How to answer this question? Xie Wanying thought about it, and kept silent for a while, keeping her eyes fixed on the field of view of the operation.
Teacher Tan stood half a step behind her.
The senior sister said, don't flirt with teachers other than the teacher, it's courting death.
Seeing her slightly stiff and still posture, Tao Zhijie smiled, turned his head and smiled at Tan Kelin who was behind him and said, "Dr. Tan, I always thought she was right to learn from you."
Tan Kelin has always been in a state of indifference and does not move when he hears the wind.
Seeing this, Tao Zhijie turned around and said to his younger junior sister: "It's okay, you say it. You know your teacher Tan's character well. If he doesn't want you to talk, he won't bring you here, and he will directly ban you now. I think he It should have said the time he was going back. Is it about half an hour?"
This Senior Brother Tao is like a fortune teller, he knows everything that Mr. Tan said like a god. Could it be that Brother Tao and Teacher Tan have friendship? Of course not, you can tell from Teacher Tan's wooden face.
Xie Wanying thought to herself that she had to hurry up and help the teacher finish the errand. Brother Tao didn't know much about the patient's condition when he first arrived, if she could help, it would shorten the operation time, which would benefit the patient and everyone. It may be for this reason that Teacher Tan's refusal to express his position is equal to acquiescence.
"This is the case, Mr. Tao. I guess this patient either has viral hepatitis, or whether he may have a congenital hepatic arterioportal fistula. You must determine the specifics, Mr. Tao." Xie Wanying kept speaking quickly during the operation. tell.
"Why do you think he has a hepatic artery and portal vein fistula?" When Tao Zhijie asked this question, everyone else was also puzzled.
Generally speaking, liver cirrhosis caused by viral hepatitis and rupture of gastric varices are the most common patients in clinical practice. The first suspect should be the cause of the disease. Otherwise, Dr. Gang Pan would not be instantly speechless after being asked by Tao Zhijie.
"Because he didn't say that he had a history of viral hepatitis, and he didn't tell Dr. Pan that he had cirrhosis of the liver. Whether it is cirrhosis is a question mark. Whether the patient lied, I think, on the other hand, we can observe whether he has jaundice. Liver One of the more obvious symptoms of cirrhosis is jaundice. He does not. And the rupture of gastric varices is a symptom of liver cirrhosis in the later stage. It is impossible to say that he has not been to the hospital before. As long as he has been to the hospital, he should be able to talk to the doctor Speaking of this, I often have digestive problems in my body. Tell the doctor, and the doctor can tell whether it is a car accident or the cause of a digestive tract disease, right?"
When Dr. Pan heard it: Hey, it makes sense. When a patient comes to the emergency room, if he usually has abdominal pain and other gastrointestinal discomfort symptoms, he must talk to the doctor before he suspects it is a car accident. After all, I came to the hospital the next day after the car accident.
What about another situation
"Congenital hepatic arterioportal fistula is much more hidden than the symptoms of liver cirrhosis, and requires angiography. It may have no clinical symptoms, and this kind of patient can not be treated. It's just that this time it may be detonated by a car accident injury? Because of its first symptom It is the rupture and bleeding of gastric varices." Xie Wanying continued to finish her judgment.
The surrounding doctors frowned after hearing this.
Especially Tao Zhijie needs to consider: because the two causes are different, the operation method must be different.
"Please pull the hook out a little bit." Tao Zhijie turned to the hooker and said that he wanted to determine the cause of the disease.