Chapter 222

After the car arrived at the provincial people's emergency, the cart was ready.

The patient was sent to the rescue room in time!

Chen Cang did not choose to study [resection of pulmonary hydatid cyst] in a hurry.

After all, this is not an ordinary operation, but a level III operation, infinitely close to level IV.

In the central and northern regions, the standard of grade IV surgery is generally followed, but the system obviously refers to the situation of the whole country.

After all, this disease often occurs in pastoral areas, especially in the 1970s and 1980s. At that time, there were many patients with pulmonary hydatid cysts. There were hundreds of such operations in pastoral areas every year. At that time, the treatment of this operation was quite mature.

At that time, the success rate of surgery in a pastoral autonomous region hospital directly exceeded the top three hospitals in Xiehe West China, which was also famous.

It takes 4 skill points to learn level III surgery and 6 skill points to upgrade to advanced, which means that it takes 10 skill points to master advanced [resection of pulmonary hydatid cyst].

Thinking of this, Chen Cang was still reluctant.

After all, this kind of surgery is too rare. If... It is not diagnosed as this disease, isn't it a waste?

However, once diagnosed, Chen Cang will not have the slightest hesitation!

After all, the reward brought by this disease is the perfect level of chest image, perfect interpretation and secretion detection. Choose one from the other.

At this time, we can see the level and ability of the provincial people's emergency team.

From receiving people to inspection, to starting monitoring, to preparing drugs, to the conduct of various inspections, it is orderly, very fast and orderly.

Chen Cang looked enviously.

At this time, Wei Zhi and a man in his fifties had come out. When they saw Qian Liang, they hurried forward.

Qian Liang said anxiously, "it's hard for you, Director Wei and director Zhang."

Zhang Peiyi is the director of the provincial people's emergency department. He is a strong man who is vigorous and resolute. He doesn't look like a doctor from a distance, because baldness has shaved off his hair long ago, and the whole person has a strong smell.

Zhang Peiyi waved his hand: "let's save people first. By the way... Who is Jing ran?"

Jingran was stunned and came forward and said, "Hello, director Zhang, I'm Jingran."

Zhang Peiyi: "you have been in Fuwai Hospital. How much do you know about pulmonary hydatid cyst?"

Consider it carefully: "if you are diagnosed, you can operate, but now you should first stabilize the patient's situation. Now I highly suspect that hydatid cyst ruptures and enters the bronchus, causing severe choking cough and chest pain, and then cough up a large amount of water or powder, and allergic reaction can occur. In severe cases, anaphylactic shock can occur, and asphyxia can occur when a large amount of cyst fluid enters the bronchus."

"So at present, we should first check the anti allergy as soon as possible, diagnose the patient's condition, and then try to arrange the operation in the shortest time."

Chen Cang saw that he said a lot in an orderly way. He couldn't help glancing because he said what he wanted to say.

Something!

In fact, Jing ran also admired Chen Cang very much. At that time, he witnessed the whole process of Chen Cang's emergency rescue, rapid rescue, calm treatment, calm analysis, rapid judgment of the condition and timely transfer of patients. This set of operation, like the first aid combination boxing, made Jing ran feel some heartfelt emotion and admiration!

Most importantly, I didn't expect him to make accurate judgment on this very rare disease.

Because he is in the capital and close to Inner Mongolia, he also has some understanding of this disease, but Chen Cang is in such an environment, but he can analyze and deal with it. He is indeed a bit level!

At this time, the nurse hurried out.

"Director, the patient's blood pressure is only 8050. Is it anti allergic now?"

Zhang Peiyi shook his head: "first boost the blood pressure with adrenaline, and then give dexamethasone when the blood pressure comes up. What about breathing? No respiratory failure, right?"

The nurse nodded: "well, not for the time being, but the blood oxygen saturation is a little low."

Several people walked together towards the emergency room.

B-ultrasound beside the bed is now in progress. Everyone holds their breath and looks at the picture above the B-ultrasound.

Although I don't know much about B-ultrasound, I can also understand 7788.

The examination doctor suddenly took a screenshot and had a general judgment in his heart: "hydatid cyst can be diagnosed. There is no problem, but now the key is not to know whether there is cyst rupture and how many hidden invisible cysts. These are a little annoying, because if hydatid cyst is very small, we still can't find it."

Zhang Peiyi asked, "can't B-ultrasound diagnose?"

The doctor of B-ultrasound shook his head: "there is only a certain probability. Maybe more tests are needed to improve."

Jing ran suddenly said at this time: "the accuracy of B-ultrasound hydatid cyst is more than 90%, but the diagnosis of cyst rupture and infection is not accurate. Moreover, abdominal ultrasound or CT scanning is necessary for those suspected of pulmonary hydatid cyst. This examination is particularly important for the preoperative examination of right lung lesions, because right lung and liver hydatid cysts can be treated at the same time."

"Now, we can diagnose pulmonary hydatid cyst through B-ultrasound, but there are two things that are not clear, that is, whether there is hydatid in the abdomen and liver, and whether there is pulmonary hydatid infection."

After that, Jingran said to the doctor, "check the liver and see what you find."

The doctor nodded and continued to start.

At this time, if you want to make a diagnosis, you must rely on accurate examination. Only by clarifying where and how many are, can you better arrange the operation!

It can be said that examination is as important to surgery as intelligence is to war!

A careless move will lose the game!

Everyone is a senior director. Who goes out is not a person who shakes three times. The party stands aside, looking serious and depressed. Everyone is waiting for the results of B-ultrasound.

The key to the examination results is directly related to how the operation should be carried out.

Because the more complex point of pulmonary hydatid cyst is that it is not a simple operation, and there is not only one cyst!

If the cyst is large, it can be found, but what if the cysticercosis is small?

Hiding in other parts of the lung, or in the abdominal cavity, liver, is the most troublesome.

Continuous surgery is very serious for human body damage, and we all know and understand this very well.

In addition, the most important thing is to judge the destruction of the outer and inner cysts of pulmonary hydatid cyst, which is the key factor that really affects the operation!

Biochemical examination needs at least three or four hours, especially complement binding test and immunological examination.

Next, how to quickly and effectively arrange inspection and targeted troubleshooting is very important!

Indeed, you can do it all.

But what about time?

What about the patient's status?

It's pressure boosting and anti allergy now, but what about later?

Therefore, there must be a detailed arrangement.

To put it bluntly, the patient's situation is more complex. Who can take the helm!

Who can be the commander of this skill is particularly important.

Just as the war between the two armies is imminent, there must be a commander with absolute voice.

At this time, everyone looked at Jingran, a postdoctoral from the capital Fuwai Hospital!

Qian Liang couldn't help asking, "Dr. Jing, have you ever met such a similar patient? What should we do next?"

After thinking about it carefully, he frowned: "examination is necessary, but we need a doctor who knows very well about the image data to help us judge! After all, I am not very professional about the impact data."