Chapter 223

Before long, director Bai of the B-ultrasound room and director Yue of the radiology department came.

The emergency room was full of people.

Everyone is nervously waiting for the result.

B-ultrasound has also been done and CT has been taken. Everyone is waiting for the operation arrangement.

However, there is still no accurate answer!

Because frankly, I don't know how to start with this disease.

The most important thing in the resection of pulmonary hydatid cyst is to take out the internal capsule completely. Never break it. Once it is broken, the consequences will be very bad.

However, after the inspection results were presented, everyone began to fall into discussion again.

It is true that we can be prepared to identify common diseases, even general diseases, but the imaging examination of this rare hydatid cyst is difficult for everyone.

Qian Liang couldn't help asking, "Jing ran, what do you think?"

I stood and looked

At this time, Chen Cang suddenly said, "I have an idea. I don't know whether it is feasible or not."

Everyone was stunned and turned to look at Chen Cang.

Wei Zhi suddenly sees a bright light. To tell the truth, he has great hope for Chen Cang. However, since the patient came, Zhang Peiyi has more trust, and Chen Cang has been silent, so Wei Zhi didn't say much.

Zhang Peiyi, after all, is a postdoctoral in Fuwai. He must have a good level, which is beyond doubt.

Moreover, in the process of disease diagnosis and treatment, the most worried thing is the inconsistency of command. Everyone can speak freely in disease discussion, but in case of situation, there must be a backbone to take charge!

From the beginning to the end, everyone had more trust in Jing ran. Chen Cang also knew the depth and didn't say a word more.

The patients are also being examined according to the orderly arrangement, and the directors of the examination departments have also come to assist in diagnosis and treatment.

When all the arranged tasks are completed, in the face of this inspection, there should still be a person to make a conclusion!

That's Jingran.

However, at this time, I am not able to do what I want.

He suddenly found that the platform was really important.

When he was in Fuwai, he could complete a great operation to treat a very serious patient. He could also face critical illness without being impatient. He suddenly found that it was because he had a group of solid, reliable and great teammates!

They are all leaders in the field, and they can give very reliable suggestions.

But at this time, Jingran found that his original pride seemed false.

What should I do?

He doesn't know.

How to make a correct surgical arrangement is particularly important at this moment!

This is his first battle in Dongyang province. He can't make any mistakes, because every mistake means the death of the patient

Looking at the expectant eyes of the people around, Jing ran panicked for the first time.

At this time, hearing Chen Cang's words, a kind of hope suddenly rose.

Maybe he can?

In the eyes of doctors.

No face is more important than the patient's life!

At least Chen Cang's eyes are always firm.

Wei Zhi said, "Xiao Chen, what do you think?"

Chen Cang said, "I have a little idea. Let's press the film with me first and watch x film first."

While talking, Chen Cang hung up the film.

"Look here, generally speaking, the typical images are single or multiple, with neat edges, clear boundaries, uniform density, circular or quasi circular or lobulated shadows, which is right."

"However, huge pulmonary hydatid cyst can cause mediastinal displacement and diaphragm decline. If in this case, the longitudinal expansion and deformation of pulmonary hydatid cyst with deep breathing can be seen under fluoroscopy, or the cyst is pulled into irregular deformation by pleural adhesion, it is called" hydatid cyst respiratory sign ", which is more common in medium-sized hydatid cysts in the lower lobe of the lung."

As soon as these words came out, Yue Tao, director of the radiology department, suddenly patted the Mediterranean: "yes! I remember. That's it. Hydatid cyst respiratory disease! Why am I so strange!"

Chen Cang nodded and continued, "if surgery is needed, we need to judge the internal capsule and external capsule."

Jingran said, "yes, what we need to judge now is the situation of the inner and outer capsules. Whether there is a rupture and where we should start, Dr. Chen, can you judge?"

Chen Cang nodded: "almost. You see, B-ultrasound shows that the cyst wall here is thickened and the surrounding is in irregular infiltration shadow. It is obvious that it is complicated with infection. You see, there are obvious air cyst, cavity and pneumonic pseudotumor like shadow here, that is to say, it has broken into the bronchus."

Speaking of this, Chen Cang turned around: "so, this just explains the patient's condition, that is, choking cough, severe cough, coughing up powdery secretions, which causes the so-called allergic shock because it breaks like a bronchus!"

As soon as this word came out, everyone around brightened up!

Jingran is suddenly excited. That's right!

That's the team mate.

He suddenly had a feeling of returning to Fuwai.

Jingran couldn't help but say, "Dr. Chen continues."

Chen Cang nodded, put down the B-ultrasound and picked up another X-ray: "next, we will divide the position. Look, although the pulmonary hydatid cyst has broken into the large bronchus, look at this crescent, which is called the crescent sign. It is connected with the small bronchus. When the internal capsule is not broken, a small amount of gas enters between the internal and external capsules to form an arc transparent belt."

"Obviously, the inner capsule is not broken. Once it is broken, there will be the so-called irregular shadow. When the air enters, there will be the double bow sign. If it floats on the capsule liquid, there will be the floating lotus sign on the water."

……

After Chen Cang said that, he looked at it clearly: "this is the case now. My idea is to perform complete removal of the internal capsule. Because the patient's hydatid cyst protrudes from the lung surface for more than 13. If the removal is successful, it can completely avoid recurrence, which is the most ideal surgical method."

At this time, Jing Ran's face was excited: "yes! I think so, too."

A group of directors around looked silly.

Originally, they were invited to assist in consultation, but... At this moment, it seems to have become Chen Cang's one-man play!

They don't seem to have played much role.

Chen Cang turned and looked at Wei Zhi and Zhang Peiyi: "director, prepare for the operation."

Wei Zhi nodded: "I'll take you to the operating room!"

After Chen Cang and Jing ran left, a group of people were stunned.

Zhang Peiyi couldn't help swallowing his mouth: "Dean Qian, this Doctor Chen... Is also a talent you brought in? What a powerful young man, and... How can he look in his twenties?"

Yue Tao nodded: "yes, I really admire Dr. Chen's image interpretation ability. I haven't seen such an excellent young man for many years. Is he also from your hospital?"

Qian Liang said to himself, "hey... This is not the doctor we brought in."

Everyone was stunned: "Oh? Is he..."

Qian Liang said reluctantly, "this is our hospital's graduate student this year. It's the first year of research this year!"

The crowd even gave a sound, and Zhang Peiyi nodded: "Oh, no wonder he looks so young."

incorrect!

Zhang Peiyi suddenly realized what was happening!

"You said he only studied one? How is that possible!"

Yue Tao was also shocked and incredible: "it's impossible! How can Yanyi be so powerful! If he wants to be so powerful, I want to talk to the dean and invite him to work directly. What graduate student is it? Waste!"

Even Zhang Peiyi's eyes are full of a familiar look, which is called longing! I have

Seeing this, Qian Liang shook his head: "director Zhang, don't think about it. Chen Cang is Lao Li's baby!"

Zhang Peiyi was embarrassed and smiled: "which old Li?"

Qian Liang: "Li Heitan, Li Baoshan of the second Provincial People's court."

Zhang Peiyi suddenly lost his temper and muttered that Li Heitan was really lucky

……

Qian Liang looked at Chen Cang's back and sighed deeply, full of regret!

I knew I would do it earlier. This is my disciple!

Ah... What a nice young man, what an excellent young man.

What's the face? How can such a genius benefit

Hey