Chapter 462 The Snow Swallies with an eye -catching eyebrows and exhausting

Author: Jiangbianyu Weng

Chapter 462 The Snow Swallies with an eye -catching eyebrows and exhausting

After Zhou Can cut the pus cavity wall, first carefully and meticulously scraped the rotten tissue on the pus cavity wall with scratching and meticulously exposed the fresh tissue. It also earned 11 o'clock the experience value of the creation surgery.

Doing this kind of chest wall tuberculosis lesions, I am afraid that the most earned is the experience value of the debride surgery.

After scraping the purulent cavity, he replaced the surgery knife to remove the purulent wall and the necrotic muscle tissue a little.

This process seems easy, in fact, it is very tested with resection technology and separation technology.

Because the purulent cavity is an irregular shape, and when the necrotic muscle tissue is removed, you need to carefully find the sinus and the deep purulent cavity.

During the operation, it is not only to test the skills of the main knife, but also requires a rich surgical experience.

At the same time, it is necessary to be flexibly changed during the operation.

And when removing the lesion tissue, you need to be extra careful, and you cannot hurt the important blood vessels, nerves, tissue organs.

This level of surgery, even if it is the average deputy chief physician coming to power, will feel soft and crispy.

Director Xue Yan and Director Le and others consistently asked Zhou Can to come to the lead. It was considering the complexity during the operation and the requirements of the other side's technical technical.

"Good guy, it turns out that Dou Dao is here!"

Although modern high -tech inspection equipment can bring a lot of convenience to doctors, but the specific surgical process is not that you can easily complete the operation in the film.

When holding the film, how big the purulent cavity is, and which part of the sinus is roughly, you can know clearly.

If you do angiography, you can clearly know the direction of Dou Dao.

But when you really cut the pus cavity, you will find that it is not the case.

There are too many variables, and there are too many things to pay attention to.

After discovering the sinus road, Zhou Can cut the sinus road a little bit and clean up.

"This sinus is really annoying, why do you still go behind the ribs?"

He dares to say that this is definitely one of the most complicated surgery at the operation of the operation.

"How to do that?"

Director Le must know some of the processing methods, that is, respecting Zhou Can, so that he used the tone of inquiry.

"There is no way, you can only cut this rib to cut off, reveal the bottom of the sinus, and completely treat the lesion cleanly. Otherwise, our operation is equivalent to doing it in vain."

Zhou Can can be regarded as the gallbladder, and the veteran on the operating table.

See the trick.

When he found that the sinus was behind the ribs, he was determined to slap the bones.

This is also Director Hu. Dr. Xu and others taught him a big principle when he was surgery. The parents of the doctor's parents, when he was treated for the patient, could not get a few times and finished it.

Standing from the perspective of the patient's interests to think about the surgical plan.

Some doctors who do not have a hard medical ethics will usually take the lead in considering their own interests when they encounter such greater trouble during surgery.

Cutting the ribs will not only increase the difficulty and time of surgery, but the unknown risk will also greatly increase.

At that time, explain to his family, it may be possible to get skin or even be complained.

Instead of doing good things, it is troublesome.

It is better to sew the wounds with conscience and tell the patient's surgery. As for the patient's recurrence after surgery, the patient is not lucky. He can only enter the palace and perform another operation.

In the operating room of major hospitals, there are not a few patients in this binary palace.

Not to mention that every two -in -palace patients are because the doctor has no virtue and has not done surgery thoroughly. At least 40 % of them are the result.

Sometimes it may not be a doctor without virtue, but that the level of the doctor is only so high.

You asked him to perform ten times such surgery, and he could ensure that patients needed secondary surgery ten times.

In general, the current nervous doctor -patient relationship is also a major reason for the forced doctors to choose defensive medical measures.

He generally rarely shines, especially the patient's ribs and skulls.

This time I just took the opportunity to practice.

Surgical doctors do not need to be rusted for a long time, it is easy to rust, and even the skills are sparse, and there are regression.

It is not conducive to the upgrade of medical skills.

After being careful to see the ribs, the sinus can be revealed. Cut it out until the bottom of the sinus. Then scrape it with a sclerot.

"Sister Yan, can you help look at this rib that is not bad?"

Patients like this sinus invading behind the ribs, if the treatment is not timely, the ribs are prone to necrosis.

"The situation is ideal, I didn't find the necrosis."

After seeing Director Xue Yan, he gave an opinion.

Women are careful and let the female doctor look at some detailed lesions. It is often a good choice.

Fortunately, the patient met Zhou Can. In order to cure the person's disease, it was almost at the expense of the cost, regardless of cost.

He started to remove the sinus.

Separation and resection are constantly increasing.

It is not low in surgery, and it is normal to get some experience value rewards.

"Well, there seems to be a pus cavity here! Give me an empty needle with a tube." Zhou Can felt that there may be a lot of pus in the newly discovered deep purulent cavity.

The difficulty of puncture is almost zero.

Try to pull out the pus inside, it actually pumped almost seven or eighty ml.

This deep purulent cavity is much larger than expected.

"No wonder when watching CT films, I always feel that there is a problem with this part! It seems that when you encounter such patients in the future, you cannot be superstitious about the CT results.

Director Xue Yan suddenly realized at this moment.

Not to mention her, even Zhou Can has a lot of gains.

This is how the medicine is studying.

After Zhou Chan's efforts, the deep purulent cavity was cleaned again, and then separated a little, the entire resection.

"It's too dangerous, there is still a small sinus here. Fortunately, I found it, otherwise this patient is afraid that it will be more fierce."

When removing the deep purulent cavity, Zhou Can found a sinus again.

It's small, but the depth is quite deep.

When performing surgery, if you encounter abscess, as long as there are conditions, surgeons generally try to lead the pus, and wait until the appropriate opportunity will perform surgery.

This is because the abscesses have a strong ability to infringe on various tissues in the body.

If the abscess is not thorough, it is very easy to occur in secondary infection and relapse.

There are even some postoperative complications that are unexpected.

Nympho

After nearly an hour, the operation was completed.

Zhou Chan looked at a number of medical experience in the harvest and was very satisfied. What made it more meaningful is that the patient's sick demon was successfully removed. As long as it was returned to the ward to maintain it, the patient could soon recover.

Many such patients have recovered with tuberculosis, so they feel that this is caused by tuberculosis that is difficult to cure.

In fact, it is more likely that the lesion is not thoroughly removed, or there is a residual cavity when the knife mouth is closed, or the pre -surgery is not sufficient, resulting in the active tuberculosis lesions and primitive resistance in other parts.

Then, then

It is very important to treat each other's trust in this disease.

Then there must be confidence. Doctors must have confidence. Patients and family members are also confident. As long as they believe that the sick demon can be eliminated, most of them can be cured in the end.

If the tuberculosis recovers, various questions to the doctors will form a confrontation.

In this case, it is recommended to change a hospital and find another doctor for treatment.

Looking for the original doctor, because the degree of trust is gone, the doctor will be extremely conservative during treatment. It is commonly known as a defensive medical strategy.

"It's hard for everyone, the old rules, I have settled the supper, everyone eats it before leaving, or take it home to eat!"

Director Xue Yan was particularly happy when he saw the operation smoothly.

Under her leadership, cardiosia surgery was a little bit.

In the eyes of many people, this is a miracle.

At the beginning, Director Hu Kan died suddenly, and the cardiac surgery was when the yellow and yellow were not connected. In addition, Director Xueyan lacked the experience of leading a large department. Under the joint encirclement of multiple foreign courtyards, he was in chaos and forcibly did a difficult cardiopoctoral surgery.

Surgery has caused the patient to die on the operating table.

At that time, everyone's heart -thoracic surgery would be frankly collapsed.
To be continued...