Zhu Liangchen still remembered that it was a medical accident when he was cleaning up someone's mess. At that time, the cystic duct was cut when the village hospital was removing the gallbladder.
He was the one who went to rescue the patient and inserted the bile duct. Later, the patient recovered and was discharged from the hospital.
It was said that the patient would come to the hospital to remove the gallbladder stent in half a year, but the patient did not come, so Zhu Liangchen did not care about this matter.
In his words, there were so many patients that he had to deal with every day. Who could always remember a patient?
It might be possible if it was a small hospital at the city level, but it was impossible to have such a situation in the capital. More than ten years and tens of thousands of patients. If he could tell the prognosis of the disease, he would not need to do other work.
Moreover, this patient was operated on by himself when he went to a nearby small hospital for treatment, so it was even more impossible for him to remember the name and disease.
"Let's take a look at the radiographic films first," Zhu Liangchen said in a deep voice.
"Chief Zhu, the patient's family came to me because they couldn't get your number. Why don't you take a look and bring her back to your ward? "Liu Dexiang asked.
Zhu Liangchen did not agree. Instead, he asked first, "Where is the patient now? Why don't you feel well? "
"Out at the inn, feverish, unable to get out of bed. I've been on the drip at home for more than 20 days, but it still doesn't work. "Speaking of the patient, Sun Xiwang, the woman felt sad and said while wiping her tears.
The course of the disease was more than twenty days, and it was accompanied by a fever. This was suppurative cholangitis. Zhu Liangchen picked up the radiographic films on the table and looked at them against the light.
The patient had cirrhosis of the liver, which was secondary to chronic cholestasis. How long had this disease been going on? Zhu Liangchen only took a glance at the radiographic films and felt that it was very troublesome.
The bile duct was blocked, and there was an image of accumulated pus.
The surgery could be performed. He just needed to take out the bile duct. Zhu Liangchen made a judgment. As for whether the next stent should be inserted, that would depend on the intraoperative situation.
Conservative treatment was ineffective, and surgery was the only option. Other than that, he couldn't just wait for death.
"Why did you only think of watching it now?" Zhu Liangchen had already made up his mind to perform the surgery, but he still said coldly.
"We don't have much money at home …" The woman wiped her tears and said, "Old Sun has been enduring it for three to five years. It's getting worse and worse."
"Old Zhu!" The deputy director of the medical administration division stood at the door and waved at him.
Zhu Liangchen took a look, stood up, and walked out.
After going to the room next door, the deputy director of the medical administration division lowered his voice and said, "If the surgery can be done, let him do it. Quickly send him away."
"Director Xiao, will we be able to register at the Medical Administration Division in the future?" Zhu Liangchen said with a serious expression.
"Sigh, I know you're upset. I heard everything just now. The patient is in a small hotel outside. If he really died, wouldn't it be an accident? "Chief Xiao tried to persuade him.
"But we can't all come to the medical administration division to complain and treat it as a registration, right?" Zhu Liangchen still said unhappily.
"Calm down. Are you confident about the surgery?"
"No one is 100% confident in the surgery," Zhu Liangchen said.
"Don't talk like you're communicating with a patient's family. Just tell me if the surgery can be done or not." Director Xiao was also a little annoyed. This Zhu Liangchen was leading him, but he didn't move. Instead, he retreated. What was going on!
"I can," Zhu Liangchen said in a deep voice.
"Old Zhu, take him back and hurry up with the surgery." Director Xiao said, "It's already the end of the year. There are all sorts of examinations, and we might bump into someone. Don't get cocky at this time."
Zhu Liangchen felt that everything had been going wrong for him recently. It was so annoying! However, he did not dare to go against Director Xiao and refuse to admit the patient to the hospital.
After all, it was a patient who he had operated on 14 years ago. If the patient died because of a blockage of the biliary tract, it would be hard to explain. If the patient's family made a ruckus again, even if it was not a professional medical dispute, he would not be able to live in peace for at least a month.
The most important thing was that he could not say that he could not perform the surgery and watch the patient die, right?
In the end, Zhu Liangchen pinched his nose and took the patient in.
The preoperative examination and preoperative explanation were all sorted out. It was already 7: 30 pm. After the surgery, he would have to be 10 points smaller when he went home after the surgery. Who did he offend?
Zhu Liangchen had no choice but to scrub his hands and go on stage.
Although he had always been indignant, there was nothing he could do as a doctor when he encountered such a thing. It would be fine as long as the patient was discharged from the hospital. He really could not be angry with them. Zhu Liangchen was extremely unwilling, but he still had to undergo the surgery.
"Chief, how are we going to perform the surgery today?" Zhu Liangchen's assistant asked.
After Liu Xuzhi left, he found a diligent junior doctor to help him perform the surgery. Although he was diligent and spoke nicely, his standard was worse than Liu Xuzhi's.
However, there were very few doctors who could perform the surgery. Although he was the chief, as long as he could find someone to work, he could not find too many problems.
"Cholangiography. Look at the location of the inner tube and then take it out. I hope the adhesion isn't too serious. Let's do it and see, "Zhu Liangchen said.
He said it very simply, but he knew that the surgery was still a little difficult. After all, the inner tube of the biliary tract had been there for 14 years … When he thought of this number, Zhu Liangchen could not help but have a headache.
'I don't know what's going on inside,' he thought to himself. Although there was a high probability that the inner tube could be taken out, there was still a small probability of an emergency.
Moreover, it had been too long. Zhu Liangchen could not even remember the brand and model of the inner tube that he had ordered at that time.
Sigh, it was said that he could not be a good person. Back then, he had cleaned up the mess of the town hospital, but in the end, the matter had fallen on him.
Zhu Liangchen's face was full of unhappiness as he entered the operating theater.
He scrubbed his hands and went on stage to do the cholangiography.
When the image of the cholangiography came out, Zhu Liangchen was dumbfounded. The stent was buried in a 5cm long lollipop-shaped stone. It was buried very firmly.
There was actually such a long stone. Zhu Liangchen felt a little bitter and astringent in his mouth.
MD！ He cursed in his heart.
However, he had already gone on stage. What else could he do? Zhu Liangchen looked at the lollipop-shaped stone and recalled many things.
Fourteen years ago, the ERCP had not yet been formed, and not many people knew how to do it. Biliary stents were usually percutaneous puncture, and the stent was placed under X-ray. Moreover, the patient's family said that they had no money at that time. He was kind and did not place the stent. Instead, he placed a plastic inner tube on the patient.
He used an expert to do internal biliary drainage and waited for the bile duct to grow for half a year before taking it out.
The patient recovered after the surgery. At this time, Zhu Liangchen clearly remembered telling the patient and the patient's family to look for him half a year later. After all, it was a plastic product. It could not stay in the body forever. Cheap goods and expensive rare metal stents were two different things.
He did not expect that a stent that could be used for half a year to a year would actually last for a full 14 years.
Zhu Liangchen sighed and focused on the surgery.
The grasping forceps entered the biliary tract in the reverse direction, but because the stent had been there for a long time and there was a stone, it was firmly in the biliary tract. No matter how hard he tried to pull it out, it was useless.
After trying a few times, Zhu Liangchen was a little annoyed.
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