The patient's hemorrhage condition will gradually decrease as long as the amount of bleeding does not increase. Later, hemostatic drugs combined with Zhengshen Ice Saline can stabilize the condition.

Therefore, Wang Yang is mainly concerned about the complications of hepatic and venous diseases in patients. After the operation, part of the venous blood will not pass through the liver and the liver metabolism process is missing. This part of the blood is likely to produce complications of hepatic and venous diseases.

This is also the main reason why Wang Yang left two stents to reduce the inner diameter of the outflow tract. Once the patient adapts, the second stent can be removed, and the patient will basically not vomit blood in the future.

After the physical examination, Wang Yang found that the patient was in good condition. Wang Yang was planning to observe for another two days. If the patient's blood ammonia did not continue to rise, the stent could be removed.

Director Yu kept watching Wang Yang do things with a smile. You should know that this patient is his classmate, who has a very strong relationship and can be rescued. Director Yu is still very grateful to Wang Yang, but due to his identity between the two, Director Yu didn't just speak.

The two of them were a little unhappy before. Director Yu tried his best to change his image in Wang Yang's heart. The impression he left for the first time should not be very good.

After seeing the patient, Wang Yang did not stay and went to the iCu directly. Anyway, they were on the way. When he arrived at the iCu, Wang Yang did not see Li Xiang. It must have been surgery. Wang Yang went to see the patient who jumped off the building last time. After all, the patient also had adenomyosis and needed surgery.

Wang Yang does not have obsessive-compulsive disorder, but the kind of surgery that has never been done and is not difficult. Wang Yang always wants to try it and feel the cheating.

This kind of surgery is at least better than Wang Yang's ten or twenty appendicular surgeries, and he also gives more skills and can improve his skills.

Seeing that the female patient was still recovering and was not suitable for continuing the operation, Wang Yang left, and Director Yu happened to call Wang Yang.

"Xiao Wang, I have another patient here. If you have time, come and help me see. The patient has severe toxemia and jaundice."

Director Yu briefly explained the patient's situation.

Wang Yang suddenly became interested. There was no good surgery in the emergency department anyway, so Wang Yang was almost vomiting due to the appendix and gallbladder. If he had a new surgery, he naturally wanted to try it.

"What is the patient's CT display?"

Wang Yang asked.

"The abdominal CT scan can see gas accumulation in the patient's biliary tract and an abscess in the liver, with an area of ​​3cmx4.2cm."

Liver abscess?

jaundice?

Any one is a difficult operation, two at a time, which will be fatal! Wang Yang quickly turned toward the gastroenterology department.

"Mrcp results show that the contours of the proximal duodenum and the common bile duct between the proximal duodenum and the intrahepatic and external bile duct are unclear, and the preliminary diagnosis is filling defects."

Director Yu said.

Wang Yang quickly accelerated his pace and came to the Department of Gastroenterology. When Wang Yang saw Director Yu, he said the first sentence: "Have you ever had a consultation?"

After all, the patient's condition is so serious that consultation is required to determine the direction of the surgery.

"I asked the general surgery department to consult, but the general surgery department said that the surgery was not very accurate, the patient's condition was not good, and the preoperative diagnosis was not accurate enough, so I dared not take the surgery rashly."

Director Yu said.

Wang Yang also felt a slump after hearing this. Sometimes it was not that the doctor was unwilling to save people, but that he was unwilling to take responsibility. After all, the preoperative diagnosis was inaccurate and rashly a caesarean section examination was very likely to fail the operation.

"Does the patient have a past medical history?"

“Yes, I had a cholecystectomy more than ten years ago.”

Is cholecystectomy the only one?

Wang Yang was a little confused. You should know that the sequelae of cholecystectomy are not jaundice and liver abscess.

"Take me to the ward to have a look."

Wang Yang also doesn’t believe in the diagnosis of gastroenterology, and the diagnosis of system light plates is the most complete.

"good."

Director Yu took Wang Yang to the ward.

At this time, at the request of Director Yu, the lower-level doctors in the Department of Gastroenterology stood near the ward with their medical record clips in their arms.

"Study hard and watch well."

Director Yu said with a look of expression.

The lower-level doctors all lowered their heads, most of them were regular trainees and interns. When Director Yu knew that Wang Yang was coming, he asked them to come and study for nothing, which was a once-in-a-lifetime opportunity.

When Wang Yang walked into the ward, he saw the patient's condition analysis on the system light board.

A completely unfamiliar disease appears in front of you. The patient suffers from blind end syndrome, also known as blind fossil syndrome, which is an extremely rare complication after surgical common duct or duodenal anastomosis.

The most likely complications are caused by a series of symptoms caused by food residues and stones accumulated in the anastomosis of the gallbladder and intestines.

The patient's skin was a little too yellow, just like the bronze man in Shaolin Temple, with his body covered with gold powder.

Wang Yang touched the patient's skin and it was very hot! The patient's body temperature was at least 38 degrees, which was a high fever. It should be caused by abdominal infection and the body's immune ability decreased and caused by high fever.

Wang Yang conducted another physical examination and found that in the patient's right upper abdomen, close to the duodenum, the patient's tenderness was obvious, accompanied by rebound pain and muscle tension, and there were obvious gastrointestinal symptoms.

"Director Yu, do you have a B-ultrasound?"

Wang Yang turned his head and asked.

Because the patient's medical history has not undergone relevant surgery, there are no corresponding inducing factors, Wang Yang still wants to do other tests carefully, see and judge what caused it, and find the inducing point before the operation can be performed.

Although the system can judge the patient's condition, it does not determine what the patient's condition is. Everything depends on Wang Yang to judge. The system's quiz is a bit like the mathematical answers behind the exercise book. There is only the answer but no process, and I don't know how to copy it.

Moreover, as a doctor, you cannot just open your mouth. Examination is also a kind of evidence. When family members are in trouble, these examinations are enough to make those families silent.

"I asked the B-super doctor to come over to do B-super at the bedside."

Director Yu asked a lower-level doctor around him to go to the B-ultrasound room.

After more than ten minutes, the doctor in the ultrasound room pushed the emergency room and overtaken to the ward and began to prepare for the ultrasound examination for the patient. Just as the ultrasound doctor applied the coupling agent to the patient's abdomen, Wang Yang suddenly frowned.

"Let me see the patient first."

Wang Yang spoke.

The B-super Doctor B-super Doctor B-super Doctor B-super Doctor B-super Doctor B-super. After all, in addition to ICU, the emergency department where Wang Yang is located requires the most B-super at the head.

"Doctor Wang can also b-ultrasound?"

Dr. B Chao said half-jokingly.

"I understand a little, but I don't know much."

Wang Yang took the b-ultrasound probe, scratched the patient's stomach a few times, determined the position, and looked at the b-ultrasound image.

Dr. B-super also held his shoulder and watched Wang Yang's operation, but did not speak. In fact, Wang Yang's behavior was a contempt for Dr. B-super, and Dr. B-super did not turn against him on the spot and gave him face.
Chapter completed!