Chapter 88 Pancreaticoduodenectomy
Conservative treatment is no longer effective in this case and requires immediate surgery.
A moment later, Ning Xue brought Wu Yuan to the ward.
This ward is a double room, but the other bed is space, and there is only one patient.
The patient was lying on the hospital bed, and there was no movement.
There are only two possibilities.
The first is losing consciousness.
The second possibility is to take relevant medications to relieve pain and sleep.
Wu Yuan took a look at the values and curves on the monitor and judged that it should be the latter.
There are many people in the ward.
Liu Dazhu, director of internal medicine, sat in the formation.
There is also a young man named Dong Zhigang from general surgery.
There is only Sun Jianzhong in the general surgery department, and the deputy director is vacant. It seems that if Sun Jianzhong is not here, Dong Zhigang will become the second-in-command.
It is worth mentioning that although Dong Zhigang did not perform well in the competition with Wu Yuan, he received a good review and successfully obtained a quota for staffing.
This is also very normal. Objectively speaking, Dong Zhigang's level is pretty good.
But I met a monster like Wu Yuan, so I was pressed to the ground and rubbed for a while.
Surgeons are short of any hospital, especially those who are not intravenous hospitals like Yanda Affiliated Hospital, which is even more valuable.
In addition, Dong Zhigang has something to do, so it is natural to get a staffing.
In addition to these two doctors, there are two people, one man and one woman, who should be the patient's family.
The expression on the family members' faces was very anxious.
At this time, Liu Dazhu and Dong Zhigang were talking in a low voice, perhaps discussing the patient's condition.
I saw Wu Yuan and Ning Xue enter the ward.
Both of them showed a look of surprise.
Liu Dazhu: "Where is Director Zhao?"
Ning Xue shook her head: "Director Zhao is not here either."
Ning Xue told Zhao Qin about the situation.
Liu Dazhu's face was solemn.
Dong Zhigang glanced at Wu Yuan a few times, as if saying, "What are you doing here?"
Liu Dazhu: "Let's go, let's go to the office to discuss it."
One of the families asked: "Doctor, don't you need surgery immediately? When will it be done?"
Liu Dazhu: "Don't worry, two, please don't worry. Let's discuss the operation plan first, and then let's talk to you about the situation."
The family nodded: "Then, please hurry up."
Liu Dazhu didn't say anything else and took the other three young doctors to his office.
Liu Dazhu sighed: "Director Sun and Director Zhao are not here, so this is troublesome."
Wu Yuan asked: "Director Liu, what is the patient's situation now?"
Liu Dazhu put a few films on the lamp plate, then took out several test sheets of the patient and said, "This is the case now."
Wu Yuan first looked at the film on the light board, then lowered his head and flipped through the test form.
Wu Yuan: "The situation is really bad now. Not only is the pancreatic condition worsening significantly, but the duodenum is also infected. I am afraid that pancreatic and duodenal removal will be done immediately."
Liu Dazhu shook his head: "The only ones that can undergo pancreatic duodenectomy in our hospital are Director Sun and Director Zhao, but they are not here..."
Ning Xue: "Let's wait a little longer, Director Zhao may be here soon."
Dong Zhigang: "The patient is not very old and should be in good physical strength. It should be fine later."
Ning Xue also nodded and agreed.
Wu Yuan shook his head: "No, there is still a problem."
Dong Zhigang and Ning Xue were stunned for a moment.
Why did Wu Yuan sing the opposite tune? And he was so sure.
Liu Dazhu asked, "Doctor Wu, tell me the reason."
Wu Yuan: "Although the patient is only 48 years old, he is a diabetic and has a very physical problem."
Dong Zhigang's expression changed. He didn't know that the patient still had diabetes.
How did Wu Yuanyi find out? That blood test report?
But the blood test items above are not that detailed!
Ning Xue was also quite surprised. She knew that the patient had diabetes, but she didn't think about physical strength.
Wu Yuan's thoughts are really meticulous.
Wu Yuan said again: "In order to prepare for the operation, the patient was taking bile salt preparations a week ago, which also had some impact on the patient's condition to a certain extent, but..."
Liu Dazhu: "But what?"
Wu Yuan looked up at Liu Dazhu: "Does Director Liu use ranitidine for him just now?"
Liu Dazhu nodded: "Yes, Dr. Wu, you can see this."
Just now, Liu Dazhu believed that the surgery must be done as soon as possible, so he added lyminthidine to the patient's liquid bottle, which can greatly increase the success rate of the surgery.
However, this kind of thing cannot be used all the time, and the amount needs to be controlled very little, and can only be used once a week at most.
Wu Yuan: "So now is the best time for surgery, within an hour! If it is later, the risk of the patient during surgery will increase."
Ning Xue and Dong Zhigang were both surprised by Wu Yuan's judgment.
Because Liu Dazhu’s conclusion just now was the same.
I don’t know how Wu Yuan judged it.
Ning Xue was surprised and realized the seriousness of the matter: "But Director Zhao may not be able to get there within an hour."
The patient's condition is now very dangerous to transfer to the hospital, and it is difficult to guarantee that there will be no serious problems on the way.
It's really embarrassing.
At this moment, Wu Yuan suddenly said, "I'll do it."
"What, what!?"
"You? How could you do it!?"
"Stop kidding! This is not simple pancreatitis!"
Wu Yuan is indeed very experienced in pancreatitis surgery.
But this time it was not a pancreatic duodenectomy, it was a tertiary surgery, and the difficulty was more than several times higher.
If the surgical technique is not good, even if it can be successful in the end, it is difficult to guarantee that there will be no serious complications or even sequelae.
They didn't know that Wu Yuan's pancreatic duodenectomy had actually reached the level seven.
Already like a master.
Liu Dazhu fell into a tangle.
Liu Dazhu has always been optimistic about Wu Yuan. He feels that his surgical attainments are very high, and his strength is actually underestimated.
But it's important now.
The patient's condition is no longer able to undergo the torture of a second operation, and it must be successful in one operation.
Wu Yuan: "Director Liu, I am confident that I can do this surgery."
Liu Dazhu: "Is there really confidence?"
Wu Yuan: "I really have confidence!"
Liu Dazhu pondered, as if he was really considering letting Wu Yuan go to the operating table.
Dong Zhigang: "Director Liu, I object, he can't handle such a difficult operation!"
Ning Xue looked at Dong Zhigang, then looked at Wu Yuan.
Rationally, Ning Xue felt that Dong Zhigang was right. Pancreatic duodenectomy was a third-level surgery.
Chapter completed!