My medical skills are a billion points

The patient in front of him had traveled to Shaanxi and had a history of contact with the epidemic area.

This is one of the most important pieces of evidence.

And echinococcosis can be in the human body, ranging from several years to decades.

The ability of this parasite to infect is very powerful.

Everywhere in the body of the human body, can cause infection parasitism.

Gao Yingjun recalled the contents of the textbook for a long time before he could recall the general idea.

According to the patient's medical history and examination results, Gao Yingjun finally confirmed that this patient was the pulmonary echinococcosis that Xiao Chu mentioned.

However, the treatment of this disease is quite troublesome.

Moreover, the patient's right lung was almost filled with hydatid asci.

The patient's chest tightness is quite serious now, and the drug treatment may have no obvious effect.

Gao Yingjun thought for a while and asked, "Since it's pulmonary echinococcosis, what should we do with this patient?"

Xiao Chu said directly: "Currently there is no medicine to treat it, I am afraid the only treatment is surgery. If the hydatid sac is broken, it will be more troublesome, and surgery is needed as soon as possible!"

When they heard that an operation was to be performed, the patient certainly did not understand.

However, this job of explanation was left to Gao Yingjun to complete.

Finally, after working hard for more than half an hour, Gao Yingjun came to the office to look for Xiao Chu again.

"Xiao Chu, the patient and his family members have already talked about the pre-operative talk, and signed the consent form for the operation. It seems that this operation still needs your help!"

"Then set it this afternoon, let's have an operation. The sooner he has this operation, the better."

Xiao Chu glanced at the consent letter for the operation and said.

"Okay, I'll make the preoperative preparations in a while."

Zhou Ziqiang, who was on the side, was very envious when he saw that Gao Yingjun had another operation.

But now all the doctors and nurses in the emergency department know that Xiao Chu's surgery is amazing, and they can learn a lot of experience following him on stage.

Zhou Ziqiang then jokingly said: "Handsome, what kind of surgery, I need to trouble Director Xiao again."

Unexpectedly, Gao Yingjun waved his hand at him, and he was a little disgusted.

"Brother Zhou, you must have never done this kind of operation, so you don't have to get involved!"

Seeing that Gao Yingjun dared to underestimate him, Zhou Ziqiang stood up and glared at Gao Yingjun.

"Handsome, I'll give you a chance to organize your words and say it again!"

Gao Yingjun came over immediately and apologized to Zhou Ziqiang.

"Oh, Brother Zhou, I've never done this kind of operation before. Don't you want to follow Director Xiao on stage!"

"What kind of surgery is it?"

"Pulmonary echinococcosis!"

Zhou Ziqiang was also taken aback.

"Pulmonary echinococcosis?"

Chapter 243 Why Did You Steal My Help Again?

Zhou Ziqiang frowned and thought about it. After a while, he said: "How can there be patients with pulmonary echinococcosis in our southern hospital? Isn't this disease more likely to occur in those areas in the west?"

The provincial doctor is a southern hospital. Zhou Ziqiang has never seen a patient with pulmonary echinococcosis in the years since he went to work.

He also only learned from textbooks or literature guides that cases of pulmonary echinococcosis are prone to occur in those western provinces.

Gao Yingjun smacked his lips and said, "This patient traveled to Shaanxi more than a month ago. After returning, he felt something was wrong. It was not found out until now!"

"Oh! No wonder!"

Zhou Ziqiang finally knew the cause of the disease and expressed his understanding.

However, although he knew about pulmonary echinococcosis, he had never undergone surgery in this area.

Zhou Ziqiang rolled his eyes, and raised his eyebrows at Gao Yingjun: "I will help Xiao Chu in this operation, how about it?"

Gao Yingjun immediately widened his eyes.

"Don't worry, Brother Zhou, I have never heard of this kind of case before. I finally came across one today, so let me learn a lot."

"You can't rob my patient again, can you?"

"My brother Zhou, you, a senior attending physician, can't always snatch my learning opportunities!"

Zhou Ziqiang blushed.

"Handsome, what you said, brother, how can this be called stealing your study opportunity? Brother is afraid that you will be tired, so I will help you!"

"Is it? Xiao Chu!"

Zhou Ziqiang shifted the blame to Xiao Chu.

"Don't! Don't transfer the grievances between the two of you to me!"

Xiao Chu joked.

It doesn't matter who follows him to the surgery, he doesn't want to be the center of conflict between the two.

Seeing Gao Yingjun's glaring look, Zhou Ziqiang said with a sneer: "Handsome, brother also wants to learn from Xiao Chu, you will be the second assistant today, and I will treat you after the operation."

"You said it! You can't go back on your word."

Gao Yingjun hurriedly got off the donkey.

After all, his qualifications are not as old as Zhou Ziqiang, and his medical skills are not as high as Zhou Ziqiang.

In fact, when he was Xiao Chu's helper, he was still a little apprehensive.

Taking advantage of this opportunity, it would be nice for Zai Zhou Ziqiang to have a meal.

It was finally decided that Zhou Ziqiang would be the first assistant and Gao Yingjun would be the second assistant.

Of course, the fellow doctors and interns were only on the sidelines.

Speaking of pulmonary echinococcosis, this is the first time they have heard of it, and they want to see what kind of disease it is.

The patient has been wheeled into the operating room.

After the three of Xiao Chu brushed and disinfected their hands, they put on sterile gowns and gloves and stood on both sides of the operating table.

The pulmonary echinococcosis of this patient belongs to the enucleation of the hydatid cyst of the right lung.

His right lung was full of hydatid cysts.

The purpose of the operation is to remove all these complete daughter cysts, so as to relieve his symptoms of chest tightness and cough.

And when taking it, the integrity of these hydatid cysts must be guaranteed, and it must not be broken.

Otherwise, once the liquid in it flows out, it is easy to cause the patient's echinococcosis to recur, and it is difficult to cure it completely.

The patient had already been anesthetized, the anesthetist greeted him, and Xiao Chu began to make the incision.

Because of this patient, the hydatid cysts were mainly in the right lung.

And he didn't have hepatic echinococcosis, so he only needed to make an incision on the right side.

What Xiao Chu used was the complete removal of the internal capsule.

Select an appropriate part of the tenth intercostal space on the right side, incise the skin, subcutaneous tissue, and behind the intercostal muscles, carefully dissociate the tissue, and enter the thoracic cavity.

However, the surgical method used by Xiao Chu is suitable for cases where hydatid cysts protrude from the surface of the lung by more than one-third, and there are no complications such as co-infection.

With this surgical method, as long as the ascus is not broken, it can be completely removed to avoid recurrence.

Is the most ideal surgical method.

While opening his chest, Xiao Chu explained to Zhou Ziqiang Gao Yingjun the essentials of this operation procedure.

"Brother Zhou, look, the patient's pulmonary hydatid cysts are all intact, and there are multiple cysts inside. We need to remove this large cyst.

But we must remember that it must not be broken. Once broken, the cyst fluid inside will flow out, which will easily cause the recurrence of the disease, and it will be difficult to deal with in the future! "

Zhou Ziqiang nodded seriously, expressing his understanding.

Zhou Ziqiang's specialty is general surgery.

However, as an emergency doctor, I still know a little about thoracic surgery.

What Xiao Chu said was not difficult to understand.

Xiao Chu placed wet gauze under the lungs and inside the chest cavity to fully expose the pulmonary hydatid cyst.

On the gray-white outer capsule fibrous wall, cut the outer capsule wall with the front part of the blade.

At this time, the anesthesia needs to be stable or the patient should stop breathing to avoid puncturing the lungs.

It is the key point of this operation.

While operating, Xiao Chu explained this point to Zhou Ziqiang.

Xiao Chu held the scalpel at an angle of 30°, applied force evenly, and scraped and peeled off with the blade.

"When doing this operation, it is very important to master the strength. You must not use gravity, and you must be gentle. Otherwise, the worm sac will be broken, and all previous efforts will be wasted."

While scraping and stripping, Xiao Chu explained the steps.

When cutting the small opening of the outer capsule, Xiao Chu used his fingers to protect the inner capsule, and then quickly used scissors to widen the incision.

To prevent the incision of the outer capsule, sudden decompression, and a sudden increase in the local pressure of the inner capsule, causing rupture of the inner capsule.

The enlarged outer capsule incision is slightly larger than the diameter of the inner capsule, and a "ten" incision is made.

When peeling off the adhesion of the inner and outer capsules, Xiao Chu used the peeler and fingers to focus on the inner surface of the outer capsule to avoid squeezing the inner capsule.

After the inner and outer capsules were completely separated, Xiao Chu asked the anesthetist to inflate his lungs.

The purpose is to push out the whole cyst with the help of the surroundings of the inner capsule (especially the bottom surface of the inner capsule), the airflow in different directions, and the thrust of lung inflation, and then it can fall into the basin filled with normal saline.

Following Xiao Chu's instructions, the anesthetist immediately inflated the patient's lungs.

At this time, you can see the huge cyst, which is slowly squeezed out of the lung under the expansion of the lung.

All of a sudden, he fell into the basin of normal saline that had been prepared earlier.

Xiao Chu carefully checked the condition of the lungs again, to see if there were any small cysts left over.

With the ability activated, Xiao Chu certainly won't leave any problems.

So he can rest assured to close his chest.

However, Zhou Ziqiang took over the work of closing the chest naturally.

Now he regards Xiao Chu as a teacher, and he is just a student.

Operations such as closing the chest or abdomen are of course left to the assistant.

But Xiao Chu got off the operating table directly, leaving Zhou Ziqiang and Gao Yingjun to do the rest of the work.

Xiao Chu held the basin containing the hydatid cyst and showed it to the interns and residents around.

He slowly cut open the outermost membrane of the cyst with a scalpel.

Immediately, many hydatid cysts the size of golden pearls were exposed from the large cyst.

"Wow, this thing is so beautiful, it looks like a pearl!"

"I've never seen this kind of disease. Pearls grow in the lungs!"

……

Several trainee doctors and interns exclaimed one after another.

Chapter 244

Xiao Chu smiled, fiddled with a golden hydatid sac and said: "This pearl is amazing, if it breaks, it will easily spread diseases!"

Xiao Chu asked the interns and residents to read the worm sacs before handing them over to the itinerant nurse.

These hydatid cysts need to be disinfected in the hospital after the family members have seen them.