Chapter 206: 【206】Careful investigation is very important

   Chapter 206 [206] Careful investigation is very important

   "Can you relax a little? Don't be nervous, Auntie." Liu Jingyun tried to soothe the patient's emotions.

   "I can't bend down, I can't bend down." My aunt kept shouting about the pain in the back.

  Liu Jingyun looked back at the clock. The surgeon may be coming in a while. If he saw that the patient was not anesthetized, he would probably be angry. This is the noon operation, which was originally performed by the surgeon at the expense of rest time for the patient.

   As a result of the anger of the surgeon, just like the last time in the emergency department, he finally complained to the anesthesiology department: it is just a simple spinal anesthesia, and the people in your anesthesiology department can't do it well?

   "Don't be nervous, take a deep breath, Auntie. Shall I shake your hand first?" Liu Jingyun held the patient's hand, wishing she could take the pain instead of the patient.

  Xie Wanying took a look at the patient's state and showed the patient from head to toe to see what went wrong.

   Lumbar disc herniation, so back pain? Did the patient complain of exaggeration? You say it hurts so much that you can't bend your waist? Some patients are nervous when they enter the operating room, and they are too nervous to amplify their pain.

   The heart rate of the patient on the monitor is a little fast, but the blood pressure is strange, a little low?

   "Senior sister." Xie Wanying called out big sister again.

  Liu Jingyun turned her head and asked the little junior sister suspiciously, "What's wrong?"

   "Should not be able to do spinal anesthesia."

   Maybe little junior sister doesn’t understand, lumbar disc herniation can be done with spinal anesthesia. Liu Jingyun was going to talk to the younger sister.

   went around the end of the patient's bed and walked to the other side's eldest sister, Xie Wanying whispered: "Maybe it is necessary to rule out spinal problems, such as ankylosing spondylitis?"

  Spine problem? Liu Jingyun was taken aback.

   "Patients in the emergency department? How many tests have you done?" Xie Wanying asked.

  Liu Jingyun looked back at the medical records on the treatment car, it was an emergency patient. It may be that the emergency doctor was afraid of what would happen to the **** and rushed to operate.

   What is the specific situation, Liu Jingyun walked back, picked up the medical record and checked it again. It turned out that the patient had an **** fistula. She had undergone an **** operation before, and local anesthesia was used at that time. There is no risk with local anesthesia, and low **** fistulas are treated. Later, it was found that the recurrence was serious, which may involve high **** fistula. I came in from the emergency room, and this time I entered the operating room, probably wanting to do a complete **** surgery.

   For surgery, some pre-operative examinations will be done, such as electrocardiogram, which is generally fine, blood tests, and coagulation. Because of the **** fistula, there must be infection, and the white blood cells are higher, so surgery is required.

  Liu Jingyun thought and thought, why does the little sister suspect that there is a problem with the spine?

"It hurts like this, will it be spinal deformity? The local anesthesia surgery last time may not need to bend over." Xie Wanying said, "And the patient is thin and has high white blood cells. It is said to be caused by **** fistula, but will there be other problems? What caused it?"

  Bending down and back pain, generally do not say that the pain is so high, even a little bending is not enough, the patient said that the head also hurts.

  There is a problem with the spine, so spinal anesthesia is definitely not possible. This is a contraindication to spinal anesthesia.

  It is right to be cautious, but in order to find out whether this is the reason, the patient needs to be filmed, and the clinician must be contacted for consultation. If the other teachers are okay, it's the instructor Zhang today, Liu Jingyun thinks about it.

   Putting down the medical records, Liu Jingyun walked back to the patient's bedside, stretched out her hand and touched the patient's back to check the patient's spine. When I touched it carefully, I found that the patient's back muscles were very stiff, which was obviously different from ordinary people. It felt really wrong.

   "Didn't you have a chest X-ray?"

   "Non-hospital patients, come in from the emergency room, it's too late to take a picture." Xie Wanying helped the senior sister to look through the medical records and said.

   (end of this chapter)