Chapter 464 The opportunity to become famous has come!

However, Xu Qiu's expression did not change.

He looked at Xun Yu carefully.

The patient had not undergone surgery before, so iatrogenic factors such as spinal surgery and radical pelvic surgery could be ruled out.

From the perspective of incontinence alone, there are too many suspicious diseases.

For example, Hinman syndrome.

However, in addition to urinary incontinence, the most important feature of Hinman syndrome is that the urethral sphincter also contracts when the urinary urgency contracts, and patients often have frequent urination and urgency.

But according to Xun Yu, except for incontinence, her urination habits are normal, and there are no other abnormalities except for the low frequency of urination.

Therefore, it is basically not Hinman syndrome.

Systemic lupus erythematosus that can cause nervous system involvement can also be ruled out.

After thinking about it, Xu Qiu took out the patient's examination report again.

There is no problem with the ureter, no problem with the kidneys, and the patient himself does not show too many other symptoms, so... maybe the cause is in the bladder?

CT can only show whether there are obvious lesions such as tumors in the bladder, but some lesions that can cause the urine stored in the bladder to be discharged involuntarily cannot be seen at all.

"If you refuse to cooperate with the rectal examination, how about adding an electrical stimulation spinal reflex test?" Xu Qiu asked.

"Okay."

Xun Yu did not have any doubts, but after hesitating for a while, she lowered her head and said: "Doctor, I washed the white coat at home, and I will send it to you after it is dry."

"Well, go for the check-up... Do your family members know that you are here for a check-up?"

"I don't know."

"It's better to notify your family."

After Xu Qiu finished speaking, he left the observation room, quickly ate two mouthfuls of food, and rushed to the operating room.

Xun Yu was stunned.

Yun Mei came in and called her. Seeing that her expression was a little strange, she asked: "Go for the check-up. Doctor Xu is very powerful and can definitely cure you."

Xun Yu's nose was sour, "Doctor, you said that the male doctor just asked me to notify my family... Does it mean that I have a terminal illness!"

Yun Mei was silent for a while.

Every examination and every medical advice of Xu Qiu was targeted.

He asked Xun Yu to inform his family, so it was estimated that the disease would not be optimistic, and at least a major operation would be required.

"It may not be a terminal illness. You can't be sick without someone to take care of you, and you will have to do examinations later. It will be much more convenient to have family members to help you."

"It seems so... Then I will ask my mother and others to come and accompany me to the examination."

"Don't worry, he is Dr. Xu."

"I don't know who Dr. Xu is, but I can feel that he must be a good doctor!"

...

After two operations, the report of Luo Zhongshi, a patient with liver rupture, was also delivered to Xu Qiu.

Abdominal CT showed: the internal density of the right lobe of the liver was uneven, and multiple fissures and cystic low-density areas were visible, distributed along the posterior and inner edge of the liver, with mixed density inside, and strip-shaped high-density shadows on the outer edge of the liver.

Diagnosis:

1. Liver rupture;

2. Perihepatic blood accumulation.

Xu Qiu asked, "When is the next surgery scheduled?"

"In an hour and a half!"

"Well, then we'll do a liver rupture repair... Have the family members come?"

"They are all here. While you were still on stage, Director Wang had already had a preoperative conversation with the family members, and the consent form for the surgery has been signed. The surgery can be performed at any time."

"Go on stage."

Xu Qiu went into the scrubber room again and began the preoperative aseptic preparation.

Liver rupture repair is different from other surgeries.

There is no clear surgical plan, or even if there is a plan, it is useless.

The liver is a complex area, and rupture bleeding progresses rapidly. Only after entering the abdominal cavity and seeing the liver with your own eyes can you make corresponding judgments and choices based on the actual situation.

It is a test of adaptability.

"Are you going to do this surgery?"

After Wang Ping learned the news, he rushed over and started scrubbing his hands.

There was also a female doctor behind him, who was Mo Wan.

Wang Ping smiled and said, "You should know Mo Wan, a student of Academician Chen, who is very knowledgeable in hepatobiliary surgery. This operation was originally supposed to be performed by her."

Mo Wan was somewhat reluctant and said, "Doctor Xu, how about you let me do it? Shi Lian said that you have three operations this afternoon. You can take a break for this one?"

She finally waited for this opportunity and was determined to make a name for herself in the emergency department!

Liver rupture repair surgery is not simple. Because the tissue inside the liver is extremely fragile, it is called a repair surgery, but in fact, it is very easy to cause secondary damage to the liver during the repair process.

Mo Wan herself has performed several operations. It is inevitable that the sutures cut the liver during the repair, but she has innovated the surgical procedure to minimize the impact of the cutting problem. In addition, she has also avoided defects such as poor suture and residual cavity as much as possible.

"I have a lot of experience in liver repair. The injury score in the industry is basically 4 to 5 points, but I can reduce it to about 2 points!" Mo Wan said.

Wang Ping was shocked.

Two points? !

Although he mainly deals with lung emergencies, sometimes when the surgery touches the lower boundary of the lung, the patient's healthy liver is easily damaged.

Moreover, Luo Zhongshi's liver was already ruptured. Judging from the abdominal CT scan, the rupture was probably quite severe. The S7 segment of the right lobe of the liver was split into several pieces, and the texture was even more fragile.

Being able to control the injury score to half of the average level is enough to prove Mo Wan's superb medical skills.

Wang Ping also looked at Xu Qiu. To be honest, he wanted to see Mo Wan's skills.

This is Academician Chen's most respected disciple after Nie Xiao. He also achieved not bad results in the last world competition. Although the overall ranking is outside the top 20, in terms of hepatobiliary surgery alone, it ranks third in the world!

"Two points?"

Xu Qiu shook his head without thinking: "Too high, the patient has a serious rupture and deep shock. If there is such a big injury, the prognosis will be much worse."

"Big?!"

Mo Wan and Wang Ping widened their eyes at the same time.

Two points is already the top level in the industry, and Xu Qiu actually despises it? !

"How is it possible!" Mo Wan said in disbelief.

After a brief shock, Wang Ping's face immediately burst into a smile.

He looked at Xu Qiu, and then at the unconvinced Mo Wan, and gloated a little.

After this operation, another talented doctor may lose his dream.

Linyi will have another loyal doctor.

"I don't believe it..." Mo Wan kept shaking her head.

When she was on the operating table, she was still skeptical.

The liver is fragile, and sutures must be used when repairing it. The tiny sutures will not affect other tissues, but they will cut the liver open!

Since Xu Qiu thinks two points is too high, could it be that...