BXBX NOVEL Chapter 911: 【911】Efforts to keep
Grade 3 or 4 rupture of the spleen can only be done by complete spleen removal.
If the entire spleen including the spleen hilum is removed, the doctor needs to consider it more carefully considering the young age of the child and the room for future growth.
Xie Wanying remembered what she said to Wen Gui. Although she and her family spoke rationally, they were equally unbearable emotionally.
"Mr. Nie. The OPSI of children is very high, higher than that of adults, which may be due to the fact that the spleen is completely removed. If the spleen is preserved, it will be of greater significance to the child. The spleen not only stores blood, but also for children. Hematopoietic function and irreplaceable immune function for a period of time, as well as anti-tumor function in the future." After Xie Wanying said these words, she also knew that there was only time for the teacher to consider. Now it's up to the teacher to decide. The teacher has more experience than her, and I believe that she can make the best choice for the child.
Total resection is done. If the spleen is preserved, in this case, only autologous spleen tissue transplantation can be performed. The biggest problem with autologous spleen tissue transplantation is postoperative.
Children need to pay more attention to OPSI than adults, but autologous spleen tissue transplantation has the same risk of necrotic infection. Moreover, it is necessary to dynamically observe whether the child has recovered spleen function for a long time after surgery, which requires professional doctors to watch.
If the patient has the surgery in their own hospital, everything is easy to say. Not now, it's hard to say whether it can be guaranteed that the child's follow-up treatment will be handled by a professional doctor. The condition of the county hospital, he saw with his own eyes what the situation was tonight.
Considering these, Nie Jiamin had already made a decision before the operation. If this problem cannot be solved, he can only do everything.
What didn't expect was that the student opposite suddenly mentioned this to him.
"Did you not consider other issues?" Nie Jiamin asked her deliberately. Because he knew her strength, he hoped to guide her to be more thoughtful and meticulous as a doctor in the future.
"Mr. Nie." Xie Wanying cooperated with the teacher's hand operation and did not stop. The cooperation of teachers and students is to dissociate the spleen pedicle, regardless of whether the spleen is autologous tissue transplantation. On the one hand, she continued: "If it is a postoperative problem, I personally don't think you need to worry too much. It is not far from the capital, so it is OK for them to come to the National Association for follow-up treatment."
It seemed that she knew what he was worried about. He was not very sure about how domestic patients could be transferred after surgery. He asked, "Do you think she can be transferred to the National Association?"
"She is a car accident patient, and the medical expenses are paid by the driver who caused the accident."
The first criterion for domestic patients to be transferred is whether they have enough money. Nie Jiamin understood her words and said to her, "You need to see insurance abroad."
Maybe Mrs. Nie heard that Qian was touched, she felt deeply, and communicated with her about the situation abroad.
The threshold of is resolved, and then the spleen autologous tissue transplantation is performed for the child. Three vascular clamps were attached to the splenic pedicle of the spleen hilum, and the splenic pedicle in the middle of the two hemostatic forceps near the spleen was cut.
First, the blood vessels of the splenic pedicle were double ligated to fully stop the bleeding, and the blood finally stopped flowing like a fountain. Exploration of the abdominal cavity no other organs rupture bleeding. The patient's blood pressure stabilized.
Thank you for your support! ! ! Good night dears~
(end of this chapter)