Chapter 613

Of course, Chen Qun doesn't think that Peking Union Medical College Hospital is trying its best to diagnose and treat patients, and can't find out the symptoms of his illness. Now he doesn't want to think about it, and immediately says his own judgment.

"It should be that the patient's muscle cells are pouring into his blood, so it may be the cause of electrolyte. Did you do eight biochemical tests beside the bed?"

"It's done, blood sodium 135, blood sodium bicarbonate 22, blood glucose 113, blood sodium 6.9. We judged that the patient needed calcium and sodium bicarbonate. We have injected ampoules of calcium gluconate and sodium bicarbonate, plus 10 units of conventional insulin, to temporarily alleviate the disease. But at this time there has been abdominal swelling and hemoglobin decline, I need your help to do an operation

"Spleen tear repair surgery, with minimally invasive surgery to complete, try to ensure that patients do not suffer from secondary surgical trauma!"

Chen Qun looked up at the old doctor in front of him and gave the answer he wanted.

"Yes, because it's the best operation for you to do. Originally, the hospital has decided to let surgery and interventional surgery, but here you can improve the quality of surgery several grades, while reducing the risk a lot. "

When Chen Qun heard the former president's words, he felt more and more flattered. Knowing that with the strength of the Union Medical College Hospital, we can't even do a spleen tear well, so we need to ask outsiders for help.

But now the problems of patients have not been found out, only under the condition of headache and foot pain, reducing the most unnecessary injury is the best choice for the hospital. Since he came here to do a wonderful brain surgery, no one would object to continuing to drag him to do his old minimally invasive surgery.

However, this kind of illness is also his best. Of course, he is duty bound. What's more, he loves system space and has done thousands of internal organs and bone fragmentation operations. It can be said that few doctors in the world have so many operations.

The system space trains him with the impossible operation of extreme squeezing, but in reality, it is almost impossible to have the extreme state simulated by the system. Even if the internal organs and bones are injured at the same time, the probability of his solving is at least 95%.

"Then I'll get ready for the operation right away! I hope that he will not die on the operating table before finding out his real condition. "

Chen Qun immediately stood up and went out to the door.

A few minutes later, he looked at the patient who had been intubated in his mouth and passed out in a coma. Suddenly, a line of words appeared on the corner of his eyes. He beat twice and stopped.

Seeing this symptom, Chen Qun can't help opening his mouth. This... Is impossible to happen to an athlete!

Is the world strange?

While thinking about it, Chen Qun heard the monitoring panel hanging on the head of the patient's bed suddenly chirp, which made Chen Qun immediately find a better way to completely solve the patient's problems.

"Mr. Ruan, the patient's condition is urgent. It's too late to do spleen repair with minimally invasive surgery. I need to use conventional surgical methods for rescue."

Ruan Changzheng is also experienced. Seeing that the patient's blood pressure and heart rate rise together, he also made a quick decision. He knew that the patient needed immediate decompression and hemostasis, or he would lose his life. Xiao Chen gave the best choice and agreed without hesitation.

Chen Qun picked up the surgical scissors, cut the suture on the surgical wound that the patient had just sewed two days ago, and put forward a small request to Ruan Changzheng who entered the operating room together.

"Mr. Ruan, I need to use half of the previous incision, and then open a 6 cm long incision down to complete the repair of the spleen, so as to minimize the surgical damage. It's just that the upper part of the incision deviates a little from the position of the spleen. I need an assistant to pull the hook for me. It's different from the routine operation

Chen Qun made a request while incising a small wound neatly. He pointed to the following part with a scalpel and continued to explain the situation.

"I deviated a little from the midline of the fascia to avoid damaging the rectus of his abdomen. I tried to cut from a weak place and cut out a suitable part. Eh, wait. It seems that something is wrong. Nurse, give me hemostatic gauze immediately. "

Chen Qun stopped, took the hemostatic gauze from the nurse, wiped the surface of the muscle fascia several times, and rolled up the skin a little bit with the operating forceps, revealing a larger vision.

"Look at the color of the muscle. It doesn't look like a muscle at all. The color is too pale. It should be pathological change!"

Chen Qun definitely gave his "inference", and then used the forceps to poke the pale muscle twice.

"Look, there's almost no twitch in the muscles. It's impossible. The patient is a national athlete, combined with his background. I think we have found the root cause of his physical problems. We need to do a muscle biopsy immediately to confirm his condition. If there is no wrong guess, we can cure himChen Qun's last few words are full of strong confidence. Even if he doesn't carry out simulated operation and observation in the system space, he can still get the most accurate prediction.

Because system space has taught him knowledge and experience, which has been proved countless times. In the final analysis, system space is still the business of teaching him technology. All simulated operations follow the medical laws he knows. With the same evidence, whether he does simulation surgery or not, the result is the same in the end.

This time, Ruan Changzheng was a little confused, but he was not a professional doctor. Naturally, he could put down his airs and ask the two young people questions.

"Xiao Qi, do you recognize what Xiao Chen said? I seem to have a little impression, but I'm too old to remember. Can you tell me? "

Qi Hong only studied her deliberately at that time and gave the answer directly.

"It's supposed to be hereditary mitochondrial disorder. When the mitochondria can't produce enough energy for the body to function normally, they will get sick. After the patient becomes a national athlete, he often needs to participate in various competitions, which leads to intermittent fasting, which leads to his mitochondrial disorder and aggravates all kinds of injuries in his body. "

"That means he can't go back to the game?"

"Grandfather Ruan, you are wrong again. This kind of illness can be controlled by diet. Only by taking special diet and supplements, and taking food at a reasonable time, such as using the method of eating less and more meals, can we solve his body energy supplement and let him return to the playground. "

"In fact, this disease sounds very high-end, but the treatment is very simple. Zhou Lin, you come here to pull the hook. I'll cooperate with Chen Qun to fix the patient's small intestine and stop the bleeding in his abdomen and spleen as soon as possible. "

This time, Chen Qun didn't need teaching. He did it very quickly. In almost 17 minutes, he completed the repair of his spleen and began to wash and disinfect his abdomen.

Ruan Changzheng sighed more and more as he watched his hands complete all the delicate movements in a very narrow space, just like embroidery. He only finished the suture of the spleen with his fingers. Why does Liu Dabang say that Xiao Chen is a talented surgeon first and a minimally invasive surgeon second.

The reason is very simple, that is, his surgical skills are incomparable. It's enough for him to complete many operations that others can't.