Chapter 690 [690] She Is a True Scholar
"No, no!" He Guangyou yelled so anxiously that he looked at Song Xuelin's unhurried face, which made him, a senior, a little bit unbearable, and glared at the face of the young junior, "Who told you that? of."
"Everyone thinks not, it's pretty good." Song Xuelin opened his mouth and spoke slowly, as if bringing a rhythm to let everyone think slowly.
After hearing his words, a group of seniors fell silent for the time being.
In the silence, everyone realized the problem: the jaundice has not subsided, and there is no other way of conservative treatment except injections. It may be that surgical exploration is the only option. The two newcomers were right, and the result was in front of them.
"Maybe so, we can try to do ERCP for him?" Qiu Ruiyun pinched his chin, and after thinking hard, he mentioned a new method that could avoid surgery.
ERCP refers to endoscopic retrograde cholangiopancreatography. A duodenoscope is inserted into the descending part of the duodenum, and then the stones are removed from the common bile duct from the opening of the duodenal papilla. The inspection method tends to be like a gastroscope, and it is not necessary to use a scalpel to make an incision on the patient's body surface when entering the mirror from the patient's mouth. So in the Guoxie, a physician who is good at laparoscopy did it.
"Do you want to contact Nei Wu?" Several doctors discussed.
When Xie Wanying heard this, she became anxious, and said to her seniors: "No way. If ERCP removes stones, EST is required, which will damage the sphincter."
Wait, has she been to Neiwu yet? Why do you seem to be very familiar with this inspection? Did someone from the general public tell her about it? A group of doctors were surprised to hear her speak straight to the fatal point of ERCP.
"Do you know what a sphincter is?" Gong Xiangbin asked her suspiciously.
"The duodenal sphincter is a one-way valve that can control the flow of bile into the intestinal tract without the contents of the intestinal tract entering the biliary tract. The sphincter is destroyed, which means that this natural barrier is gone. He has symptoms of gallstones. Intestinal contents are easy to reflux and contaminate the biliary tract, so it will make the biliary tract infection worse in the future." Xie Wanying did not miss a single word, concisely.
Gong Xiangbin shut his mouth, not daring to ask her about this intern easily.
He is a true scholar.
"Laparoscopy can be carefully inspected to avoid damage to the sphincter, open the common bile duct and insert the choledochoscope, which is faster and more convenient. We are surgeons, and we have a greater advantage in direct inspection of patients, so there is no need to ask the internal medicine department Shouldn't the doctor do it?" Xie Wanying said to the seniors.
Yes, why let a physician do this kind of thing? Isn't it just throwing the job to others to eat. They are a bunch of surgeons dawdling. The seniors present couldn't help laughing, and almost burst out laughing.
A slight ripple appeared on Song Xuelin's delicate lips.
"Yingying."
Seeing Tao Zhijie speak, the others stopped talking for now.
Xie Wanying turned around after being called by senior brother Tao's nickname, and waited quietly for senior brother Tao to ask another academic question.
"What kind of person do you think your Senior Brother Cao is?" Tao Zhijie asked her, suddenly it was not an academic question.
Xie Wanying was stunned for a moment, and replied, "Brother Cao is a gentleman."
There are many handsome guys. Senior Brother Cao may not be the most handsome, but he is definitely a well-mannered gentleman.
After listening to her answer, the others present realized that Tao Zhijie asked her what Cao Yong was doing. It turned out that what she said before was very similar to Cao Yong.
Cao Yong, the point that all colleagues admire the most is: Dare to do it!
When others were timid, Cao bravely stood up and said it. This is the confidence of a super famous doctor, which makes people cast their eyes on each other.