Chapter 301: Beautiful family members tease Han Qiang

However, when he said this, Lin Yu couldn't say that I didn't put it, so I didn't make a sound.

"No wonder, you didn't have time yesterday!"

"Yesterday, the patient was in a hurry, so we rushed to deal with it first!We can't help it!" Han Qiang said panic, and Lin Yu almost believed it.

Obviously, we didn't have time to come over yesterday because we were supposed to be on duty in the department, so you actually made up such a lofty reason.

"Okay, I'll let you know in advance if there's any patient next time!"

While he was talking, Han Qiang's phone rang!

"Hey!"

"Well, I'm outside! Which patient is looking for me?"

...

"She? Speechless, well, okay, you told her, I'm not his doctor in charge..."

After Han Qiang answered the phone, the whole person was not good.

"What's wrong?" Lin Yu wondered.

"The patient's girlfriend asked me why I didn't go to see the patient!"

"Hmph, she wants to see you!" Lin Yu sneered.

Han Qiang showed a wry smile! Signaled him not to joke, and drove to pick us up, Director Yang is the uncle's uncle in the summer! Don't make a joke.

"Director Yang, what is the situation of the patient this time?" Lin Yu didn't pay much attention to other things, he only paid attention to the situation of the patient, he came to do surgery.

"The patient is a gallstone patient! The day before yesterday came in! I had repeated abdominal pain for many years, and every time I took an anti-inflammatory injection, I didn't think about surgery, but this time the pain was terrible, so I came, and the results of the examination showed that I was a little jaundice, and the light bilirubin was five times higher! But I did a color ultrasound, and I didn't find any other problems, only chronic cholecystitis and gallstones!."

When Lin Yu heard this, the secret way was not good! The secret way that this patient may not be as simple as cholecystitis alone.

"Does the patient have a fever?" Lin Yu asked anxiously, if the patient has a high fever, it is basically in line with purulent obstructive cholangitis! If you consider this, it is not a simple chronic cholecystitis.

Because this will be a big adjustment to the surgical plan!

"I didn't have a fever after I was admitted to the hospital, but the patient said that he had a fever three days ago, but he didn't describe it clearly! He said that at night, he was sweating all over, and we wondered if it was because of the pain!" Director Yang said as he recalled.

He also paid special attention to asking about this patient, even if the first-level doctor asked once, he also asked again, just for fear that something would go wrong!

Cholecystitis is considered to be the simplest disease, and at the same time, it is also the most complex disease! Especially for this kind of patient, if the patient shows abnormal symptoms, the treatment plan may be greatly changed, which is also Lin Yu's concern, but also his own worry.

Han Qiang heard some of the implications, since he was hit by his graduate classmates at Wang Wu's wedding last time, he has a new understanding of learning, and at the same time spends more time taking the initiative to study.

For example, he made full preparations for this trip to the Taohua Town Health Center, he not only watched the video repeatedly, but also reviewed the book knowledge several times.

The first time he came to the Taohua Town Health Center was to come over with Lin Yu for surgery, and in that laparoscopic gallbladder removal operation, he was the second assistant in charge of the mirror, and he was all confused, and he didn't understand the situation at all.

Last time, I came to cooperate with Lin Yu's operation, and later Lin Yu laughed at himself for turning the mirror upside down, but he didn't notice it, and now he feels a little cold in his back when he thinks about it.

"Could it be AFC?" Han Qiang finally found a sense of existence, and the patient's situation he learned from Director Yang's mouth really felt like AFC (acute severe cholangitis)!

Han Qiang felt sad when he thought of this, because when he was studying materials and books, he focused on cholecystectomy, thinking that it was impossible for the health center to have such a serious patient, so he didn't read the relevant knowledge!

"Well, it's entirely possible!Although the symptoms are atypical, they can't be ruled out!" Lin Yu muttered.

"Well, actually, I also doubted, but I asked Dean Tao for consultation, and he said that he would not consider this disease! He thought that an acute attack of chronic cholecystitis was more likely! B Surreal bile ducts were not dilated!" Director Yang discussed while driving.

"Then Dean Tao should be wrong! If the patient has just had an obstruction, the B ultrasound may not be obvious!" Lin Yu said.

He didn't see a patient, and his former instructor had said that if a patient suspected AFV, it should be treated as a disease.

"..."Director Yang.

Han Qiang almost vomited blood when he heard this, and secretly said Lin Yu, Lin Yu, you still found a girlfriend! Can you speak tactfully, others are the dean, you can directly reject other people's conclusions, in this case, you will have no friends in the future.

"Director Yang, don't listen to him, he is a straight male cancer patient, and his speech is not processed by the brain! Or his brain CPU is broken, you must not be surprised!" Han Qiang immediately explained, for fear that Director Yang would be angry.

"Hehe, the expert's opinion must be more comprehensive than ours!" Director Yang said, and he really thought so in his heart, after all, this is an expert invited by Huaqing Hospital, and it is normal to have some of his own ideas, which is why he invited him.

"I don't mean anything else, Director Yang, we have to see the patient first!" Lin Yu said.

"Well, okay!" said Director Yang.

"Han Qiang, I want to ask you, what do you say about the Charcot triplet?" Lin Yu secretly said that you have a bad mouth all day, I want to see how you have changed every day recently, I want to see how you change.

When Han Qiang heard this, his head was big, and he secretly said that you guy is too inauthentic, every time he disrespects himself at all, he says that if you want to take the test, I will test me! You don't look at the occasion, no matter how you say that there are outsiders here, you were on the high-speed train just now, you didn't ask me, and now you come to ask me again!

"Right upper abdominal cramps, chills and fever, and jaundice!" Han Qiang still answered, secretly saying such a simple question, I wouldn't think I was mentally retarded?

"Well, that's good! Our Han Qiang's medical level is still good!" Lin Yu muttered.

Director Yang is not good at making a sound, he just wants to laugh, and secretly said Lin Yu, Lin Yu, you praise people like this, this is also called a level, any clinical medical student can answer the question!

Han Qiang didn't feel good when he heard this, and said to himself: "Is this also called level? If a patient has shock and central nervous system depression, it is Reynold's quintad!"

"Well, Director Han is indeed a high level!" Director Yang couldn't help but praise, after the praise, he actually regretted it, just now he was looking for a topic, so he praised it, and after the praise, it didn't feel appropriate.

Han Qiang.

Han Qiang was secretly sad, does this need to be praised? I just said it according to the book, you praise me one by one, in fact, you look down on me!

Han Qiang just wanted to cry, but he wanted to cry without tears, and he wanted to behave well now, but the road was too difficult, and the bad impression he had established before would not be changed for a while.

Below, these primary health centers, they only recognize whether you have a level, how big the level is, you have to reflect it on the operating table, Lin Yu is different, he has performed well several times, and even has outstanding performance, he is different, after coming, he does not perform well every time, so he is not very popular!

Lin Yu just wanted to laugh, and secretly said Han Qiang's product is also cute, just forget it if I praise you, Director Yang actually began to praise you, and you are still unhappy.

As he spoke, the car had already arrived at the health center.

Lin Yu took Han Qiang to see the patient for the first time, and found that what the patient said was correct with what Director Yang said, the pain in the upper right abdomen was severe, and it lasted repeatedly for more than half a year, this time it has been four days since the onset of the disease, and the pain was severe in the first two days, as Director Yang said today, the patient had a sweat the night before yesterday, as for what the reason was, now, the patient's statement is not very clear.

His expression was sweating profusely because of the pain that night, or because of the fever, thinking about it, I don't know, a lot of things, you go back to the trace, and you don't know what the situation was at that time?

Therefore, the bile pigment is four times higher than normal! Judging from the results, it is more consistent with the acute attack of chronic cholecystitis, and at the same time, if the patient has a fever that night, Lin Yu still considers the possibility of Charcot triad.

"Han Qiang, what do you think?" Lin Yu and the others returned to the office, looked at Han Qiang and asked.

At this time, the head nurse had already poured a glass of water for each of them.

Han Qiang didn't expect Lin Yu to be the first to ask himself, he also carefully looked at the patient's examination results just now, when Lin Yu asked about the coldness, he also listened attentively, the patient's situation, he was also familiar with it, but Lin Yu likes to build his tallness on other people's pain every time, in short, it is to pretend to be forced for himself, and never take care of other people's feelings.

If you ask like this, I will answer it well, so that you can't grasp the problem.

"I see, this patient, seventy or eighty percent of them have an acute attack of cholecystitis, and they can undergo laparoscopic cholecystectomy, and two percent of them are AFC, if they are AFC, then they can only be explored by common bile duct incision!

If it's the latter, I won't have a chance to operate.

"You can't use approximate data to see a doctor, yes, yes, no, no, this patient is 100% acute severe cholangitis, which is what we usually call AFC!" Lin Yu said, without a trace of doubt.

One hundred percent?

This concept, Lin Yu mentioned it now, and it directly shocked everyone present, in addition to Lin Yu and Director Yang, there were also several first-class doctors.

We usually don't dare to say 100% about seeing a doctor, and the language we use most often is: very likely, very likely, even the kind of basically certain things, we will still use 99% probability.

We can't say 100 percent!

"100 percent, but this patient's B ultrasound situation, it's okay, you see that there is no problem with this bile duct condition, if it is really obstructive cholangitis, then this common bile duct will always change!" Han Qiang saw that he was pretending to be forced, and he felt very uncomfortable, you said that I was wrong in front of so many people, and also put forward a 100% concept, I was just not convinced.

"Judging from the patient's current situation, the gallbladder stone has fallen into the common bile duct, forming a blockage, and immediately perform cholecystectomy and common bile duct incision and exploration!" Lin Yu commanded.

"Brother Lin, do you want to recheck a B-ultrasound, anyway, don't be in a hurry for this half an hour! What do you say!" Although Han Qiang was not convinced, he was not good at showing obviously, he was afraid that Lin Yu would misdiagnose and the stone would fall, you dare to say that our objective results are here, you don't look at it, you actually dare to directly say that the stone has fallen, do you need to guess when you see a doctor?

"Director Yang, what do you say?" Lin Yu saw Han Qiang say this, and wanted to ask their own surgical director, what do you think?

"It's... Director Lin said no, no!" Director Yang still has complete trust in Lin Yu.

However, he said that the stone has formed an obstruction, which is too ridiculous, and there were no stones in the B ultrasound done the day before yesterday, and the day before yesterday, did the stones fall?

It can't be such a coincidence, right?