It seems to be a patient after surgery.

The liquid in the drainage bag is a bit turbid, with yellow, white and black spots. I am afraid there are signs of suppuration and leakage of fluid and a little feces. The patient's body temperature is measured to be high, 38 degrees and 9 degrees.

"Is this patient a tumor patient?" Without seeing the medical record, Feng Yicong and Xie discussed it themselves. The patient is too young and it is relatively unlikely that he is a tumor patient.

Xie Wanying agreed with her classmates’ point of view. Not only tumor patients will undergo surgery. In her opinion, the case was transferred to the National Association for treatment, which shows that some of its characteristics are the treatment scope that the National Association is good at, so she boldly inferred: "It may be Crohn's disease."

Crohn's disease is an inexplicable intestinal inflammation. It is said that it is inexplicable because its pathogenesis is still inconceivable in the medical community. It is said that it may be an infection or an immune disease, but in short, there are many possible causes.

Diseases that do not know the cause can only make the doctor helpless. Therefore, in clinical treatment of Crohn's disease, one is symptomatic treatment, and the other is to provide immunotherapy based on some existing basis related to immunology. This is good at the National Association, because the immunology discipline of the National Association is well-known in China, and no one dares to rank second. If this young man suffers from this disease, it is time to undergo surgery, which means that the disease has entered a severe period. It may be intestinal obstruction, intestinal fistula or acute perforation and bleeding.

A very typical clinical feature of Crohn's disease is the formation of fistulas. Inflammatory lesions penetrate the intestinal wall and reach other tissues and organs, forming fistulas. These fistulas cause adhesions between various organs and tissues, forming mass abscesses. How terrible are abdominal abscesses? Those who have been to general surgery have experienced this.

If an abscess is really formed, it is not suitable to immediately remove the lesion intestinal segment. You must first perform incision and drainage of the intraabdominal abscess. The incision and drainage of the abdominal abscess is to open the abdomen. It is not an ordinary aspiration procedure with needles on the bedside. It requires general anesthesia, lumbar anesthesia or epidural anesthesia, incision of the peritoneum of the skin, open the abdominal cavity, find an inflammatory mass, use gauze to isolate the mass to prevent the spread of infection, incision of the abscess and discharge pus, and finally put it in the drainage tube and close the cavity.

The patient is now in the surgical stage but is transferred to the National Association for the National Association. Should he continue surgical treatment or internal medicine treatment?

After studying the medical records, Yu Xuexian went to the family to talk. Feng Yicong asked again: "Do you need to go to the internal medicine for treatment? The signs of increased pus will continue to appear after surgery. The surgical treatment is not clean, so we should consider conservative treatment of internal medicine, because we are good at studying Crohn's disease in the gastroenterology department."

Listening to Student Feng’s words fully demonstrates that he is an internal medicine student who knows very well.

A lot of pus accumulated in the patient's drainage bag, which means that if the surgical procedure is not done well, it will not be effective in relieving the patient's condition. It should be the usual reason to transfer to internal medicine.

Without drawing a quick conclusion, Xie Wanying looked at the patient's abdominal drainage tube and began to think further.

As a surgeon, he has the mindset of a surgeon, and his thinking is different from his internal medicine student mindset, so his direction of considering the problem is not very consistent.
Chapter completed!