Chapter 223: : Show operation!
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When the Doctor Opened the Plug-in
- Holding inch off ruler
- 1403 characters
- 2021-01-29 07:59:37
It didn't take long for Director Bai, the director of the ultrasound department, and Director Yue, the director of the radiology department, to come.
The emergency room was full of people.
Everyone was nervously waiting for the result.
The ultrasound was also done, and the t was also shot. Everyone is waiting for the operation arrangement.
However, there is still no accurate answer!
Because to put it plainly, I don't know how to start with this disease.
The most important thing about pulmonary hydatid cystectomy is to completely remove the inner capsule, and 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.
It is true that everyone can prepare for common diseases and even general diseases, but this rare hydatid cyst makes it difficult for everyone to check the image.
Qian Liang couldn't help asking: "Ranran, what do you think?"
Well spoken, I stood and watched ...
At this time, Chen Cang suddenly said, "I have an idea, I don't know if it is feasible or not."
Everyone froze and turned to look at Chen Cang.
Wei Zhi suddenly lighted up. To be honest, he had great hopes for Chen Cang, but since the patient came, Zhang Peiyi has trusted more well, and Chen Cang has been silent for a while, so Wei Zhi has not said much. .
And Zhang Peiyi has more favor and trust for Ran. After all, she is a postdoc in Fuwai, and she has a certain level. There is no doubt about this.
Moreover, in the process of disease diagnosis and treatment, the most worrying is the inconsistency of the command. The discussion of the disease can be freely spoken by everyone, but when there is a situation, you must have a backbone to sit down!
From the beginning to the end, everyone had a great deal of trust in Chen Ran. Chen Cang also knew the depth and did not say a word.
Patients are also being examined in accordance with well-organized arrangements, and the directors of the examination department have also come to assist the diagnosis and treatment.
After all the scheduled tasks are completed, one person still has to come to a conclusion in the face of this inspection!
That is well.
But at this time, it was a little bit powerless.
He suddenly discovered that the platform was really important.
While in Fuwai, he could complete an amazing operation, diagnose and treat a very serious patient, and also be able to face critical and critical illness without being impatient and impatient. He suddenly found out that it was because he had a solid and reliable teammate!
They are all leaders in their field, and they can give very reliable advice.
But at this time, Jing Ran found that his pride at first seemed a bit false.
How to do?
He didn't know.
How to make a correct surgical arrangement is especially important at this moment!
This was his first battle in Dongyang Province. He couldn't make any mistakes, because every mistake meant the death of the patient ...
Looking at the hopes of the people around him, Pan Ran panicked for the first time.
At this time, when I heard Chen Cang's words, Jing suddenly raised a hope.
Maybe he can?
In the doctor's eyes.
No face is more important than the life of a patient!
At least Chen Cang's eyes are always firm eyes.
Wei Zhi said, "Xiao Chen, what do you think?"
Chen Cang said, "I have a little idea. Everyone come to follow me and watch the X movie first."
While speaking, Chen Cang hung up the film.
"Look at this. Generally speaking, the typical image is single or multiple shots with neat edges, clear boundaries, uniform density, round or round-like or leaf-like shadows. This is right.
"But giant hydatid cysts of the lung can cause mediastinal displacement and diaphragm loss. If in this case, it can be seen that the hydatid cysts of the lungs expand and contract longitudinally with deep breathing, or the cysts are irregularly deformed by pleural adhesion. , Known as the "hydatid cyst respiration sign," which is more common in medium-sized hydatid cysts in the lower lobe. "
As soon as this was said, Director Yue Tao of the Radiology Department suddenly patted the Mediterranean Sea: "Yes! I remember it, that's it, hydatid cystic respiratory disease! Why is it so strange!"
Chen Cang nodded and continued: "If surgery is needed, we need to judge the inner and outer capsules."
Jing Ran said, "Yes, what needs to be judged is the situation of the inner and outer capsules. If there is a rupture, where should we start, can you judge Dr. Chen?"
Chen Cang nodded: "Almost, you see, the ultrasound shows that the capsule wall is thicker and irregularly infiltrated around it. Obviously because of the combined infection, you can see that there are obvious cysts, cavities, Pneumonia pseudotumor-like shadows, which means that they have broken into the bronchi. "
With that said, Chen Cang turned around: "So this also explains exactly the condition of the patient, that is, coughing, severe coughing, coughing up powdery secretions, and it is because the bronchus is broken that causes the so-called allergic shock!"
As soon as this word came out, everyone's eyes lit up!
Suddenly I was a little excited, yes!
That's the teammate.
He suddenly felt like he was back outside Fu.
Jing Ran couldn't help but said, "Doctor Chen continues."
Chen Cang nodded, put down the ultrasound, picked up another x-ray: "Next, we have to divide the position, please see, although the lung hydatid cyst has broken into the large bronchus, but look at this crescent, this is Crescent sign refers to a small amount of gas that enters between the inner and outer capsules when the inner capsule is in communication with the small bronchus and forms an arc-shaped transparent zone.
"Obviously, the inner capsule is broken. Once it is broken, there will be so-called irregular shadows. When the air enters, a double bow sign will appear. If it floats on the sac fluid, it will still Floating lotus sign. "
...
After Chen Cang spoke, he looked at Jing Ran: "This is the case now. My idea is to complete the intracapsular excision. Because the patient's hydatid cysts protrude more than 1/3 of the lung surface. If the removal is successful, recurrence can be completely avoided. Is the most ideal surgical method. "
At this moment, Jingran was excited: "Yes! I think so too."
The group of directors around looked silly.
Originally they were invited to assist the consultation, but ... at this moment, it seems to be Chen Cang's one-man show!
They didn't seem to play much of a role.
Chen Cang turned and looked at Wei Zhi and Zhang Peiyi: "Director, prepare for surgery."
Wei Zhi nodded: "I'll take you to the operating room!"
After Chen Canghe left, a group of people were stunned.
Zhang Peiyi couldn't help but swallowed: "Chairman Qian, is this Dr. Chen also the talent you brought in? A good young man, and ... how do you look in your twenties?"
Yue Tao nodded: "Yes, Dr. Chen's ability to interpret images is really something I admire. I haven't seen such a good guy for years. Is he also from your hospital?"
Qian Liangnene said to himself: "Ah ... this is not a doctor we brought in."
The crowd snapped: "Oh? Then he is ..."
Qian Liang reluctantly said, "This is a graduate student in our hospital this year, and I will study one this year!"
Everyone made a noise, and Zhang Peiyi nodded. "Oh, no wonder it looks so young."
wrong!
Zhang Peiyi suddenly realized what was happening!
"You said he just studied it? How is that possible!"
Yue Tao was also shocked and incredible: "It's impossible! How could it be so powerful! He wants to be so powerful, I want to talk to the dean and invite him to work directly, what kind of graduate student, waste! "
Even Zhang Peiyi has a familiar look in her eyes. This look is called desire! I have also ...
Qian Liang saw this ~ EbookFREE.me ~ shake his head: "Director Zhang, don't think about it, this Chen Cang is the treasure of Lao Li!"
Zhang Peiyi suddenly smiled, "Which old Li?"
Qian Liang: "Li Hetan, Li Baoshan of the Second Provincial Hospital."
When Zhang Peiyi heard it, he suddenly became dumbfounded and muttered that this Li Heitan really had taken the away ...
...
Qian Liang looked at Chen Cang's back and sighed deeply, full of regrets!
I knew I had started earlier, this is my own disciple!
Hey ... what a good guy, what a great young man.
What's on the face, how can there be such a genius to benefit ...
Hey……