Chapter 223 Need a Coach!

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

The patient was promptly sent to the emergency room!

Chen Cang did not choose to study [Pulmonary Hydatid Cyst Resection] in a hurry.

After all, this is not an ordinary operation, but a third-level operation, which is infinitely close to the fourth-level operation.

In the central region and the northern region, it is generally performed according to the standard of fourth-level surgery, but the system obviously refers to the situation of the whole country.

After all, this kind of disease often occurs in pastoral areas, especially in the 1970s and 1980s, when there were many patients with pulmonary hydatid cysts, and hundreds of such operations were performed in pastoral areas every year, which was quite mature at that time. .

At that time, the success rate of a certain pastoral autonomous region hospital in this field directly surpassed that of the top tertiary hospitals in West China, such as Union Medical College.

It takes 4 skill points to learn the third-level surgery, and 6 skill points to upgrade to the advanced level, which means that you need 10 skill points to master the advanced [Pulmonary Hydatid Cyst Resection].

Thinking of this, Chen Cang was still a little reluctant.

After all, this kind of operation is too rare. If...it is not this kind of disease diagnosed, wouldn't it be a waste?

But once diagnosed, Chen Cang will not hesitate at all!

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

At this point, you can see the level and ability of the provincial emergency team.

From picking up people to inspection, to starting guardianship, to preparing medicines, to carrying out various inspections, they are orderly and 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 quickly stepped forward.

Qian Liang said anxiously, "Thank you for your hard work, Director Wei and Director Zhang."

Zhang Peiyi is the director of the provincial emergency department. He is a strong and resolute man. From a distance, he doesn't look like a doctor. He has already shaved his hair because of his baldness, and his whole body has a sturdy smell.

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

Jing Ran was stunned for a moment, then stepped forward and said, "Hello Director Zhang, I'm Jing Ran."

Zhang Peiyi: "Have you been in Fuwai Hospital, how much do you know about pulmonary hydatid cysts?"

After careful consideration: "If the diagnosis is confirmed, surgery is possible, but now the patient's condition must be stabilized. I now highly suspect that the hydatid cyst has ruptured and entered the bronchi, causing severe coughing, chest pain, and then coughing up a lot of watery or powdery skin. In severe cases, anaphylactic shock may occur, and a large amount of cystic fluid may enter the bronchi and cause suffocation."

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

Seeing that Chen Cang 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, Jing Ran also admired Chen Cang very much. At that time, he witnessed the whole process of Chen Cang's emergency rescue. He quickly rescued, 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 of boxing, Jing Ran has some sincere emotion 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 has some understanding of this disease, but in such an environment, Chen Cang can analyze and deal with it, which is indeed a bit of a level!

At this time, the nurse rushed out.

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

Zhang Peiyi shook his head: "First give epinephrine to boost pressure, and then give dexamethasone when blood pressure rises. What about breathing? Is there no respiratory failure?"

The nurse nodded: "Well, not for the time being, but the blood oxygen saturation is a little low."

Several people walked together and walked towards the rescue room.

The B-ultrasound at the bedside was in progress at this time, and everyone held their breaths and looked at the picture on the B-ultrasound.

For B-ultrasound, although I don't understand very well, I can understand everything.

The examining doctor suddenly took a screenshot, and he also had a rough judgment in his heart: "The hydatid cyst can be diagnosed, there is no problem with this, but now the most important thing is to not know whether the cyst has ruptured or not, and how many hidden and invisible cysts are there. , these are a little troublesome, because if the hydatid cyst is very small, we still can't find it."

Zhang Peiyi asked, "Can't the diagnosis be confirmed by b-ultrasound?"

Mr. B Chao shook his head: "There is only a certain probability, and more inspections may be needed to improve."

Jing Ran suddenly said at this time: "The accuracy of B-ultrasound hydatid cyst is as high as 90%, but the diagnosis of cyst rupture and infection is not accurate. And for those suspected of having pulmonary hydatid cyst, abdominal ultrasound or CT scan is necessary. This examination is particularly important for the preoperative examination of right lung lesions, because the right lung and liver hydatid cyst can be surgically treated at the same time.”

"Now, we can diagnose pulmonary hydatid cysts through b-ultrasound, but there are still two things that are not clear, that is, whether there is also hydatid in the abdominal liver, and the other is whether the lung hydatid is infected."

After finishing speaking, Jing Ran said to the examiner: "Check the liver and see what you find."

The examiner nodded and continued.

At this time, if you want to make a diagnosis, you must rely on accurate examinations. Only when you know exactly where and how many you are, can you better arrange surgery!

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

Accidentally lose the whole game!

Everyone is a senior director, and whoever goes out is not a trembling person, a group of people stand aside, their faces are serious, the environment is depressing, and everyone is waiting for the results of the B-ultrasound.

The key to the inspection results is directly related to how the operation is performed.

Because the pulmonary hydatid cyst is more complicated, 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 the cyst is small?

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

Continuous surgery is very serious damage to the human body, and everyone knows and understands this very well.

Also, the most important thing is to judge the damage of the outer and inner cysts of the pulmonary hydatid cyst, which is the key element that really affects the operation!

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

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

Indeed, it can all be done.

But what about time?

What about the patient's status?

It's boosting allergies now, but what about later?

Therefore, there must be a detailed arrangement.

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

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

Just as the war between the two armies is imminent, there must be a commander who has the absolute right to speak.

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

Qian Liang couldn't help but ask, "Doctor Jing, have you ever encountered such a patient? What should we do next?"

After thinking for a while, the eyebrows twitched together: "The inspection is necessary, but we need a doctor who knows the imaging data very well to help us judge! After all, I am not very professional in affecting the data."