Signing in at the hospital, the first operation shocked the whole country!

As soon as the words fell, the door of the meeting room was opened, and a handsome figure walked in quickly.

"Sorry, I'm late."

Qin Feng looked at the round table in front of him, and nodded apologetically to Yuan Bin in front of him.

"It's okay, it's not too late, sit down."

Seeing him coming in, Yuan Bin smiled and pointed to the empty chair behind Meng Dawei.

Qin Feng walked over and sat down, and took a look at these people, they were all big bosses from various departments!

Moreover, Yuan Bin himself was the abbot of this MDT conference. It seems that the patient's condition, including his own, is different.

Thinking of this, he also became serious.

"Okay, we are all here, let's start this multidisciplinary consultation meeting."

Yuan Bin looked around, nodded and said,

"Next, let's ask Director Liu Haihong from the Burn Department to give you an analysis of the patients' injuries.

Director Liu. "

"Okay Dean Yuan, experts and directors."

After the words fell, the woman beside Meng Dawei stood up and said solemnly,

"The patient's name is Gao Xiang, male, 35 years old, a safety officer of a chemical factory in Yanshan City, QH Province, responsible for the safety control of acrylic raw materials.

Three days ago, due to an accident, a fire broke out in the warehouse. Gao Xiang's legs were stained with acrylic fiber and severely burned to a depth of four because of fighting the fire.

Because the acrylic fiber itself is toxic, and it has been more than 48 hours since we were transferred to our hospital, the patient has a severe high fever...."

Listening to Director Liu's detailed explanation of the situation, Qin Feng also frowned.

The patient's condition is indeed serious, but how serious is it?

A silver lining!

According to the pictures of the burnt legs, the skin and flesh have already been browned and dissolved, and the bones are definitely not in good condition.

And the patient is currently showing signs of poisoning. If he does not save his life in time, he may die at any time if he is infected!

If 48 hours ago, direct amputation could still directly save life, but it is no longer possible.

Even if both legs are amputated, life may not be saved!

Seeing this situation, Qin Feng thought of the firefighter who had been rescued in Jiangcheng City with burns all over his body.

At that time, because the burn area was too large, the conventional skin grafting scheme almost failed too much, and it was impossible to form self-healing.

The Polygonum cuspidatum liquid developed by the research center can be said to have saved his life!

But now, although the burn area of ​​the patient in front of him is not large, the burn depth is too serious.

Even the Polygonum cuspidatum liquid can't meet the conditions of regeneration and self-healing at all, and the possibility of recovery is basically zero.

The most important thing at present is to discuss a feasible method, giving priority to surgery to save lives.

difficult!

The risk is great!

Chapter 258 Abandoning Surgery, Proposing Biological Therapy

"At present, the patient's physiological indicators have temporarily stabilized, but the infection situation is still developing.

The patient's appeal was to keep his legs, but the situation was not optimistic. The opinion of our burn department was to give priority to life preservation and amputation. "

After Director Liu Haihong finished her speech, everyone fell into deep thought.

"Okay, let's talk about your opinions."

Yuan Bin nodded, looked at the crowd and said,

"Director Deng, what do you think? Tell everyone first."

"Good dean."

A man wearing glasses, whose hair already showed traces of a strong man raised his head,

"Everyone, I just read the patient's examination report and specific conditions. From the perspective of our dermatology department, the severity of the patient's burns has completely lost the conditions for surgical intervention.

Especially after acrylic fibers are burned, the skin and muscles are poisoned to varying degrees, which must be removed.

Everyone, look at the lower part of the patient's left tibia, which has been completely burnt through..."

Deng Gang, the deputy director of the dermatology department, expressed his opinion and elaborated on the argument from the perspective of dermatology.

Qin Feng looked at the inspection chart in his hand, and the deep burn tissue was indeed too serious.

The muscles and nerves of the left leg were dissolved and severed, which could not be recovered at all.

In other words, the left leg is doomed to fail.

"Director Meng, tell me."

"it is good."

After Director Deng finished speaking, Yuan Bin looked at Meng Dawei.

"At present, according to the patient's condition, we have carried out a series of anti-infection measures. In terms of surgery, the burned tissue needs to be removed as soon as possible. Otherwise, once an explosive infection occurs, it will affect the heart and other important organs, and life will be in danger at any time.

I have also carefully studied it before, and I think Director Deng's words have some truth.

Judging from the current injury situation, the patient's left leg should not be kept. "

Having said that, he took out a report and raised his hand,

"Everyone, please read this inspection report. At present, the necrosis and infection have reached the middle of the thigh, and the whole body is slightly infected with the virus..."

wow~

Hearing this, everyone took out the report, and suddenly many people frowned.

Severe soft tissue infection combined with systemic poisoning symptoms!

When Qin Feng saw the test result, his heart sank.

If the conventional treatment method is followed, there should be only one result for this patient.

High amputation of both legs!

As far as the current situation is concerned, the sooner amputation is better for the patient, because the risk of viral infection will increase, and I am afraid that it will not be as simple as high amputation.

"The opinion of our orthopedics department is amputation."

"That's what we think too."

"I think it is possible to try amputation of the left leg and conservative treatment of the right leg?"

"I also think there is hope for the right leg. If it can heal itself after surgery, at least it will be better for the patient."

"I disagree. What if the poisoning infects the heart and lungs, causing danger?"

"The patient's wish is to keep the leg. Is it too arbitrary for us to amputate directly? I think conservative treatment can be tried."

......

For a while, the entire conference room began to fall into a debate, and everyone expressed their opinions, expressing their views based on the patient's demands and the current situation.

Only Qin Feng sat in the back, looking at the scene in front of him with a solemn expression, without saying a word.

He was quickly searching for various treatment options for severe burns in his mind, and matched the most suitable methods at home and abroad according to the patient's condition.

10 minutes......

One hour......

two hours...

Time flies, and two relatively complete proposals have gradually emerged in the discussions with all our efforts.

Even though this is the best hospital in Jiuzhou, it is also anxious to face such a serious disease.

The most supported option is amputation, which is currently the safest surgical option.

Although the patient will lose both legs, it is undoubtedly safe in terms of life.

As for the second one, high amputation was performed on the severely necrotic left leg, and the necrotic part of the right leg was surgically removed, followed by conservative treatment to see if self-regeneration could resume.

Maybe a chance to save a leg if given the chance.

However, the probability of this is not high, and great efforts must be made to fight infection and poisoning.

the most important is,

Amputation is a one-time solution to the problem, and if you choose the second option, not only is it very risky, it also requires a lot of money to support it.

If it succeeds, it can be regarded as a small miracle case, but if it fails, it will still require amputation.

So in the end it depends on how the patients and their families choose~~~

"Qin Feng, what are you thinking while sitting in the back without saying a word?"

At this moment, a voice suddenly broke his thoughts.

Qin Feng raised his head and found that the vice president Yuan Bin was looking at him with a smile.

And following these words, all eyes fell on him.

Qin Feng, those here may not have seen this name, but they must have heard of it.

Several top-notch and difficult surgeries spanned several disciplines, and they conquered the experts in critical care medicine in less than half a year.

Such a record is absolutely no more than one hand in the more than 30 years since the establishment of the Department of Critical Care Medicine.

This includes the two present here, Meng Dawei and Yuan Bin.

And Qin Feng is the third one!

"I see that you are a little dazed looking at the patient's information, do you have any ideas?"

Yuan Bin said with a smile, and then pointed to these people present,

"You can boldly say that they are all old people, so don't worry about it."

"President Yuan, it's nothing. I'm just thinking about the treatment plan of the experts and directors just now."

Hearing this, Qin Feng nodded, stood up and looked around the crowd,

"Actually, the two plans discussed by the directors are all right, and I just carefully read the patient's various inspection reports.

I have also done some operations and treatments for patients with severe scalds and burns before, but of course I am still lacking in experience.

But from my point of view, no doctor would like to see a patient have his legs amputated and become a disabled person. "

Speaking of which, he paused.

Director Liu of the Burn Department couldn't help but sighed in a low voice.

In fact, she is the most stressed here, and she is also the saddest.

I have worked in the burn department all my life, ranging from a baby just a few months old to an old man in his 90s.

It is really painful to see these pains caused by various accidents or causes of large areas of burns, and even need repeated operations, which cannot be cured in the end.

Almost every day, the burn department can hear the wailing and moaning of patients in pain.

This is different from the emergency department, they are really in torture all the time.

Those who get better will have new granulation, the pain is so unbearable that they cannot be touched; those who have deteriorated even have to watch their own body necrosis, infection, pus, and finally amputated in despair, and may even face death.

Just like the patient in front of me!

"Yeah, we all don't want to see this result, but more often than not, the fate and requirements of our profession make us have to make a choice.

Even if patients cannot accept it, we must find ways to keep their lives safe. "

Yuan Bin also sighed and said helplessly.

"Actually... I think the plans discussed by the directors just now are very reasonable.

However, as Director Liu said just now, the patient still hopes to keep his legs. "

Qin Feng continued,