Chapter 224 Show Operation! (Add 1/3 for the Half-Life Immortal Fate of the Leader)
Chapter 224 Show operation! (Add 13 for the half-life immortal fate of the leader)
Not long after, Director Bai, the director of the b-ultrasound room, and Director Yue, the director of the radiology department, both came.
The emergency room was full of people.
Everyone is nervously waiting for the result.
B-ultrasound was also done, CT was also taken, and everyone was waiting for the arrangement of the surgery.
However, there is still no exact answer!
Because to put it bluntly, I don't know how to start with this disease.
The most important thing in pulmonary hydatid cyst excision is to take out the inner capsule completely. It must not be broken. Once broken, the consequences will be very bad.
However, after the inspection results were presented, everyone began to get caught up in discussions.
It is true that everyone can identify common diseases and even general diseases, but the imaging examination of such rare hydatid cysts is difficult for everyone.
Qian Liang couldn't help but ask, "Jing Ran, what do you think?"
I'm at a loss for words, I'm standing and watching...
At this time, Chen Cang suddenly said: "I have an idea, I don't know if it is feasible or not."
Everyone was stunned and turned to look at Chen Cang.
Wei Zhi's eyes suddenly lit up. To be honest, he had great hopes for Chen Cang, but since the patient came, Zhang Peiyi has become more trustworthy, and Chen Cang has been silent, so Wei Zhi didn't say much. .
As for Zhang Peiyi, Jing Ran is more favored and trusted. After all, he is a postdoctoral fellow at Fuwai, and he must have a high level. There is no doubt about this.
Moreover, in the process of disease diagnosis and treatment, the most worrying thing is the inconsistency of the command. Everyone can speak freely about the disease discussion, but in case of a situation, there must be a backbone to sit in!
From the beginning to the end, everyone has a lot of trust in order, and Chen Cang also knows the depth and does not say a word.
The patients are also being examined according to the orderly arrangement, and the directors of the examination departments have also come to assist in the diagnosis and treatment.
When all the arranged tasks are completed, in the face of this inspection, there is still one person to come to a conclusion!
That is orderly.
But at this time, Jing Ran was a little powerless.
He suddenly discovered that the platform is really important.
When he was in Fuwai, he was able to perform a remarkable operation, diagnose and treat a very serious patient, and was also able to face critical illnesses without being impatient. He suddenly realized that it was because he had a group of solid and reliable teammates!
They are all leaders in their field, and they can give very solid advice.
But at this time, Jingjing found that his original pride seemed a little false.
How to do?
He doesn't know either.
How to make a correct surgical arrangement is especially important at this moment!
This is his first battle in Dongyang Province. He cannot make any mistakes, because every mistake means the loss of the patient's life...
Looking at the hopeful eyes of the people around, Jing Ran panicked for the first time.
At this time, hearing Chen Cang's words, Jing Ran suddenly raised a hope.
Maybe he can?
In the eyes of the doctor.
Nothing is more important than the patient's life!
At least Chen Cang's eyes are always firm.
Wei Zhi said, "Xiao Chen, what do you think?"
Chen Cang said: "I have a little idea, everyone come and click on the film with me first, and watch the X-film first."
While speaking, Chen Cang hung up the film.
"Look here, generally speaking, the typical image is a single or multiple shot with neat edges, clear boundaries, uniform density, circular or quasi-circular or lobulated shadows. This is true."
"However, a giant hydatid cyst in the lung can cause the mediastinum to shift and the diaphragm to descend. If this is the case, the pulmonary hydatid cyst can be seen longitudinally shrinking and deforming with deep breathing under fluoroscopy, or the cyst is irregularly deformed by the adhesion of the pleura. , known as "hydatid cyst breathing", which is more common in medium-sized hydatid cysts in the lower lobes of the lung."
As soon as these words came out, Director Yue Tao of the Radiology Department suddenly slapped the Mediterranean Sea: "Yes! I remembered it, and that's it, hydatid cyst breathing! I said why it's so strange!"
Chen Cang nodded and continued: "If surgery is required, we need to judge the inner and outer capsules."
Jing Ran snorted: "Yes, what needs to be judged now is the condition of the inner and outer sacs. Whether there is a rupture, where should we start? Doctor Chen, can you judge?"
Chen Cang nodded: "Almost, look, the B-ultrasound shows that the cyst wall is thickened here, and there are irregular infiltrating shadows around it, which is obviously due to the combined infection, and you can see that there are obvious cystic cysts, cavities, Pneumonic pseudotumor opacities, that is, have broken into the bronchi."
Having said this, Chen Cang turned around and said, "So, this precisely explains the patient's condition, that is, coughing, coughing violently, and coughing up powdery secretions, and it is because the bronchial bronchus is broken, which causes the so-called allergic reaction. shock!"
As soon as these words came out, everyone's eyes lit up!
Jing Ran suddenly got a little excited, yes!
Such teammates.
He suddenly had a feeling of returning to Fuwai.
Jing Ran couldn't help but said, "Doctor Chen, continue."
Chen Cang nodded, put down the B-ultrasound, and picked up another X-ray: "Next, we have to divide the location, please see, although the pulmonary hydatid cyst has broken into the large bronchus, but please look at this crescent, this was Called the crescent sign, when the internal capsule communicated with the small bronchus is not broken, a small amount of gas enters between the inner and outer capsules, forming an arc-shaped zona pellucida."
"Obviously, the inner sac is broken. Once it is broken, so-called irregular shadows will appear. When air enters, the double-bow sign will appear, and if it floats on the sac fluid, it will also appear There is a floating lotus sign on the water."
...
After Chen Cang finished speaking, he looked neatly: "This is the situation now. My idea is to perform complete removal of the internal capsule. Because the patient's hydatid cyst protrudes from the lung surface for more than 1/3. If the removal is successful, recurrence can be completely avoided. the best surgical approach.”
Jing Ran's face was full of excitement at this time: "That's right! I think so too."
The group of directors around looked dumbfounded.
They were originally invited to assist in the consultation, but... at this moment, it seems to be Chen Cang's one-man show!
They don't seem to make much difference.
Chen Cang turned around and looked at Wei Zhi and Zhang Peiyi: "Director, prepare for the operation."
Wei Zhi nodded: "I'll take you to the operating room!"
After Chen Cang and Jing Ran left, a group of people were left dumbfounded.
Zhang Peiyi couldn't help swallowing his saliva: "President Qian, this Doctor Chen...is this a talent you brought in as well? What an amazing young man, and...how does he look like he's only in his twenties?"
Yue Tao nodded: "Yes, Dr. Chen's image interpretation ability really impresses me. I haven't seen such an excellent young man for many years. Is he also from your hospital?"
Qian Liang said to himself: "Hey... this is not the doctor we brought in."
Everyone was stunned: "Oh? Then he is..."
Qian Liang reluctantly said, "This is our hospital's graduate student this year, and this year's first year!"
Everyone murmured, and Zhang Peiyi nodded, "Oh, no wonder he looks so young."
wrong!
Zhang Peiyi suddenly realized what was going on!
"You said he only studied one? How is this possible!"
Yue Tao's face was also full of shock and disbelief: "It's impossible! How is it possible that Yanyi is so good! If he is so good, I want to talk to the dean and invite him to work directly. What kind of graduate school is it? It's a waste! "
Even Zhang Peiyi has a familiar look in his eyes, this look is called desire! I have also had...
Seeing this, Qian Liang shook his head: "Director Zhang, don't think about it, this Chen Cang is Lao Li's treasure!"
Zhang Peiyi smiled embarrassedly: "Which old Li?"
Qian Liang: "Li Heitan, Li Baoshan from the Second Provincial Hospital."
When Zhang Peiyi heard this, he suddenly became dumbfounded, and muttered, this Li Heitan really had a bad luck...
...
Qian Liang looked at Chen Cang's back and sighed deeply, full of regrets!
If I had known that I would have started earlier, this is my own disciple!
Oh...what a good boy, what a fine young man.
What is the face, how can there be such a benefit from a genius...
Hey……