The surgery to remove the spleen has been completed, and the patient is still lying on the operating table open.

Mr. Wu said politely, "Mr. Lu, do you think you can get on?" ”

Lu Gang was a little annoyed, but he couldn't show it, he shook his head silently, and then nodded again.

He kept staring at the slightly rough CT image on the screen, and his heart became more and more awkward.

Ji Xiang's luck is really good, the probability of 3 out of 10,000 is for him to touch, Lu Gang expressed disbelief in his heart.

As for the operation, Lu Gang hesitated, there must be a problem, although he didn't think it was a ureteral rupture, but it was always right to take a look.

Seeing him nodding, Mr. Wu was not polite, and beckoned Ji Xiang to have surgery.

He was very simple, disinfected after brushing his hands, and did all the work by himself, and he didn't mean to treat Ji Xiang as a regular trainee at all.

Angiography showed that both ureters were completely ruptured, and there was no way to implant a ureteral stent.

The objective basis of the clinical examination proves the correctness of Ji Xiang's statement.

"Complete rupture of the ureteral junction of the bilateral renal pelvis and ureters." Mr. Wu said softly.

Just like Ji Xiang just said, once he stepped down according to the diagnosis of kidney contusion, he found that he could not elicit urine......

Fuck it!

The patient had to be tossed again.

The hemorrhagic shock of the forefoot is just a little bit bit, and it will soon be anesthetized, operated again, and subjected to another blow.

This is very different from doing it now, which is traumatic to the patient.

Mr. Wu sighed, although the misdiagnosis is a high probability, but with Dr. Xiaoji, he directly gave the correct diagnosis, which is obviously more reliable.

Lu Gang's eyelids kept beating.

It turned out that what Ji Xiang said was indeed right, he didn't understand it, and turned around and took the emergency film to look at it carefully.

After looking at it many times, Lu Gang still thinks that the image is an artifact, and it will definitely not be something like a urine cyst.

If there is no re-examination and comparison CT, if he is given a hundred more chances, the patient will be misdiagnosed.

Lu Gang can't accept it, the iron-clad facts are in front of him, if he is the head iron, he will die a miserable death.

And Lu Gang belongs to the academic school, if he is wrong, he is wrong, the objective evidence is there, and he didn't think about how to get his face back.

He just couldn't figure it out, and he couldn't figure out why Ji Xiang was so sure that the patient had bilateral ureteral rupture.

Ji Xiang didn't know, and he didn't care about Lu Gang's feelings. He is the old Lu of the medical department, not the Professor Zhou who I met in empathy.

After a few polite words with Mr. Wu, Ji Xiang stood in the position of the sorcerer and was refreshed.

The surgery wasn't difficult, at least for Ji Xiang.

Coupled with the training of more than a dozen units in the operating room of the system, Ji Xiang can take it down perfectly.

Ji Xiang cut the ureter horizontally at the lower end of the stricture segment, and then cut a section of the stricture ureter for examination and ligated the stump.

The distal end of the ureter is placed behind the abnormal vessel and an oval inclement is made at the lowest point of the renal pelvis, and a ureteral stent tube and renal pelvis drainage tube are inserted through the renal parenchyma.

Then Ji Xiang made a flap anastomosis between the ureter and the renal pelvis.

"Xiao Ji, you do a really good job of matching this petal." Mr. Wu helped Ji Xiang tie the knot, and saw that the needle holder in Ji Xiang's hand was shuttling up and down in a narrow range, sometimes reflecting the light of the shadowless lamp, looking extremely handsome.

Ji Xiang smiled, this kind of small operation can be done with his eyes closed.

"Xiaoji, I really didn't see what the problem was at that time, how did you diagnose it?" Mr. Wu humbly asked.

"The density is different, although it looks very strange, but considering that the patient has hemorrhagic shock after injury, the blood volume is depleted......"

Ji Xiang "relayed" everything that the system NPC said to Mr. Wu, and Mr. Wu and Lu Gang, who were facing the reader, were stunned.

They are all old clinicians, and although their level of watching the film is average, they all understand whether what Ji Xiang said makes sense.

didn't expect Ji Xiang to watch the film so well, Mr. Wu was convinced.

He deeply sighed that his fate was good, but fortunately he did not hesitate to choose to stand on Ji Xiang's side in the "dispute" between Ji Xiang and Lu Gang.

Otherwise, although it is not considered a medical accident, it will inevitably open the stage for the second time, and I will feel a little uncomfortable.

When a doctor is like this, which famous doctor does not have hundreds of misdiagnoses behind him. But within the scope of our ability, we must do our best.

Dr. Zhan Xiaoji is definitely right!

Mr. Wu once again strengthened this point of view in his heart.

Although Ji Xiang did not use the [Gaze of a Senior Doctor], Mr. Wu directly caught the skill in the void and took the initiative to become a junior doctor.

All worries aside, Mr. Wu is still very good at being an assistant.

He helped cut the threads, suction and stop the bleeding, and the operation went very smoothly.

After Ji Xiang did the valve-shaped anastomosis, a rubber tube was placed around the renal pelvis and next to the anastomosis, and the stent tube and renal pelvis drainage tube were fixed with absorbable wires.

"Warm salt water." Ji Xiang stretched out his hand.

The instrument nurse was stunned, "Is it so fast?" ”

"Uh......" Ji Xiang was also stunned for a moment.

Recently, Tang Yan cooperated with herself, which step she did in the operation and what she needed to cooperate with Tang Yan gradually figured out that although the operation was not as smooth as in the system operating room, it was much more comfortable than cooperating with others.

If Tang Yan was there, she would be able to send warm salt water over as soon as she raised her hand. It's like an old husband and wife, and he doesn't even need to look at him.

"It's over, rinse off the belly and get off the stage." Ji Xiang didn't complain, just a little resentment.

Tang Yan is still more comfortable.

"Doctor Xiaoji, that's amazing." The instrument nurse said with a smile, "I thought I could come down in at least three hours, but it was only more than forty minutes, so I didn't delay eating." ”

"The diagnosis is correct, and the surgery is actually not difficult." Ji Xiang smiled.

The itinerant nurse trotted to fetch warm salt water, thinking about eating, and Ji Xiang was very serious and basically didn't drive, so everyone didn't have much of the heart to chat.

After rinsing and exploring, there was no active bleeding, and Ji Xiang began to close his abdomen.

"Xiao Ji, I'm glad I found out." Mr. Wu breathed a sigh of relief, "The nephrectomy rate of patients diagnosed and treated early is 4.5%, and among patients with delayed diagnosis, the data is as high as 32%. Is that so? ”

"Yes."

The data that Mr. Wu said was very accurate, the basic skills were solid, and Ji Xiang finished the last stitch and threw the thread into Mr. Wu's hand.

"Normally, 50% of patients will be misdiagnosed, but I feel that the misdiagnosis rate is higher than this number, maybe even 90%."

Mr. Wu didn't think that Ji Xiang was boasting, but this passage became another meaning in Lu Gang's ears.

90% of patients are misdiagnosed, so what then? Is this kid yin and yang?

Ji Xiang can give the correct diagnosis, he is not showing off or something!

In an instant, Lu Gang, who prides himself on being a professional and academic, almost entered the inside mode, and almost didn't go berserk.

It's too much, isn't it just a diagnosis of the right one, what's there to show!

Lu Gang glared at Ji Xiang's back viciously.

It's just that the light of the shadowless lamp is a little cool and a little dazzling.