474 Destructive surgery

Director Li Mingli was present, and the patient's family quickly accepted this reality.

Director Fan acted resolutely, dispelled his last doubts as quickly as possible, and signed a contract with the patient's family.

At the moment of signing, the patient was already lifted into the flat car and ready to go to the operating room for surgery.

Ji Xiang breathed a sigh of relief.

This is a "task" that he completed independently, and although there is no reward, Ji Xiang is also very happy.

"Doctor Xiaoji, that's good." Director Li Mingli praised, "I was also stunned at the time, I didn't expect that there would be a film crew that could be used." ”

Ji Xiang smiled and walked quickly to the operating room with Director Li.

……

In the review room.

The bald host asked, "Mr. Shen, how is this situation in the hospital?" ”

"Many." Professor Shen did not shy away from saying that he gradually figured out the routines of the film crew.

I can say some things that I can say in the usual chat, but the program team will still cut it out when editing in the later stage, no matter how exciting it is.

You don't have to worry about that.

Talk casually on your own, as long as you don't say anything too out of place. As for the trade-off, that's the business of the program team, and it has nothing to do with me.

"There are two phases to a similar situation." Professor Shen began to explain, "Before the advent of NCMS, many elderly people in rural areas did not go to the hospital at all. You think, the income of thousands of dollars a year, go to the hospital for two examinations and it will be gone, it is better to hold on at home. ”

With an income of thousands of dollars all year round, almost no one in the guests present could understand this sentence.

The joys and sorrows of people are not the same.

"Later, with the advent of the New Rural Cooperative Medical System, part of the reimbursement for medical treatment was available, and the number of people in grassroots hospitals gradually increased."

"This patient who has just been admitted to the First Affiliated Hospital, the severity of his condition is put aside first, and high nutrition after surgery is a very troublesome matter, which requires a lot of money...... Let's put it this way, at least about 50cm of the intestine should be cut during the operation, and the patient will need nutrition after the operation, and it can only be given intravenously. ”

"Liquids such as fat emulsions, amino acids, and ions are more than 1,000 a day, which is still less to say. This money is nothing in our eyes, but in the eyes of many people, it is unaffordable. ”

"And add a blood transfusion." Mao Mao added.

"Teacher Shen." The bald host saw Professor Shen pause, and he complained bitterly in his heart, whether these words are true or not is not said for the time being, even if they are true, it is impossible to put them on the show.

"The patient has been having blood in the stool, what is going on, and why is the interventional department involved?" The bald host changed the subject.

"In similar patients, hemostasis is ineffective, and there is only one way to treat it – to remove the bleeding intestine." Professor Shen explained, "But when we open the stomach, what our doctors can see is the peritoneum and the intestinal tube. The patient does not have traumatic bleeding, but bleeding from ruptured arterioles lining the intestinal tube. ”

"In this case, no one knows exactly which part of the intestinal bleeding is."

"A long time ago, when a similar situation occurred, the doctor would discuss with the patient's family and go to the stage to cut it."

“!!!” The bald host was stunned, "Mao Mengche? Broken cuts? ”

"Anyway, if you don't do it, the patient will definitely die, and if you do, the patient will still have a chance to live. There will be family members of patients who want to give it a try, and the success rate is not low. Professor Shen said.

"A long time ago, when was that?" Mao Mao asked.

When it comes to this extreme expertise, Mao Mao can't interject.

"More than thirty years ago, I just started working." Professor Shen smiled, "Expand the excision as much as possible, and cut out all the intestines outside the threshold for dumping syndrome." ”

"What syndrome?"

One of the guests asked.

Professor Shen wanted to explain, but hesitated. It might be better to explain, but the topic is too far away, and it takes a lot of time to say it yourself.

If you want to explain this disease clearly, it is estimated that you will have to give a few days and nights of classes to the medical novices.

Not necessarily.

"Cut as much of the intestine as you could at that time, and if the bleeding point was in it, it would be best."

"What if it's not there?"

"Patients will die very quickly." Professor Shen said.

“……”

“……”

“……”

The guests were silent.

The bald host asked, "What is Director Li of the First Affiliated Hospital going to do now?" ”

"There are two ways, one is imaging." Professor Shen said, "Intraoperative imaging to find the location of the bleeding. But because the intestines are coiled together, they are basically not clear, and they can only play an auxiliary role. ”

As he spoke, Professor Shen asked for a straw, coiled it in a circle, and explained it to everyone.

Some guests understood what Professor Shen meant, while others were still fascinated.

Being a guest also depends on the quality.

"The second method, which is also the most done, is interventional embolization."

"It is to find the blood supply blood vessel and block the bleeding blood vessel with a yellow circle or gel sponge."

"Teacher Shen, if I understand correctly, is the artery blocked? What about the blood supply after that. The bald host asked suspiciously.

Professor Shen nodded, the bald host had a clear idea, although he didn't understand medical treatment, but the question he asked was indeed on the point.

No wonder he is a popular host, he has been popular for so many years, and his basic quality is high.

"Yes, similar surgeries are also called destructive surgeries. Interventional embolization, intestinal necrosis, but not yet complete necrosis, depends on the experience of the surgeon. During the operation, the location of the necrotic intestinal tube is determined, and then the excision is performed. ”

“!!!”

“!!!”

The guests were shocked by Professor Shen's words.

"If the surgical skills are slightly poor and the necrotic intestine cannot be screened, the patient is also at great risk."

"Necrosis should be easy to see."

Professor Shen smiled but said nothing.

He is not a doctor in gastrointestinal surgery, and the specific details are not clear, so he can only smile and not speak in this paragraph.

"That's dangerous."

"No way, this is the best solution now." Professor Shen said.

"Mr. Shen, how many centimeters of intestine do you usually have to remove by means of interventional embolization?"

Around 50cm, the level of the surgeon. When I say surgery, I include interventional and surgical procedures. ”

Professor Shen said.

In the review room, everyone was chatting, and the camera of the film crew had entered the operating room.

This is an extremely precious opportunity, at least for the camera to get into the operating room. Although I don't know how many pictures will be left in the end, the guests are watching with wide eyes.

The operating room is extremely mysterious in the hearts of ordinary people, and now it is slowly unveiling.

The crew was wearing lead suits, and they were about to go into the operating room to record live.

For their desperate spirit, the bald host understands it very well.

The data of the first two episodes of the show has reached the previous high, and the bald host knows that Director Fan and everyone in the film crew want to go further.

If you catch up with such an opportunity again, then go for it.