Doctor Started a Plug-in

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After the car arrived at the Provincial People’s Hospital emergency department, the cart was ready.

Patient was sent to the rescue room in time!

Chen Cang not at all with anxious choice to learn [pulmonary hydatid cystectomy].

After all, this is not a general surgery, but Tertiary Grade Surgery, which is infinitely close to Level 4.

In the central region and the northern region, they generally follow the standard of Quaternary Grade Surgery, but the system obviously refers to the national situation.

After all, this disease is common in pastoral areas, especially in the 7 years, when there were many patients with pulmonary hydatid cysts, there were more than 80 such operations every year in pastoral areas. At that time, it was quite mature to handle this operation. .

At that time, the hospital’s success rate in a certain pastoral area Autonomous Region’s surgery in this field directly exceeded Peking Union Medical College’s top three Class A Hospitals in West China, which is also famous.

It takes 4 skill points to learn Tertiary Grade Surgery, and 6 skill points to upgrade to Advanced Level, which means that you want to master Advanced Level [Pulmonary Hydatid Cystectomy] requires ten skill points.

Thinking of this, Chen Cang was still reluctant.

After all, this kind of surgery is too rare, 10000 one…Diagnosed is not this disease, isn’t it a waste?

But once diagnosed, Chen Cang will not hesitate!

After all, the reward brought by this disease, but Perfection Level chest image perfect interpretation and secretion detection Perfection Level, 2 choose one.

At this point, you can see the level and ability of the Provincial People’s Hospital emergency team.

From picking people up to inspections, to starting monitoring, to preparing medicines, and then to conducting various tests, it is methodical and very fast and orderly.

Chen Cang glanced enviously.

At this time, Wei Zhi and a 50-year-old man had walked out. After seeing Qian Liang, they hurried forward.

Qian Liang said anxiously: “You have worked hard, Director Wei and Director Zhang.”

Zhang Peiyi is the emergency director of Provincial People’s Hospital and a swift and decisive robust man. It doesn’t look like a Doctor from afar, because balding has long shaved his hair, and the whole person has a sturdy taste.

Zhang Peiyi waved his hand: “Everyone saves people first. By the way…Who is Jing Ran?”

Jing Ran froze, stepped forward and said, “Hello Director Zhang, this is Jing Ran.”

Zhang Peiyi: “How much do you know about pulmonary hydatid cysts when you have been in Hospital outside Fuwai?”

Jing Ran thought about it: “If the diagnosis is confirmed, it can be operated, but now the patient must be stabilized. I now highly suspect that the hydatid cyst ruptures and enters the bronchus, causing severe choking, chest pain, and then coughing up a lot of water or Powdery skin, and allergic reactions can occur. In severe cases, anaphylactic shock can occur. A large amount of cystic fluid enters the bronchus and asphyxiation can occur.”

“So at present, we should first check the Anti-allergic at the same time as soon as possible to confirm the patient’s condition, and then strive to arrange surgery in the shortest time.”

Chen Cang saw Jing Ran orderly and said a lot, disabled to bear sideways, 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 quickly. Rescue quickly, calmly handle, calmly analyze, quickly judge the disease, and transfer the patient in time. This set of operations is just like Like the first aid combination boxing, Jing Ran has some heartfelt emotions and admiration!

The most important thing is, didn’t expect that he can accurately judge this very rare disease.

I am close to Inner Mongolia because I am in Beijing, and I have some understanding of this disease, but Chen Cang is in such an environment, but I can analyze and deal with it. It is indeed a few points of level!

At this time, the nurse hurried out.

“Director, Patient’s blood pressure is only 8050. Is Anti-allergic now?”

Zhang Peiyi shook his head: “First boost the adrenaline, wait for the blood pressure to come up and give dexamethasone. What about breathing? Isn’t there a bad breath?”

Nurse nodded: “Well, not for now, but the blood oxygen saturation is a little low.”

Several people walked together, moved towards the rescue room.

B-mode ultrasound by the bed is ongoing at this time.

For B-mode examination, although not very understandable, but can understand almost.

Checking Doctor’s sudden screenshot, I also have a rough judgment in my heart: “The hydatid cyst can be diagnosed. There is no problem with this, but the most critical thing is still not knowing whether there is a cyst rupture, and how many hidden invisible cysts. These are all troublesome, because if the hydatid cyst is very small, we still can’t find it.”

Zhang Peiyi asked: “Can’t B ultrasound be diagnosed?”

Doctor book the shook the head: “There is only a certain probability, maybe more inspections are needed to improve.”

Jing Ran said suddenly at this time: “The accuracy of B-hydatid cysts is more than 90%, but the diagnosis of ruptured cysts and associated infections is not accurate. And for those suspected of having pulmonary hydatid cysts, abdominal ultrasound or CT scans are both Necessary examination. This examination is particularly important for the preoperative examination of right lung lesions, because the right lung and liver hydatid cysts can be treated simultaneously.”

“Now, we can be diagnosed with pulmonary hydatid cysts through b-ultrasound, but there are two things that are not clear, that is whether the abdominal liver has hydatid, and the other is whether the lung hydatid infection.”

After talking, Jing Ran said to the doctor: “Check the liver to see what is found.”

Check Doctor nodded to continue.

At this time, to confirm the diagnosis must rely on accurate inspection, only to know exactly where and how many, in order to better arrange surgery!

It can be said that inspection is just as important as surgery for fighting!

Lose all in one accident!

Everyone is a senior senior director. Which one is not a shaking person? The entire group stands aside, with a serious face and a depressed environment. Everyone is waiting for the results of the ultrasound.

The key to the results of the inspection is directly related to how the operation is 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 large, it can be found, but what if Pocket Insect is small?

Hidden elsewhere in the lungs, or in the abdominal liver, this is the most troublesome.

Continuous surgery is very serious to the human body. Everyone knows this very well.

Also, the most important thing is to judge the destruction of the outer and inner capsules of the lung hydatid cyst, which is the key factor that really affects the operation!

The biochemical examination will take at least 3 to 4 hours, especially the complement fixation experiment and immunological examination, which are relatively slow.

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

Indeed, all can be done.

But what about time?

What about Patient status?

Anti-allergic is now boosting, but what about waiting until later?

Therefore, there must be a detailed arrangement.

To put it bluntly, the Patient situation is more complicated, who can take the helm!

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

Just as the 2nd army is at war, there must be a commander with absolute voice.

At this time, everyone looked towards Jing Ran, after this Ph.D from Beijing Fuwai Hospital!

Qian Liang unable to bear asked: “Doctor Jing, have you ever encountered such a similar patient, what should we do next?”

After thinking about it, Jing Ran’s eyes closed: “Checking is necessary, but we need a Doctor who knows all about the video materials to help us judge! After all, I am not very professional with the impact materials.”