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Chapter 222: Need a coach!

After the car arrived at the emergency department of the Second Provincial Hospital, the cart was ready to come out.

The patient was sent into the rescue room in time!

Chen Cang did not urgently choose to learn [pulmonary hydatum cystectomy].

After all, this is not an ordinary surgery, but a third-level surgery, infinitely close to level 4.

In the central and northern regions, they generally follow the standards of level 4 surgery, but the system obviously refers to the situation across the country.

After all, this disease is common in pastoral areas, especially in the 1970s and 1980s. At that time, there were many patients with lung hydatum cysts. There were hundreds of such surgeries in pastoral areas every year, and the treatment of such surgeries was quite mature at that time.

At that time, a certain pastoral autonomous region hospital had a success rate of surgery in this field, which directly surpassed the top tertiary hospitals such as UnionPay West China, and it was also famous.

It takes 4 skill points to learn a third-level surgery, and it takes 6 skill points to improve to the advanced level. This means that you need ten skill points to master the advanced [pulmonary hydatum cystectomy].

Thinking of this, Chen Cang was still a little reluctant to let it go.

After all, this kind of surgery is too rare. If... it is diagnosed that it is not this disease, isn't it a waste?

However, once diagnosed, Chen Cang will not hesitate at all!

After all, the rewards brought by this disease are perfectly accurate breast images and perfect secretion detection, choose one of two.

At this time, the level and ability of the emergency team of the Second Provincial Hospital can be seen.

From receiving people to exams, to starting monitoring, to preparing medicines, and then to carrying out various inspections, it is orderly and very fast and orderly.

Chen Cang glanced at him enviously.

At this time, Wei Zhi and a man in his fifties had already walked out. After seeing Qian Liang, he hurried forward.

Qian Liang said anxiously: "Thank you for your hard work, Director Wei, Director Zhang."

Zhang Peiyi is the director of the Provincial People's Emergency Department. He is a vigorous and decisive man. He doesn't look like a doctor from a distance. Because his bald head has shaved his hair long ago, he has a strong smell on his body.

Zhang Peiyi waved his hand: "Everyone saves people first. By the way... who is Jing Ran?"

Jing Ran was stunned and stepped forward and said, "Hello, Director Zhang, I am Jing Ran."

Zhang Peiyi: "You have been in Fuwai Hospital. How much do you know about cysts of lung hydatum?"

Jing Ran thought about it: "If the diagnosis is confirmed, surgery can be performed, but now we must first stabilize the patient's condition. I now highly suspect that the hydatum cyst ruptures and enters the bronchial, causing severe choking and chest pain, and then coughing up a large amount of water or purplish substances, and allergic reactions may occur. In severe cases, allergic shock may occur, and a large amount of cyst fluid enters the bronchial, which may cause suffocation."

"So at present, we should first check and diagnose the patient's condition as soon as possible while fighting allergies, and then strive to arrange the operation in the shortest time."

Seeing Jingran talking a lot in an orderly manner, Chen Cang couldn't help but look at him because he said what he wanted to say.

Something is a little bit!

In fact, Jing Ran was also very impressed by Chen Cang. At that time, he witnessed the entire process of Chen Cang's emergency rescue with his own eyes. He quickly rescued, calmly handled, analyzed calmly, quickly judged the condition, and transferred the patient in time. After this set of operations, it was like a combination of emergency punches, which made Jing Ran feel a little sincerely moved and admired!

The most important thing is that he did not expect that he could make accurate judgments on this very rare disease.

Because I am in the capital and close to Inner Mongolia, I also have some understanding of this disease, but Chen Cang is in such an environment and can analyze and deal with it, which is indeed a bit of a good level!

At this time, the nurse hurriedly ran out.

"Director, the patient's blood pressure is only 80/50. Are you anti-allergic now?"

Zhang Peiyi shook his head: "First take adrenaline to boost the blood pressure, wait for the blood pressure to get dexamethasone. What about breathing? Isn't it weakened, right?"

The nurse nodded: "Well, there is no such thing as for the time being, but the blood oxygen saturation is a bit low."

Several people walked together and walked towards the rescue room.

The b-ultrasound was underway at this time, and everyone held their breath and looked at the picture above the b-ultrasound.

Although I don’t understand the b-ultrasound examination very well, I can understand it.

The examiner suddenly took a screenshot and had a rough judgment in his mind: "The hydactyx cyst can be confirmed, there is no problem with this, but the most important thing now is that I don't know if there are cysts ruptures and how many hidden invisible cysts are there. These are a bit troublesome, because if the hydactyx cyst is very small, we still cannot find it."

Zhang Peiyi asked: "Can B ultrasound be diagnosed?"

Doctor B, shook his head: "There is only a certain probability, and perhaps more inspections are needed to improve it."

Jing Ran suddenly said at this time: "The accuracy of b-ultrasound hydatum cysts is as high as more than 90%, but the diagnosis of cyst rupture and infected people is not accurate. Moreover, for those suspected of lung hydatum cysts, abdominal ultrasound or CT scan are necessary. This examination is particularly important for preoperative examination of right lung lesions, because right lung and liver hydatum cysts can be treated simultaneously."

"Now, we can diagnose lung hydatum cysts through B-ultrasound, but there are two things that are not clear, that is, whether there are hydatums in the abdominal liver, and the other is whether the lung hydatum is infected."

After saying that, Jing Ran said to the examiner: "Check the liver and see if you find anything."

The examiner nodded and continued to start.

At this time, if you want to diagnose, you must rely on accurate examinations. Only by clarifying where and how many can you better arrange the operation!

It can be said that examination is like the importance of intelligence to war for surgery!

If you are not careful, you will lose all the game!

Everyone is a senior director. Whoever goes out is not a person who is shaking three-tone? The group stands aside with a serious expression and a depressed environment. Everyone is waiting for the results of the B-ultrasound.

The key to the examination results is directly related to how the surgery should be performed.

Because the more complicated thing about the cyst of the lung hydatum is that it is not a simple operation, and there is not only one cyst!

If the cyst is enlarged, it can be found, but what if the cysts are small?

Hiding in other parts of the lungs, or in the abdominal cavity and liver, is the most troublesome.

Continuous surgery is very serious to the human body, and everyone knows this very clearly.

Also, the most important thing is to judge the damage of the external and internal cysts of the lung hydatum cyst, which is a key factor that really affects the surgery!

Biochemical examinations will take at least three or four hours, especially complement binding experiments and immunologic examinations, which are relatively slow.

How to arrange inspections quickly and effectively and conduct targeted inspections is very important!

Indeed, it can be done all of them.

But what about time?

What about the patient's status?

Now I am pressurizing and anti-allergic, but what if I wait?

Therefore, there must be a detailed arrangement.

To put it bluntly, the patient's situation is quite complicated, who can take the helm!

It is particularly important for who can be the commander of this skill.

Just as the two armies are about to fight, they must have a commander with absolute right to speak.

At this time, everyone looked at Jing Ran, a postdoctoral fellow from Fuwai Hospital, the capital!

Qian Liang couldn't help asking: "Doctor Jing, have you ever encountered such a similar patient? What should we do next?"
Chapter completed!
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