Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 476
Hearing this, Liu Guofeng also held back what he wanted to say.
For the parts of the patient's heart eroded by echinococcosis, he thinks he has the ability to solve it, because the erosion is not deep enough to be fatal.
The most difficult thing should be the blocked vein from the right kidney to the right atrium. If you want to solve it, there is a way.
But if hepatobiliary surgery can't solve other hydatids, even gods can't help them.
"What now?"
Seeing this, Director Sun, who was seriously ill, took the initiative to ask,
"The patient is still with us now, do you have any ideas?
Director Qin and Director Xu, what should you do? "
"Why don't you report it first, if it doesn't work, treat it conservatively, maybe you can survive for a while.
If surgery is performed now, it may be possible to leave at any time. "
Director Xu thought for a while, asked tentatively, and then looked at the main seat.
After the voice fell, Qin Feng also found that everyone's eyes were focused on him.
After all, the patient came from the emergency department, and as the leader of the consultation, he still needed to say something.
Qin Feng understands everyone's difficulties. In fact, if he is allowed to choose, it may be the same as Director Xu's decision.
For patients with less than 5% chance of survival, if you do it, you may die now, or if you don’t, you will die a few months later. Most doctors will choose to give up.
If you don't do it, everyone is not responsible.
Once on stage, it is completely inseparable from hospitals and doctors.
Who is sure about such a difficult, complicated and extremely dangerous operation?
Who dares to take the stage?
Although Xiehe Hospital has high medical skills, it is even more embarrassing.
The matter of Jiangcheng No. [-] Hospital is still in sight. If the operation fails, the family members will not let it go so easily.
Success, hello, hello, hello everyone, all honors and commendations are shared.
If it fails, someone has to come out to take responsibility and take the blame.
Everyone is an old doctor who has worked hard for decades, and no one wants to get this almost dead ink spot.
"Well, this matter will be reported to the hospital in the emergency department, but I still hope that everyone, especially Director Xu, can come up with a surgical plan."
Qin Feng thought for a while, then said,
"Then we reported the operation plan and the specific situation together for the record, and the specific results were decided by the hospital.
What do you leaders think? "
After the words fell, everyone breathed a sigh of relief.
"Row."
"I think so."
"I agree."
"I'm fine."
Hearing the words of the four directors, Qin Feng nodded.
"That's okay, let's make it like this first. Director Xu has worked hard for you. We will draw up a surgical plan later, and I will report it tomorrow."
"it is good."
Director Xu nodded in agreement.
"Director Sun, I'm counting on you for the patient. We must save his life and try to stabilize his physiological indicators."
Qin Feng looked at Director Sun of the intensive care unit again.
"Don't worry about this, you know best about our ability to save lives in severe cases, even the King of Hades can't tell you to leave."
Director Sun raised the corner of his mouth.
"Hehe~"
Hearing this, everyone couldn't help laughing.
Sounds like a joke, but it's true!
The most powerful intensive care department in the country has no other skills, and it is absolutely no problem to renew the life of the dead.
As long as the hospital agrees and the medical office records it, then even if the operation is performed, the hospital will be responsible for anything, and everyone will have no pressure.
After leaving,
The doctors on duty in the office are busy receiving patients and making ward rounds.
Qin Feng sat alone at the desk, carefully watching all the examinations and CT images of the patient.
Judging from the current condition, the hope is indeed very small. Even if he calls out all the cases of hepatic echinococcosis in his mind, among the patients with end-stage hepatic echinococcosis in the world, the overall survival rate is only about 5%.
With the current situation of the patient, if an operation is necessary, the best way is to replace the liver, and there is still a chance to try this method.
The liver eroded by echinococcosis is directly replaced with a new liver, and then other organs are cleaned up one by one.
However, the patient is now in shock, and many major blood vessels are eroded and blocked, so the Department of Vascular Surgery needs to be reconstructed before surgery can be performed.
Director Xu also raised this point during the consultation just now.
He estimated that Director Xu's surgery plan was the same.
This is the best hope so far!
The only way now is to procrastinate, procrastinate to the liver source.
However, there is another risk, which is the cyst in the patient's body.
If the cyst ruptured in the middle, the situation would be even worse!
"Ah~"
Looking at the clear snake-like sign on the CT image, Qin Feng couldn't help sighing.
......
Early the next morning,
Qin Feng sat down with Director Xu of the Department of Hepatobiliary Surgery and Liu Guofeng, Deputy Director of the Department of Cardiac Surgery.
After rediscussing the patient's latest situation, he came up with a surgical plan.
Just like what he had guessed the night before, liver replacement is currently recognized by everyone, and it is also the most hopeful method.
"Okay, since that's the case, I'll report it."
Qin Feng nodded, sorted out the materials and sent them to the medical office.
The next step is court trial filing, and other things have little to do with them.
After finishing these things, Qin Feng still decided to take a look at the severe disease.
"Director Qin, why come here when you are free?"
Just as he walked to the intensive care building, Deputy Director Sun also came back from the outside.asked with a smile.
"Director Sun, let me see the patient with liver hydatid."
Qin Feng smiled and nodded.
"It's unlucky, I'm planning to go there too, together?"
Sun Weihong's eyes lit up, and he said immediately.
"Row."
Immediately, the two went straight upstairs to the direction of the ward.
"Doctor, doctor, how is my husband?"
Seeing Qin Feng and Sun Weihong, the wife of the patient waiting outside the ward got up quickly and asked nervously.
Years of wind and sun on the plateau made the woman's skin look a little dark and rough.
But even so, you can still see the paleness, especially the dry skin on the lips, the dark circles under the eyes, and there is no rest.
"Don't worry, let's take a look at your husband, and talk to you about the follow-up treatment and surgery later."
Qin Feng comforted her, and hearing the treatment and operation, the woman's eyes suddenly lit up with hope.
"Okay, okay, thank you doctor, thank you doctor!"
She let go of her hand, and Qin Feng walked into the isolation corridor, came outside the patient's ward, and glanced at the vital indicators through the glass.
"Go in and have a look, the situation is not very good."
Sun Weihong glanced at the woman outside the door, then leaned closer and whispered.
Qin Feng raised his eyebrows lightly when he heard the words, and nodded
The two put on sealed sterile suits, signaled the nurse to open the door of the ward, and after entering the disinfection room, sterilized with ultraviolet rays, and then passed through another door to enter the ward.
All critically ill wards have been sterilized. Once a patient is infected by external bacteria, it is very likely that serious complications will occur within a short period of time and cause death.
As far as the facilities are concerned, Concord’s critical care unit is absolutely advanced. There are more than a dozen wards on this floor alone, and there are 5 sets of extracorporeal circulation equipment for emergency rescue.
This is unimaginable in Jiangcheng, and there are only two or three sets in the entire hospital.
The most advanced medical equipment, including da Vinci robots, are available on call.
"What's wrong, Director Sun?"
Qin Feng asked curiously.
"Take a look at this."
Sun Weihong took him to the side light box. On the CT in the film reader, a cyst under the liver seemed to be deformed, which was a symbol of rupture.
"Ruptured cyst?"
Qin Feng's heart suddenly sank.
"Ah."
Sun Weihong nodded, "This is an image taken in the early morning of this morning. It was not in good condition when it was delivered last night. We had to carry out a second rescue to bring him back. However, for some reason, the cyst could burst at any time. Case."
I'm in trouble now~
Hearing this, his eyes became serious.
This is not good news, it can even be said to be dangerous!
Once the cyst ruptures, it will accelerate the spread and erosion of hydatid, which is a test for both patients and doctors.
"Director Sun, try to control the current state, and I will come up with the final result with the courtyard."
Qin Feng pondered for a moment, then said seriously.
"Don't worry about this, but it must be done as soon as possible. We can continue our lives, but patients' tolerance to surgery is beyond human control."
Sun Weihong nodded.
"I know, thank you!"
After the examination, Qin Feng left the ward.
"Doctor, how is my husband?"
As soon as the isolation door was opened, the woman stepped forward again, swallowed a mouthful of saliva and asked.
"You come with me."
Hearing this, the woman followed Qin Feng into a small conference room,
"Sit down, I will tell you the details of your husband's situation."
After about half an hour,
Qin Feng walked out of the intensive care medicine department, frowning.
In the conversation just now, although he told the woman all the situation, it was obvious that the other party understood that there was little hope but still hoped to save his life as much as possible.
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