Auto chess in the operating room

Chapter 123 Common bile duct stones, biliary tract infection?
Ten minutes later, Shen Bingbing completed the final steps.

ERAT operation is a non-invasive operation. After the pus is sucked out and the fecal stones are removed, the abdominal pain is naturally relieved immediately, and there is no need to use a knife, and there is no healing problem.

After getting off the operating table, Jiang Shu has recovered as before, so she is naturally very excited, which means that it will not affect her work tomorrow or the day after tomorrow.

After getting his mobile phone, Jiang Shu immediately called Chai Shanshan to thank her for her recommendation.

Chai Shanshan was a little upset when Jiang Shu said that Director Shen would not use Tanglou's knife for the operation, but when she heard that Director Shen couldn't continue the operation, it was Tang Lou who stepped forward and finally completed Jiang Shu's surgery. After the surgery, Chai Shanshan suddenly had a glorious change of hair.

The person I introduced is really reliable and beautiful!

After putting down the phone, Chai Shanshan didn't enjoy herself, so she told Ma Shuya about it.

"Dr. Tang from our Hecheng No. [-] Hospital is really good. Today, he performed an endoscopic retrograde appendicitis treatment for ERAT. The patient is the actress Jiang Shu. The operating table that has just moved forward is now moving freely. Great! "

After a while, Ma Shuya's WeChat message came back: "No, endoscopic retrograde appendicitis treatment ERAT, I remember that this operation was not carried out in Hecheng No. Only dare to try the technique. Three surprised expressions!"

"Hey hey, bow your head to the boss of our city's No. [-] hospital! Let you, a doctor of Hangcheng, look down on our Hecheng hospital. Three cool expressions."

"Admiration! Admiration! I will tell our Professor Liu in a while. Speaking of which, our hospital has just held an academic conference on acute abdomen. Maybe, Professor Liu can bring exchange experts to Hecheng No. [-] Hospital for inspection Visiting! After all, the General Surgery Department of the First Hospital of Hecheng City has just completed the suspension gasless laparoscopic appendectomy, and now it has performed the famous ERAT! I look forward to seeing Dr. Tang with superb skills!"

Ma Shuya sent a long WeChat message.

"Hehe, do you admire Dr. Tang's skills? You are the face value of a greedy man. Three smirks."

Ma Yashu turned back: "Three shy expressions, and a body."

Chai Shanshan: "Isn't it only Cantonese who cannibalize people? It's an expression that I don't understand when I'm still young."

After Tang Lou walked out of the operation, he received a WeChat message from Chai Shanshan directly on WeChat: "Doctor Tang, you are amazing! An emoji offering tea to the boss."

Tang Lou looked at it and smiled, and put the phone in his pocket.

It is very fulfilling to be able to successfully operate an endoscopic retrograde appendicitis for ERAT.

Originally, Tang Lou was resting today, but after finishing an operation, he was refreshed and rushed to the office.

As soon as he walked into the office, he saw Ma En frowning and looking at a medical record.

Hearing footsteps, Ma En raised his head: "Tang Lou, aren't you resting today?"

"Today, Cheng Sisi and Cheng Sisi went to Yuehe to participate in the recording of Blue TV's "Let's Run". Originally, I wanted to play a guest role as a passer-by. Who knew Jiang Shu had a sudden acute appendicitis, so I rushed back and performed surgery on her with Director Shen. .Jiang Shu has been discharged from the hospital."

Tang Lou described it very plainly.

Ma En was in a complicated mood when he heard it. He noticed Cheng Sisi at the beginning, and his heart was already sore. After all, as a resident doctor, he was basically in the hospital 24 hours a day, so how could he have a partner.

And as a creature like a resident doctor, even if there is a partner, more than half of them belong to someone else. How many doctors wear bright green hats during the resident period, almost everyone knows it tacitly.

However, what shocked Ma En even more was the second half of the sentence: "You said that after the operation, Jiang Shu can already be discharged from the hospital?"

"Well, Jiang Shu has a magazine shooting tomorrow and the day after tomorrow, so after discussion, he finally decided to treat ERAT with endoscopic retrograde appendicitis."

Tang Lou sat in his seat and was about to knock out this case. As the first endoscopic retrograde appendicitis treatment ERAT is really worth writing about.

After hearing this, Ma En threw away the difficult case in hand, his eyes full of envy: "You said you followed Director Shen to use an endoscope for retrograde appendicitis to treat ERAT? The first endoscope developed by our city's first hospital Retrograde appendicitis for ERAT?"

Ma En followed Qingping and mainly participated in appendicitis surgery, but now he is still in the stage of laparoscopic appendectomy.

Endoscopic retrograde appendicitis treatment for ERAT is a surgery that requires proficiency in endoscopic techniques. With his current level and experience, he can only look at it from afar.

"How do you feel? Tell me!"

Ma En grabbed Tanglou excitedly and asked, with his mind ready to make up his mind.

"It is to insert the endoscope, insert the catheter, and then insert the zebra guide wire"

Tang Lou explained the entire operation process to Ma En very concisely. Listening to Tang Lou's vivid description, Ma En could feel the thrill. After all, for a surgeon, being able to perform a complicated operation is really amazing. It is a supreme enjoyment.

Until Tang Lou explained the whole process, Ma En was still immersed in the atmosphere of the whole operation. This feeling was like a dormitory, and the next door was making a bowl of instant noodles. Although Ma En couldn't eat it, he could smell the aroma of instant noodles , Enjoy it more than those who eat it.

"Doctor Ma, I seemed to see you were reading a case file just now, and your brows were frowning."

Tang Lou's words pulled Ma En back from his intoxication.

Ma En walked directly to his seat, and took over the information on the table: "Here, a strange case was initially diagnosed as acute abdomen, and the specific cause was not found out. Now it is admitted in the ward. Wait for Qing After the doctor's operation is completed, we can discuss it together."

Tang Lou took it over and took a look, the preliminary physical examination and patient information:
Patient: Liu Chunhua, female, 63 years old

Complaints of right upper quadrant pain for 1 week, sudden exacerbation of abdominal pain with high fever for 1 day.

Vital signs: T38.8℃, P92 beats/min, BP16/12kPa,

There were tenderness, rebound tenderness, and muscle guarding throughout the abdomen, mainly in the right upper quadrant. WBC16×109/L.

Preliminary diagnosis: acute abdomen, possibly biliary disease.

"Have you arranged for a B-ultrasound examination?"

Tang Lou recalled that the location of tenderness may indeed be a lesion in the gallbladder. If it is really a problem with the gallbladder and bile duct, Yan Ruoyun, who specializes in the field of liver and gallbladder in general surgery, may have to take over.

"It's already being checked, and it's estimated that there will be results in a while."

Although Ma En has been a resident doctor for several years, there are really too many possibilities for acute abdomen. Many patients are really difficult to diagnose until the moment of laparotomy.

Soon, the B-ultrasound test came out.

"B-ultrasound showed multiple common bile duct stones, and a 1.5cm×1.5cm enhanced light group was seen outside and below the common bile duct cavity, with sound shadow behind it."

After reading it, Ma En looked at Tang Lou: "Preliminary diagnosis: common bile duct stones, biliary tract infection?"

(End of this chapter)