The system takes me for surgery

Qin Hanyun said: "After a detailed examination, it was found that the old man did not have hepatitis, but the enhanced CT of the abdomen showed liver cirrhosis, splenomegaly, and a little ascites, and esophageal and gastric varices. Compared with the previous reexamination, the condition worsened. At that time, I preliminarily judged that Uncle Gao might be suffering from Budd-Chiari syndrome. After further examination, director Guo of the CT room and our director Xu also thought it was Budd-Chiari syndrome."

On the way back to the department, Liang Yi said: "Student Hanyun, the diagnosis is good this time, especially after several misdiagnoses, it is easy to form habitual thinking, and it is difficult to break through the solidification of thinking."

This is a compliment to her heart. This kind of professionalism must be the most popular among girls, especially girls with outstanding professional abilities like her.Qin Hanyun said with a smile: "I like to list the medical history separately, only to find something wrong."

"This is something that only experienced drivers can do. Novices can't even write a medical history, so how can they have the heart to do this kind of thing." Liang Yi joked.

Of course the girl is not happy when you say the old driver, Qin Hanyun's cheeks puffed up, and she said directly angrily: "Who are you talking about the old driver, you are the old driver, I am angry, how about you take the old driver last night Give me back the snail powder."

"Hey, why are you acting like a child, arguing with others and taking things back." Liang Yi said helplessly.

Qin Hanyun was unreasonable and said, "Then I have to get it back, can't I? It's only natural to pay back the debt."

Why do you reason with girls? Am I courting death? Liang Yi hurriedly said, "All right, all right, I'll buy you a box when I'm free."

Xu Bowen watched the two of them chatting and laughing in the corridor, came over and teased: "It's nice to be young, you can see a patient so happily, but it's different, I think Hanyun will check with me." It was never so sunny and cheerful when I was in the room.”

Qin Hanyun blushed and said, "Director!"

Liang Yi smiled and said, "Because you are the director, you still feel a little stage fright with the leaders."

"Stage fright? Then I didn't see it at all," Xu Bowen sighed suddenly, "It's better to be your age, youth, if you want to play and play, you need physical strength."

Liang Yi said: "What's so good about this age? You can't be too high or you can't be low."

Xu Bowen said with a smile: "You don't understand. When I was young, everyone except my girlfriend was a genderless human being. Later, except for my wife, other women were genderless humans."

Qin Hanyun smiled and said: "Liang Yi has seen it, this is a veritable old driver, and you men have only such a virtue, which cannot be changed."

Liang Yi also laughed, and said, "You can't speak such a delicate language if you're under a certain age. Just speak as you speak, and don't engage in sexism."

"That's what I said, what's wrong?" Qin Hanyun said unreasonably.

The three of them were walking, and Liang Yi suddenly had the urge to gossip, and asked, "Does Director Xu have any regrets about your youth?"

Xu Bowen sighed, and said: "There are many regrets in life, what kind of regret is this, young people always think that if you are serious about something, there are some things, even if you are serious, you may not necessarily have them. This is fate, the older you get, the more you believe that fate must be there sometimes, and there is no time in fate to force the true meaning of this sentence."

"I suddenly smelled the smell of sad literature, director, why don't we spend some money to publish a book, I will definitely buy it." Qin Hanyun joked.

"That's all, the matter is over, it's more important to talk about our serious business, let's talk about publishing the book after I retire." Xu Bowen sighed.

"Do you know Director Xu's gossip?" Liang Yi asked secretly.

Qin Hanyun said with a smile: "At that time, I might be in kindergarten. How would I know?"

"I can tell by your expression, you still pretend."

"I don't pretend, well, I know now, and I won't tell you."

When he came to the department, Xu Bowen opened his surgical sketch

Liang Yi looked at his sketch, it was very neat and detailed?

It seems that he put a lot of effort into this operation, and it was specially marked with red and blue pens, and every detail was done very delicately.

Qin Hanyun said: "Teacher, can you give me the preoperative anatomy diagram after this operation?"

Xu Bowen said with a smile: "Do you want to take my picture back and frame it?"

"Not really, but it may be of some value in the future, after all, the painting is so beautiful."

Xu Bowen teased himself: "It may be possible only after I die, after all, painters are not worth much alive."

"Teacher, you can live a long life."

"It still concerns the teacher."

Qin Hanyun said: "Because of the teacher, you only gave me 10 or so pictures, which is not enough for the exhibition. You have to live a long life and save a few more pictures for me."

"You girl is really, sooner or later you will get mad at you." Xu Bowen laughed angrily.

Liang Yi looked at the anatomical diagram while listening to the joke, evaluated the operation, rubbed his chin and said, "We still need to inform the operating room, and do a good job of the conventional rescue measures. This operation is very risky, and hemorrhagic shock may occur." .”

Xu Bowen nodded and said, "That's right, this is a headache, and Lao Hongbei has already had surgery."

The main causes of hemorrhagic shock in this patient were: improper suturing of the right atrium; incomplete ligation of branches of medial thoracic vessels; rupture of the inferior vena cava; coagulation dysfunction.

Blood coagulation function can be detected in advance, but in terms of surgical operation, no one can guarantee this before the operation is over, so we can only prepare for the worst to deal with it.

Xu Bowen said: "Pulmonary embolism also needs to be vigilant."

Pulmonary embolism is acute postoperative pulmonary embolism caused by free thrombus below the diaphragm after membrane rupture.

Liang Yitou said: "After the rupture of the membrane, it is necessary to carefully detect whether there is any free thrombus under the diaphragm. Once it is found, it should be completely removed during the operation, and the routine anticoagulation after the operation to prevent the formation of thrombus should not be a big problem. The main problem is still in the During the operation, there are many times when you need to cross the river by feeling the stones, and there is no way to fully predict it."

"That's the only way to go, exploring the way in the dark while walking."

in the afternoon
Before going to the operating table, Qin Hanyun took out two or three puffs, one for Liang Yi and one for the director.

Liang Yi said: "You girls can always take out all kinds of delicious things from the treasure bag like Doraemon in your bag."

"That's because you boys are lazy, and little doctors like us, how can we have the strength to pull the hook if we don't eat?" Qin Hanyun said sourly.

"Talk about yourself as pitiful."

"Haven't you heard of it? Sustained retraction and intermittent scolding are the eternal theme of small general surgery doctors."

"Haha...that's really the case."

The anesthesia was handed over to Lao Hong, and Xu Bowen was always at ease, because when they first arrived in the operating room, the anesthesia and rescue equipment were basically completed.

After Lao Hong saw Liang Yi, he greeted him with a smile and said, "Boy, why haven't we seen each other for so long?"

Liang Yi said with a smile: "Now I am delivering a baby in the obstetrics and gynecology department."

Lao Hong glanced at Xu Bowen, his eyes were a little ambiguous.

"Why do male doctors also want to be midwives?"

"It's all based on courses, and I don't know the details."

The operation officially started at [-]:[-].

Lao Hong looked at Xu Bowen's face and said, "Lao Xu hasn't slept well recently?"

Xu Bowen shook his head and said: "At this age, I can sleep for a day, I don't think so much."