Chapter 222： : Need 1 coach!

After the car arrived at the emergency department of the Second Provincial Hospital, the cart was ready.

The patient was sent to the rescue room in time!

Chen Cang did not eagerly choose to study [pulmonary hydatid cystectomy].

After all, this is not a general surgery, but a tertiary surgery, which is infinitely close to the fourth grade.

In the central region and the northern region, the standard of four-level surgery is generally adopted, but the system obviously refers to the situation in the country.

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

At that time, the success rate of a hospital in a pastoral area autonomous region in this area directly surpassed the top three tertiary hospitals of Xiehe Huaxi, which was notorious.

It takes 4 skill points to learn tertiary surgery and 6 skill points to advance to the advanced level, which means that to master advanced [pneumocystis cystectomy] requires 10 skill points.

Thinking of this, Chen Cang still reluctantly.

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

But once diagnosed, Chen Cang will not hesitate!

After all, the reward brought by this disease is the perfect level of perfect interpretation of chest images and the perfect level of secretion detection, one of two choices.

At this point, you can see the level and ability of the emergency department of the Second Provincial Hospital.

From receiving people to checking, to starting monitoring, to preparing medicines, to conducting various tests, it is methodical and very fast and orderly.

Chen Cang glanced enviously.

At this time, Wei Zhi and a man in his fifties had already stepped out. After seeing Qian Liang, they hurried forward.

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

Zhang Peiyi is the Provincial People's Emergency Department Director. He is a strong and brave man. He doesn't look like a doctor from afar, because baldness has shaved his hair long, and the whole person has a sturdy taste.

Zhang Peiyi waved his hand: "Everyone saves people first. Right ... who is it?"

Fearfully, he stepped forward and said, "Hello Director Zhang, I'm well thought."

Zhang Peiyi: "How much do you know about pneumococcal cysts when you stayed at Fuwai Hospital?"

Consider carefully: "If the diagnosis is confirmed, surgery can be performed, but now the patient's condition must be stabilized. I now highly suspect that the hydatid cyst ruptures and enters the bronchus, causing severe cough and chest pain, and then coughs up a lot of water or powder And can cause allergic reactions. In severe cases, anaphylactic shock can occur, and a large amount of cystic fluid can enter the bronchi can cause suffocation. "

"So at present we should first conduct an examination at the same time as anti-allergy as soon as possible to confirm the patient's condition, and then strive to arrange the surgery in the shortest possible time."

Chen Cang saw a lot of things in an orderly manner and couldn't help looking, 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, quick rescue, calm treatment, calm analysis, rapid judgment of the condition, and timely transfer of patients. This set of operations was like emergency treatment. Like the combination boxing, let Jing Ran have some heartfelt emotions and admiration!

The most important thing is that he did not expect that he could make accurate judgments 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.

At this time, the nurse hurried out.

"Director, the patient's blood pressure is only 80/50. Is it anti-allergic now?"

Zhang Peiyi shook her head: "First go up in adrenaline and wait for blood pressure to give dexamethasone. What about breathing? No respiratory failure?"

The nurse nodded: "Well, for the time being, it's just a bit low in oxygen saturation."

Several people accompanied each other and walked towards the rescue room.

At the bedside, the B-ultrasound was going on. Everyone held their breath and looked at the picture above the B-ultrasound.

For the B-ultrasound, although I don't know very well, I can still understand it.

Suddenly, the doctor took a screenshot, and I had a general judgment: "The hydatid cyst can be diagnosed. There is no problem with this, but now the most important thing is not to know whether there is a cyst rupture and how many hidden and invisible cysts. These are troublesome, because if the hydatid cyst is very small, we still can't find it. "

Zhang Peiyi asked: "Can the ultrasound be confirmed?"

Doctor B shook his head: "There is only a certain probability, and maybe more inspections are needed to perfect it."

Jing Ran suddenly said at this time: "The accuracy of B-mode hydatid cysts is more than 90%, but the diagnosis of cysts with rupture and infection is not accurate. And for patients with suspected pulmonary hydatid cysts, abdominal ultrasound or CT scans are necessary. This test is particularly important for preoperative examination of right lung disease, because right lung and liver hydatid cysts can be treated at the same time. "

"Now, we can confirm the diagnosis of pulmonary hydatid cysts by ultrasound, but there are two things that are not clear, that is, whether there are also hydatids in the abdominal liver, and whether there is an infection in the lungs."

After speaking, Jing Ran said to the doctor, "Check your liver and see what you find."

The doctor nodded and continued.

At this time, to confirm the diagnosis must rely on accurate inspection, only by clarifying exactly where the location is, how much can be better to arrange surgery!

It can be said that inspection is as important to surgery as intelligence is to fight!

Lose everything by accident!

Everyone is a senior director. Whoever goes out is not a trembling character. They are standing side by side, looking serious, and the environment is depressed. Everyone is waiting for the B-ultrasound.

The key to the test results is directly related to how the surgery should be performed.

The reason why pulmonary hydatid cysts are more complicated is that it is not a simple operation, and there is not only one cyst!

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

Hiding somewhere else in the lungs, or in the abdominal cavity and liver, is the most troublesome.

The constant damage to the human body caused by continuous surgery is very clear to everyone.

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

Biochemical tests take at least three or four hours, especially complement-combination experiments and immunological tests, which are slow.

How to arrange the inspection quickly and effectively, it is very important to conduct targeted inspections!

Indeed, it can all be done.

But what about time?

What about patient status?

Now it is boosting anti-allergy ~ www.novelhall.com ~ But wait until later?

Therefore, there must be a detailed arrangement.

To put it plainly, the patient's situation is more complicated, who can take the helm!

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

Just as the two armies are at war, there must be a commander with absolute right to speak.

At this time, everyone looked at Jing Ran, this postdoc from the capital Fuwai Hospital!

Qian Liang couldn't help asking: "Doctor Jing, have you encountered such a similar patient, what should we do next?"

After thinking about it for a while, he was very nervous: "The inspection is necessary, but we need a doctor who knows the image data well to help us judge! After all, I am not very professional in affecting data."

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