Chapter 106: : The Test of Li Baoshan


Li Baoshan looked at Chen Cang, Qin Yue, and Wang Yong with a shock in his heart!
This is the mental appearance that young people should have!
that's nice!
Like the original of them.
but……
Some things ca n’t be done by blood alone. This is n’t a battle. You must have the courage to fight the charge, not to mention that you can complete the task in a single blood!
Li Baoshan looked at the three people: "Good! You are all good, but the 120 emergency center delivered not ordinary patients, all of them are difficult operations in the gallbladder system surgery, otherwise they will not be sent. It's up! "
"So don't take part in this matter, I'll take care of it!"
The words have been made very clear, that is to say you are not capable enough, don't talk about blood.
Chen Cang: "Director, I can do it! I have a lot of research on gallbladder surgery, and I have been studying difficult cholecystectomy. I can handle this matter!"
When the crowd was silent, Shi Na suddenly stood up and said, "Director, Xiao Chen is really very researched in gallbladder surgery. I have seen it with my own eyes. Maybe ... give him a chance to try it!"
Shi Na is very low-key and rarely speaks actively.
Li Baoshan took a curious look at Shi Na.
At this time, Qin Yue, as a team of Chen Cang, quickly said: "Yes! Director, Chen Cang did not lie to you. He is really good. Even irrizi syndrome can do it, he did not lie!"
This sentence directly stunned Li Baoshan: "Can you complete a cholecystectomy under irrizi syndrome?"
Chen Cang nodded: "Well."
This sentence can calm Li Baoshan!
What is irrizzi syndrome he knows better than anyone!
He also understands what this syndrome stands for more than anyone!
It is the most difficult operation for cholecystectomy in hepatobiliary surgery.
How old is Chen Cang?
Has he seen irrizzi syndrome? Can do it?
Seeing Qin Yuexin swearing nodded, Li Baoshan was really shocked.
Li Baoshan hesitated: "Xiao Chen, this is not the time of the blood, the life of the patient is more important than everything. In comparison, honor is the least worth mentioning, do you understand?
Chen Cang resolutely nodded: "Director, I can do it!"
Throughout the office, everyone set his sights on Chen Cang.
His eyes were full of complexity, admiration, envy, admiration, and appreciation!
He stood up again!
When the chemical plant exploded, Chen Cang tried to save the lives of the patients.
This time, he stood up again when the emergency department was the most scarce and needed the most talent.
Such a person, you really have no reason to hate him.
Wang Yong is much more honest now, sitting there watching Chen Cang, his eyes seemed to see the future of himself!
Is he still jealous now?
How long has it been with Chen Cang, he has already learned cholecystectomy, helped the department to resolve problems, and made him feel the respect needed.
Whenever I think of the little nurse in the operating room kindly calling Doctor Wang, Wang Yong is full of energy.
Li Baoshan groaned for a while, and after thinking about it, he made a decision. He decided to accompany Chen Cang for an operation. If Chen Cang could really do it, that would be the best!
Li Baoshan nodded and was about to speak, and the nurse on duty suddenly rushed in:
"Director, a patient was transferred from the Eighth Hospital of the City. After laparoscopy, a gallbladder duodenal fistula was found! We are going to our medicine soon. Let us prepare for the operating room!"
This word comes out!
Li Baoshan's face changed: "Once the meeting is over, Chen Cang is preparing for surgery, and Qin Yue is here."
After speaking, Li Baoshan said to Chen Cang, "Let's go, will you make a gallbladder duodenal fistula?"
Chen Cang nodded: "Yes!"
Gallbladder duodenal fistula is not small!
It is also one of the typical difficult cholecystectomy.
Li Baoshan could just take this opportunity to make an observation on Chen Cang's level.
...
...
Operating room!
Guo Cheng, Director of General Surgery of the Eighth Hospital of Beijing Municipality, looked anxious and pushed the patient to the operating room: "Hello, Director Li!"
Li Baoshan nodded: "Director Guo, how is the patient?"
Guo Cheng said as he walked: "The situation was very bad. I thought it was just ordinary cholecystitis, but after entering the endoscope, I was dumbfounded. The entire right upper abdomen was all adhesions, but the inflammatory index was not high."
"It is a mixed gallbladder duodenal fistula with upper gastrointestinal bleeding. If it was not for surgery, it would not have been found!"
Li Baoshan nodded, indeed. The mixed gallbladder duodenal fistula has no specific symptoms and signs, and it is often masked by the clinical manifestations of the primary disease.
Guo Cheng handed the case over: "Director, this is the medical record."
After looking at it, Li Baoshan handed it to Chen Cang: "This is Doctor Chen, the surgeon doctor of this operation, Xiao Chen, please see the medical record first."
Chen Cang nodded and took over the medical records.
And Guo Cheng's eyes widened: "Director ... this ... this is a gallbladder duodenal fistula and internal fistula operation. So big a surgery, would you let a little doctor do it? Is this appropriate?"
Guo Cheng is also thinking for patients, not to look down on Chen Cang.
Chen Cang is too young, a young man in his early twenties, you come to this surgery, I have come all the way with the patient, but I am not good enough!
Li Baoshan patted Guo Chen's arm: "I have it, rest assured!"
After Guo Cheng heard this, he was relieved, but still a little worried, looked at Li Baoshan nervously: "Director, I'm not worried, mainly because the patient's situation is special, I'm worried too! In case What's wrong, we have a lot of responsibilities! "
After Chen Cang carefully checked the examination, there was nothing special, so he said, "When I got to the operating table, let's look at the situation under the endoscope, and the medical record showed no effect."
Qin Yue also came over, Chen Cang walked over and said to Qin Yue, "Don't help me, help me make a record."
Qin Yue froze slightly: "What record?"
Chen Cang whispered: "I want to make a summary of the experience of difficult cholecystectomy. You help me to record the surgical process, and I do post-operative analysis in the later stage, mainly taking pictures."
Qin Yue's eyes were wide and unbelievable. This Chen Cang ... a little dia!
How about summing up experience?
This is an attempt by Chen Cang!
After all, he has to do a lot of difficult cholecystectomy here, these operations are difficult to come by, it would be a shame if not recorded.
If you can analyze and summarize these records and write a summary of experience, it can help many people.
Moreover, he also found that if you want to convince others, you must get the results, and the best result of young people is not the other, it is the scientific research results.
The operation soon started.
Chen Cang took the laparoscope to start the investigation, and Guo Cheng suddenly reminded the sentence: "The safety factor of laparoscopic surgery is not high, or is it open?"
Li Baoshan has not spoken yet, Chen Cang said lightly:
"Director Guo, the patient's abdominal cavity infection is very serious ~ EbookFREE.me ~ The adhesion is obvious, and indeed the safety factor of using open abdomen is relatively high."
"But! The main cause of adhesions in patients may be due to duodenal fistula, and laparotomy will increase a lot of risks, and even cause the spread of infections and wounds, which are very bad for patients' later rehabilitation, and the gas under the endoscope The establishment of the abdomen can be effective ... so I recommend that we give priority to laparoscopic surgery. "
Guo Cheng blushed for a moment: "However, this will undoubtedly increase the difficulty of endoscopic surgery! Moreover, whether it is duodenal suture repair or gallbladder removal, or even the gallbladder triangle separation, this will be very big Difficulty, can you fort the safety of patients? "
Chen Cang didn't say much, just nodded: "Yes, I can!"
Guo Cheng was speechless.
Li Baoshan said in relief: "Okay, let's start, Director Guo doesn't need it. Doctor Chen can complete cholecystectomy under irrizi syndrome. Duodenal fistula should not be a problem."
As soon as the words came out, Guo Cheng was dumbfounded. The novel when the doctor opened the latest chapter of the plug-in chapter 106: Li Baoshan's test (for the leader does not think about making progress, you add more) URL: https: //
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