The number of people increased again by one person, and the four-person group entered the three-bed ward in a hurry.

As soon as Zhang Wei entered the ward, the patient's family members were surprised and said: "Dr. Zhang, you are here again!"

As soon as these words came out, the four doctors had different expressions.

The two people in the emergency department were away from home and didn't react much.

Zhang Wei seemed a little embarrassed, and he just nodded lightly in response to the enthusiasm of the patient's family.

The female obstetrics and gynecology doctor had the biggest reaction. She looked at Zhang Wei with wide eyes. After thinking about it, she pulled Zhang Wei aside and asked in a low voice:

"Have you shown the three beds before?"

"I didn't look carefully. I was in a hurry to go back and just took a casual look." Zhang Wei defended.

"I don't care whether you looked carefully or not, how did you tell this patient's family?"

"I didn't say anything..."

Seeing Zhang Wei hemming and hawing, the female obstetrician and gynecologist looked at him with very shocked eyes, as if he had made some huge, principled mistake, and this kind of mistake should never be made by a mature surgeon like him.

Will commit it!

"Are you still quarreling with me at this time? Zhang Wei, we entered the hospital in the same year. Do you still remember how conscientious we were when we first entered the clinic? We were afraid of saying the wrong thing or doing the wrong thing!"

"But what about now? I told you that you have been a bit wandering in the past few years and are prone to accidents. Let me ask you, am I wrong!?"

Zhang Wei was silent for a moment, and then said softly: "When I came to see the patient, the symptoms of appendicitis were not obvious. Moreover, appendicitis in late pregnancy is easy to be misdiagnosed. There is nothing we can do about it."

Due to the enlargement of the uterus during pregnancy, the positions of the appendix and greater omentum change, and the clinical manifestations are not typical. In addition, in order to prevent the fetus from being affected, conventional CT and X-ray examinations cannot be used. Therefore, the misdiagnosis rate is extremely high, and often

It requires experienced clinicians to detect it early.

But having said that, according to Zhang Wei's ability, it is actually possible to detect it in advance, but as the female obstetrician and gynecologist said, the rapid development of general surgery in recent years has made Zhang Wei's mentality a little wandering, and he is not comfortable facing patients.

Just as rigorous and cautious as when I first started clinical practice.

When practicing medicine, doctors must walk on thin ice and face the abyss. Unfortunately, Zhang Wei did not always adhere to this belief.

"I said at the time that it was normal to have slight abdominal pain in the second trimester of pregnancy, and you don't need to worry too much... In this way, it's not really a big mistake." Zhang Wei said in a low voice, without much confidence.

The female obstetrics and gynecology doctor glared at Zhang Wei, and then sighed: "It's hard to talk to the family members of this patient. Be careful when you communicate with them again later."

The two stopped whispering, and Zhang Wei calmed down and carefully examined the pregnant woman.

"You made a mistake." Li Minghui suddenly said to Su Jie.

The conversation between the female obstetrician and gynecologist and Zhang Wei avoided the patient and the patient's family, but they did not deliberately avoid the two colleagues.

"Made a mistake?"

Su Jie was confused and said: "Appendicitis in late pregnancy is easy to be misdiagnosed. Although Dr. Zhang Wei did not check it carefully, he did not make such a serious mistake."

However, Li Minghui shook his head and told a real example with a wry smile: "Two and a half years ago, in the general surgery department, the patient underwent laparotomy. Before the operation, he was repeatedly told not to eat or drink. When he came on the stage, his stomach was cut open, and everything was undigested.

Finished noodles.”

Su Jie raised his eyebrows: "No, this is such an old joke... You should not eat or drink water, so just eat noodles and drink soup."

Li Minghui shrugged his shoulders: "Clinics are actually vigilant about this kind of thing. When we see older patients with communication difficulties, we will repeatedly warn them and even monitor their pre-operative diet."

"But the patient at that time was a young man, polite and well-educated, and he looked highly educated, but he couldn't even understand such simple medical instructions!"

"In the end, doctors and nurses will also have to bear responsibility for this kind of thing?" Su Jie said hard to understand.

"The patient went on the operating table, had his stomach opened, and then found that the operation could not be performed. The wound was sutured and sent back to the ward. Tell me, if you were the leader, how would you comfort the patient?"

Su Jie snorted coldly: "I will ask the doctors and nurses to apologize to him and put the matter to rest."

Li Minghui patted Su Jie on the shoulder and said happily: "Congratulations, you already have the preliminary ability to be a leader!"

The topic seemed to reach Li Minghui's excitement point, and he immediately continued: "A few years ago, there was an example in the general surgery department. Back then..."

Halfway through, Li Minghui suddenly got stuck. He seemed to realize that the topic could not be continued, so he quickly stopped and his voice stopped abruptly.

Su Jie had a thought in his mind, and although it was completely unfounded, he still subconsciously asked: "Did Dr. Jiang Wu also stay in the general surgery department before?"

Li Minghui stopped talking and remained silent.

Good guy, it's so pure and appetizing, isn't it? If you can't survive more than three episodes in a TV series, you will be silenced by the villain... Su Jie glanced at Li Minghui speechlessly, his disdain unconcealed.

Su Jie shook his head helplessly, knowing that Li Minghui would never speak again, so he could only turn to Zhang Wei, with a trace of sympathy in his eyes.

Open the stomach, the operation cannot continue, and the patient is sent back to the ward... In this case, just twist your nose and apologize to the patient and everything will be fine.

But now?

You should know that appendicitis in late pregnancy may result in death. At least the child will not be saved, and at worst it may kill two people.

If Dr. Zhang Wei is to take the blame for such serious consequences, how severe the punishment would be?

Looking at Dr. Zhang Wei's back, Su Jie silently sympathized with him in his heart, but on the other hand, he couldn't help but take a warning.

This guy really can't be too arrogant.

Zhang Wei didn't know that Su Jie behind him had already regarded him as a negative example. He carefully completed the physical examination of the patient. The diagnostic process was almost the same as that of Su Jie and Li Minghui. The symptoms of maternal appendicitis were already very obvious at this time.

Yes, a doctor with a little experience can diagnose it.

This chapter is not over yet, please click on the next page to continue reading! A few minutes later, he put down the maternal examination sheet and said expressionlessly:

"Go for emergency surgery. It looks like the perforation has already occurred. It will be dangerous to delay it any longer."

The family member of the patient next to him immediately said nervously: "Dr. Zhang, didn't you say a few days ago that my wife was fine? She just had a stomachache, which is normal. Why do we need to have an operation now?"

Zhang Wei could only explain: "The early symptoms of pregnancy complicated by appendicitis are not obvious. It is difficult to judge by just physical examination without the help of joint diagnosis."

"Then why didn't you take a look at the test results?"

"..."

Zhang Wei didn't know what to say. He couldn't say that he was in a hurry to go back to the department to prepare for tomorrow's surgery, so he didn't bother to look at the medical records and check the results.

The attitude of the patient's family members has undergone a 180-degree change. He originally thought that Zhang Wei's arrival would save his wife from going to the operating table, and he could continue to wait peacefully until the due date to give birth to a fat boy for himself.

But now Zhang Wei is about to go for emergency surgery. The only emotional connection between the patient and the doctor is the patient. When the patient's treatment is unsatisfactory, how can he, as a family member, give the doctor a good look?

"Is it okay not to have surgery?" the patient's family asked.

"No, emergency surgery is necessary, otherwise the appendicitis will continue to perforate and cause sepsis. Let alone the child, the mother's life will not be saved!" Zhang Wei was unwilling to make any concessions on this point.

He is still very clear about it, and he still has room to defend himself against the misdiagnosis. But now he has received the consultation order and has confirmed that the mother has appendicitis complicated by peritonitis during pregnancy. If measures are not taken in time, then once the mother and the fetus in the abdomen are

When a problem arises, I really can't explain myself.

"Will the operation affect the child?" the patient's family continued to ask.

"If everything goes well, laparoscopic surgery will not have any adverse effects on the fetus."

Zhang Wei paused, and then continued: "But the mother is already 35 weeks pregnant, and the uterus has been greatly enlarged. There is not much room in the abdominal cavity for laparoscopic surgery. If laparoscopic surgery cannot be performed during the operation,

Then it must be converted to laparotomy, and if it is done... it may be necessary to have an early caesarean section."

"No! It's only 35 weeks and it's not even full term. What if the child is found to have cerebral palsy?" The patient's family immediately objected.

The female obstetrics and gynecology doctor was so angry that she almost bared her teeth. She stressed: "Although 35 weeks is a premature birth, it is very close to full term. Under normal circumstances, of course we are not willing to take out the baby early, but is this normal now? You

My wife is almost dead, and you still have to worry about those three to five weeks?"

The patient's family members stopped talking, but their attitude remained the same, and they did not restrain themselves because of the lessons taught by the female obstetrics and gynecology doctor.
Chapter completed!