When doctors have a simulated operating room

The patient was bleeding, but the wound was still alive.

When the nurse said this, several people rushed to see.

The bed sheet was lifted, and bleeding began again!

Looking at the large pool of blood, the family members were also panicked!

"Wow... It's bleeding again, what should I do, what should I do?"

"Trust us! Do a gastroscopy and color Doppler ultrasound right away to confirm the diagnosis and then you can do the surgery!

If the bleeding is really caused by stones, the damaged blood vessels must be cut off and then ligated to stop the bleeding!"

Zhang Yi looked at the family members and said sincerely.

The girl's mother nodded with tears in her eyes:

"Okay, do it...we will all do it...please, please cure my daughter...she is still so young!"

Zhang Yi also nodded heavily:

"Don't worry, we will do our best."

Afterwards, while the family members paid the fee, the girl was sent for another gastroscopy.

The gastroscopy doctor saw Zhao She and Zhang Yi with surprise:

"Didn't you find the cause just now? Why are you doing it again?"

Zhang Yi explained: "This time, please point the camera near the duodenum. I want to see the exit of the pancreas."

The doctor nodded: "No problem, do you suspect that the bleeding point of this girl is in the pancreas?"

Zhang Yi did not deny: "This possibility cannot be ruled out."

The gallbladder and liver of the human body are connected together, and the common bile duct below the gallbladder is connected to the pancreas.

After entering the root of the pancreas, the common bile duct will merge with the pancreatic duct (Y-shaped) and enter the duodenum.

The opening of the pancreas, that is, the root, starts from the duodenum.

This means that the secretions from the bile duct and pancreas will be discharged from the duodenum.

There is even a disease called bile reflux gastritis, which is also caused by the bile flowing into the duodenum and not going down, but going up into the stomach.

This stomach disease is caused by irritating the gastric mucosa.

So why sometimes when one organ has problems, other organs will also have problems.

It is because the organs of the human body are almost all connected.

Only with division of labor and cooperation can people be healthy. If one organ goes on strike, other organs may still help compensate, but after a long time, they will all go on strike.

If you don’t do it, I won’t do it either. If everything goes wrong, people will die.

The pancreas is actually a digestive organ of the upper digestive tract.

But its role is not as great as that of the stomach and intestines, so it is sometimes easy to ignore.

At this moment, the gastroscopy doctor quickly inserted the gastric tube into the girl’s mouth.

On the display screen, the flesh-pink tissue continued to probe down.

From the esophagus to the pylorus at the fundus of the stomach, and then to the duodenum.

After reaching this position, several doctors began to stare at the screen intently, fearing that they would miss a trace of blood.

"Go down a little and look at the pancreatic outlet."

"Okay."

The camera turned again, and when it was aimed at the pancreatic outlet, everyone showed an expression of disbelief!

They actually saw blood!

"Fuck?? Is it really bleeding here?!"

At this moment, Zhao She felt that Zhang Yi was simply a god! !

Damn it! !

He just took a look at the examination list and knew that it was a problem with this small stone? ?

But I couldn't find it after checking for a long time! !

Shame on me! !

The gastroscopy doctor was also a little confused and said:

"Strange, why didn't we see any blood when we did it just now?"

Zhang Yi explained: "The reason for this girl's bleeding is very rare and complicated. It is related to stones. Maybe there was no bleeding when you did it just now, so you didn't observe it."

"So that's it!"

The results of the gastroscopy are out now.

The reason for the bloody stool in the anus is that the bleeding point comes from the root of the pancreas and then flows into the duodenum.

"Finally confirmed! We have to do another color Doppler ultrasound now to see the situation of the bile duct and pancreatic duct and whether the stones have shifted." Zhao She said excitedly.

He couldn't see the girl's internal situation, but Zhang Yi could see it.

The stones have shifted!

And they have run into the pancreatic duct!

There is no time to waste, and the patient must be sent to the operating room immediately after the color Doppler ultrasound.

"First notify the blood bank to get another 200 ml of whole blood."

Zhang Yi ordered this because he was worried that this small stone might cut the blood vessels of the pancreas.

The amount of bleeding would be even greater.

According to the current condition of the girl, she might go into shock and die in a few minutes.

Soon, the color Doppler ultrasound results came out.

Zhao She was shocked! After comparing the two examination sheets, he said:

"It's really a transfer

The bile duct and pancreatic duct are dilated! This means there is bleeding inside! "

"Send her to the operating room without delay!" Zhang Yi urged.

It will be much easier to explain to the family after the cause is found.

Although the girl's father still has a lot of dissatisfaction, he also knows that the most important thing is to operate as soon as possible.

So he quickly signed the consent form for the operation.

In addition, he also called a hepatobiliary surgery doctor to go to the operating room together.

Zhang Yi is in surgery again!

It took less than 20 minutes!!

The doctor in the operating room just now had just treated the old man with intestinal obstruction.

As soon as he came out, he saw Zhang Yi coming up again!

"Doctor Zhang, you are too busy, right? Another operation?"

Zhang Yi smiled bitterly and said, "There is no way, the heavy bleeding must be stopped quickly. "

After saying that, Zhang Yi turned and entered the operating room.

The two little followers who followed Zhang Yi throughout the whole process said nothing and watched Zhang Yi operate silently.

Maybe Gao Han was a little dissatisfied before.

Or didn't understand that an undergraduate without a certificate could be a leader??

Now he really understands it.

Zhang Yi's strength is far from being proved by a piece of certificate.

His strength is far stronger than those doctors with certificates!

And the possibility of stones piercing the bile duct or pancreatic duct is really too small!

There may not be one case in a thousand people!

I didn't expect Zhang Yi to find it as soon as he came!

This level of carefulness and caution is simply terrifying!

And the operation!

This guy's operation is also much better than those doctors with certificates!

I'm really puzzled.

Shen Lingyue is also getting more and more confused.

How could there be Is he so amazing? ?

Is this talent? ?

In the operating room, after the blood pressure stabilized, a laparoscopic operation was immediately performed.

Find the bleeding point. If the stones cannot be removed or the blood vessels cannot be repaired, the root of the pancreas can only be cut off.

Open the abdomen and explore, and it was found that both the bile duct and the pancreas were bleeding.

The stone had just cut the pancreatic duct!

But fortunately, the operating room was entered in time and the bleeding was stopped, so it was not a big problem.

Repair the bile duct. If the pancreatic duct in the pancreas cannot be repaired, the root of the pancreas can only be removed, and then connected to the duodenum.

The pancreatic duct grows inside the pancreas, so it is difficult to repair.

To stop the bleeding, the only way is to remove the head of the pancreas.

Another hour passed.

Zhang Yi connected the pancreas with the head of the pancreas removed to the duodenum.

The stones were naturally removed.

Clean the abdominal cavity, check the instruments, and then close the abdomen for abdominal drainage.