When a doctor opened a plug-in

After the car arrived in the provincial emergency department, the car was ready to come out.

The patient was sent to the rescue room in time!

Chen Cang did not rush to learn [Lung Hydatid Cystectomy].

After all, this is not a normal operation, but a three-level operation, which is infinitely close to the fourth level.

In the central and northern regions, the operation is generally performed according to the standards of level four surgery, but the system obviously refers to the situation of the whole country.

After all, this disease is common in pastoral areas, especially in the 1970s and 1980s, when there were many patients with pulmonary hydatid cysts. There were hundreds of such operations in pastoral areas every year. At that time, the treatment of such operations was quite mature. .

At that time, a pastoral autonomous region hospital had a successful rate of surgery in this area directly surpassing the top three hospitals in West China Union, and it was also very famous.

It takes 4 skill points to learn Level 3 surgery, and 6 skill points to upgrade to advanced level. This means that you need 10 skill points to master the advanced [lung hydatid cystectomy].

Thinking of this, Chen Cang was still reluctant.

After all, this kind of operation is too rare, if... it is not diagnosed as this kind of disease, 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 chest imaging perfect interpretation and secretion detection. Choose one of the two.

At this time, we can see the level and ability of the emergency department of the people of the province.

From the reception to the inspection, to the start of monitoring, to the preparation of medicines, and to the various inspections, it was orderly, very fast and orderly.

Chen Cang glanced enviously.

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

Qian Liang said anxiously: "Thanks for your hard work, Director Wei and Director Zhang."

Zhang Peiyi is the director of the Provincial People's Emergency Department. He is a sturdy and vigorous man. He does not look like a doctor from a distance, because the baldness has shaved off his hair a long time ago, and the whole person has a sturdy smell.

Zhang Peiyi waved his hand: "Everyone save people first. By the way...Who is orderly?"

Orderly stunned, stepped forward and said: "Hello, Director Zhang, I am orderly."

Zhang Peiyi: "How much do you know about lung hydatid cysts in Fuwai Hospital?"

Consider it carefully: "If the diagnosis is confirmed, surgery can be done, but now we must first stabilize the patient's condition. I now highly suspect that the hydatid cyst will rupture and enter the bronchus, causing severe coughing, chest pain, and then coughing up a lot of watery or powdery skin. It can cause allergic reactions. In severe cases, anaphylactic shock can occur. A large amount of cystic fluid can enter the bronchus and suffocation can occur."

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

Seeing that Chen Cang had said a lot in an orderly manner, he couldn't help but look sideways, because he said what he wanted to say.

Something!

In fact, Chen Cang was also very impressed by Chen Cang. At that time, he witnessed the whole process of Chen Cang's emergency rescue. He rescued quickly, handled calmly, analyzed calmly, quickly judged the condition, and transported the patient in time. This set of operations was like first aid. Just like the combination boxing, let Jian Ran have some sincere emotion and admiration!

The most important thing is that he did not expect that he could make accurate judgments about this very rare disease.

Because he is in the capital and is 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, and he is indeed at a level!

At this time, the nurse hurried out.

"Director, the patient's blood pressure is only 8050, is it anti-allergic now?"

Zhang Peiyi shook his head: "First use adrenaline to boost pressure, and wait for the blood pressure to come up and give dexamethasone. How about breathing? There is no respiratory failure, right?"

The nurse nodded: "Well, not yet, but the blood oxygen saturation is a bit low."

A few people walked together and walked towards the rescue room.

The B-ultrasound was going on by the bedside at this time, and everyone held their breath and watched the pictures on the B-ultrasound.

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

The doctor suddenly took a screenshot, and I also had a general judgment: "The hydatid cyst can be diagnosed. There is no problem with this, but the most important thing is that I don’t know if the cyst has ruptured and how many hidden invisible cysts. These are a little troublesome, because if the hydatid cyst is small, we still can't find it."

Zhang Peiyi asked: "Can't B-ultrasound be diagnosed?"

Superdoctor b shook his head: "There is only a certain probability, maybe more inspections are needed to improve it."

Jing Ran suddenly said at this time: “The accuracy of B-ultrasound hydatid cysts is as high as 90%, but the diagnosis of ruptured cysts and infections is not accurate. And for suspected lung hydatid cysts, abdominal ultrasound or CT scans are necessary The 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 diagnose lung hydatid cysts through b-ultrasound, but there are two other things that are not clear, that is, whether there is hydatid in the abdomen and liver, and the other is whether the lung is infected with hydatid."

After speaking, he calmly said to the examiner: "Check the liver and see what you find."

The examiner nodded and continued.

At this time, the diagnosis must depend on accurate inspections. Only by knowing where and how many are there, can we better arrange surgery!

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

If you accidentally lose the game, you lose!

Everyone is a senior director. Whoever goes out is not a trembling character. A group of people stand aside, their faces are serious and the environment is depressed. Everyone is waiting for the results of the b-ultrasound.

The key to the examination result is directly related to how the operation should be performed.

Because lung hydatid cysts are more complicated in that it is not a simple operation, there is not only one cyst!

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

Hidden in other places in the lungs, or in the abdominal cavity and liver, this is the most troublesome.

The damage to the human body caused by continuous operations is very serious, and everyone is very clear and understand this.

Also, the most important thing is to judge the damage of the external and internal cysts of the lung hydatid cyst. This is the key element that really affects the operation!

Biochemical examinations need at least three or four hours, especially complement fixation experiments and immunological examinations, which are relatively slow.

Next, how to arrange inspections quickly and effectively, and targeted investigations are very important!

Indeed, all can be done.

But what about the time?

What about the patient's status?

Now it's boosting anti-allergy, but what about later?

Therefore, there must be a detailed arrangement.

To put it bluntly, the patient's situation is more complicated, who can be at the helm!

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

Just like the battle between the two armies is imminent, there must be a commander with absolute right to speak.

At this time, everyone looked at the postdoctoral fellow from the Capital Fuwai Hospital!

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

After thinking about it, my eyebrows clenched: "Examination is necessary, but we need a doctor who knows all the image data to help us judge! After all, I am not very professional in impact data."