Chapter 904: 【904】Debate
Chapter 904 [904] The debate will not be transferred
In the third grade, it involves the rupture of the spleen hilum, and the fourth grade is the most serious, the spleen is severely fragmented, and the entire spleen needs to be removed.
The reason why Dr. Zhou was so surprised was that when the child arrived at the county hospital, he had already clarified that the surgery here does not have the conditions to operate on infants and young children, and no doctor can do it.
"It can only be sent to the hospital above." Dr. Zhou hurriedly told Xie Wanying, Nie Jiamin and the others, and asked the nurse to call the nearest hospital in the city that could accept the child.
Seeing that Senior Doctor Zhou might not have understood what Teacher Nie meant, Xie Wanying helped the teacher to add an explanation: "Doctor Zhou, don't send it to the hospital in the city. Teacher Nie's idea is that the child must be operated on in the operating room here. It was too late to be taken to the hospital in the city."
Dr. Zhou was restless and jumped, and said to her: "You don't know, didn't I tell you before? No one has done it. Give the child a blood transfusion first, give more blood, and try to save her life as much as possible. Go to the hospital in the city, where a doctor will operate on her. It takes about two hours to get there by car."
"Two hours was too late, her spleen door ruptured and the whole hemorrhaged." Xie Wanying said.
Her words caught Nie Jiamin's attention. Turning her head, Nie Jiamin looked at her with a gleam of light in her eyes: I just thought that the b-ultrasound doctor just reported in one sentence, how could she hear the rupture of the spleen door, unless he understood the images of the b-ultrasound by himself.
"No, no, no." Dr. Zhou insisted on his own proposition, seeing that he was very afraid of the child dying on the operating table, and expressed strong dissatisfaction with Xie Wanying, "I think you are just a student, and I have never seen such a Patient. I have seen many similar patients. Some are more serious than her, and can be safely sent to the city for surgery."
"How serious it is if it is more serious than her. If she can stop the bleeding as soon as possible without abdominal exploration, the blood loss will be unimaginable. She is an infant."
Dr. Zhou was very surprised after hearing her words: "Where did you come to this conclusion?"
"The splenic hilum is ruptured, the splenic artery and splenic vein are ruptured, and she has moving dullness in her abdomen when you percussion again." Xie Wanying said.
If there is a mobile dullness in the abdomen, the adult is close to 1000 ml of ascites, yes, the infant must be in worse condition. Dr. Zhou was speechless: "This--" I think she listed the data, and if he wants to refute, he has to come up with the relevant data.
Someone laughed out loud.
Doctor Zhou turned his head and saw the shy expert Teacher Nie smiling.
Some people are eloquent and sophistry, and some people can talk about their strengths. The uncontrollable laughter in Nie Jiamin's throat was that seeing a person as honest and eloquent as her was undoubtedly the latter, and when she heard it, she couldn't help but smile from her heart.
Hearing the teacher laughing, Xie Wanying stopped talking for a while, thinking that she seemed to be talking too much, and she was playing an axe in front of the teacher.
The student didn't speak, Nie Jiamin took the time to say, "I will perform abdominal puncture, and if the diagnosis is clear, send it to the operating room."
"But, but the chief surgeon—" Dr. Zhou blinked at the experts from the capital: Experts, please don't embarrass us, even if you are members of the National Association, you can't mess around. No one can do something that can't catch them on the operating table.
Teacher Nie is modest, but the doctor didn't hear it this week.
(end of this chapter)
