Add Bookmark | Recommend this book | Back to the book page | My bookshelf | Mobile Reading

Free Web Novel,Novel online - All in hlnovel.com -> Romance -> Back at 90  she became popular in the circle of surgical bigwigs

¡¾1036¡¿Hit the key points in the textbook

Previous page        Return to Catalog        Next page

    Many doctors who have experienced this doctor agree with him.

    Doctors from other hospitals are like martial arts masters who show their faces and talk about issues in a clear and logical manner, while teachers in their own hospital do not give lectures.  Medical students who come to listen to the lecture for the first time are likely to be confused. For example, trainee Fan Yunyun feels that her head can hardly tell the difference between east, west, and northwest.

    It is not easy to learn from Senior Sister Xie. Senior Sister Xie is able to enter such an important operation and help to show her face in front of peers across the country, but she has not yet figured out what is going on with this operation.

    Senior sister Xie told her that if she had to gnaw on hard bones, the teacher said it would be better to put more energy into exploring on her own. Only by having a thorough understanding of anatomy can we understand all surgical issues.

    Fan Yunyun quickly lowered her head, took out a thick anatomy atlas from her schoolbag and opened the relevant pages.

    Geng Lingfei, who was sitting next to her, looked at the big textbook in her hand in surprise. Only then did he finally discover and realize why she had brought a big schoolbag with her to attend the lecture.  People regard lectures as self-study classes in schools.

    Looking at her movements, Geng Lingfei frowned and turned back: Well, all the actions of this trainee seemed to be to compete with him for the teacher, intentionally or unintentionally.

    "You said they were talking about the liver hilus." Fan Yunyun seemed to be asking and answering herself.

    Geng Lingfei didn¡¯t even look at her and didn¡¯t discuss it with someone like her who was robbing the teacher.

    If Dai Nanhui is interested, look at the different expressions on their faces.  I always feel that it is really unheard of and strange that these two people are studying with an intern.

    After turning the page, Fan Yunyun whispered to the book and recited the key points of knowledge in her heart: The hepatic vein is formed by the convergence of the liver's portal vein system and hepatic artery system through the central vein and sublobular veins. It is mostly located in the second and third hepatic portals.  It joins the inferior vena cava.

    When a patient has Budd-Chiari syndrome, the outflow part of the hepatic vein is obstructed. Therefore, between the unobstructed hepatic vein and the obstructed hepatic vein, the sinusoidal space between the liver subcapsular arch and the liver parenchyma, the phrenic vein and the hepatic vein are between each other, and the liver  The collateral circulation that the doctor from the foreign hospital just mentioned can be widely formed between veins and short hepatic veins, between lobules and perihepatic adhesion zones, perihepatic ligaments, etc.

    There is also the third porta hepatis, which has a large number of small and medium-sized veins called short hepatic veins, with as many as thirty or fifty branches.  The above factors constitute a huge risk of death of the patient on the operating table if the doctor does not handle it properly during the operation, resulting in bleeding that is difficult to control.

    The significance of establishing extracorporeal circulation in this kind of surgery is here.  The inferior vena cava is a large channel for blood to return to the heart. Once blocked, venous congestion in the lower segments may occur.  How serious this problem is, it can sometimes cause kidney failure in the lower segment.  In addition to this, most of the collateral circulation formed during the disease process in patients with Budd-Chiari syndrome are small blood vessels. Once the large channels are blocked, these small blood vessels will be detonated like large minefields.  When the time comes, there will be a sea of ??blood, and the doctor only has a few hands, how can he deal with such a large minefield bursting blood vessels.

    This is the horrific consequence of difficult-to-control bleeding.

    Got it, got it.  Fan Yunyun nodded. Senior Sister Xie is amazing. It is indeed the most important thing to read and understand anatomy well.

    In this case, why do doctors hesitate to use this extracorporeal circulation?

    The reason is very simple. It is definitely not a good thing to do things like deep hypothermic anesthesia and circulatory arrest to patients when necessary.  (Remember the website address: www.hlnovel.com
Didn't finish reading? Add this book to your favoritesI'm a member and bookmarked this chapterCopy the address of this book and recommend it to your friends for pointsChapter error? Click here to report