Chapter 223: Show operation!
Not long after, Director Bai, Director of the B Super Office, and Director Yue, Director of the Radiology Department, all came.
The emergency room was full of people.
Everyone was nervously waiting for the result.
B-ultrasound also did it and T-ultrasound, and everyone was waiting for the operation to be arranged.
However, there is still no accurate answer!
Because to put it bluntly, I don’t know how to start with this disease.
The most important thing in cystectomy of the lung hydatum is to remove the inner capsule intact and must not be broken. Once broken, the consequences will be very serious.
However, after the inspection results were presented, everyone began to get into discussion again.
We can indeed identify common diseases and even common diseases, but the imaging examination of this rare hydatum cyst is stumped by everyone.
Qian Liang couldn't help asking, "Jingran, what do you think?"
I was speechless, I stood and watched...
At this time, Chen Cang suddenly said, "I have an idea, I don't know if it is feasible."
Everyone was stunned and turned to look at Chen Cang.
Wei Zhi's eyes suddenly lit up. To be honest, he had great hope for Chen Cang, but since the patient came, Zhang Peiyi trusted Jing Ran more, and Chen Cang had been silent, so Wei Zhi didn't say much.
Zhang Peiyi favored and trusted Jing Ran more. After all, he was a postdoctoral fellow at Fuwai and must have a good level. There is no doubt that there is no doubt about it.
Moreover, during the diagnosis and treatment of diseases, the most worrying thing is the inconsistency of command. Discussions can be discussed together, but when encountering situations, there must be a backbone to take charge!
From beginning to end, everyone trusted Jingran very much, and Chen Cang knew the depth and did not say a word.
The patients are also conducting examinations according to Jingran’s arrangements, and the directors of the examination department have also come to assist in the diagnosis and treatment.
After all the assigned tasks are completed, facing this inspection, someone still needs to draw a conclusion!
That's Jing Ran.
But Jing Ran was a little helpless at this time.
He suddenly realized that the platform is really important.
When he was in Fuwai, he could complete an amazing operation, diagnose and treat a very serious patient, and he could also face critical and severe illness without being impatient. He suddenly realized that it was because he had a group of solid and reliable teammates!
They are all the best in the field and they can all give very reliable advice.
But at this moment, Jing Ran discovered that his original pride seemed a bit false.
what to do?
He didn't know either.
How to make the right surgical arrangement is particularly important at this moment!
This is his first battle when he came to Dongyang Province. He cannot make any mistakes, because every mistake means the disappearance of the patient's life...
Looking at the eager gazes around him, Jing Ran panicked for the first time.
At this time, when he heard Chen Cang's words, Jingran suddenly felt a sense of hope.
Maybe he can?
In the eyes of the doctor.
No face is more important than the life of a patient!
At least Chen Cang's eyes always have a firm look.
Wei Zhi said: "Xiao Chen, what do you think?"
Chen Cang said: "I have some small thoughts. Let's click on the movie with me first and watch the x-movie first."
While talking, Chen Cang hung up the movie.
"Looking here, generally speaking, typical images are single or multiple images with neat edges, clear boundaries, uniform density, circular or round or leaf-like shadows. This is correct."
"But huge hydactyx cysts in the lungs can cause mediastinum to shift and diaphragm muscles to decline. If in this case, under fluoroscopy, the lung hydactyx cysts can be seen longitudinally telescopic deformation with deep breathing, or the cyst is pulled by pleural adhesion and becomes irregularly deformed, it is called "hydactyx cyst respiratory sign", which is more common in hydactyx cysts in the medium-sized lower lobe of the lung."
As soon as this was said, Director Yue Tao of the Department of Radiology suddenly slapped the Mediterranean: "Yes! I remembered that it's like this, hydatum cyst respiratory disease! I said why is it so strange!"
Chen Cang nodded and continued: "If surgery is needed, we need to make a judgment on the inner and outer capsules."
Jing Ran said huh: "Yes, what needs to be judged now is the situation of the inner and outer capsules. Whether there is a rupture, where should we start? Doctor Chen, can you judge?"
Chen Cang nodded: "Almost, look, b-ultrasound shows that the cyst wall here is thickened and there is an irregular infiltration shadow around it. It is obvious that it is caused by the combined infection. You see, there are obvious air-containing cysts, hollows, and pneumotomic pseudo-tumor-like shadows here, which means that it has broken into the bronchus."
Speaking of this, Chen Cang turned around: "So, this just explains the patient's condition, which is a choking, a severe cough, and a pulp-like secretion. It is because it breaks like a bronchial, which causes the so-called allergic shock!"
As soon as these words came out, everyone around them lit up their eyes!
Jing Ran suddenly became a little excited, that's right!
That's the teammate.
He suddenly felt like he was returning to Fuwai.
Jing Ran couldn't help but say, "Doctor Chen continues."
Chen Cang nodded, put down his B-ultrasound, and picked up another x-shot: "Next, we will divide the location. Please see, although the lung hydrangea cyst has broken into the large bronchus, please look at this crescent moon. This is called crescent sign. When the inner capsule is not broken, a small amount of gas enters between the inner capsule, forming an arc-shaped transparent belt."
"It is obvious that the inner capsule is broken. Once it is broken, the so-called irregular shadows will appear. When the air enters, the double bow sign will appear. If it floats above the capsule fluid, there will also be a floating lotus sign on the water."
...
After Chen Cang finished speaking, he looked at Jing Ran: "This is the situation now. My idea is to perform complete cyst removal. Because the patient's hydatum cyst protrudes more than 1/3 of the lung surface. If the removal is successful, recurrence can be completely avoided, which is the most ideal surgical method."
Jing Ran's face was full of excitement at this moment: "That's right! I think so too."
The group of directors around him were stunned.
They were originally invited to assist in the consultation, but... at this moment, it seemed like Chen Cang's one-man show!
They don't seem to have much effect.
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 stunned.
Zhang Peiyi couldn't help swallowing: "Director Qian, is this Dr. Chen... also the talent you brought in? What a powerful young man, and... why do you look like you are in your twenties?"
Yue Tao nodded: "Yes, Dr. Chen's ability to interpret images really makes me a little admire. I haven't seen such an excellent young man in years. Is he from your hospital too?"
Qian Liang said to himself: "Hey... this is not the doctor we brought in."
Everyone was stunned: "Oh? Then he is..."
Qian Liang said helplessly: "This is our hospital's graduate student this year, and this year's first year of graduate school!"
Everyone said a word, and Zhang Peiyi nodded: "Oh, no wonder he looks so young."
wrong!
Zhang Peiyi suddenly realized what was going on!
"You said he was just a genius? How is this possible!"
Yue Tao was also full of shock and incredible: "This is impossible! How could a junior college be so powerful! If he is so powerful, I want to talk to the dean and invite him to work directly. What kind of graduate school is a waste!"
Even Zhang Peiyi was full of familiar eyes, and this look was called desire! I also had it...
Seeing this, Qian Liang shook his head: "Director Zhang, don't think about it, this Chen Cang is Lao Li's treasure!"
Zhang Peiyi immediately smiled embarrassedly: "Which old Li is that?"
Qian Liang: "Li Heitan, Li Baoshan from the Second Provincial Hospital."
When Zhang Peiyi heard this, he was stunned and muttered, Li Heitan is really lucky...
...
Qian Liang looked at Chen Cang's back and sighed deeply, full of regret!
I knew I would have started earlier, this is my disciple!
Alas...What a good guy, what an excellent young man.
What's the face? How can such a genius come from?
Chapter completed!