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Chapter 690: ?690?She is a real scholar
Chapter 690: ?690?She is a real scholar
?? Chapter 690 [690] She is a true scholar
"It's not, it's not!" He Guangyou was so anxious that his voice broke, and when he looked at Song Xuelin's unhurried face again, his senior couldn't help it, and glared at the younger junior, "Who told you that of."
?? "Everyone thinks it's not, it's pretty good." Song Xuelin opened his mouth and said slowly, as if he brought a rhythm for everyone to think slowly.
?? A group of seniors were silent for a while after hearing his words.
?? In the silence, everyone realized what the problem was: the jaundice never subsided, and there was no other means of conservative treatment other than injections, so surgical exploration was probably the only option. The two newcomers were right, and the result was in front of them.
?? "Perhaps so, we can try ERCP for him?" Qiu Ruiyun pinched his chin, and after thinking hard, he mentioned a new way to avoid surgery.
??ERCP, refers to endoscopic retrograde cholangiopancreatography, inserting a duodenoscope into the descending part of the duodenum, and then entering the common bile duct from the opening of the duodenum to remove stones. The inspection method tends to be like a gastroscope, and it is not necessary to make a cut with a scalpel on the patient's body surface to enter the mirror from the patient's mouth. So in the National Association, it is done by physicians who are good at doing endoscopy.
?? "Do you want to contact Neiwu?" Several doctors discussed.
?? Xie Wanying became anxious when she heard this, and said to the seniors, "No. If ERCP is used to remove stones, a duodenal sphincterotomy EST will be required, which will damage the sphincter."
??Wait, has she been to Neiwu? Why do you seem to be familiar with this inspection? Did the people from Puwai Er tell her? A bunch of doctors were astonished to hear her speak straight into the fatal point of ERCP.
?? "Do you know what a sphincter is?" Gong Xiangbin asked her suspiciously.
"The duodenal sphincter is a one-way valve, which can control the entry of bile into the intestinal tract without the contents of the intestinal tract entering the biliary tract. The sphincter is destroyed, which is equivalent to the loss of this natural barrier. He has symptoms of gallstones, and postoperatively Intestinal contents are easy to reflux and contaminate the biliary tract, which makes the infection of the biliary tract worse in the future." Xie Wanying was precise and concise.
?? Gong Xiangbin closed his mouth and dared not ask her about this intern easily.
??People are true academic masters.
"Doing laparoscopy can be done carefully and carefully, avoiding damage to the sphincter, cutting the common bile duct and inserting the choledochoscope, which is quicker and more convenient. We are surgeons, and we have greater advantages in direct inspection of the patient's body, so there is no need to let the internal medicine department The doctor should do it, right?" Xie Wanying said to the seniors.
?? Yes, why let the physician do this kind of thing, isn't it just throwing the rice bowl to others to eat. They're a bunch of surgical dawdlings. The seniors at the table couldn't help laughing and almost burst into laughter.
??Song Xuelin's delicate lips followed with a trace of microwaves.
?? "Yingying."
?? Seeing Tao Zhijie speak, the others stopped talking for the time being.
?? was called by Brother Tao by his nickname, Xie Wanying turned around and waited for Brother Tao to raise academic questions.
?? "What kind of person do you think your brother Cao is?" Tao Zhijie asked her, suddenly it was not an academic question.
??Xie Wanying was stunned for a moment and replied, "Senior Brother Cao is a gentleman."
?? There are many handsome guys. Brother Cao may not be the most handsome, but he is definitely a gentleman.
?? After listening to her answer, the others in the room realized that Tao Zhijie asked her what Cao Yong was doing. It turned out that what she said before was very similar to Cao Yong.
?? Cao Yong, the most admirable thing for all colleagues is: dare to do it!
??When others were cowering, Cao bravely stood up and said what to do. This is the confidence of a super famous doctor, which makes people fall into the ground.
?? (end of this chapter)