(Thanks to my friends kxjh20101, Brother Mumu, fairy tale ending, yi, su37zd, perfume, Yunshan pine, Shenzhou unicorn, Nether Dancer, TGSL monthly pass encouragement)

"Doctor, is it really going to be operated on? can the child stand it?"

Seeing Liu Banxia and Wang Huan pointing at the image, the patient's father asked worriedly.

"You don't have to be so nervous, for the child's situation, we can use medicine to expand the blood vessels first. Liu Banxia said.

"You see here and here, one is a vascular malformation, but it's not very serious. We only need to do percutaneous transluminal angioplasty. ”

"To put it simply, it is to extend a catheter from the blood vessel, and then make a stent on the bent part here, so that the blood vessel becomes less bent at such a large angle, which can ensure the normal flow of blood. ”

"However, if we can unblock this stenosis of the child with medication, then there is no need for surgical intervention here. It can save some money and also reduce the harm to children. ”

"Even if this surgery is already a very mature technique, it is better to be able to do one less. After all, as long as it is a surgery, there are risks, and this is also a surgery performed in the blood vessels. ”

"Doctor, wouldn't that be more dangerous, wouldn't it have broken the blood vessels?" asked the patient's father.

"It's a possibility, so we're all very careful in the process. Liu Banxia said.

"For a lot of people who have had heart disease, we're using this technique. The main reason is that if the child's malformation is not treated, it may cause intestinal necrosis one day. ”

"At that point, the bowel tube needs to be removed, and it can cause other complications. Of course, there are other surgical interventions, such as laparoscopy, in which the malformed blood vessel is cut out and replaced with an artificial blood vessel. ”

"Theoretically, this procedure would be safer, but it would be more invasive than percutaneous transluminal angioplasty. It's up to you to decide what to do, or we can do both of these surgically together. ”

Liu Banxia explained very patiently, after all, anyone who hears that they have to go through the blood vessels will not be so calm, and this kind of surgery is indeed risky.

Therefore, he has to explain all the surgical methods and conditions briefly, and if the patient still can't understand it, he has to explain the details of each one.

There is also a way to deal with it, but if you open your abdomen, it will be more harmful to the child, so he doesn't recommend it.

The patient's father is very entangled, and what he is struggling with is not about money, but what kind of surgery should be chosen to be good for his son and can reduce the risk.

"Doctor, what do you recommend?"

At this time, the child lying on the hospital bed spoke.

"Actually, both types of surgery are possible, and if you were to ask me, I would prefer the first one. Liu Banxia thought for a while and said.

"The second option is, after all, to remove some of your blood vessels and replace them with artificial blood vessels. But this is not to say that the first one is not dangerous, after all, there is a deformity, and we have to stretch the blood vessels open in this deformity. ”

"If the blood vessel is brittle, we may tear it in the process of opening it, in which case we will have to switch to a second surgery. ”

The child looked at Wang Huan again.

"I will also listen to him on the way he operates, he has a lot of quality with us. Wang Huan said with a smile.

"Dad, then listen to the doctor. The child said.

"Okay, then we'll listen to the doctor. The child's father nodded vigorously.

This made Liu Banxia a little surprised, maybe it was also a matter of concern, so that the child's father had no opinion, but the child was very calm.

Even if this matter is temporarily over, the next step is to admit to the hospital, unblock the blood vessels with drugs, observe, and then determine the time of surgery.

"Mr. Liu, the splenic torsion patient has fluid in the abdominal cavity, the baby is normal, and the spleen is suspected to be bleeding, and I need to push the operating room immediately. ”

was arranged, Qi Wentao, who was pushing the gurney, shouted.

Liu Banxia nodded, this was an undesirable situation, but it still happened.

Although there is a certain chance that the spleen will be successfully reduced, such a chance is really too small. However, it is also necessary to respect the patient's choice, and no more drastic intervention methods can be given unless absolutely necessary.

Just like this child just now, there are pros and cons to both surgical methods, and they have to choose. The patient who pushed her away was pregnant, and she was worried about the impact of the surgery on the fetus, so she had to respect her personal opinion.

"Doctor Liu, I bought some fruit for the big guy, but you have to take it. ”

At this time, the son, who had been misdiagnosed as an Alzheimer's disease, came over with two large fruit baskets.

"Okay, the old man has a chance to recover, which is a good thing, so I take it. But that's it, it's already a violation of the rules of the hospital. Liu Banxia said with a smile.

"No violation, no violation. I won't even tell the nanny, what are these two fruit baskets? I really don't have a chance, otherwise I would have to thank me for everything. The patient's son said.

"The old man will have two different lives in the future, what kind of life was he had before? ”

"Haha, it's not bad. But you should also pay more attention in your later life, and Dr. Zhang over there has also explained it to you, right?" asked Liu Banxia.

The patient's son nodded, "I've told us everything, but I'm so careful, I have thought about everything for us." ”

"That's right, you go and accompany the old man, thank you. Liu Banxia said.

The patient's son beckoned happily, and then ran to the elevator.

"What are you doing with these fruits?" asked Zhou Li.

"That's the only way, if the patient's child is in trouble, it's okay to ask for food for the child. Liu Banxia said casually.

It's a serious violation to collect fruits, not to mention fruits, even ordinary ice cream and drinks can't be accepted. Because no matter what the economic value, the meaning is the same.

But is it really a clear refusal? This person must have been here for a long time. is also not bad for money, the two big fruit baskets seem to be a lot of money, but in his eyes he doesn't care.

If you don't accept it, he may still wonder if there is something else to say. Then the more you think about it, the more things you do, maybe it's time to think about the "crooked ways".

Although Liu Banxia did not go to the operating room, but completely gave the authority to Qi Wentao, he was also a little worried about the patient. After all, it's not a real routine operation, otherwise you don't need Qi Wentao, you can let the interns operate it.

The difficulty of this operation is that because the patient is pregnant, the time in the process of surgery has to be shortened as much as possible, which is also a test for Qi Wentao.

It's not that this is irresponsible to the patient, otherwise in terms of normal considerations, it should be Liu Banxia, his hands are fast enough.

In fact, his speed is only relative.

Qi Wentao's hand speed is not slow, and this operation can be fully supported. Before Liu Banxia obtained the system, Qi Wentao was also a well-deserved excellent doctor of general surgery.

"The patient was around 50 years old with blunt chest trauma and head lacerations. Vital signs are stable. The driver of the car accident fell asleep in the driver's seat after the car accident. ”

At this time, the first responder walked in with a gurney, followed by a comrade traffic policeman.

"Huang Bo will take the consultation, and I will assist. Liu Banxia said, and also smelled the smell of alcohol on the patient's body, which made it clear what was going on.

"There was no one in the rescue room, and after the bed was moved, X-rays were taken first, and then blood was taken. After Huang Bo finished speaking, he followed and pushed the emergency bed together.

"One, two, three, lift. Others lean back, ready to take a chest X-ray. ”

After carrying the patient to the bed, Huang Bo said.

The big guys spread out in unison, put the back panel, and take X-rays directly.

"There are no broken ribs, huh...... I came to check the head wound, and Dr. Liu did the initial examination of the abdominal trauma. After looking at the X-ray shown, Huang Bo hesitated slightly.

"Nonsense, why are you still being treated? I'm your subordinate now, I'm here to check the wound on the head. Liu Banxia said helplessly.

It's also because this patient's symptoms are relatively mild, so the big guys are not so nervous. Now when I hear Liu Banxia say this, I think it's funny.

The patient's condition is obvious, drunk driving involved in a car accident. There were no serious injuries, and he fell asleep directly after the collision, and he didn't wake up for half a day, his breathing was still very stable, and he slept soundly.

"The head wound is not very large, no stitches are needed, I will debride it now. Liu Banxia looked at it and said.

Huang Bo, who was auscultating his heart and lungs, glanced at Liu Banxia very cautiously, a little confused and a little nervous.

Just like just now, can Liu Banxia be the person who is really called by his subordinates? This is Teacher Liu, when he is teaching, he is the existence of the Great Demon King.

"Auscultate the heart, lungs, and abdomen are normal, combined with the results of the chest X-ray, and then do a bedside abdominal ultrasound. Huang Bo said, but his tone was not so resolute.

"What did you forget to do?" Liu Banxia asked coldly.

Huang Bo was even more blind, and forgot what to do? Head CT? Or did it go straight up to abdominal CT?

"Silly, look to the side, don't just stare at me. Liu Banxia said.

Huang Bo turned his head to look, and then saw the traffic police comrade standing at the door.

"Well, I have to make up a blood alcohol test. Huang Bo hurriedly said.

After finishing speaking, he glanced at Liu Banxia with some weakness, and saw that Liu Banxia lowered his head to debride the patient, so he was more relieved and gave the patient abdominal ultrasound.

After the whole set of examinations, there was nothing else in terms of minor head injuries and bruises on the abdomen from being hit by the steering wheel. There are also some small bruises on his arms and legs, and he is a drunken fool, and there are some small bumps after drinking too much.

The drunk driving patient was also sleeping peacefully throughout the examination.

This is also the most stable drunk patient that the emergency center has ever received, and other people will occasionally make a fuss and vomit, and he just sleeps.