Chapter 2705

Zhu Liangchen still remembers that it was a medical accident in which he wiped people's buttocks. At that time, the gallbladder tube was cut off when the township hospital cut the gallbladder.

It was he who went to save the stage and got off the biliary duct. Later, the patient recovered smoothly and was discharged home.

It was said that the patient came to the hospital to take out the gallbladder stent six months later, but the patient didn't come, and Zhu Liangchen didn't care about it.

In his words, more patients are taken over every day. Who can always remember a patient.

If it is in a small hospital at the prefecture and municipal level, it may still be possible, but it is impossible in DIDU. For more than ten years, if tens of thousands of patients can tell the outcome of the disease, they don't have to do other work.

Moreover, the patient did the operation when he went to the rescue desk of a nearby small hospital, and he won't remember his name and disease.

"Take a look at the film first." Zhu Liangchen said in a deep voice.

"Director Zhu, the patient's family means that they can't hang up your number and come to me. Either you have a look and take her back to your ward?" Liu Dexiang asked.

Zhu Liangchen didn't answer, but first asked, "where is the patient now? How uncomfortable."

"In the hotel outside, I have a fever and can't get up. I've been dribbling at home for more than 20 days, but I still can't." Speaking of patient sun Xiwang, the woman was sad and said with tears.

After more than 20 days of illness, accompanied by fever, this is suppurative cholangitis. Zhu Liangchen picked up the film on the table and looked at the light.

The patient has liver cirrhosis. It is considered to be secondary to chronic cholestasis. How long has the disease been? Zhu Liangchen only glanced at the film and found it very difficult.

The bile duct is blocked, and the image of accumulated pus can be seen.

The operation can be done. Just take out the connotation tube of the biliary tract. Zhu Liangchen made a judgment. As for whether to use another stent, it depends on the situation during the operation.

Conservative treatment is ineffective. We can only do surgery. In addition, we can't wait to die.

"How can I think of it?" Zhu Liangchen had made up his mind to have an operation, but he said coldly.

"I don't have much money at home..." the woman wiped her tears and said, "old sun has been suffering from stomachache for three or five years. It's getting worse and worse."

"Old Zhu!" The deputy director of the medical department stood at the door waving.

Zhu Liangchen took a look, stood up and went out.

When I went to the next room, the deputy director of the medical department said in a low voice, "if the operation can be done, I'll do it for him and send him away quickly."

"Director Xiao, can you register at the medical office after that?" Zhu Liangchen said seriously.

"Oh, I know you're upset. I heard it just now. The patient is in the small hotel outside. You said that if he really died, there would be trouble on the ground." Director Xiao advised.

"That can't all come to the medical office to complain about being registered." Zhu Liangchen still said angrily.

"Are you sure about the operation?"

"No one is 100% sure of the operation." Zhu Liangchen said.

"Don't talk like communicating with the patient's family. Just say whether the operation can be done." Director Xiao is also a little angry. Zhu Liangchen doesn't walk and goes backwards. What's all this!

"Can do it." Zhu Liangchen said in a deep voice.

"Old Zhu, take it back and hurry up to have the operation." Director Xiao said, "it's the end of the year. All kinds of examinations don't necessarily meet anyone. Don't take eye medicine at this time."

Zhu Liangchen feels that everything has gone wrong recently. It's annoying! However, he did not dare to face director Xiao and refused to admit the patient to hospital.

After all, it was a patient who had his own operation 14 years ago. If the patient died due to biliary obstruction, it would be unclear. If the patient's family members make trouble again, even if it is not a professional medical trouble, they will not live in peace for at least one month.

The most important thing is that you can't do the operation yourself, but you can't do it. Just watch people die.

Zhu Liangchen finally took the patient by the nose.

Preoperative examination and preoperative explanation, everything was straightened out, and it was 7:30 p.m. After surgery, you have to be 10 points smaller when you go home. Who are you provoking.

Zhu Liangchen was particularly helpless to brush his hands on the stage.

Although he was always angry, he couldn't help it when he was a doctor. After the operation, the patient can be discharged well. I really can't get angry with them. Zhu Liangchen was reluctant, but he still had to have an operation.

"Director, what about the operation today?" Zhu Liangchen's assistant asked.

After Liu Xuzhi left, he found a diligent little doctor to help him with the operation. Although diligent and pleasant to speak, his level is worse than that of Liu Xuzhi.

However, there are few doctors who can have surgery. Although he is the director, he can find someone to work. He can't find too many problems.

"Cholangiography, look at the position of the inner tube, and then take it out. I hope the adhesion is not too strong. Let's do it." Zhu Liangchen said.

What he said is very simple, but he also knows that the operation is still a little difficult. After all, the biliary duct has been preserved for 14 years... Zhu Liangchen couldn't help but have a headache at the thought of this number.

It's not necessarily what's going on inside, he thought. Although large probability can be taken out, there are still small probability emergencies.

And the time is too long. Zhu Liangchen can't remember the connotation, brand and model of his own at that time.

Alas, if you don't say that good people can't do it, you wiped your ass for the township hospital, and it fell to you.

Zhu Liangchen, with a straight face and unhappy on his face, entered the operating room.

Brush your hands on the stage and start cholangiography.

Zhu Liangchen looked silly when the cholangiography image came out. The stent is embedded in a 5 cm long lollipop shaped stone. The one buried is called a solid one.

There was such a long stone. Zhu Liangchen felt a little bitter and astringent in his mouth.

MD！ He murmured a curse in his heart.

But now that we're on stage, what else can we do. Zhu Liangchen looked at the stone like a lollipop and recalled a lot of things.

14 years ago, ERCP was not formed, and few people would do it. Biliary stents are usually percutaneous puncture and stenting under X-ray. Moreover, the patient's family said at that time that they had no money, they were kind and did not remove the stent, but gave him a plastic inner tube.

Use an expert to drain the bile duct, and take it out after the bile duct has grown for half a year.

After the operation, the patient recovered. Zhu Liangchen clearly remembered that he told the patient and the patient's family to find himself six months later. After all, it's plastic products. You can't stay in your body for a lifetime. Cheap goods and expensive rare metal supports are two different things.

Unexpectedly, a stent that can be used for half a year to a year has survived for 14 years.

Zhu Liangchen sighed and focused on the operation.

Grasping forceps retrograde into the biliary tract, but the stent is useless no matter how it is pulled out because it takes a long time and there are stones in the biliary tract.

After trying several times, Zhu Liangchen was a little upset.