Li Qi walked halfway and received a call from his eldest brother, Li Yuan said that there was a little difficulty in the operation, hurry up and come for a consultation! Li Qi stopped a taxi and ran to Little Nanjing Hospital!

Come to the ultrasound room on the second floor of the hospital and put on your work clothes. My colleague Xiaohong hasn't come to work yet, and there will be relatively few patients around the beginning of the first month, so I will have something to call for!

There is only one doctor and two nurses in the medical office on the third floor, and the rest are in the operating room on the fourth floor. Li Qi took the medical records and read them through.

Patient Wu Chuanhui, male, 65 years old, from Yangqi Township, Nanjing County, Xiaonan. Admitted to the hospital due to difficulty urinating, hematuria, and unclean urine.

Ancillary tests, platelets (1), red blood cells (1), white blood cells (10). Proteinuria, in which the urine is filled with red blood cells. Sinus rhythm, myocardial ischemia. B-ultrasound shows, one, bladder stones? Second, prostatic hyperplasia and calcification. Low blood pressure and low basal body temperature.

The basic situation is clear to Li Qi at a glance. A 65-year-old man with anemia, urinary tract infection and blockage, bladder stones and prostatic hyperplasia leading to urine retention, unclean urine and hematuria. Cystolithotomy and partial prostatectomy are planned. Hemax anaesthesia is performed.

The chief surgeon is Professor Zhang, an authoritative expert of the city hospital and the old director of urology, who has not done 10,000 similar surgeries and 9,000 units.

Peng Shenglin, director of the surgical assistant department, graduated from the Municipal Health School, has participated in the work for many years, and has also been on stage countless times.

Nurse Kasumi head nurse in the operating room. In addition, there are several medical staff such as anesthesiologist Director Ye. There shouldn't be any problems, this lineup is quite luxurious! What difficulties will there be that you can't get off the stage?

But you know, the operation has been going on for about three hours! Even Li Yuan went into the operating room!

After reading the medical records, Li Qi went to the operating room on the fourth floor. I saw that Li Yuan also put on a surgical gown on the stage! When Li Yuan saw Li Qi coming in, he signaled to put on his surgical gown and go on stage! Li Qi washed his hands and put on a surgical gown with the help of Wei'er and went on stage!

After Professor Zhang's introduction, Li Qi knew about the operation from the beginning to the present. Before taking the stage, it was estimated that the patient's condition was about the same, and the signs and symptoms could be diagnosed as bladder stones and prostatic hyperplasia, which seemed to be beyond doubt! Opening the lower abdomen did remove several stones of various sizes.

But here's the problem, a three-centimeter-sized stone has been wrapped! The stone sits in the bladder wall, and is tightly wrapped around a smooth and flexible mesangial structure!

It's all a small thing, there is a lump where the bladder enters the urethra, squeezing the upper part of the urethra, creating urethral stricture! The prostate is under the mass!

How do I move forward with surgery? Are the masses growths? Or is it a tumor? Or cancer? Professor Zhang and the head of the department, Peng Shenglin, had a disagreement!

Professor Zhang believes that the stones of the package are cut open and removed. The urethral opening mass is also circumferentially removed, and the prostate is explored.

Peng Shenglin thinks that it is okay to cut and take out the stones of the package. The urethral mass does not move. The reason is that if the cancer is removed, it will accelerate the spread of the cancer and lead to the accelerated death of the patient!

This makes a lot of sense, a lot of cancerous masses will spread more slowly if they are not moved, and if they are removed, they will spread! The key is not to diagnose the nature of the urethral mass now!

Professor Zhang advocates surgery! Peng Shenglin, the director of the department, advocated that the operation should be completed and no further steps should be carried out! Both of them have their own reasons!

Professor Zhang's reason is that not removing the urethral mass cannot solve the patient's pain! The patient already has to insert a urinary catheter to urinate! The insertion of a urinary catheter is extremely harmful to the human urinary system! It also affects the normal life and work!

Peng Shenglin's reason is that safety comes first, both for patients and hospitals! Both of them are right, the operation is suspended! Call Li Yuan to get an idea!

Here are some basic common sense. Let's talk about stone disease first, which is a common disease! There are liver duct stones, gallbladder stones, kidney stones, ureteral stones, bladder stones, urethral stones, etc. It can be single or multi-site!

The formation of stones is a complex process, which is related to physical fitness, living environment, water quality, and mood. Hepatic gallstones are eliminated from the intestines, and sometimes there are stones in the appendix.

Urinary stones are discharged from the urethra and are discharged to the immobile area, which is called stone disease in this area. The treatment includes extracorporeal lithotripsy, surgical stone removal, drug stone dissolution, etc., drink more boiled water and exercise! It depends on the actual condition!

Speaking of the prostate, which is an organ unique to men, it is also a feature of men, just like the uterus of women, it is a feature of women, and its function is similar! Ninety-nine percent of the semen is prostatic fluid! Located between the bladder and the vulva. The urethra passes through it and has a common connection with the urethra!

Generally speaking, there will be no major problems with the prostate gland in men before the age of 45! If you don't pay attention to personal hygiene or have problems with your body, your prostate gland is prone to disease. Such as prostatitis, prostatic hyperplasia and cancer! Once there is a problem, it will be very painful, usually no problem does not feel, urinary tract irritation makes people feel sad! Treatment includes medication and surgery, it is important to pay attention to personal hygiene, and it is necessary to drink plenty of boiled water!

Finally, when it comes to lumps, this is really a bit complicated, divided into physiological and pathological, today only pathological tumors are discussed, and medical habits are divided into benign and malignant!

There are several aspects to the simple distinction between benign and malignant, in terms of texture, soft and hard, in terms of color, in terms of light and dark, in terms of demarcation, in terms of clear and diffuse, in terms of growth rate, in terms of speed and slowness, as well as bleeding or not, the severity of pain, and so on!

The characteristics of benign tumors are soft, bright, clear, slow, no bleeding, and mild pain! The characteristics of malignant tumors are, hard, dark, diffuse, fast, bleeding, pain, etc.!

Of course, it is not absolute, and the clinical diagnosis should be based on the actual situation!

Malignant tumors are what we usually call cancer! What makes people desperate is that when they are diagnosed, they are all at an advanced stage, and most of them are watching and there is nothing they can do!

Only some of them are found during the usual physical examination, and they can still be cured with early treatment! The treatment is divided into radiotherapy, chemotherapy and surgery, and it is more important to regulate one's own heart, have confidence, and be happy!

After Li Yuan came, he also came to the stage to investigate it in person, but he couldn't make up his mind! In line with the principle of treating the disease and saving lives, the operation continues in communication with the patient's family! During the circumferential resection of the urethral meatus mass, the bleeding does not stop, and the demarcation is not clear! Trouble is here again!

If so, is it true that cancer surgery will be carried out? How do you stop if you don't do it? What should I do!? Li Yuan thought of Li Qi's amazing performance in the last appendicitis operation, so he dragged Li Qi over!

"I'll investigate first!" Li Qi thinks that he will take a look before giving his opinion! Under the eyes of Professor Zhang, Dean Li and everyone, we began to investigate!

Because this time is not as good as the last appendicitis operation, at most the intestines were laid out, and the patient's recovery was slower! And if you don't do it today, you won't be able to get off the stage! The patient confesses that it will be a disaster on this operating table! Especially in the first month, it will make the hospital passive! Naturally, the pressure is high! "Li Yuan! No more time to lose! It's been more than three hours! Why don't you transfer it to the city? Professor Zhang and you are in a dilemma! Can he? Peng Shenglin, the director of the department, suggested to Li Hospital with a face of consideration for the hospital and patients! That tone, that look is depressing!

This Peng Shenglin is the old cousin of Na Tan's shareholders, and he has clashed with Li Qi many times in history! Often for some unwarranted reasons, he scolds Huai! It seems that if he can't do it, others can't do it too! What others do, he can do even better!

I don't know where he got his superiority from! It's a bit inexplicable! After two years of work in the small Nanjing Hospital, he was transferred back to the Chinese Medicine Hospital, and his performance in the Chinese Medicine Hospital was mediocre, with no outstanding achievements and contributions, and he was still the same jealous and jealous!

"No one else looked! You know no? Even if you transfer to the city, shouldn't the hospital have to deal with it properly? Just send it to the dead! Hehe! "Professor Zhang is very shrewd, in a word! Although the operation is very troublesome, it is not to the point of confusion for Professor Zhang!

"Transferring to another hospital is the next step! You should think more about how the surgery should be carried out or stopped! I know that! Li Yuan didn't look at Peng Shenglin and said.

Li Qi glanced at Peng Shenglin and didn't speak! Then let Li Yuan loosen the gauze that oppresses and stops bleeding! Because the bleeding does not stop, the surgical field is not clear, and it is difficult to find the bleeding site and blood vessels! Just use a large piece of gauze to compress and stop the bleeding!

Li Yuan let go, Li Qi took the new gauze block handed over by the head nurse Xia, and printed it on the bleeding mass, so that the surgical vision was clear! Unexpectedly, the blood continued to gush out, and the visual field gap when printing gauze was very short! Can't see it at all! This is also what makes Professor Zhang and Dean Li difficult! Peng Shenglin just ignore him!

Cut the lump to about a third of the way! The tactile lump is not hard in texture, but it is hard in the center, what is going on? There is no obvious abnormality around the lump! This should be a benign tumor! And why is the bleeding so hard to stop? Li Qi is a little embarrassed!

"If you can't do it, cut off this third, forcibly ligate to stop the bleeding, and close the abdominal cavity! The mass is sampled and sent for testing, the nature of the mass is determined, and then the follow-up treatment plan is formulated! Dean Li, what do you say? "Professor Zhang gave a long-thinking suggestion to Li Yuan! This is also a safe way to deal with it!

"Hmmm! Peng Shenglin, go and communicate with the family to see what the family's opinion is? Li Yuan commanded and said to Professor Zhang: "In this way, you still have to insert a urinary catheter!" If this problem cannot be solved, it is not good for the surgical incision of the mass to heal, or if the main problem is not solved, the operation will fail! "Give me a few more minutes! Let me find out! "Li Qi is a little unwilling! Both from the patient and the hospital! If the problem of urination is not solved, the surgery is equivalent to not doing it, and it also increases the degree of harm to the patient!

Although this is a normal accident, how much is related to the hospital, who makes you check the means and equipment do not keep up! If you step down like this, not to mention the impact on the reputation of the hospital, the patients and their families will collapse if they are unreasonable!

"Still probing? Don't be pushy! Why bother? Peng Shenglin muttered very freely! Is this a section head!? After muttering, I took off my surgical clothes and went to talk to my family.

Li Qi didn't have time to pay attention to him! Under the nodding of Li Yuan and Professor Zhang, he closed his eyes and began to probe again with full attention!