Chapter 573: Medical ethics is lost, no one in the world knows the king

   "No... there is an abnormality in this arterial rupture." Li Quan's suture experience is not particularly rich, but his diagnostic ability is extremely strong.
  I was still a little curious before, why did the artery at this location rupture?
  Because the placenta takes root far away from here.
  In other words, the possibility of rupture caused by injury due to exfoliation of the placenta is very low.
  When I was preparing to sew, the needle was obviously abnormal.
  The arterial wall is hardened.
  "Have you ever done uterine artery CTA?"
  The so-called CTA is actually CT enhanced imaging. Can find out the subtle lesions of blood vessels.
   "I haven't done it!"
  Mei Jenna shook her head.
   "I suspect that the artery rupture at this position in the patient's uterus is caused by an aneurysm. An imaging examination must be performed immediately before deciding on the next step of treatment."
  Li Quan's expression is serious and his tone is solemn.
  If an aneurysm is not found, even if he repairs the breach in the artery wall now, the lesion still exists.
  An untimely bomb will be planted in the woman's body.
  He may bleed again and die at any time.
  "Intrauterine aneurysm..." Mei Zhen Nazi is a famous obstetrician, and she is definitely a top expert in China.
  At this moment, she was surprised.
  It was indeed her negligence this time.
  In other words, I never thought that an aneurysm would appear in the uterus of the mother.
  Because maternal bleeding occurred during delivery.
  This is a relatively common bleeding phenomenon.
   "I will immediately supplement the pregnant woman with enhanced CT and use iodine angiography."
  The maternal situation is very bad now, coupled with the bleeding caused by fluid accumulation. This will cause some interference to CT tomography.
  In order to ensure accuracy and high efficiency, using angiography is the best way.
  Iodine is generally used in many applications.
  After angiography, it was found that there was an aneurysm and arteriosclerosis in the mother’s uterus.
  Li Quan’s surgical technique is currently in the realm of Xiaocheng, and it is challenging to remove this aneurysm.
  Fortunately, there are two top obstetrics and gynecology specialists, Mei Zhen Nazi and Zhou Dabao, sitting next to them. If there is a mistake or something, someone can save the field.
  The surgeon is also a very rare growth opportunity for Li Quan.

The aneurysm is small in size and grows on the outer wall of the blood vessel, right at the rupture position. I personally think that taking advantage of the opportunity of this operation, directly resecting the artery and then reconstructing the artery can be solved in one go. Professor Sun, and two experts, What's your opinion?"
  There are many treatment options for aneurysms.
  Many times, in order to reduce risks, doctors generally focus on interventional treatment.
  If it is a visceral aneurysm, the method of coil embolization can also be used to form thrombus in the tumor to avoid further expansion of the tumor and bleeding.
  In short, as long as the aneurysm is not broken, the average patient is safe.
  Of course, an aneurysm can cause the blood flow channel inside the artery to become narrow, and it may even be blocked or the risk of thrombus formation.
  If this happens, it may be solved by implanting a stent.
  In the present situation of the parturient, Li Quan believes that surgical resection and arterial reconstruction should be the most thorough treatment.
"I agree."
  Professor Sun Limin has blind confidence in Li Quan’s medical skills.
  She didn’t think much about it at all.
"I don’t know how long it will take for Dean Li to complete this aneurysm removal. Arterial reconstruction surgery? Now the patient’s bleeding volume has exceeded 6000 cc, and the blood bank has already been in emergency. Moreover, the patient has too much blood transfusion, and almost all the clotting factors in the blood are lost. Hemostasis is a huge risk."
  Mei Zhennazi should be the person in charge in this operating room.
  In fact, for every problem, when it is specifically solved, there will be an excellent doctor arranged by the organizer in the operating room.
  It’s just that they will not easily interfere with any therapeutic behavior of the contestants.
  Now the mother’s condition is very critical. Only then can Mei Zhennazi properly control the risk.
  "It should be completed within ten minutes. But you have also seen that the patient’s arteriosclerosis and adhesion to surrounding tissues make the operation very difficult."
  Li Quan did not dare to speak too hard.
   "You, can you really do it in ten minutes?" Zhou Dabao next to him stared at Li Quan like a ghost.
  'S shocked expression, open mouth, can swallow a whole egg.
  It will take at least an hour to complete the whole process by replacing him with the top expert. It may take more than three hours for a nearly surgeon.
   "Start now!"
  Mei Zhennazi is more straightforward.
  But she also understands that the patient’s condition is very dangerous, and every second is extremely precious.
  "Unipolar electric knife, long-handled camera!"
  Li Quan did not talk nonsense, and immediately began to concentrate on the operation.
  When the aneurysm was removed, his hand was steady and he looked very calm.
  It's just that his nerves are tight.
  Unfortunate sweat came out of his forehead.
  "Please wipe my sweat." Li Quan said without raising his head.
"excuse me!"
  The nurse stepped forward and wiped his sweat gently.
  It is common for the surgeon to sweat during surgery. It is possible to sweat because of tension or excessive physical exertion.
   must be wiped off in time to prevent sweat from getting lost in the surgeon’s eyes, and be careful that sweat drips onto the patient’s surgical site.
  ……
  I don’t know how long it took, Li Quan took a breath, the aneurysm was successfully removed, and the artery was reconstructed.
  Whether it is tumor resection or arterial stump anastomosis, it is a difficult operation.
  Li Quan did everything successfully.
  And done it fast and well.
   "It took 8 minutes and 54 seconds, God!"
  Mei Zhennazi is afraid that she has never seen such an enchanting surgeon in her life.
  In fact, Li Quan is not a full-time surgeon.
  Only because he learned the surgical skills of Hua Tuo, the originator of surgery, he can be so enchanting.
  "The arterial rupture is just one of the blood spots. There is another bleeding spot in the uterus, which is the wound when the placenta is peeled off. Immediately take a lot of uterine yarn to fill the uterus to help stop the bleeding."
  Li Quan adopted multiple hemostatic programs.
  This method of filling the uterus with gauze to help stop bleeding is less used.
  Generally wait until 24 hours before taking out the palace yarn.
  In fact, the biggest bleeding point is the ruptured uterine aneurysm. After being repaired by Li Quan, the amount of bleeding in the parturient is reduced by more than three quarters.
  ……
  "Finally, all hemostasis operations have been completed!" After checking the correctness of the equipment, Li Quan sutured the mother's wound.
  【You have successfully performed a highly difficult surgical technique, it is an extraordinary performance, skill points +1000.】
   directly increased 1,000 skill points, which made Li Quan couldn’t believe it.
  However, the operation just now was extremely difficult.
  A powerful flow of information flows into the brain.
  He was pleasantly surprised to find that after the head pain, he has gained a lot of more advanced surgical skills and experience.
  If you guess right, your surgical skills have been upgraded.
  【Surgery, 5% of master level. 】
  After checking the attributes of the magical technique, Li Quan found that, as expected, his surgical technique had been successfully upgraded to the master state.
  This book is organized and produced by the official account. Follow VX【Book Friends Base Camp】, read the book and get cash red envelopes!
  Now, his surgical level should be equivalent to that of the chief surgeon.
  The ability to perform surgery has also improved.
  Surgery has always been the top priority in medicine.
  Many difficult diseases in modern times need to be solved by surgery.
  The most common, such as accidental injury, or tumor resection, arterial reconstruction, etc.
  "The patient's blood pressure began to rise, his heartbeat stabilized, and the amount of bleeding has been effectively controlled."
  The anaesthetist reported the patient’s condition to everyone.
  "After 24 hours of observation, if there is no abnormal bleeding, you can take out the uterine gauze and transfer to the general ward for care." Li Quan did his best to help the pregnant woman save the uterus.
   "Dean Li, thank you! After this woman wakes up, I will tell her that you saved her womb and life." Mei Zhen Nazi bowed deeply to Li Quan.
   "You are so kind!"
  Li Quan checked the mother’s condition, and the crisis has been turned into peace, and he can retire successfully.
   took Professor Sun Limin and walked outside.
  Zhou Dabao expert chased up.
"Dean Li, today Guanjun has completed an operation and he has been studying for ten years. I have some friendship with Professor Liu Jinshu of your hospital. I heard that his body is not as good as before after he has a brain hemorrhage. I am still sighing, Whale Hospital Without Professor Liu Jinshu, the medical skills of obstetrics and gynecology would decline quickly. I didn’t expect you to be so young, but you can be better than blue. I admire you."
   Zhou Dabao gave Li Quan a thumbs up.
  He is such a big-time medical expert, so naturally he doesn't need to flatter Li Quan.
  I really admire Li Quan’s superb medical skills.
  "You have passed the award! Thank you for your concern for my teacher. He is recovering well now."
  Li Quan's favorability for this Zhou Dabao expert has increased a lot.
  It turns out that this person is a friend of his own teacher.
   "I'll go to the Whale Hospital in Magic City to visit him when I have time." Zhou Dabao smiled and nodded. "No wonder you are so good, you turned out to be Old Liu's apprentice, I'm not surprised."
   Zhou Dabao admired Professor Liu very much in words.
  "If you are going to the magic city, please inform me in advance, and I will pick you up at the airport." Li Quan would definitely entertain friends of good teachers.
"Row!"
   Zhou Dabao was not polite.
  Li Quan came out of the operating room and reappeared in the competition arena.
  The treatment in the operating room just now, everyone can see clearly.
  Everyone knows the talents of Li Quan, a rising star.
  Not only is the traditional Chinese medicine skill excellent, but Li Quan's surgical skill is even more amazing.
"Thank you for the dedication of several medical staff. You have successfully saved a living life. The score of this question will be announced below. Dr. Li Quan of Whale Hospital will reproduce the former top style of the Obstetrics and Gynecology Department of Whale Hospital. Successfully diagnosed the patient's condition, found an aneurysm that no one could find, and saved the mother with superb medical skills.
   Get a full three points.
  Zhou Dabao, an expert at the Beijing Women’s and Children’s Hospital, successfully diagnosed the condition of the lying-in woman, held the position and scored two points.
  Professor Long Chang of Yuanyang Hospital, withdrew, cherish Lingyu, and deduct three points. "
  The host's voice just fell, and the audience was in an uproar.
   Immediately afterwards, there was a warm applause.
  Dozens of contestants from Yuanyang Hospital, all bowed their heads, wishing to find a way to get in.
   Professor Longchang flushed with shame.
  Others scored, but he was deducted.
   and became the person with the most points in history.
   was directly deducted three points.
  It is obviously punitive.
  "This is not fair. Even if our Yuanyang Hospital answers the questions incorrectly, at most one point should be deducted." Xu Tiangao relied on being an expert, and now angrily spoke for Yuanyang Hospital to fight for benefits.
"The deduction of three points is the result of one-to-one discussion among all our judges. The two more deductions are deductions for medical ethics. I hope everyone here will take a warning. What is our doctor's vocation? It is to save the dead and heal the wounded! It is definitely not for ignorance. Fake profit. To put my heart out, when I saw Professor Longchang from Yuanyang Hospital found that the patient was in a critical condition and fled in fright, I felt very sad and angry.
  Fortunately, the patient was in a coma at the time. Otherwise, she would run away in fright when she saw the doctor. How desperate she should be! "
  Academician Bao Guodong has a sad expression on his face.
  Seeing a professor in a tertiary hospital whose medical ethics is so bad, he must be extremely disappointed.
  Xu Tiangao wanted to fight for the benefit of Yuanyang Hospital, but he did not expect that Yuanyang Hospital would be criticized again.
   has become a typical example of negative teaching materials.
  His old face turned red into Guan Gong’s face.
  The contemptuous gaze cast by everyone was enough to make Xu Tiangao and dozens of famous doctors in Yuanyang Hospital feel ashamed.
  The elders and others sitting in the front row were all black faces.
  After the incident, there must be no good fruits from Yuanyang Hospital.
  Dare to let the leaders of these provincial departments follow the shame, don’t you rectify the Yuanyang Hospital?
  ……
  The afternoon game lasted until six o'clock, which ended.
  Li Quan led 24 doctors from Whale Hospital and answered many times.
  Because of his superb diagnostic ability, there was only one deduction. At least one point is awarded for several other rushing questions.
  Whale Hospital’s overall score is currently ranked first in the country, and it is a full seven points away from the second place.
  If this situation continues to develop, Whale Hospital is likely to win this year.
  After the competition, the host announced that tomorrow, the day after tomorrow, the medical competition will continue.
  Tonight, the organizer arranged a place for everyone.
   is a vacant university dormitory.
   Seven or eight thousand people, at least over seven thousand people are from other places. It is not an easy task to arrange accommodation for so many people.
  No hotel can accommodate so many guests.
  It is the most worry-free and economical way to arrange for everyone to live in the dormitory of the university.
  Rather than waiting for the staff to deliver the lunch, Professor Hawking and Dr. Annie ran over and took Li Quan to the top-grade tertiary hospital in Beijing where they were.
  "Let’s go, Dean Li, help us see the patients. After seeing the illness in a while, we will treat you to a good dinner."
  During the game, these two people saw Li Quan’s outstanding performance and looked forward to Li Quan a little more.
  Li Quan might really be able to help them find the causes of those special patients and then heal them.
  Fortunately, Professor Hawking and Dr. Anne started quickly and took Li Quan away.
  There are really many people who want to discuss medical issues with Li Quan.
   "Dean Li, can I see my brother first? He was in a coma for so many years, and I wanted to wake him up in my dreams. Even I switched from a pediatrician to a psychologist and studied hypnotism to save him."
  Doctor Anne pleaded.