496 Rarely seen reasonable
Zhai Yuhan was slightly stunned when he heard this, and his hands were a little numb.
But she didn't know why, she always felt that it was coming sooner or later, and she wasn't too surprised, but her heart that had been hanging fell down.
It was a very strange feeling, and the figure of Ji Xiang flashed in front of her eyes, lingering.
Zhai Yuhan didn't rush to ask what was going on, but glanced at Ji Xiang beside him.
Ji Xiang was giving Zhao Mengmeng a clinical consultation, the logic was clear, the organization was clear, and he spoke better than himself, and he didn't notice that he was looking at him.
"Xiao Zhai?"
"Sister Cui, I'm here, what's going on."
Zhai Yuhan asked.
"You remember the postoperative patient who was sent last night."
"Yes." Zhai Yuhan looked at Ji Xiang with deeper eyes and harder.
"I did a mirror this morning and saw a perforated duodenum with a foreign body."
"Foreign objects?!" Zhai Yuhan was stunned.
"It seems to be a titanium clip. When I was making a mirror, I clamped it, and found that it didn't move, and I didn't dare to drag it, so I quickly came down and said to you. ”
Titanium clips?
Titanium clips!
The memory of last night began to flash back in Zhai Yuhan's mind, her hands were numb and cold, as if they were not her own.
"I'll take a look, Sister Cui, have you explained to the patient?"
"No, I'll tell you first, you and Director Yang."
The voice on the other side of the phone was serious, for fear that Zhai Yuhan was inexperienced or wanted to get this matter over.
There is a problem, and it is not a problem of others, and it will definitely not be hidden.
Being able to make a time difference and say hello to yourself first when you have something is already very righteous, which Zhai Yuhan knows clearly.
She took a deep look at Ji Xiang, and saw that Ji Xiang didn't seem to know about it, so she went to Director Yang with suspicion.
"Boss." Zhai Yuhan walked into Director Yang's office and told what happened last night.
The more Director Yang listened, the tighter his brows wrinkled.
"Boss, see what to do." Zhai Yuhan finally got rid of the subtle state of mind before and began to panic a little.
This is a proper accident, although it is not a liability accident, but there is always a problem. If you catch up with a patient and the patient's family who are not reluctant, the consequences are unimaginable.
What happened next, Zhai Yuhan didn't dare to continue thinking about it.
"There is a situation in which the titanium clip that clamps the cystic duct or gallbladder artery after cholecystectomy falls off and moves with the bowel.
When one end of the titanium clip is against the intestinal wall of the duodenal bulb, the local tissue is compressed, and after a certain period of time, the tissue gradually necrosis, resulting in intestinal perforation, and the titanium clip enters the digestive tract, and the titanium clip stimulates the surrounding intestinal mucosa, causing ulcers around it.
However, because the process is slow, adhesions have formed around the perforation, so the signs and symptoms of peritonitis are not present. ”
"The other is due to the low position of the cystic duct into the common hepatic duct, or the anatomical variation of the gallbladder artery, the titanium clip that clamps the cystic duct or gallbladder artery directly against the duodenal bulb, resulting in perforation."
"Gallbladder artery...... During the operation, the patient's gallbladder artery was indeed low...... "Zhai Yuhan recalled the operation process according to her boss's words, and she found the problem.
"That's the perforation caused by the clip that pinched the gallbladder artery and pushed up to the duodenal bulb."
After Director Yang made it clear, Huo stood up and asked with a serious expression, "Didn't the Department of Gastroenterology tell the patient?" ”
"Nope."
"I'll go tell you."
Zhai Yuhan was grateful.
This kind of thing is still taken care of by the boss, if you let yourself talk about it, there is a high probability that there will be problems.
But the boss didn't know anything about the lake to take this problem next.
It's a kind of luck to meet this kind of boss who can help his little doctors and students with their work.
Zhai Yuhan trembled and followed Director Yang all the way to the Department of Gastroenterology.
When I entered the ward, the inpatient of the Department of Gastroenterology also followed.
Director Yang saw that the patient was half-lying on the bed, his face looked okay, not pale, nor weak, and he was a little relieved.
"How's it going, is the stool still black?" Director Yang tried to make his words a little softer.
"Director Yang, why are you here?"
The patient tried to sit up from the bed, but Director Yang hurriedly stopped him.
"Come and see you."
"No, no, Director." The patient's family said, and after finishing speaking, he felt that his words seemed to be a little wrong, and scratched his head, "Thank you, Director." ”
"I heard blood in my stool?" Director Yang asked with a knock on the side.
"Oh, maybe it's a titanium clip. I just took a look in the mirror, but I didn't have time to ask Dr. Choi. ”
Director Yang and Zhai Yuhan's hearts sank suddenly.
The patient even knew about the titanium clip......
The inpatient in the Department of Gastroenterology was also stunned, and she rarely saw such a cultured patient.
In fact, it has nothing to do with culture, but professionalism.
If you put it a few years ago, Mr. Cui would have thought that they were medical troubles and understood the relevant possibilities in advance. Or maybe there are doctors in the industry who pout and tell the patient everything in advance.
But over the years, there has been a lot less medical trouble, and the patient's attitude towards Director Yang is very kind and humble...... She's a little lost.
"Gallbladder removal surgery requires a titanium clip to clamp the blood vessels, and there is a small probability that there may be problems." Director Yang began to communicate with the patient's family.
He has his own judgment on this matter, and hopes to make the big thing small.
But even if he went out by himself, Director Yang was not very confident.
"It's okay, it's okay, Dr. Zhai told us before the operation, and there may be similar complications." The patient's family said again and again, "But we can't just leave it alone, we are mentally prepared." I was relieved to come to the hospital, Director Yang came in person, and I was fine. ”
The patient's family was a little nervous, and the speech was reversed, but the content was understood by several doctors.
They looked at each other, and no one expected a similar situation to happen.
Whether it is Director Yang, Zhai Yuhan, or the general inpatient of the Department of Gastroenterology, they all think that this is a big deal, a big deal. Once there is a slight mistake in processing, it will inevitably lead to irreparable consequences.
But!
Patients and their families know everything and seem to understand it.
Director Yang held back his stomach and wanted to say something, but when he encountered such a "reasonable" patient, he didn't need to say a word.
Needless to explain, although it is worry-free, Director Yang's brewing emotions all the way are like a heavy punch in the air, shaking him for a moment, and his heart is empty and uncomfortable.
"This rarely happens to my lover, because the anatomy is different from normal people, and I know it." The patient's family said, "Director Yang, don't worry, I will definitely cooperate with the treatment." ”
Director Yang glanced at the general manager of the department of gastroenterology, and Mr. Cui shrugged his shoulders and signaled that he didn't know anything, and he definitely didn't tell the patient earlier.