Chapter 739: 【739】The worst result is estimated
Chapter 739 [739] It is estimated that the worst result
Xie Wanying was pondering in her heart that the positions of these puncture holes were somewhat special, which were slightly different from the usual surgical puncture positions. It is manifested that at least three punctures form a straight line under the costal margin.
If her prediction was correct, would the chief surgeon, Brother Tao, make a puncture hole like this for the convenience of laparotomy, so that when the laparotomy is done, you can make a one-size-fits-all cut along this straight line.
Senior Tao is very careful, and he took precautions first, which is enough to show that Brother Tao is not too optimistic about the situation of student Zhao.
A stern touch swept across her face.
When Yue Wentong was thinking about what she saw, a doctor on the operating table said, "The color of the liver has changed."
See, He Guangyou, who is a helper, is giving advice to the chief swordsman.
The monitor screen shows a relatively clear liver condition in the patient's abdominal cavity.
A normal liver has rich blood supply, and the color is dark red to sauce purple. Laparoscopy revealed that the patient's liver was actually lighter in color. Partially like partial liver cirrhosis, which is very different from the mild reversible fatty liver that we previously deduced.
"Isn't it fatty liver?" Gong Xiangbin said next to Qiu Ruiyun's ears.
"If not, what would have happened?" Guo Yiping, who was reticent to talk, showed considerable anxiety about the patient's condition.
"Liver abscess, there must be an infection." Qiu Ruiyun pinched his chin, "As for the infection—"
A bunch of doctors only blurted out the worst result. Someone has to be the "bad guy". So, He Jiuliang said: "I think we may need to be mentally prepared. The patient may have intrahepatic cholestasis. This disease does not rule out that the patient's liver cells have problems themselves. And he is chronic, The prognosis will be worse than anything we expected."
The super big ice water popped on everyone's heart.
Cholestasis is a syndrome with complex etiology. So far, medical scientists have not solved many difficult puzzles in this disease.
This disease has a very special feature. Chronic is more difficult for doctors to handle than acute.
Acute etiology is relatively easy to trace, as long as it is not the cause of the liver cells itself, it is better.
If it is chronic, it is hidden and develops slowly. When the patient or the doctor is aware of it, the disease will easily turn into severe hepatitis and liver cirrhosis at a certain stage, and the prognosis is very poor. The etiology is often defined as a problem of the liver cells' own metabolism, and there is basically no solution, and there is no cure. The only solution may be left: liver replacement.
"Fortunately, I did a surgical exploration." A bunch of doctors are now feeling lucky. If the disease is really delayed, Zhao Zhaowei may suddenly deteriorate into acute liver failure and die. Therefore, sometimes when CT and other auxiliary examinations cannot find the cause, it is best to explore the actual situation in the patient's body by surgery.
Direct vision is better than blind guessing anyway, which is the most important meaning of surgery.
"Make a biopsy. If it is determined that it is a liver cell problem, you need to discuss with the patient's family about liver transplantation." He Guangyou said, as if he has changed from a slow-moving senior to a brave and active and impatient senior, eager to replace Zhao immediately. Liver.
Student Zhao's liver, is it really useless?
Di Di, Di Di, the patient's heart rhythm fluctuated slightly, as if he heard something.
Zhang Tinghai adjusted the anesthetic dose for the patient.
During anesthesia, sedatives, muscle relaxants, and pain relievers are commonly used by anesthesiologists.
(end of this chapter)
