The system takes me for surgery

Chapter 255: Surgery with Idol

He smiled and said: "Liang Yi is right, just like me in the department, I often beat everyone up, like the boss of a start-up company, but the reality is like this, I don't want to draw a big cake for everyone. If everyone is not confident, this scientific research project will not continue.”

Everyone nodded, but Duan Lulu and Shan Linfei were still in the stage of following the direction of the team's leader, and they had no way to deeply understand what they said.

Sometimes when we hear a certain sentence or a song when we are young, we don’t feel much, but when we are a little older, we feel very touched when we see the same sentence or hear the same song. These are the time and experience at work.

They continued to watch the operation.

Jiang Wenfeng clamped, cut off, stripped the connection between the gallbladder and the liver, and then took out the gallbladder.

In just half an hour, the operation was complete!

The incision of laparoscopic surgery is only "three small circles"!

In this operation, the advantages of laparoscopic minimally invasive surgery are shown. Not only is the trauma small, but the operation time is also short, which greatly reduces the risk of surgery.

It can also be seen from this operation that the younger generation of surgeons in Huahai General Hospital have outstanding abilities. In ten or fifteen years, they will become independent surgical experts.

Ten years or 15 years in other industries may have seen an industry change from a sunrise industry to a sunset industry, but the medical industry is different. Ten years or 15 years of work experience is a must for most young doctors to become experts. the road.

After the operation, Jiang Wenfeng came out wearing a flowered turban, saw Liang Yi and Duan Lulu, and greeted them.

Duan Lulu gave a thumbs up and said, "Wen Feng, you are so chic, and you are also so chic when performing surgery."

"It's just the basic operation. I'm going to do the next operation." Jiang Wenfeng said.

For the general surgery department of a large hospital like Huahai General Hospital, it is common for them to perform consecutive operations, and sometimes there is no chance to close their eyes when encountering a major emergency. That's why we often see The surgeon, as soon as he stepped off the operating table, collapsed in the corridor of the operation.

The reason why Guo Changsheng, the dean of Huahai General Hospital, invited them here was not only to show off his muscles, but also to take this opportunity for Chen Mingde to come and consult a difficult patient.

Guo Changsheng said, "Professor Chen, a patient has come to our hospital. The condition is quite complicated. I wonder if you are interested in helping us with a consultation."

Drunkard’s intention is not to drink!

It turns out that the purpose of this visit is to let Professor Chen come to consult a difficult case. Dean Guo Changsheng has hidden it so deeply!

Chen Mingde and his group, led by Guo Changsheng, the dean of Huahai General Hospital, came to the VIP ward of the Cardiac Surgery Department and saw a young patient aged [-] or [-], who was the son of Ye Xiongrui, a wealthy businessman in Huahai City.

I was just in the third year of high school this year, and I accidentally sprained my foot while playing basketball. I thought that sprained foot was not a serious problem. He used to have sprained feet often. He just needed to spray a tincture of bruises and he would be fine in a few days. He didn’t take it seriously. .

When school was over the next afternoon, the boy began to feel that something was wrong. His forehead was hot, so he asked his deskmate to touch his forehead, and his deskmate was also frightened by his body temperature.

He thought he caught a cold after taking a cold shower after playing golf yesterday, so he didn't pay much attention to it, and went home and took a cold medicine by himself.

A day later, I had a high fever again!Nearly forty degrees.

At around 5 o'clock in the morning, while eating breakfast, he suddenly started to convulse, which lasted for about 120 minutes. After his father dialed [-], he was very flustered. Generally, children are more prone to febrile convulsions, and convulsions are very rare at this age.

After arriving at the hospital, a series of examinations were done, and the results of the four major routines showed no obvious abnormalities.

However, after a series of drug infusions, the boy's body temperature continued to be higher than 38°C!

Analysis after consultation with doctors from several departments:

If it's just a sprained ankle, why is the calf also swollen?And when you press it lightly, your calf is very painful?In addition to pain, why is the skin temperature of the calf still very high?

According to this inference, there are two possibilities for his condition: either myositis or osteomyelitis.

Therefore, the doctor in charge of the bed urgently arranged for an MRI examination of his right lower extremity.

The result suggested that there was an abnormal signal in the right tibia, which was most likely infected.

On the second day of admission, the surgeon performed a window drainage on the distal right tibia of Kangkang under general anesthesia. The pus and blood cultures showed drug-resistant Staphylococcus aureus, MRSA for short.

What is MRSA?

It's a bit scary to say it, but it's definitely not alarmist. It ranks in the top three in terms of fatality rate among all bacteria rankings,

A series of examinations on the boy's chest, abdomen, gallbladder, and lungs finally diagnosed Kangkang as: acute osteomyelitis, sepsis, suppurative pericarditis, lung abscess, severe anemia...

The situation is very bad!

After learning about the condition, Liang Yi and several young doctors frowned. This patient is very difficult.

Chen Mingde probably knew the purpose of Guo Changsheng's invitation to come here.

When they walked out of the ward, Chen Mingde said: "Now the patient's diagnosis is clear, and the next step is to perform a pericardiotomy and drainage."

Guo Changsheng nodded and said, "His father is my friend. He knows that you are an expert in cardiovascular surgery, and he also knows that you just came to our Huahai City, so he wants to ask me to ask if you can help his son with this operation."

Sure enough, as Chen Mingde had expected before, he wanted him to come here to do the "flying knife". He said: "Does his parents know that the child's condition is very complicated? The operation is not very difficult, but the child's current state No, so the risk of surgery is high."

"Don't worry, I've discussed all this with the child's parents." The dean Guo Changsheng assured, patting his chest.

"Okay, let me discuss the preoperative plan with these young doctors." Chen Mingde said.

"Thank you so much." Dean Guo Changsheng said gratefully.

The four of them sat in the dean's conference room for a preoperative discussion.

Chen Mingde first asked Duan Lulu, "How do you think this operation should be done?"

Duan Lulu thought for a while and said, "It's the way we usually do, subxiphoid pericardiotomy and drainage." "

The method Duan Lulu mentioned was to make a horizontal skin incision about 2 to 4 cm long in the upper abdomen 5 cm below the xiphoid process, and cut the anterior sheath of the rectus abdominis muscle.

The xiphoid process of the sternum was completely removed, and the transversalis fascia, which had fiber continuity with the diaphragm, was bluntly dissected to expose the diaphragmatic surface of the pericardium. After the pericardium was punctured to obtain pus, the pericardium was cut transversely to release the pus.

Chen Mingde glanced at Liang Yi and said, "What do you think?"

Liang Yi had already drawn the picture and said, "According to his current physical condition and the location of the pericardial effusion, I think this patient is more suitable for parasternal pericardiotomy and drainage."