Chapter 1740

Pulmonary embolism, seriously, emergency rescue has nothing to do with vascular surgery.

But thromboembolism is probably deep venous thrombosis, which is one of the main diseases treated by vascular surgery.

"Urgent consultation?" Asked Sun Chao.

"Well, pulmonary embolism. Sit down and I'll have a look." Mao stood up and said.

"Let's go and have a look at the diagnosis and treatment of your 912 and learn from it." Sun Chao subconsciously felt that this was an opportunity, so he said without hesitation.

See if it is possible to pick a thorn, Sun Chao thought to himself.

Mao Chi glanced at him and vaguely guessed Sun Chao's thoughts.

It doesn't matter to go to a consultation.

In yesterday's meeting, I made a demonstration operation, which was very successful.

Today's remaining few people, even if they want to see their own surgery, it doesn't matter. Although no one can guarantee the 100% success of emergency surgery, all they need to do is deep venous thrombosis.

As for the removal of pulmonary embolism... This operation is a little big. Even if it fails, no one will make a fuss about such a difficult operation.

Without hesitation, Mao walked out of the conference room quickly.

Sun Chao smiled and followed Mao Chi. The remaining directors looked at each other and followed.

It is also an accumulation of experience to see the emergency treatment of 912 with your own eyes. Not to mention that this is a severe case of severe - emergency pulmonary embolism.

Pulmonary embolism is also divided into size and severity.

Small emboli block small branches of the pulmonary artery, as long as thrombolytic therapy. The most important thing about this disease is to make a clear diagnosis.

However, it is more difficult to directly embolize the main pulmonary artery with a large embolus than to ascend the sky.

The vast majority of people have to give up when they see this disease.

The treatment departments of pulmonary embolism are not fixed. Some hospitals are treated by vascular surgery, some hospitals are treated by interventional catheter room of circulatory medicine, and some hospitals are treated by cardiothoracic surgery.

I don't know the severity of the disease, and I don't know how 912 is going to diagnose and treat it. Everyone is very curious and whispers behind.

At this time, most of them are what kind of patients they have encountered, pulmonary embolism. After some arduous emergency rescue, they have pulled the patients back from the death line.

Brag. Anyway, there's no evidence. Everyone brags. Sometimes the Jianghu status is blown up like this.

But why did this patient receive neurosurgery?

All the way to neurosurgery, director Zhang Lin of the circulation just arrived.

Shao Yongxiang, chief inpatient of neurosurgery department, didn't know why Director Mao followed a group of people behind him, but he didn't ask. Instead, he politely invited people into the office and began to briefly introduce the medical history.

"Director, the patient accidentally fell down from the stairs 42 minutes ago at school, resulting in left temporal bone fracture, intracranial pneumatosis and traumatic shock. This diagnosis is in doubt. 120 was sent to our hospital for emergency, and did plain CT scan of lung and head, and found a large amount of pleural effusion on the right side."

"The emergency department asked the thoracic surgery for consultation. During the joint physical examination, it was found that there was a large area of bruise on the patient's right lower limb." Shao Yongxiang and general manager Shao quickly reported the medical history.

"Massive bruising?" Director Mao whispered.

"Yes, so we went to the emergency department for echocardiography and color Doppler ultrasound examination of blood vessels in both lower limbs and abdomen, suggesting external iliac and common iliac vein thrombosis. Echocardiography found suspicious images, but it could not be diagnosed."

Shao Yongxiang stopped here.

He looked at Mao and then at Zhang Lin next to him. Both directors frowned and meditated.

Put the film on the reader, Shao Yongxiang didn't continue to talk.

Only a few minutes, can do this step, has been regarded as ultra-high speed. Emergency first aid reaches this level. It can be said that the level of 912 is quite high and excellent.

The directors behind Mao knew the importance and could see the doorway. The logical process of this judgment alone shows many problems.

Pulmonary CT showed multiple patches and solid deformation near the pleura of the right lower lung, and the right pleural effusion was confirmed.

It should be pulmonary embolism. Everyone is thinking about it.

Is it necessary to do a CTPA, that is, pulmonary artery CT angiography. Although pulmonary angiography is the gold standard, it is invasive, not as easy as CTPA.

"Mr. Shao, be a CTPA." Director Zhang Lin said.

Mao nodded and reconsidered director Zhang Lin's statement.

There's no problem with this. Check it first, diagnose it after coming down, and then start the operation. As for whether it is circulatory medicine or vascular surgery... Vascular surgery is still relatively strong in 912.

After all, the imperial capital has special hospitals for heart diseases such as Fuwai and anzhen. The circulatory medicine of 912 is not second to none.

"If the patient is in a stable state, seize the time to check." Mao Zhidao.

All disposal is in order, fast and without any mistakes. Sun Chao had some regrets. He didn't find anything wrong.

"The two directors arrived so soon." As he spoke, ringer strode in.

The Academic Affairs Office of Medical University has contacted the 912 medical office. The students' affairs are all major events, so ringer came directly.

It is said that President Zhang of Medical University and vice president yuan of 912 are on their way.

A good student is seriously ill when he says he is seriously ill? And it's still the kind of disease that can die at any time. It can't be serious.

"Director Lin, here you are." Several 912 directors and inpatient managers present immediately greeted.

"How to judge?" Asked ringer.

"Pulmonary embolism is suspected. CTPA should be done to see the situation and determine the emergency operation." Shao Yongxiang said.

Ringer just asked that the emergency of pulmonary embolism is different from all kinds of rare diseases.

Rare diseases, or diseases with high surgical risk, are all over the country going to the imperial capital to seek medical treatment.

But pulmonary embolism, I'm afraid the people who came to the capital are over.

If people are all right, they are all right locally, which proves that the disease is relatively mild. This is a very simple logical question, so no one really believes how high the level of 912 treatment for pulmonary embolism is.

Knowing that the problem was serious, ringer immediately asked, "do you need to consult Fu?"

Because it involves students, no matter how small things are!

This is not the time to focus on 912 face, ringer asked directly.

Director Zhang Lin and Director Mao Chi were stunned. Mao Chi hesitated. After thinking carefully for a few seconds, he suggested: "why don't you... Give boss Zheng a slap first?"

After hearing the three words of boss Zheng, director Sun Chao's eyes flashed!

Is boss Zheng in such a high position in 912? Mao said he would give him a slap first?

"OK, then do CTPA first. I'll contact boss Zheng."

"If you don't do the inspection, go straight to the stage!" Zheng Ren's voice came from the door, with a little impatience.