Her medical thinking pattern already had a foundation, and she was considered an experienced doctor.
"What do you mean?" Director Zheng urged, time must be saved.
If you want to drain the pus, please quickly give us a well-reasoned strategy so that we can decide whether to do it or not.
Pan Shihua regrouped and looked at the drainage bag connected to the patient's drainage tube and said, "They used a drainage bag instead of a negative pressure bottle, which shows that negative pressure suction is ineffective and may have a counter-effect. It is irresponsible and high-risk to use negative pressure suction for twisted problems or unknown blockages."
Pan's idea was the same as hers, but it was not something she came up with after seeing her. Xie Wanying knew this best, which showed that her classmate was actually quite talented, but just needed some guidance.
"You said it was most likely twisted, and they could try to push and rotate the tube to solve the problem. Didn't doctors do this before or were they unable to do this?" Director Zheng continued to question.
If the drainage tube is folded inside, you can manually rotate and push the drainage tube or even pull it out a little. This is a common technique used by clinical surgeons to deal with drainage tube problems. The same question as Director Zheng asked, why didn't the previous surgeon do it?
Director Zheng’s question is difficult to answer.
The group of people standing at the scene were all stuck in the crux of the problem.
...
...
Pan Shihua was afraid that Director Zheng would turn around and hold Xie responsible, so he immediately spoke again: "I know." No matter what, he would not let Xie bear this responsibility.
Director Zheng had no choice but to turn around and ask, "Do you really know?"
Doctor Jiang glanced at Xie Wanying quietly: Won’t you say a few words to help him?
Teacher Jiang seemed to know the extent of Pan's ability, but he seriously underestimated Pan's willpower. Xie Wanying didn't intend to interrupt. She wanted to trust Pan's heart of gold, who wanted to save her friend just like her.
"I know." Pan Shihua said, "The length of the drainage tube in the abdominal cavity should be as short as possible, and the shortest path should be chosen. The patient's abscess may be deep, so the tube can only be placed deeper. At this time, we can only use the greater omentum to separate the tube from other organs to prevent the tube from getting close to the intestines and blood vessels to avoid compression."
"You only said basic principles, but you didn't explain why you should do this and why the other party shouldn't do this."
"There could be only one reason. According to the CT scan taken by the patient, the previous attending physician suspected that the tube could not be removed."
When the people at the scene heard this answer, they opened their mouths wide and looked at Pan.
Doctor Jiang stroked his forehead twice as if wiping sweat: "Student Pan is not Student Xie. If he had Student Xie's brain, he would have been famous long ago."
Yue Wentong, the class monitor, seemed to have a frown on his face, wondering how he could help his classmates to save the situation.
Huang Zhilei was relatively calm. He stood by and occasionally touched his glasses frame, glancing at the subtle expressions of his junior sister and her classmates: Well, these expressions are a little interesting, as if they are hiding some secrets. Don't be in a hurry.
"Ahem." Director Zheng cleared his throat twice to remind the medical students to be careful not to be inconsistent in their speech.
Everyone was surprised by his words. Pan Shihua could only breathe a sigh of relief: everyone didn't trust him but trusted Xie, which he could understand, but what he said came from Xie's thinking.
This morning, Xie said that there may be unpredictable factors in the patient's body after the operation, which may cause the drainage tube or abscess to shift.
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