free. Liu Banxia smiled and nodded.

I finally made sense of the patient, otherwise it would not be so easy to deal with today.

When they arrived at the operating room, Liu Banxia led this gang to kill them. This gang also looked very blinking, and they all looked excited.

"You're a big army. Watching them walk into the operating room in a row, anesthesiologist Li Liwei quipped.

"It's all new to our emergency department, take them to see them in advance. The patient is worried about the surgery, so let's do a general anesthetic. Also, this is Dr. Li Liwei from our anesthesiology department. Liu Banxia said.

"Hello Mr. Li. Six people greeted in unison.

"I've been working in the Second Hospital for so long, and it's the first time I've seen someone bring so many people into the operating room. Li Liwei smiled and nodded.

After a few more minutes of waiting, in the anticipation of these interns, the patient was finally pushed in. After checking the information, Liu Banxia palpated again, and Li Liwei began to administer anesthesia.

"Qingkova, can you open your stomach independently? Liu Banxia asked as he made a mark.

"Dr. Liu, do you want me to make an incision?" asked Qingkova excitedly.

"Don't be pushy, if you can do it, you'll do it. Liu Banxia said.

All that left was a sharp nod.

"Liang Xiaolin, cooperate with Qingkova to open her abdomen. The six of you are watching the dots and watching how I close my belly and stitch it up for a while. It is a very simple operation, which is simpler than appendectomy. Liu Banxia said.

Not to mention, Qingkova really surprised him today. The abdomen opening is done very neatly, and the cooperation with Liang Xiaolin is also perfect.

"It can be seen that there is blood in the abdomen and necrosis of the omentum about 7 cm in diameter. Liu Banxia said after looking at it.

Ding! Strange abdominal pain mission completed

Gain 300 XP, 300 Diagnostics Skill Mastery, and 3 Glory

This mission is rated as Perfect, gaining 500 XP points, 800 diagnostic skill proficiency points, and 5 glory points

Liu Banxia is very happy, and sure enough, the rewards are very rich, and the new tasks are very powerful.

The next step is very simple, just cut out the necrotic tissue, it is really much simpler than appendectomy.

After dealing with the omentum, Liu Banxia checked the rest of the organs in the patient's abdominal cavity one by one, and the appendix, which was suspected at first, was a little shy, and the gallbladder with underlying conditions was no problem.

After cleaning the abdominal cavity again, Liu Banxia began to close his abdomen.

His belly closure operation, not to mention the six newcomers, even Liang Xiaolin and Qingkova looked at it intently.

Today's Liu Banxia is not so fast, while explaining the operation skills, while stitching one stitch at a time. But even so, for these six newcomers, it still feels that his stitching speed is a little fast.