Sleepless Doctor

Is this still digging? Xue Chunhe was rather helpless.

　　 "If it's okay, I'll leave first."

　　 On this day, as if dreaming, Director Liang watched Teacher Wu leave and was in a daze for a long time.

　　 I thought I had no chance, and kept telling myself that the risk of Bajingzi's side was too great. As a result, Teacher Wu fluttered a sentence and knocked himself out.

　　 It must have been seeing my high level, which impressed Teacher Wu. Director Liang sent the patient back and sat in his office thinking happily.

　　Lass is a technique, even in the magic city, what I did with my own teacher was not as smooth as today. Is it possible that he has accumulated a lot of knowledge and suddenly realized it? Director Liang was silly and happy.

　　 Every time I get a little bit of technical achievement, I will be very happy, especially Director Liang himself has a very strong technical level, and it has been a long time since I have experienced such a pleasant feeling.

　　 It must be his own accumulation. Director Liang recalled the process of making lass. Every step was so smooth and perfect. Looking back now, it was like drinking nectar, and my heart was extremely refreshing.

　　 It’s no wonder that Mr. Wu didn’t hesitate to go there after seeing him undergoing such an operation. At this level, wherever he put it is a piece of gold!

　　 Director Liang thinks about it, the happier he is. The technological advancement makes him so excited that he can't help himself. Like a child who just got a toy, he is anxious to try again.

　　 Are there any suitable patients in the ward? Director Liang began to ponder this matter.

　　 There must be no team in his own group, Director Liang knows it well. He thought, picking up his cell phone and contacting his team's professor.

　　 But after thinking about it, Director Liang put down his mobile phone and strolled to the operating room by himself to take a look at the equipment, ready to familiarize himself with the equipment.

　　 Now he is like a swordsman who has just learned peerless swordsmanship, wiping his sword to the point where the human sword is one, and it is estimated that he will be able to reach a higher level in the future.

　　When he came to the operating room, Director Liang heard a giggle of laughter from the nurses' duty room.

　　 "I'll hand in the application in the afternoon. It's useless for you to laugh at me." A voice came out.

　　 "The teacher Wu has a girlfriend.

"What's the matter, it's good to be able to take a look at something and nothing else. Buying a concert ticket costs more than 1,000 in the front row, and I can't see much. Just now, Mr. Wu was standing next to me, even though he was wearing a mask. It looks good, masks are so pleasing to the eye."

　　 "Go, go, I'm old, and I just need to be a mother-in-law to bless me from afar." The head nurse's voice came out.

　　 Director Liang smiled, is the head nurse all a real mom fan? This is really a face-seeking world. If you set up a hospital in Bajingzi, let alone a young nurse, I am afraid that the head nurse who has worked with him for many years will not take him with him.

　　 Looking at the teacher Wu, the most lacking nursing power was taken away with blood.

　　 Thinking about things in a mess, Director Liang went straight to the ERCP room.

There are 3 ERCP rooms in 　　 Medical University Second Hospital. The innermost one is Director Liang’s operation room, which is the quietest and the best equipment. This is the prerogative of the director, and no one will keep beeping because of this.

　　 Director Liang took a brisk step, humming a little song in his mouth, and prepared to check the equipment like a soldier was going to wipe a steel gun.

　　 Suddenly the door of the second surgery room opened. The operator was Professor Li, and he hurried out wearing a lead suit.

　　 "Director." Professor Li said hello, without saying anything, and continued to leave.

　　 "What's wrong, you are so anxious." Director Liang asked.

　　 "Director, I do ERCP imaging. The common bile duct stones are much larger than the preoperative image. I can't do it. I can prepare for the next plastic stent." Professor Li said, "I will explain to the patient's family."

　　Huge stones? Director Liang's thoughts moved slightly, frowned and said, "Which patient?"

"Director." Professor Li stopped and looked at the report from Director Liang, "84-year-old male patient, chief complaint: epigastric pain for 5 months, worsening for 4 days. Skin and sclera were slightly yellowish, and right upper abdomen was mild tenderness. , The liver area is slightly painful."

　　 "Laboratory inspection."

　　 ".5umol/.2umol/.4U/.2U/.8U/.3U///L, blood Rt and coagulation are normal. CT of the upper abdomen: multiple stones in the common bile duct with dilatation of the bile duct, multiple stones in the gallbladder, cholecystitis."

　　Professor Li Hui reported, "Director, CT shows that the largest stone in the common bile duct is 3×2cm in size. It is estimated that it can be taken out before surgery."

　　 There is an old saying that people’s heart is separated from the belly, and this sentence is quite accurate when it is put in the medical process.

　　 CT, MRI and other imaging examinations can only provide reference. Sometimes the results of direct visual inspection are completely different from the imaging results. This has little to do with technology, mainly because imaging is not so accurate yet.

　　 It is estimated that Professor Li encountered a similar problem.

"The initial imaging shows that this stone is very large, but the image is not very good. The guide wire was retracted into the knife. I hooked it with the knife. I saw a stone with a width of 2.5cm and a length of 4cm. There was a small stone below it, which seemed to follow There is a big discrepancy in preoperative CT."

　　3.5×4cm? What a big stone!

　　 Such a large common bile duct stone has exceeded the treatment scope of ERCP stone removal. If the pounding time is long, the stone must be smashed, which may result in damage to the common bile duct.

Professor Li means that the patient is older, and the next plastic biliary stent is almost the same to ensure the smooth flow of bile~www.wuxiaspot.com~The service life of the plastic biliary stent is estimated to be longer than that of the patient, and there is no need to take it out. problem.

　　 In the past, when encountering such a large common bile duct stone, Director Liang would definitely make this choice.

But!

　　 Now he feels that he has upgraded! After a long time in the jungle, you can directly upgrade to solve this problem in a completely new way.

　　 Yes, a brand new way, an upgraded version of yourself is about to debut!

　　 "Professor Li, talk to the patient's family later." Director Liang said.

　　 "Huh?" Professor Li was taken aback.

　　 "You are going to push the machine here." Director Liang said with a smile.

　　Using a laser to break stones? Professor Li looked at Director Liang, only for a moment. After he understood what he meant, he immediately responded and pushed the device.

　　 In the second hand, Director Liang evaluates the patient's condition in his heart after seeing the ERCP imaging. He felt that what Professor Li had done was not enough, so he went straight up and blocked the RT opening with a stone-removing balloon, and performed another radiography.

　　 Because the RT port is blocked, the length of the common bile duct stones displayed this time is longer than what Professor Li saw, about 5cm.

　　 This kind of stone can be called a huge stone. If the patient is a teenager or younger, he can choose endoscopic bile duct incision and stone removal. But the patient is 84 after all. At such an age, there is nothing wrong with Professor Li's approach.

　　 But now that there is a better choice, Director Liang smiled slightly, as he knew it.