"Urinary cysts? Doctor Ji, don't be kidding. Lu Gang stood straight, his hand on his cheek and read the film carefully, and after confirming it, he smiled slightly, full of elegant college style.

It's just that the last strand of his hair droops down a little bit along the sterile cap, not so professional. The itinerant nurse wanted to mutter a few words to him for a long time, but was stopped by the anesthesiologist and whispered to the itinerant nurse that this was a master from the infirmary, don't offend.

"No kidding." Ji Xiang Road.

"Urinary cysts generally appear in the congenital dysplasia of the paraurethral glands, resulting in the inability of the lumen toxins and secretions of the urethral glands to be excreted from the body, and it is easy to form urethral orifice cysts." Lu Gang explained, "The patient we are facing now is trauma, and you tell me that it is a urinary cyst? ”

"Trauma can also lead to ureteral rupture."

"Doctor Xiaoji, you're a bit of a strong word." Lu Gang smiled slightly, sure that Ji Xiang just did a good job in surgery, is the level of diagnosis...... It's just too average.

"The ureters are located in the retroperitoneal space, surrounded by adipose tissue and connective tissue, and with an air mattress, it is difficult to see in a trauma. In general, ureteral rupture occurs at the wrong time of the clinician. ”

"Anyway, I didn't open the posterior peritoneum." The hospitalization of the hepatobiliary surgery department always saw a dispute between several people in the urology department, and quickly said.

"You're talking to me?" Lu Gang frowned and asked.

"Harm." The general inpatient of the Department of Hepatobiliary Surgery hurriedly explained, "Director Lu, how dare I, I mean you are right!" ”

Lu Gang nodded, he had long been surprised by similar situations, and it was necessary for the junior doctor to respect the senior doctor.

"Teacher Lu, is there no accident?" Ji Xiang asked.

"Dr. Koji, do you know how likely it is that blunt trauma can cause a ureter to rupture or rupture?" Lu Gang smiled and tried his best to show his professional ability.

He has a strong energy in his heart, and he is a little slanderous about Director Bai's arrangement. It's just that a strand of hair in front of the sterile cap looks a little weird, and it doesn't match the major.

Now that he saw Ji Xiang's "blind" diagnosis, Lu Gang was ready to show Ji Xiang the qualities that a clinician should have, at least let Ji Xiang not be too proud.

"3 in 10,000 probability, Dr. Koji." Lu Gang smiled and gave a fairly professional data, "We can't talk about very small probability events when we are engaged in clinical practice." ”

"Mr. Lu, it has been proved on the imaging that there is a urine cyst. If you don't deal with it, you won't have urine after stepping down, and you'll have to toss it again. ”

Lu Gang really doesn't know who gave Ji Xiang the courage.

It is estimated that Director Bai is used to it.

It's no wonder that it's as young as you should be rampant.

If it weren't for the operating room, Lu Gang would have wanted to make a bet with Ji Xiang and teach him a lesson.

"Doctor Xiaoji, there's nothing to ponder, the picture is an artifact." "This kind of artifact often appears on CT images. ”

In the United States, independent medical practice is a 4+4+3-7 resident program, which takes at least 11 years, and young people like Ji Xiang are completely unqualified to stand in front of themselves and speak.

Lu Gang subconsciously ignored one point - there is actually no qualification in China, but Jixiang is more special.

Just a few months after the training, the first department didn't go out, and he got the first result in the province, no wonder Ji Xiang was arrogant and dared to argue with himself.

"Why don't you do a CT?" Ji Xiang suggested.

Lu Gang sighed, "Doctor Xiaoji, the patient is under general anesthesia, in a state of hemorrhagic shock, and it is not appropriate to wake up from anesthesia and toss to the CT room." If you are intubated and pinched the ball, your life will be in danger at any time. ”

He was already a little impatient, but he still tried to keep his tone calm and show his elegant and easy-going label.

Even if Director Bai didn't know what purpose he wanted to help Ji Xiang, Lu Gang was still unconvinced in his heart.

He looked at Ji Xiang with helpless eyes, but Ji Xiang turned his head, and his eyes were just as helpless.

Lu Gang was stunned, his helplessness can still be understood, why does Ji Xiang also have this emotion? Is he sure he's right? This young man is really arrogant.

"Mr. Lu, this is the emergency operating room, the hybrid surgery room, the DSA machine can do CT, no tossing, a matter of a few minutes." Ji Xiang explained.

"......" Lu Gang was dumbfounded when he heard Ji Xiang's explanation.

Hybrid surgery, I haven't done it myself, I don't know that the DSA machine still has this function!

"I'd suggest checking it out to be sure. Otherwise, once you go down and don't urinate, you have to go up again. Ji Xiang continued.

Lu Gang was silent.

"I'll see it." Mr. Wu made the final decision.

He is the general inpatient and the doctor who came to the consultation, and it is useless for Mr. Wu to say anything if he doesn't speak.

"Mr. Wu, you have changed your temper today." The resident of the hepatobiliary surgery department said with a smile, "I thought you would come up and take a look at me and go down with my abdomen." ”

"Be careful."

The hospitalization of the hepatobiliary surgery department quickly took out the broken spleen, and turned to look at Mr. Wu, "Shall I go down?" ”

"Come down, if you have a problem, I'll help you shut up."

The hospitalization of the hepatobiliary surgery department took off the gloves covered with blood and took a serious look at Ji Xiang, but did not speak.

It was already off work, there was no technician, and the DSA machine was rarely used in the operating room, so Ji Xiang simply got started by himself and operated the DSA machine to do CT.

Looking at the roar of the machine in the familiar operating room, the hospitalization of the hepatobiliary surgery department was quite touched, "For the first time in so many years, I know that this thing can do CT." ”

Who is not, Lu Gang felt that his professional personality was about to collapse, and he gritted his teeth to watch Ji Xiang's movements.

It's so skilled, so skilled that Lu Gang has an illusion that Ji Xiang has been in contact with DSA machines for at least 20 years.

"There is very little need to be done, and there are few interventional surgeries, and the CT machine is much worse than our CT room, so I can only barely take a look." Ji Xiang explained.

"It's amazing to know." The resident of the Department of Hepatobiliary Surgery looked at Ji Xiang with interest, "Doctor Xiao Ji is the one who broke Dean Zhao's knotting record." ”

"It's all in the past, if you don't say it, I can't remember that Xiao Ji did this." Mr. Wu stared at the screen and said.

"What?" The hospitalization of the hepatobiliary surgeon was surprised, "You forgot such a big thing?" Mr. Wu, is it jealous. ”

"Nothing."

Some things can't be said clearly, and Mr. Wu really forgot about the knotting.

The CT again found that the bilateral perirenal retroperitoneal contrast was enhanced, and Ji Xiang compared the CT taken by the emergency department.

The location of the urinary cyst is more obvious when there is a contrast.

There are problems on both sides.

The contrast image is sharper than the previous one.

Lu Gang looked at the image and was inexplicably surprised.

A 3 in 10,000 patient with a 3 in 10,000 chance of encountering a traumatic or blunt traumatic patient has a ureteral rupture!

Kada~

Lu Gang felt that his character had completely collapsed.