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267 The Diagnosis Is Correct, The Surgery Is Not Difficult (Leader CAA Malatang 2)

The spleen removal surgery has been completed, and the patient is still lying on the operating table with open.

Mr. Wu said politely, "Teacher Lu, do you think you can get there?"

Lu Gang was a little angry, but could not show it. He shook his head silently, then nodded again.

He kept staring at the slightly rough ct images on the screen, feeling more and more awkward.

Ji Xiang's luck was really good. He encountered a three-tenth chance. Lu Gang expressed dissatisfaction in his heart.

As for the operation, Lu Gang hesitated for a moment, there must be a problem. Although he doesn't think it's a ruptured ureter, it's always right to take a look.

When Mr. Wu saw him nodding, he was not polite and asked Ji Xiang to take the surgery.

He was very straightforward, after brushing his hands, disinfecting and laying the orders himself, and he had no intention of treating Ji Xiang as a regular student.

The angiography showed that all the ureters on both sides were broken and the ureter stent could not be implanted.

The objective basis of clinical examination proves that Ji Xiang’s statement is correct.

"The junction of the bilateral renal pelvis ureters was completely ruptured." Mr. Wu said lightly.

Just as Ji Xiang said just now, once he stepped down according to the diagnosis of kidney contusion, he found that he could not lead to urine...

Then fuck it!

The patient has to be tossed again.

The hemorrhagic shock in the forefoot is just a little bit, and you will need to have another anesthesia, surgery, and another blow.

This is completely different from doing it now, which causes trauma to patients.

Mr. Wu sighed. Although it is highly likely that a misdiagnosis is, with Dr. Xiaoji, it is obviously more at ease to directly give the correct diagnosis.

Lu Gang's eyelids kept beating.

The facts proved that what Ji Xiang said was indeed correct. He didn't understand. He turned around and took the emergency video and watched it carefully.

After looking carefully many times, Lu Gang still thought that the image was an artifact and it would definitely not be something like urine cysts.

If there is no re-examination and comparison ct, if he is given a hundred chances, the patient will be diagnosed incorrectly.

It would be impossible for Lu Gang to refuse to accept it. The iron-like facts were placed in front of him. If he was a stubborn person, he would die miserably.

Moreover, Lu Gang belongs to the academic school, if he is wrong, he is wrong. The objective evidence is there, and he didn't think about how to save his face.

He just couldn't understand, and even though he had broken his head, he couldn't understand why Ji Xiang was so sure that the patient had a broken ureter on both sides.

Ji Xiang didn't know and didn't care about Lu Gang's feelings. He was Lao Lu from the Medical Department, and he was not the Professor Zhou he met with empathy.

After being polite to Mr. Wu, Ji Xiang stood in the position of the craftsman and felt refreshed.

The operation is not difficult, at least for Ji Xiang.

In addition, more than a dozen trains were trained in the system operating room, Ji Xiang could get it perfectly.

Ji Xiang cut off the ureter at the lower end of the stenosis section, and then cut the stenosis ureter for a section of the disease and ligate the stump.

The distal end of the ureter is placed behind the abnormal blood vessel and an elliptical incision is made at the lowest point of the renal pelvis, and a ureteral stent tube and renal pelvic drainage tube are placed through the renal parenchyma.

Then Ji Xiang made a flap-shaped aligner with the renal pelvis.

"Xiao Ji, your petal shape is so good." Mr. Wu helped Ji Xiang tie the knot. Seeing the needle holder in Ji Xiang's hand shuttle up and down in a narrow range, sometimes reflecting the light of the shadowless lamp, it looked extremely handsome.

Ji Xiang smiled, and the petal shape matched the small operation of his own eyes closed.

"Xiao Ji, I really didn't see what the problem was. How did you diagnose it?" Mr. Wu asked humbly.

"The density is different. Although it looks very good, considering the patient has hemorrhagic shock after being injured, the blood volume is insufficient..."

Ji Xiang "transferred" everything the system NPC said to Mr. Wu, and made Mr. Wu and Lu Gang, who was facing the film viewer, stunned.

They are all old clinical practices. Although their level of watching movies is average, they all understand whether what Ji Xiang said makes sense.

Unexpectedly, Ji Xiang was so powerful when watching movies, Mr. Wu was convinced.

He deeply lamented that he had a good life, but fortunately, he chose to stand on Ji Xiang's side in the "dispute" between Ji Xiang and Lu Gang without hesitation.

Otherwise, although it is not considered a medical accident, it will inevitably be a second time and you will feel uncomfortable.

It’s like this when a doctor is like this, and there are hundreds of misdiagnosed cases behind any famous doctor. But within the best of his ability, he must do his best.

Doctor Xiaoji is definitely right!

Mr. Wu once again strengthened his point of view.

Although Ji Xiang did not use [Gaze of the Superior Doctor], Mr. Wu directly caught the skills in nothingness and took the initiative to become a subordinate doctor.

Putting aside all the concerns, Mr. Wu is still very good at being an assistant.

He helped cut the thread, attract and stop bleeding, and the operation went very smoothly.

After Ji Xiang finished the flap anastomosis, he placed a rubber tube around the renal pelvis and next to the anastomosis mouth to drain the flow. The stent tube and renal pelvis drainage tube were fixed with absorbable lines respectively.

"Warm salt water." Ji Xiang stretched out his hand.

The instrument nurse was stunned, "Is it so fast?"

"Uh..." Ji Xiang was also stunned for a moment.

Recently, Tang Yan cooperated with her in the surgery. She did what steps she did and what cooperation she needed. Tang Yan gradually figured out that although the surgery was not as smooth as in the system operating room, it was much more comfortable than cooperating with others.

If Tang Yan was there, she would be able to bring warm salt water with her as soon as she raised her hand. She was like an old husband and wife, and she didn't even need to look at her.

"It's done, wash it and shut it down." Ji Xiang didn't complain, but just had a little resentment.

Tang Yan is more convenient.

"Doctor Xiaoji, it's amazing." The instrument nurse said with a smile, "I thought I could get off at least three hours, and it was only more than forty minutes, so I won't delay my meal."

"The diagnosis is correct, the operation is actually not difficult." Ji Xiang smiled.

The nurse jogged to get warm salt water, thinking about eating, and Ji Xiang was very serious and basically didn't drive, so everyone had no time to chat.

After rinsing and exploring, there was no active bleeding, and Ji Xiang began to close his abdomen.

"Xiao Ji, fortunately, I discovered it." Mr. Wu breathed a sigh of relief. "The nephrectomy rate of patients with early diagnosis and treatment was 4.5%, while among patients with delayed diagnosis, the data was as high as 32%. Is that true?"

"yes."

The data that Mr. Wu said was very accurate and his basic skills were solid. After Ji Xiang sewed the last stitch, he threw the thread into Mr. Wu's hand.

"Usually, 50% of patients will misdiagnose, but I feel that the misdiagnosis rate is higher than this number, and it may even reach 90%.

Mr. Wu didn't think Ji Xiang was bragging, but this passage turned into another meaning in Lu Gang's ears.

90% of patients misdiagnosed, so what? Is this kid in Yin and Yang themselves?

Ji Xiang can give the correct diagnosis, is it not a show-off or something!

In an instant, Lu Gang, who claimed to be a professional and academic, almost entered the inner mode and almost went wild.

Too much, wouldn't it be a good diagnosis? What's the point of showing off?

Lu Gang glared at Ji Xiang's back fiercely.

However, the lights of the Shadowless Light are a little cool and a little dazzling.


Chapter completed!
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