When a doctor opened a plug-in

Before long, Director Bai, the director of the B-ultrasound room, and Director Yue, the director of the radiology department, all came.

The emergency room was full of people.

Everyone is waiting nervously for the result.

B-ultrasound has also been done, CT has also been taken, everyone is waiting for the operation arrangements.

However, there is still no accurate answer!

Because to put it plainly, I don't know how to deal with this disease.

The most important thing in a lung hydatid cyst resection is to remove the internal capsule completely. It must not be broken. Once broken, the consequences are very bad.

However, after the inspection results were presented, everyone began to fall into discussion again.

Everyone is indeed able to prepare for the identification of common diseases, even general diseases, but this kind of rare hydatid cyst, imaging examination is difficult for everyone.

Qian Liang couldn't help asking: "Orderly, what do you think?"

Quietly speaking, I stand and watch...

At this moment, Chen Cang suddenly said: "I have an idea, I don't know if it is feasible or not."

Everyone was taken aback and turned to look at Chen Cang.

Wei Zhi's eyes suddenly lit up. To be honest, he had great hopes for Chen Cang, but since the patient came, Zhang Peiyi was more trusting and orderly, and Chen Cang remained silent, so Wei Zhi didn't say much. .

As for Zhang Peiyi, he is more favored and trusted by Jian Ran. After all, he is a postdoctoral fellow in Fuwai, and he must be competent. There is no doubt that there is no doubt.

Moreover, in the process of disease diagnosis and treatment, the most worrying thing is the inconsistency of command. When discussing the disease, everyone can talk freely. However, in the case of a situation, there must be a backbone to sit down!

From the beginning to the end, everyone believed in orderliness, and Chen Cang knew the depth and did not say a word.

The patients are also being examined according to the orderly arrangement, and the directors of the examination departments have also come to assist in the diagnosis and treatment.

After all the assigned tasks are completed, one person still has to come to a conclusion in the face of this inspection!

That is orderly.

But the order at this time is a little too weak.

He suddenly discovered that the platform is really important.

When he was in Fuwai, he could perform a terrific operation, diagnose and treat a very serious patient, and also be able to face critical illness without rashness. He suddenly realized that it was because he had a solid, reliable and great teammate!

They are all leaders in the field, and they can all give very reliable advice.

But at this time, I found out that my original pride seemed a bit false.

How to do?

He doesn't know anymore.

How to make a correct surgical arrangement is very important at this moment!

This is his first battle in Dongyang Province. He cannot make any mistakes, because every mistake means the death of the patient's life...

Looking at the hopeful gazes of the people around him, he panicked for the first time.

At this time, hearing Chen Cang's words, a kind of hope suddenly rose.

Maybe he can?

In the eyes of the doctor.

No face is more important than the patient's life!

At the very least, Chen Cang's eyes are always firm.

Wei Zhi said, "Xiao Chen, what do you think?"

Chen Cang said: "I have a little idea, everyone first follow me and watch the x-film."

While talking, Chen Cang hung up the film.

"Look here, everyone. Generally speaking, a typical image has single or multiple shots with neat edges, clear boundaries, uniform density, round or quasi-circular or leaf-like shadows. This is correct."

"However, huge lung hydatid cysts can cause the mediastinum to shift, and the diaphragm will fall. If in this case, the lung hydatid cysts can be seen longitudinally stretched and deformed with deep breathing under fluoroscopy, or the cysts are deformed irregularly by pleural adhesions. , Known as "hydatid cyst respiratory sign", this sign is more common in medium-sized hydatid cysts in the lower lobes of the lung."

As soon as this was said, Yue Tao, the director of the Radiology Department, suddenly shot the Mediterranean: "Yes! I remembered it, that's it, hydatid cyst respiration! I said how strange it is!"

Chen Cang nodded and continued: "If surgery is required, we need to judge the internal capsule and the external capsule."

Jing Ran hummed: "Yes, what needs to be judged now is the condition of the inner and outer capsules. Whether there is a rupture, where should we start, can you judge Dr. Chen?"

Chen Cang nodded: "Almost, look. B-ultrasound shows that the cyst wall is thickened and the surrounding area is irregularly infiltrated. It is obviously because of the combined infection, and you can see that there are obvious air sacs, cavities, The pneumonia pseudotumor-like shadow, that is to say, has broken into the bronchus."

Speaking of this, Chen Cang turned around: "So, this also explains the patient's condition. It is choking, violent coughing, and coughing up powdery secretions. It is because the bronchial tube is broken that it causes the so-called allergies. shock!"

As soon as these words were said, everyone's eyes lit up!

Jing suddenly became a little excited, that's right!

That's the teammate.

Suddenly he had a feeling of returning to Fuwai.

Can't help but say: "Doctor Chen continues."

Chen Cang nodded, put down the B-ultrasound, and picked up another X-film: "Next, we will divide the position. Please see. Although the lung hydatid cyst has broken into the large bronchus, please see this crescent. The crescent sign means that when the internal capsule connected to the small bronchus is not broken, a small amount of gas enters between the internal and external capsules, forming an arc-shaped zona pellucida."

"Obviously, the inner capsule is broken. Once broken, so-called irregular shadows will appear. When air enters, there will be a double bow sign. If it floats on the sac fluid, it will still There is a floating lotus sign on the water."

...

After Chen Cang finished speaking, he looked calmly: "This is the situation now. My idea is to perform a complete removal of the internal capsule. Because the patient's hydatid cyst protrudes over 13 on the surface of the lung. If the removal is successful, recurrence can be completely avoided. The ideal surgical method."

At this time, his face was full of excitement: "Yes! I think so too."

The group of directors around looked silly.

They were originally invited to assist in the consultation, but... at this moment, it seems to be Chen Cang's one-man show!

They didn't seem to play a big role.

Chen Cang turned around and looked at Wei Zhi and Zhang Peiyi: "Director, prepare for the operation."

Wei Zhi nodded: "I will take you to the operating room!"

After Chen Canghe left in an orderly manner, a group of people were left dumbfounded.

Zhang Peiyi couldn't help but swallowed: "Dean Qian, this Doctor Chen... is also the talent you brought in? What a great young man, and... how does it look like he is in his twenties?"

Yue Tao nodded: "Yes, I really admire Doctor Chen's image interpretation ability. I haven't seen such an excellent young man for many years. Is he also in your hospital?"

Qian Liangnene said to himself: "Hey...this is not the doctor we brought in."

Everyone was stunned: "Oh? Then he is..."

Qian Liang said helplessly: "This is our hospital this year's graduate student, this year's graduate student!"

Everyone screamed, and Zhang Peiyi also nodded: "Oh, no wonder he looks so young."

wrong!

Zhang Peiyi suddenly realized what happened!

"You said he only studied one? How is this possible!"

Yue Tao was also shocked and unbelievable: "It's impossible! How could it be so good for the first degree! He wants to be so good, I want to talk to the dean and invite him to work directly, what kind of graduate student, waste! "

Even Zhang Peiyi's eyes are filled with a familiar look, which is called desire!I have also...

Seeing this, Qian Liang shook his head: "Director Zhang, don't think about it, this Chen Cang is Lao Li's treasure!"

Zhang Peiyi suddenly smiled embarrassedly: "Which old Li?"

Qian Liang: "Li Heitan, Li Baoshan of the Second Provincial Hospital."

When Zhang Peiyi heard this, he was dumbfounded and muttered, Li Heitan is really out of shit...

...

Qian Liang looked at Chen Cang's back and sighed deeply, full of regret!

I knew I started earlier, this is my own disciple!

Hey... what a good boy, what a good young man.

What's the face, how can such a genius come with the benefits...

Hey……