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

"Okay, take me there."

After speaking, Zhang Qingquan led Qin Feng to the meeting room.

At this time,

On the plane, a pale and unconscious man spit out blood from his mouth after being bumped twice by the airflow.

......

(I'm back, sneaky back...)

Chapter 354 Acceptance, prepare the operation plan

"The three directors are all here."

Pushing open the door, Qin Feng took the initiative to speak.

"Director Qin is here."

"Director Qin."

"Director Qin."

The three directors also stood up and nodded and smiled when they saw Qin Feng coming in.

"Don't be too polite, directors. You have worked so hard at night and come here for consultation."

Qin Feng said politely,

"Sit down, everyone. I just received the news, and I have a general understanding of the situation. Do the three directors have any thoughts?"

Seeing the three calling him director, he felt a little embarrassed, but he accepted it anyway.

With the arrival of Qin Feng, the consultation officially started.

"According to the examination results of the NMG No. 1 civilian hospital, the patient is currently very dangerous. If no operation is performed, it is estimated that he will have a survival period of three to six months at most."

Director Xu of the Department of Hepatobiliary Surgery came to a conclusion after discussion,

"My suggestion is to enter the severe disease first, stabilize the physiological indicators, and if the surgical standard can be met, go to the surgery as soon as possible."

"Of course we have no problem with severe cases, but the premise is whether there is an effective surgical plan?"

Director Sun frowned slightly when he heard this, and immediately asked back.

There was also doubt in his words, after all, such a patient was in such a serious condition.

As for severe illness, we all know that it is a place to burn money. The daily cost ranges from several thousand to tens of thousands. If you force your life to save your life, the burden may be astronomical.

They also got some information about the family situation of the patient, and the family is an ordinary herdsman.

"We still need to discuss the operation plan. In the current situation, I can't give you any guarantee."

Director Xu shook his head.

According to the situation, the portal vein is eroded, which is the most difficult of all difficulties at present.

What can be confirmed at present is that the patient must at least undergo a combined thoracoabdominal resection to complete the operation.And when it comes to the portal vein, there is a high probability that the Department of Vascular Surgery will be on stage, and many departments will perform joint operations.

The risk of TIPS surgery is great, and any doctor who is engaged in hepatobiliary surgery is well aware of it.

If the portal azygos devascularization is a little careless, you will die!

Whether it is hepatic hydatid or other malignant tumors of the liver and gallbladder, once the portal vein is invaded, the risk and difficulty will increase geometrically.

"Director Qin, what do you think?"

At this moment, Director Xu suddenly changed the topic.

"Ok?"

Qin Feng was still studying the report carefully, suddenly he was taken aback by Q, and then he expressed his thoughts,

"That's right, I think this patient still has a chance of surgery, but I read these examination reports, and it's not perfect yet.

How about this, I agree with Director Xu's opinion, Director Sun, this patient will be admitted to the critical condition first.

As for the surgical plan, we will conduct a comprehensive examination as soon as the patient arrives, and then we will determine the surgical plan. "

Hearing this, everyone nodded.

"In addition, the patient had a sudden cerebral infarction on the plane just now, so I'm afraid that a brain surgeon should be invited for consultation to prevent the risk of large-scale infarction.

Director Xu, is it okay for you to take care of the patient? "

Qin Feng asked.

"no problem."

Director Xu nodded in response, after all, it is rare for them to see this kind of patient.

As one of the most experienced hepatobiliary surgery experts in the country, he is very interested in it!

"Okay, that's it. After the patient arrives, we will do an examination first, and we will have a general consultation tomorrow morning."

After speaking, everyone soon dispersed and prepared separately.

After three hours,

An ambulance roared into the gate of the emergency department of Xiehe, Qin Feng led Zhang Qingquan and the others to wait early.

"Pick up!"

Seeing the arrival of the car, the head nurse took two nurses and quickly stepped forward to receive the patient.

"Get ready for bed, 1, 2, 3!"

"Doctor, doctor, you must save my husband!"

At this time, apart from the two emergency doctors, there was also a middle-aged woman who jumped out of the ambulance. Seeing Qin Feng leading the crowd, she immediately went forward and cried bitterly.

"Don't worry, we will do our best."

Qin Feng held the woman's arm, comforted her, and then immediately gave her a look.

"Ma'am, don't worry..."

The resident doctor at the back understood the intention and took the woman over.

And Qin Feng and Zhang Qingquan immediately followed the hospital bed into the emergency room, and began to conduct detailed examinations on the patient to confirm the situation.

"Get CT, prepare for MRI, and do angiography right away."

"Ok."

"Director Qin, electrocardiogram."

In just 2 minutes, with the monitor attached to his body, the electrocardiogram was pulled out in less than 2 minutes, and the head nurse handed it to him.

Qin Feng took a look, then glanced at the physiological indicators on the monitor.

Heart rate 130/min, blood pressure 110/90, blood oxygen 87.

The overall indicators are fairly stable, but there is no way to make a judgment on the condition, so it is necessary to check as soon as possible.

Looks like I won't be able to sleep tonight~

"Call me as soon as the test results come out."

Qin Feng handed the ECG to Zhang Qingquan and said in a serious tone.

"Alright Director Qin."

......

Da Da Da~

About half an hour later, there was a sound of footsteps outside the office.

"Director, come out."

Panting, Zhang Qingquan took the CT out of the bag and put it on the image reader.

The next second, both of them were stunned!

Two clear CT images came into view, which were quite shocking when viewed from the side and the front respectively.

"Director Qin, this..."

Zhang Qingquan came out of his heart. Although he had heard of this kind of disease, it was indeed the first time he saw such a serious one.

And Qin Feng's heart sank to the bottom at this moment, I'm afraid it will be very difficult this time!

The extent of hepatic hydatid erosion has exceeded expectations, and the shadow directly involves as many as four viscera in the abdominal cavity and chest cavity, and several important blood vessels including the portal vein have also been eroded.

Even the invasion range of a malignant tumor is nothing more than that!

Especially the liver, due to the serious erosion, the volume was significantly enlarged by more than half of the normal person, and the renal veins were eroded downwards.

The erosion went straight up into the chest cavity, penetrated the diaphragm muscle, and even spread around the heart.

As for the deeper places, I am afraid it will be more troublesome!

"Brother Quan, immediately notify the directors to come for a consultation, and contact the serious patients to take the patient in and strengthen the care."

Qin Feng frowned and said in a deep voice.

"I'll go!"

conference room,

Qin Feng sat in the main seat, and next to him were Director Xu and others from the Hepatobiliary Department.

Everyone looked solemn and serious, looking at the CT image of the film reader in silence.

"Director Xu, you are a knife in the liver and gallbladder department, please tell me first."

Seeing this scene, Qin Feng couldn't help but speak with a wry smile.

"Director Qin, to be honest, I have been engaged in hepatobiliary surgery for so many years, and this is the first time I have seen such a serious hydatid disease!"

Director Xu sighed helplessly, shook his head and said,

"Not to mention other things, the deep erosion of hydatid in this patient is extensive, and even the largest vein and its branches in the abdomen are not spared.

Look at the right kidney, the vein reaching the level of the right atrium close to 20 cm is completely occluded.

Moreover, it invaded the arteries, portal vein, hepatic vein, and bile duct of the liver at the same time, causing severe damage.

There is no way to start~"

The voice fell, and the conference room fell into dead silence again.

Chapter 355 Report, Qin Feng's training

Qin Feng is helpless, in fact, he also knows.

The complexity and difficulty of this operation is indeed unimaginable.

It should be said that this operation is not impossible, but whether the patient can live.

If forced to power, the chances of the patient getting down alive are not great, even he cannot guarantee a 20% chance of survival.

Not only that, the most critical part of the operation is the postoperative period!

The dangerous period of the patient is more dangerous than the operation. Even if he leaves the stage alive, he is in a top-notch tertiary hospital like Xiehe, and it is also the number one intensive care medicine department in the country.

The survival rate after surgery is probably only about 10%.

Plus recovery in the recovery phase, various complications, quality of life after surgery, etc...

The overall probability is only between 1% and 5%, which is too slim.

"Old Xu, is there really no way out of this operation?"

Liu Guofeng, the deputy director of Xinwai, pondered for a moment and asked.

"Old Liu, it's not that I don't want to do it, and it's not that I can't do it, but it's very likely that the patient will die on stage."

Director Xu smiled wryly upon hearing this,

"To be honest, this operation can't be done, really."

This is not surgery, but ballet on the tip of the knife!