The amount of water is too small and there is no momentum. How to flush out the blockage? If it wasn't for Song Xuelin's reputation as a talented scholar in the northern capital, Zhu Huicang would have doubted whether there was no teacher who had taught this student well, and he didn't even understand this basic common sense.
Xie Wanying was even more strange. She didn't hold anything with both hands, she was just pressing the patient's abdomen and lifting the patient's waist. If she was changing the patient's position.
Sometimes changing the patient's position is helpful for drainage. The problem is, such an operation doesn't make much sense for a pipeline that is really blocked. If the blockage is blocked to death, just relying on the effect of gravity by changing the body position is smaller than the impulse of water flow, and it is extremely unlikely that the blocked blockage will fall off by itself. Therefore, it can only be flushed with greater force. If the flushing fails, it needs to be digged. Performing surgery or using other instruments, such as the choledochoscope that was used in the operation on Zhao, is a good way to observe and deal with postoperative drainage tube obstruction.
Why not use choledochoscopy?
It is necessary to use a choledochoscope in the drainage tube after surgery. For example, the drainage tube used in the original operation should be short, thick and straight. When the drainage tube is out of the body, the extrahepatic bile duct should be as vertical as possible to avoid angulation, otherwise the choledochoscope will not be able to enter.
Therefore, the current situation of the patient is that the doctor did not perform choledochoscopy during the operation, and did not prepare for the use of choledochoscopy after the operation, so the drainage tube was obviously not suitable for the use of choledochoscopy. When it comes to the reason, it may be that the patient's own situation is inappropriate and it is not suitable to use choledochoscope during the operation, or it may be that the doctor who performed the operation has never thought of using a choledochoscope at all.
In addition, choledochoscopy equipment is expensive. This patient is an HIV-infected person. Just in case, it is necessary to use a separate set of equipment for such a type of HIV-infected person. The Hepatobiliary Surgery Department of the National Association must not have separate equipment for HIV-infected patients, because there are too few such patients, and the preparation means that they will be idle and will not be used for a long time, and they will be scrapped. There may or may not be hospitals for infectious diseases, because things are expensive.
The only option is to have another operation, and now Cao Yong and the others are standing here with the same opinion as the previous doctor. This patient is no longer eligible for emergency surgery again.
The dead horse is the doctor of the living horse. Zhu Huicang thought that it might be because of this that Tao Zhijie, who was present, did not stop the attempts of the two young doctors. He has always been a little skeptical of Xie Wanying's operation. What she was thinking was too mysterious, he couldn't imagine it, he always felt that this person was hitting the big luck, and the luck was very good all the way.
Will her "luck" continue tonight? Is it good to be "lucky" with this kid from Beidu?
Zhu Huicang put his hand on the spectacle frame again, and the lenses were full of emotion: he was thinking that these two guys are lucky, they are really "lucky".
Something like sediment came out of the drainage tube. It seems that the blockage of the drainage tube is not a stubborn "big rock", but some accumulated "silt". If a large flow of irrigation is used, the patient's physical condition is not very good, and it is afraid that it will cause heavy bleeding. It is better to find an angle that can pry the "silt block", and it is easier to control the flow rate and suction negative pressure with a small flow of water, such as a 2 ml syringe. After all, sediment is easier to loosen than large rocks, as long as the angle is found.
Roughly the thinking of the two young doctors is like this, but it is not easy to find the angle of this crack. It is very important for doctors who do flowing water injection to feel where the resistance comes from at any time. It is even more difficult for a doctor to adjust the body position. To be able to see the position of the organs and pipes in the patient's body from the outside of the patient's body is equivalent to having a pair of perspective eyes.
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