Several anesthetic drugs are often used in combination, so it is possible that we see a patient sleeping with his eyelids closed, but he is actually conscious. Some patients do not feel pain but know what the doctor is doing to their body. The psychological harm of the latter to the patient after surgery is self-evident.
How do we know that the combination of these drugs can achieve the best effect? It mainly depends on the experience and professionalism of the anesthesiologist in the operation.
Now, after Zhang Tinghai adjusted the dosage for the patient, the patient's heartbeat stabilized.
The laparoscope continued to move inside the patient's body. Only then did the surgeons dare to speak.
"If a liver transplant is needed, only his family can donate a liver," said Gong Xiangbin. He believed that the Zhao family would be willing to actively save their grandson. Therefore, the most difficult problem of lack of liver sources was eliminated.
After hearing what the teachers said, Yue Wentong raised his right hand and wiped his forehead.
It is not a question of whether there is a liver source for liver transplantation. The teachers may not be medical students anymore and have forgotten their feelings. If Zhao Zhaowei had a liver transplant, I am afraid that no hospital would want him in the future, and he would not be able to be a doctor in the future. This result is terrible. I am afraid that there are only a few such cases in the National Association every year. The doctors in the National Association are the best in the country, and the accuracy rate of preoperative judgment is 99.9%. The patients who can be pronounced helpless by the doctors of the National Association on the operating table are equivalent to hanging their lives.
The students outside were waiting for good news. When Yue Wentong thought of this, his heart sank even more.
How should I tell other classmates? How should I report to the counselor? When Zhao Zhaowei wakes up, how should the whole class face him?
...
...
Feeling extremely panicked, Yue Wentong suddenly turned his head and his eyes fell on Xie Wanying.
"What do you think?"
The monitor asked her? Xie Wanying looked back at the monitor in surprise: They were both interns, so why did the monitor ask her opinion?
Yue Wentong's gaze stayed on her face, making sure that his question was not spoken unconsciously.
She was the first one to suggest surgical exploration to the attending physician. She must have thought it over carefully, otherwise she would not have been able to convince a group of teachers.
There was a deep worry in the monitor's eyes. Although he was taciturn and didn't like to talk, he was not a cold-hearted person.
"Squad leader, please rest assured." Xie Wanying lowered her voice to avoid affecting the operation, and spoke clearly, "The chief surgeon is carefully observing and looking for an incision point. I believe that the worst plan of Senior Brother is to make an incision in his liver to remove the stone. The biggest question now should be whether the choledochoscopic endoscope can reach deep into the liver to remove the obstruction. Therefore, the chief surgeon must observe carefully first."
"Is this the result of your group's preoperative discussion?" Yue Wentong questioned. What she said was so different from what He Guangyou and others said that it made people doubt whether they had discussed the operation.
"We discussed before the operation and suspected many possibilities," Xie Wanying explained patiently. "Among them, Dr. Song suggested that we must find out the exact cause of his extensive liver abscess. Zhao Zhaowei and I share this consensus. Based on this surgical exploration, the various results are not unexpected."
"Didn't we find out the result?" Yue Wentong pointed at what He Guangyou and the others said, "Have you discussed how to deal with this result? Is liver transplant the only option?"
"Are the results out?" Xie Wanying asked him back, "The causes of cholestasis are quite complicated, including genetic factors, metabolic disorders, wrong medications, and too many other reasons. Whether it is just localized cholestasis or global cholestasis requires more comprehensive observation. The surgeon did not observe the entire liver. It is impossible to draw a conclusion quickly. Judging from the initial laparoscopic examination, the liver is not light red all over, so it is not cirrhosis. It is more like what Dr. Song said, that the lesion may be in the right liver."
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