"Teacher, I ......" Ji Xiang rarely interrupted the system NPC's words.

"How?"

The thin and withered body of the system NPC looked a little tall, which made Ji Xiang confused for a while.

"Say it." The system NPC gently soothed Ji Xiang's emotions.

"Teacher, what do you say is a similar situation after laser lithotripsy?" Jixiang asked.

"Not much, even rare." The system NPC said, "Because the patients are basically fine after surgery, it is a big deal if something happens." ”

Ji Xiang was silent.

"For example, in the internal and external hemorrhoids surgery of the anorectal department, 99.99% of the patients are fine. However, once the ligature is loosened, the patient begins to bleed in the middle of the night and does not feel it during sleep. Once you feel it, it's too late. ”

Ji Xiang nodded, acknowledging that the system NPC was right.

I had just experienced all this, and the feeling of loneliness and helplessness was too bad.

Although the pain is not particularly obvious, it cannot be compared with the previous times.

Can......

Ji Xiang would rather have urinary stones again than lie quietly in bed and wait for death.

"That's about what it means, I'm sure you can relate to it. And as the clinical experience has become more and more abundant, the experience of this has changed. System NPC said.

Ji Xiang felt that the gaze of the NPC in the system was getting deeper and deeper.

"Teacher, I'm sorry to interrupt your lecture just now." Ji Xiang bowed slightly, "You continue." ”

"The most common cause of kidney rupture is hydronephrosis, especially hydronephrosis due to ureteral obstruction due to stones. In this case, the perirenal pelvis is fixed by fibrotic adhesions, and the possibility of spontaneous renal rupture and bleeding after surgery increases dramatically. ”

"Under normal conditions, when the pressure in the renal pelvis increases, urine will spontaneously extravasate through the calyceal vault, and lymphatic regurgitation of the renal tubules, renal sinuses, and renal pelvis will occur, which is a protective response to reduce the pressure in the renal pelvis and avoid serious consequences."

"However, after the ureteral obstruction causes hydronephrosis, the pressure above the obstruction continues to increase, and the urine extravasates into the perirenal perirenal area, resulting in fibrosis and fixation of adhesions around the renal pelvis.

"Teacher, many patients with kidney stones are accompanied by hydronephrosis." Ji Xiang asked.

"It increases the probability, and I can't say everything." System NPC Path.

In the system space, the system NPC began to explain to Ji Xiang the principle of the emergence of the disease, how to judge, and how to prevent and treat it.

Before I knew it, after a long time, Ji Xiang's brain was a little hot. The CPU is running at high speed, and the mental power is seriously consumed.

Although it was just a "small problem", the NPC of the system continued to unfold and told Ji Xiang about 16 cases.

There was even a question about what the doctor thought was a "minor operation" and did not pay attention to this after the operation, and the system NPC started talking about it for at least two hours.

And Ji Xiang listened very carefully because of his previous empathy, as if he was lying on the hospital bed now, as long as he could learn, he couldn't die.

"I'm going to run out of mental power." The system NPC sighed and shook his head slightly.

Ji Xiang also felt strange.

My mental power will not be exhausted after a day of surgery, and the consumption is extremely limited, how can I listen to the system NPC instilling three views and consume it so quickly.

"Teacher, then I'll go back first." Ji Xiang bowed, although he couldn't stand the chicken soup and three views instilled by the system NPCs, but he was still polite.

"Go ahead."

……

……

Ji Xiang came back to his senses and frowned slightly.

The patient with a ruptured kidney must be the one that Director Liu knows.

Lower back pain, it is estimated that it is still in the early stage, if you hurry up, the patient should be fine.

After Ji Xiang figured it out, he was a little sad.

Director Liu resolutely does not think that the patient has a problem, which can be recognized from his visits to patients and small talk.

Do you want to use that second forcing skill?

Ji Xiang had a splitting headache when he thought of the skill of the senior doctor's gaze.

The skills are really easy to use, and the bloodline is suppressed, whether it is Professor Zhou Tianbo Zhou or Mr. Wu, they all look like junior doctors, and they are very well-behaved.

But Ji Xiang was embarrassed inexplicably.

If the name is not right, it is not good, he is still a regular doctor, and he has not even obtained a practice certificate, but he has to give instructions in the clinic......

It's like a bronze commanding king how to play a game.

Although it is a great god wearing a bronze vest, after all, there is a great hidden danger in the middle.

Ji Xiang thought about it, but there was still no solution, so he had to put aside how to solve it first.

The first step is to determine whether the patient has a ruptured kidney, which is to confirm the diagnosis.

Ji Xiang smoothed out his train of thought and decided to see the patient first.

Whether the task is completed or not is still second, Ji Xiang experienced the feeling of lying in bed waiting for death in the dead of night, and there was only one thought in his heart - diagnosis and treatment.

Even, Ji Xiang just wants to care about lonely patients.

Coming to the door of the ward, Ji Xiang raised his hand and knocked on the door, and then pushed the door in.

The patient's family was sitting on the sofa and talking, and when they saw Ji Xiang coming in, they stood up and greeted Ji Xiang.

"How are you feeling now?" Ji Xiang asked with a smile.

"It's still like that, Director Liu said, it's a normal reaction after surgery." The patient's family is not nervous and does not pay attention to the little doctor.

Being young is one of the biggest disadvantages of doctors.

Ji Xiang didn't know what he was going to do, he stood by the patient's bedside, and the patient's symptoms were not typical. If you want to prove yourself, you need to give the patient a test.

"It hurts a lot." Ji Xiang hesitated for a moment and said cautiously, "Why don't we do an auxiliary examination and take a look." ”

"No, you don't." The patient's family was very stable, and looked at Ji Xiang with a smile, "Thank you for your hard work, little doctor." ”

Ji Xiang took out a ballpoint pen and scanned it, but he didn't see any A4 paper.

He was a little regretful, and originally wanted to tell the patient's family about the "knowledge points" that the system NPC said in the system.

But Ji Xiang was disappointed, he subconsciously pressed the ballpoint pen, and it clicked.

"You've just come." The patient's family asked.

"Well, I'm Dr. Guipei." Ji Xiang replied honestly.

The patient did not have symptoms of hemorrhagic shock, but Ji Xiang knew that in a few more hours, the patient would most likely have problems.

"Little doctor, listen more to your director and learn more." The patient's family said quietly.

"Your TV is pregnant?" The patient lay on the bed and looked at Ji Xiang in surprise.

"......" Ji Xiang was dumbfounded.

TV pregnant? What is this? Where do the patients get their brain circuits!

Could it be that there is a situation where blood pressure has been lowered and the blood supply to the brain is insufficient?!

Thinking of this, Ji Xiang's heart suddenly tightened, and he turned around and ran to the nurse's station to get a mercury blood pressure monitor.

When he came back, he saw the patient and his family talking and laughing.

The patient is still unwell, but does not appear to be in serious trouble.

"I'll take your blood pressure." Ji Xiang Road.

"Little doctor, what do you mean when you say your TV is pregnant?" The patient's family was also a little puzzled and asked Ji Xiang.

"I didn't say that."

Ji Xiang tied the cuff to the patient, found a place to stuff the stethoscope in, and began to measure blood pressure.

The patient has normal blood pressure of 128/74 Mmmhg.

What's going on? Ji Xiang was puzzled.

"Just now you pressed the ballpoint pen, the rhythm is very clear, and you can interpret it with Morse code." The patient struggled to squeeze out a smile at Ji Xiang, "I thought you told me that your TV was pregnant." ”

"......" Ji Xiang scratched his head.

I was a little anxious, and the ballpoint pen that I pressed indiscriminately made a fuss.

"I feel better." The patient said, "Before, my lower back was swollen and it was very uncomfortable. It's a lot easier now, little doctor, don't worry. ”

It's over!

Ji Xiang could vaguely sense that the patient's condition had progressed.

He sadly walked out of the ward with a blood pressure monitor.

Director Liu just walked out of the director's office, he looked at Ji Xiang holding a blood pressure monitor, and smiled appreciatively.

He even nodded at Ji Xiang in appreciation.

"Director Liu." Ji Xiang was a little anxious.

"What's wrong?"

Director Liu locked the door with the key and prepared to go home from work.

"I read the book and wrote that patients with hydronephrosis undergoing ureteroscopic laser lithotripsy and stone removal surgery may lead to kidney rupture."

"Oh, that's what the book says. It is better to believe in a book than to have no book, you can know it in the clinic. Director Liu didn't feel that Ji Xiang was challenging his diagnosis and surgery, and said kindly, "The probability is too low, there is no need to care." ”

"But what if it happens?" Ji Xiang asked.

"Seeing the moves, the east is also afraid, the west is also afraid, and we can't do clinical work." Director Liu laughed, "It's like a cavernous puncture done by you and Gu Lao, I checked the information in the past two days, and there are many complications." ”

Ji Xiang knew that Director Liu had misunderstood what he meant, and wanted to make it clear, and at this moment he had the idea of using skills.

But Director Liu seemed to have something, so he hurriedly turned around and left, leaving only Ji Xiang's back.

This......

"Let's check the circle room and see the patients. On duty, you must be aware of it. ”

A familiar voice came.

It's Mr. Wu!

The skill is accurate, not as good as the skill is accurate, Mr. Wu is really a good hand at receiving skills!

are all old acquaintances, it is estimated that Mr. Wu is used to the gaze of senior doctors, Ji Xiang found a reason for himself.

Even if you don't get used to it, you will get used to it when you are watched!

Yes, that's him!

Ji Xiang didn't come up and use skills on Mr. Wu, but honestly followed Mr. Wu and followed Mr. Wu with Lu Kai and Liu Yunqing to check the room.

"All patients must be aware of it, and it is a big taboo in clinical practice if their brains are confused and they can't distinguish the key points at all." Mr. Wu didn't dare to look at Ji Xiang, and he explained to the three Gui Peisheng while making rounds.

In every room, Lu Kai went to open the door like a licking dog and let Mr. Wu in first.

When he came to the high room, Mr. Wu felt that there was nothing unusual after seeing the postoperative patients, and turned around to leave.

As soon as he turned around, a familiar feeling enveloped his body.

Come back!

Mr. Wu almost didn't cry.

This feeling is so familiar, this damn familiarity, why the hell!