Chapter 469: Recurrent hepatic hydatid

Chapter 469: Relapsed Liver Hydatid
After the operation was completed, Zhang Fan and the general director had the operation, and the head nurse quickly came over. "Zhang Yuan, the director called to let you go to the administrative building."
"Did you say anything?" Zhang Fan was a little confused. Since becoming assistant to the dean, Ouyang has rarely assigned Zhang Fan to do anything.
"Don't say it, just say it, so that you can hurry over after the operation." The head nurse looked at Zhang Fan enviously, and she wanted to go, but the director did not let it go!
"Director Zhao, I'll go and see first. You stare a little bit more. I'm afraid the patient can't help secretly eating." Zhang Fan explained to the director of Pu Wai.
"You go! Rest assured, it's okay. I'm staring."
The doctor is like this. Be careful before the operation, and be careful after the operation. Before the operation, there are a lot of patients who are uncomfortable. What the doctor said is like a child in kindergarten.
But once the operation is over, I feel uncomfortable, it seems to be cured, and I suddenly become a junior high school student. If you do n’t let me do it, I will do it, or do it secretly! This kind of illness is also a headache for doctors.
After Zhang Fan explained something, he quickly walked to the administrative building. When knocking on the office door, it was rare to see the hospital secretary also in the dean's office, and Lao Gao, several deputy deans, and Ren Li were all there, and the hospital management team was short of Zhang Fan.
"Did you have surgery?" Ouyang asked after seeing Zhang Fan.
"Well, just after the operation." Zhang Fan didn't ask what to do, the leader told you that there must be something, and it was not good to ask.
It is estimated that after waiting for a while, the secretary was a little unhappy, and said to Zhang Fan with a smile, "When you are a leader, try to do less physical work and consider more ideological things."
What he meant was that the leader should be more retreat, control the line and be the leader.
Before he finished speaking, Ouyang said directly: "The hospital is the place where the disease is treated. If you don't see a doctor, you don't have surgery. What kind of hospital leader!" The secretary was choked to death.
Although he and Ouyang are at the same level, others are positive, he is vice! The secretary's hands were pinched and pinched, anxious to take out the notebook immediately.
"Let's go and have a meeting, Zhang Fan, I'll take your car." Ouyang Lin said again when he went out. "Ah! Okay."
"Dean, what's the matter, all go to a meeting as soon as possible." Only when he and the dean were there, it was more convenient to speak.
"The superior has made it clear that the establishment of a new city is on the edge of the bonded zone. The hospitals in the new city, who will lead, support the leadership of the Chinese hospital and support the leadership of our hospital have been competing.
The leadership above is also very controversial, but in the end let our hospital take the lead and establish a branch in the future. This time I'm going to talk about it. "Ou Yang sat on the co-pilot and told the story again.
Among the hospital leaders, let alone Zhang Fan, even the secretary did not know it, and Ouyang knew it alone.
"Oh." Zhang Fan listened, but he didn't go to his heart. Ouyang glanced at Zhang Fan, "how could there be no reaction?" Ouyang asked Zhang Fan with a smile.
"Ah, what's the reaction to this? Besides, the city hasn't been established yet, the hospital is still early." Zhang Fan was a little confused.
"Haha, you, I don't know what to say about you. Is it because God opened the door of your technology and closed the other windows?" Ouyang smiled and said nothing, looking out the window. I don't know what to think about.
After a moment of silence, Ouyang said suddenly, "Yes, there is one more thing, you know it's all right, don't spread it."
"Huh!" Zhang Fan agreed.
"Someone reported the hospital. You have something that is not clean at the end, so worry about yourself." Ouyang said without a word.
"What? What to report?"
"You know it, you don't know what will happen." Ouyang can only say this step, depending on Zhang Fan himself to understand.
"Oh! Okay." Anyway, Zhang Fan himself had nothing to report and didn't go to his heart.
Fan Fan participated in the government meeting for the first time as a hospital leadership team. Certain circumstances and solemn atmosphere must not be taken seriously by you, or you must not be nervous.
Inside the conference room, a large national flag and a large party flag hung in front. Everything was so solemn, even the chairs in the conference room were lined up.
Zhang Fan sits at the end of the office, next to him is Ren Li. When seated, everyone took out their notebooks. At this time, Zhang Fan was embarrassed, he didn't bring anything!
"Secretary Ren, are you taking notes at this meeting?" Zhang Fan asked embarrassed.
"Just what you mean, you didn't bring a notebook. I'll give you one." Ren Li handed Zhang Fan a notebook.
"Thank you, thank you clerk." Everyone else is holding a notebook. If you don't put a copy in front of you, how to look at it is weird. Although the leader did not ask.
At the meeting, I do n’t know why, the superior leaders will not directly mention the issue by name, first talk about thoughts, and then talk about how to struggle if it is difficult.
Finally, it is about the construction of a new urban hospital in the future. One by one, Zhang Fan sitting in the corner is dizzy. Zhang Fan is not the official material.
After a long day, seeing that the leader will not be named, Zhang Fan went directly into the system, and it was not no good to become the dean's assistant. First of all, the operation progressed a lot faster.
More than half of the progress required by the general public is almost over. "After a while, the general public is estimated to be full, and then you can open new subjects!"
Zhang Fan was a little excited when watching the progress, and this pit was too difficult to fill. There are too many sub-projects, from head to toe, there are almost universal small disciplines.
The system at this stage is all surgical tutorials, including various surgical surgical tutorials, such as the appendix. The system only specifies how to do it, and various types of appendix surgery, but how the appendix is ​​formed is not explained.
For example, tumors are also how to eradicate surgical treatment without the evolution of cancer cells. In other words, the current system is nothing more than a surgical platform.
A simulated operation was performed, "I don't know, what will be the second-level subjects in the system after all the basic subjects are completed!" Zhang Fan thought with emotion.
Along the way, Zhang Fan's life has been improved too much because of the system. So far, Zhang Fan's feelings of gain and loss have gradually reduced a lot.
Two years ago, Zhang Fan was worried all the time. He was always worried that the system would disappear suddenly. He was afraid that when he felt it, everything seemed like a dream. So Zhang Fan forced himself to go to the liver and tried everything to find surgery. To improve your surgical skills.
With the improvement of technology, Zhang Fan's mentality has now gradually changed, and he is no longer as anxious as before. Although the technology has improved a lot, but Zhang Fan did not relax the system upgrade, but became more and more curious.
"This meeting is confidential!" Zhang Fan remembered this in his mind. "It's all communicated to the hospital level. What's kept secret!" Zhang Fan spit out by the way.
On the way back, Ouyang smiled. The old lady is certainly happy. A hospital that can be built according to her own wishes. As long as this hospital is established, it is a monument to her career.
Back home at noon, the house was a mess. "What's the matter. How to wear old clothes?" Zhang Fan asked curiously when he saw Shao Hua's father and mother wearing old clothes and going out.
"I heard that a new city is about to be established. It is said that it is on our farm. My uncle and I are thinking about building a few houses. The state subsidies can be a little bit more. We know the news is late, next door. Da Kui's family is ready to build a building. "Shao Hua's mother whispered to Zhang Fan mysteriously.
"Oh, don't go to your uncle and aunt." Zhang Fan smiled helplessly.
"Don't underestimate this subsidy, it's quite a lot." Shao Hua's mother looked at this future son-in-law in amazement, "I usually look smart!"
"I went to the government today to participate in this meeting. People have already determined the construction and planting area by aerial photography, and the leaders have also determined that this subsidy does not take the construction area and is subsidized according to heads!" Although Zhang Fan did not take care Listen, but I still heard about the relocation near the hospital.
"Ah! Let me tell Da Kui mother that they are going to build a five-story building! Don't go wrong at that time."
"Can you be sure? Don't subsidize by construction area at that time, people don't blame us!" Shao Hua's father said immediately.
"Eh! This ..." Zhang Fan gaped. "I knew that we were going to build a new hospital, and the relocation near the hospital was subsidized according to heads."
"Just tell Zhang Fan's original words to Da Kui's mother. If you don't cover it, you can let the family decide for themselves."
Zhang Fan shook her head with a smile, and kept it secret, even the aunt who danced the square dance knew!
Waiting for Zhang Fan to finish her lunch, the old lady went out in a hurry. Zhang Fan also wanted to give away the old lady, and the old lady even said no. In the afternoon, Zhang Fan organized the first hospital expert consultation.
Hospital expert consultations must be filed, and the director of the medical service also participates, and the medical service officer makes a record. Who said what suggestions were recorded on a case by case basis.
If Zhang Fan is absent, the director of the medical office will preside over the meeting. If Zhang Fan is present, Zhang Fan will preside. After all, Fan Zhang is the leader of the hospital, and the director of the medical service is just the middle of the hospital.
"People are here, let's discuss today, the condition of Mayila in the special needs ward. Ma Yichen, please introduce the patient's condition." Zhang Fan presided over the meeting.
"Okay, the patient, Maiira, female, 62 years old, had seen a liver tumor at a local hospital ten years ago and had surgery, diagnosis and treatment. The specifics are unknown.
Today, the patient suffers from cough and poor appetite due to abdominal swelling. After receiving the special ward in our hospital, physical examination showed that the patient had obvious postoperative scars about 15 cm in length in the right abdomen, and the abdomen was swollen, tenderness was obvious, and vomiting. No dry and wet rales were heard in both lungs, but the patient reported that he had coughed a white cystic unknown substance.
After relevant inspections, laboratory results were reported: Color Doppler ultrasound showed clear calcifications in the liver, clear rosette changes, and biliary ducts widened.
X-ray and plain film of the abdomen showed that the diaphragm of the patient was elevated.
CT showed that hepatic echinococcus cysts were clear and active, and active larvae were highly suspected in the bile ducts.
MRI showed no obvious hydatid cysts in the patient's heart, bones and spine.
In the immunological examination, the indirect hemagglutination test was positive ... "Ma Yichen briefly introduced the patient's condition and then took a seat. Then, Zhang Fan said to the doctors and experts present here:" Everyone talk about it. "
Doctors above the general deputy high level, doctors above the liver and gallbladder level, and doctors above heart and chest level attended the meeting. Ma Yichen was Zhang Fan's special accountant to introduce the doctor as a medical record.
The director of the medical office started to call according to the age of the doctor, and one of the youngest deputy high students in the general population began to speak: "Patient diagnosis: Recurrence of liver echinococcus is clear, conservative treatment is estimated to be of little significance, and feasible surgical treatment. "
Start speaking one by one. This disease occurs in pastoral areas, so Lu Ning is not very authoritative in this regard, but Professor Zhao Jingjin in Bird City is more authoritative.
After the general doctors at Chasu Hospital finished speaking, Zhang Fan said to Zhao Jingjin, "Professor Zhao, can you say a few words?"
"Well, let me say a few words. Although this kind of disease is more common in our province, such severe cases of recurrence are still relatively rare. I recommend perfecting the chest examination. The patient complained that the white cystic substance was coughed out. Although no pleurisy was found, we can't be careless.
First conservative treatment, after killing the larva, then surgery, and requires a combination of cardiothoracic surgery and general surgery, liver and gallbladder three departments, the patient's physical assessment must be done before the operation, the operation is difficult, the injury is large, the operation time is long Doctors and patients are a test. "
After Lao Zhao gave a speech, Zhang Fan thought for a moment and said, "The doctor in charge, please ask the relevant department for consultation as soon as possible, evaluate the patient's physical condition, and contact the ultrasound room. If the patient's physical condition supports surgery, he must be in the ultrasound Downward surgical treatment. Recorded and reported to the Health Bureau. "
Although Maiira is not a resident of China, this disease still needs to be reported to the Health Bureau.
"Okay, as soon as I go down and prepare the materials, I will report immediately."
"Keep a good record of the consultation and explain the illness to the family members." Zhang Fan continued to explain.
"Okay, Zhang Yuan!" The director of the hepatobiliary department agreed.
This operation is difficult. Although not mentioned in the discussion, the experts present here know that the patient's first operation was not performed well, resulting in recurrence of the patient, and there is a very high possibility that it has been transmitted to the lungs.
This kind of disease, if it is just removed, is not difficult, it is like a cyst, but the difficulty lies in how to clean the worm sac to prevent recurrence.
As long as it is surgery, recurrence is always more difficult than the first time. Zhang Fan has begun preparations for this operation.
insomnia
I have been suffering from insomnia recently
Took three tablets of estazolam
Then I slept until six in the afternoon
If it weren't for my wife shouting, I might be able to sleep over
So today there is only one chapter!
Sorry!
(End of this chapter)