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"Doctor Liu, this is Xiao Han's wife. While still waiting for lunch, Director Qu led Xiao Han's wife over.

"Hello, Xiao Han is now in ward 202, and we are currently observing. The blood oxygen has recovered a lot, and the embolism in the lungs can be removed almost in the afternoon. Liu Banxia said with a smile.

"Don't be scared when you see him intubated, it's a kind of advance protection for him. In addition, when pulmonary vein thrombectomy is performed, it is also necessary to intubate and treat general anesthesia. ”

"Doctor, is he serious, is his life in danger?" asked Xiao Han's wife.

"At present, there should be no problem, and it is out of danger. It's just that the embolism in the lungs is still there, so it will affect some oxygen supply, and his blood oxygen saturation is currently only 93. Liu Banxia said.

"It's all temporary, I had a thrombectomy in the afternoon, and another filter was put in the deep vein of my leg, so I don't have to worry about it in the future. ”

"Dr. Liu, I also asked my friend when I came over. They say that such blood clots do not require surgery, only thrombolysis. And even if it is a blood clot in the pulmonary vein, as long as it is not very large, a minor operation can be performed to dissolve the blood clot. Xiao Han's wife continued.

Liu Banxia was not in a hurry, and nodded very seriously, "The normal operation situation should be handled like this, but if you look at this CT film, this little thing is the residue of Xiao Han's subdural edema absorption before." ”

"It's just a little bit bigger, it's a safety hazard. It represents a hole in the vessel, though small, that is now temporarily sealed due to blood clotting. ”

"But what if we use a lot of blood thinners? This small blood clot will definitely be dissolved, and this blood vessel will continue to bleed, threatening Xiao Han's life. ”

"It is because of it that it brings great danger and uncertainty to Xiao Han's surgery. We must solve the embolism of the pulmonary veins, and if the thrombolysis method cannot be used, we can only remove the thrombolysis. ”

"However, in the process of thrombectomy, in order not to wear out the blood vessels, we also need to use some blood thinners to dissolve some of the blood clots, so that they can be removed from the blood vessels. ”

"In order to ensure Xiao Han's safety, I will invite the surgeon from the Divine Surgeon to be on standby in the operating room. Once we find that Xiao Han has signs of cerebral hemorrhage, we will switch to craniotomy to ensure Xiao Han's life. ”

"We haven't discussed the specific surgical plan yet, but that's about it. Before the actual operation, there will be someone arranged by the surgeon to explain to you in detail. ”

There is no way around it, and sometimes a surgery has to be explained to the patient's family many times. They don't have that much medical knowledge, and a problem that is easy to understand in the eyes of doctors is dangerous and difficult for the patient's family to understand.

Just now, Xiao Han's wife came over and did her homework, but she didn't know much about what was going on here. So I have to say it again, she is the one who has the right to decide.

"Dr. Liu, thank you, I understand, and I'll listen to your arrangement when the time comes. Xiao Han's wife said seriously after thinking about it.

"Brother Qu, let's take it upstairs first. Then we had lunch, and in the afternoon we had this surgery done. At noon, I discussed the surgical plan with the surgeon. Liu Banxia said.

"Okay, Dr. Liu, you don't have to worry about anything else, with me. Curator Qu also nodded vigorously.

As far as Liu Banxia is concerned, he is convinced by today's work, and he can't find the slightest fault.

And he also saw that Liu Banxia was really good in the second courtyard as Qiao Qiao said. The doctors who called him all asked him for a solution, and he made the operation so clear that this friend was not in vain.

Liu Banxia pondered for a moment, took out his mobile phone and called Zhang Xiao, the chief minister of the gods. Zhang Xiao is also a senior treatment, and it is no problem to keep an eye on this operation.

"Doctor Liu, do you need a consultation?" asked Zhang Xiao after the phone was connected.

"There's one that needs to be consulted, but you don't have to come down, just listen to me. Liu Banxia said and gave a detailed introduction to Xiao Han's situation, and by the way, he also muttered about the surgical plan he had conceived.

"I just don't know if you have time, under normal circumstances, a small dose should not be dangerous, but I'm afraid of what happens. When the time comes, the sooner the craniotomy is treated, the better, so I think of you. ”

"Is it okay a little later? I also have a glioma removed in the afternoon, and if it goes well, I will be able to deal with Lisuo around four o'clock. Zhang Xiao thought for a moment and said.

"Cheng, I'll touch the time with Chen Xuehai outside my heart again. Liu Banxia said.

He said it very happily, but in fact, he was also a little stunned in his heart.

I misunderstood the relationship between Chen Xuehai and Liang Xiaolin at the beginning, they are brothers, and when they see themselves so close to Liang Xiaolin, they are naturally emotional.

Although the relationship between the two of them is now clear to themselves, the mistakes caused are already objective.

Today, Chen Xuehai gave face, which can be regarded as a test for himself. This is a serious outward master, it's impossible not to understand such a thing, and asking yourself is testing yourself.

But now a new problem has arisen, and Chen Xuehai needs to cooperate with Zhang Xiao's operation time. It's hard to say whether you can give yourself this face again.

Because Chen Xuehai also has his own surgical arrangements, it is uncertain whether Xiao Han can be added today and when he will do it.

Such a big hospital is not just for emergency services, and there are so many people lying in the wards of the inpatient department, all of whom are scheduled for surgery.

Some of them are because of the timing of the surgery, some are because of the patient's physical condition, and anyway, they are all added together for various reasons.

Otherwise, why would patients in small places prefer to choose an outside doctor to fly the knife even if they spend more money?

The first point is the cost, you seem to spend too much, but you actually save money. When you come to such a big city, the schedule is scheduled for 3578 days, how much will it cost during this time?

The nursing and surgical fees of large hospitals are higher than those of small places in terms of the standards set by the Price Bureau.

It is precisely because there are so many patients that the surgery needs to be scheduled. Xiao Han was added today, in the middle ground between emergency and non-emergency. It's such a special situation, so it needs to be carefully coordinated.

Fortunately, Chen Xuehai is really face-saving, and he can do this operation today, but the time is later, temporarily set at five o'clock in the afternoon.

As for Liu Banxia's surgical plan, he also agrees with it, and the general process is like this.

"What are you doing? What are you looking at?" Liu Banxia was still sighing that he had worked really hard today, and Liang Xiaolin came over.

"I'll go to Dr. Chen's to get the operation notice later, the one on the second floor. Then learn about the operation, and at five o'clock in the afternoon you go to the stage as a helper. Liu Banxia said.

"Let me go, will anyone gossip?" asked Liang Xiaolin.

"What do you say, the patient is our emergency department, I didn't let you go to the main surgery, just to be a helper, which is already very face-saving. Liu Banxia said angrily.

Liang Xiaolin was happy, and her heart was also beautiful.

"Don't be happy, let's get in touch with Xiao Han's wife now. Liu Banxia said.

"When explaining the surgical process, there are also possible dangers and complications, which need to be clearly explained. Xiao Han's wife is a very detailed person, although I have said it roughly, you have to be more careful. ”

Liang Xiaolin nodded, it's not once or twice to do this job. Naturally, I know that if I don't explain clearly in this process, I may bury the hidden danger of medical lawsuits in the future.

Liu Banxia moved his neck, don't look at it as just a coordinated job, this thing is really tiring. After all, not everyone works in the emergency department now, and if they all work together, it would be okay to meet, so now we can only negotiate.

And the difficulty coefficient of the operation is not particularly high, so you can't bother the director-level characters because of this, they are even busier. Now after coordination, it is already the best result.

And what about coordinating this job? At the moment, he has to do it as a hospitalist. This is his job responsibility, and it has nothing to do with whether he knows Xiao Han or not.

"That patient hasn't come back just now?" Xu Hui walked out of the reception room.

"It is estimated that there are a lot of people filming today, and there are many people when I lead Xiao Han to film. Liu Banxia said.

"Let's eat first, I'll wait here. A few of you, let's eat first, it's quite easy now. ”

"Teacher Liu, let's not be in a hurry yet. Huang Bo said very firmly.

"Then you can't all wait here, Doctor Qi, you and Brother Wei can eat first, and I'll bring this gang over later." Liu Banxia said.

Qi Wentao nodded, although he didn't give a verbal response, this was already a very good performance.

Xu Hui is very happy to watch, and it is a relatively interesting famous scene in the emergency department.

After waiting for another ten minutes, the patient with abdominal pain came back with the film.

"Doctor, you may be looking badly, I asked the doctor in the radiology department, and they said that it seems that there is some gas in the intestines. The patient laughs.

"I'd better watch the film first, after all, he doesn't know about your blood test. Liu Banxia said.

There is really nothing suspicious about picking up the film, but the high levels of creatine and blood lactate are indeed something that needs to be vigilant.

"Well, I'll give you another abdominal exam. After putting down the film, Liu Banxia said.

The patient didn't say a word, just lay down on the bed and lifted up the T-shirt.

Looking at his slightly bulging belly, Liu Banxia frowned slightly, first pressed it with his hand, the corners of the patient's mouth twitched slightly, and then listened carefully with a stethoscope, and his brows furrowed even tighter.

"Didn't you tell us the truth?" asked Liu Banxia after taking the stethoscope back.

The patient was stunned for a moment, and then happy, "I just took a piece of ibuprofen, it shouldn't have any effect." ”

Hearing his words, Xu Hui was startled, and he hurriedly took out the stethoscope and auscultated the patient's abdomen. Then his brows were the same as Liu Banxia's, the more he wrinkled, the tighter he became.