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Chapter 206 [206] Careful investigation is very important

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    "Can you relax a little? There's no need to be nervous, Auntie." Liu Jingyun tried to calm the patient's emotions.

    "I can't bend my waist. I can't bend my waist." The aunt kept complaining that her back hurts.

    Liu Jingyun looked back at the clock. The surgeon might be coming soon. If he saw that the patient was not under anesthesia, he would probably be angry.  This was an operation at noon, and the surgeon originally sacrificed his rest time to do it urgently for the patient.

    The surgeon was angry, just like the last time in the emergency department, and finally complained to the anesthesiology department: It¡¯s just a simple spinal anesthesia, and the people in your anesthesiology department can¡¯t do it well?

    "Don't be nervous, take a deep breath, auntie. Can I hold your hand first?" Liu Jingyun held the patient's hand, wishing that she could bear the pain instead of the patient.

    Xie Wanying looked at the patient's condition and looked at the patient from head to toe to see where the problem was.

    Lumbar disc herniation, so low back pain?  Are the patient's complaints exaggerated?  It hurts so much that you can't bend your waist?  Some patients are nervous upon entering the operating room, and their excessive nervousness amplifies their pain.

    The patient¡¯s heart rate on the monitor is a little fast, but his blood pressure is strange, a little low?

    "Senior sister." Xie Wanying called her senior sister again.

    Liu Jingyun turned around and asked the junior sister in confusion: "What's wrong?"

    "I probably can't get spinal anesthesia."

    Maybe the junior sister doesn¡¯t quite understand, but lumbar disc herniation can be treated with spinal anesthesia.  Liu Jingyun was going to tell the junior sister.

    Xie Wanying walked around the end of the patient's bed to the senior sister on the opposite side, and whispered: "Maybe we need to rule out spinal problems, such as ankylosing spondylitis?"

    Is there something wrong with your spine?  Liu Jingyun was startled.

    "Emergency patients? How many examinations have been done?" Xie Wanying asked.

    Liu Jingyun looked back at the medical records placed on the treatment cart. It was correct that he was an emergency patient.  Maybe the emergency doctor was afraid of what would happen to the anus and rushed to perform the surgery.

    " What was the specific situation? Liu Jingyun walked back, picked up the medical record and checked it again.  It turned out that the patient had an anal fistula and had undergone an anal surgery before. Local anesthesia was used at that time.  Local anesthesia is risk-free and treats low anal fistulas.  Later, it was found that the recurrence was serious and may involve high anal fistula.  I came in from the emergency room and went into the operating room this time. I probably wanted to do a thorough anal surgery.

    When you want to have surgery, you will basically do some preoperative tests, such as an electrocardiogram, which is generally fine, and a blood test, which shows that there is no problem with coagulation.  Because of the anal fistula, there must be infection and the white blood cells are high, so surgery is needed.

    Liu Jingyun thought about it again and again, why did the junior sister suspect that there was something wrong with her spine?

    "If it hurts like this, could it be spinal deformity? The local anesthesia surgery last time may not require bending." Xie Wanying said, "And the patient is thin and has high white blood cells. It is said to be caused by anal fistula, but is there anything else?  What¡¯s the cause?¡±

    ??????????? It hurts when bending over, but usually it doesn¡¯t hurt to this extent. Even if I can¡¯t bend over even a little bit, the patient says his head hurts as well.

    If there is a problem with the spine, spinal anesthesia cannot be performed.  This is a contraindication for spinal anesthesia.

    It is right to be cautious, but in order to find out whether this is the cause, the patient needs to have a radiograph taken and a clinician should be contacted for consultation.  If the other teachers were okay, it would be Director Zhang today, and Liu Jingyun would have a headache just thinking about it.

    Putting down the medical records, Liu Jingyun walked back to the patient's bedside and reached out to touch the patient's back to check the condition of the patient's spine. This was a positioning action she had to do before anesthesia.  After touching it carefully, I found that the patient's back muscles were very stiff and obviously different from ordinary people. It felt like something was really wrong.

    "Didn't you take a chest X-ray?"

    "Non-hospitalized patients come in from the emergency room and don't have time to take pictures." Xie Wanying helped the senior sister look through the medical records and said.  (Remember the website address: www.hlnovel.com
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