MTL - Doctor’s Life Simulator-Chapter 274 clearly arranged
, Doctor's Life Simulator
What happened next, apart from Wu Youtu and Qin Lang, the rest of the training physicians, Cai Qing, were completely ignored and neither had the ability nor the qualifications to participate.
In particular, Wu Youtu's training doctor was dismissed after being arranged for some chores.
On the contrary, Cai Qing was greeted by Qin Lang, and went with him to perform the operation, gaining a lot of knowledge.
The trainee doctor, blushing a little, watched Qin Lang and the group leave in a hurry. After they were far away, he took out his mobile phone and searched for Baidu. Qin Lang just said the traumatic diaphragmatic hernia. :
"...traumatic diaphragmatic hernia is a type of hernia in which the diaphragm ruptures due to trauma to the chest and abdomen, and the internal organs of the abdominal cavity protrude into the thoracic cavity through the rupture of the diaphragm... Often combined with severe compound injuries, the clinical manifestations are complex, and it is easy to be misdiagnosed and missed. This will affect the treatment... If the treatment is delayed, the herniated abdominal organs will be incarcerated, necrotic and perforated, and in severe cases, the patient will die!"
Looking at the introduction of this disease, the trainee doctor's whole body is full of hairs. If he is in charge of this patient, just performing a simple chest cavity closure and drainage will only further delay the patient's condition and may lead to the patient's death.
Thinking of this, the trainee doctor was afraid for a while. If it weren't for the meticulous diagnosis made by Dr. Qin today, the consequences would be unimaginable.
"It seems that this Doctor Qin is really good."
The trainee doctor's thoughts were flying, and it seemed that he really needed to change his attitude in the future training.
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In the operating room, under the entry-level traumatic diaphragmatic hernia repair, although Qin Lang's operations were general, he was able to handle the entire operation process and preoperative preparations with ease.
Before Director Zu Liang arrived, Qin Lang had already arranged it in an orderly manner.
Because the patient had difficulty breathing, he had been given support. At the same time, the patient suffered from burns and received active fluid rehydration, blood transfusion, anti-infection and anti-shock treatment simultaneously.
"... Physician Wu, help me place a gastrointestinal decompression tube for the patient..."
Under Qin Lang's calm arrangement, Wu Youtu was also determined, and proceeded step by step according to Qin Lang's arrangement.
Cai Qing, who was on the side, watched Qin Lang control the rhythm of the entire operation and instruct the senior attending physician, and his heart was also shocked.
No wonder, Director Tian and the two doctors Yang recommended and favored Dr. Qin so much. It was really amazing.
"Cai Qing, get ready, the final belly is up to you."
Qin Lang has already thought about the whole process, and naturally arranged a little sweetness for his little assistant.
As a resident physician, Cai Qing's basic skills are still good, but she did not expect that the opportunity to get started so quickly would be performed by the chief surgeon of general surgery.
This teacher of my own is really amazing, even the chief director of general surgery has arranged it clearly.
Cai Qing obediently followed to prepare.
After a while, Director Zu also entered the operating room. He was naturally very nervous and a little surprised when he heard the patient's condition.
In fact, this symptom is very rare, especially when combined with burn symptoms. If it is a general surgeon, it is easy to ignore it, not to mention a burn doctor.
Zu Liang, as the director of general surgery, is very clear that many physicians lack understanding of traumatic diaphragmatic hernia. In the case of a burn patient, it is difficult to inquire about the medical history, perform a detailed physical examination, and read the film easily. ignore.
The most important thing is that the disease is complex and has atypical clinical manifestations, which can easily be masked by other symptoms and signs.
Therefore, he was very shocked to hear that Qin Lang had found out this disease by just relying on a simple ward round.
"When did Qin Lang learn the diagnosis of diaphragmatic hernia again?"
Zu Liang rushed over in a hurry, just to prepare for the patient as soon as possible, prepare for the operation, but when he actually entered the operating room, the whole person was stunned.
Because Qin Lang has arranged everything that needs to be prepared in advance.
Seeing Director Zu coming in, Qin Lang had arranged for Chen Wenhao to complete general anesthesia with endotracheal intubation, and even the patient's position was adjusted to the best position.
Because different body positions correspond to different incision choices, for example, the abdominal approach should use the supine position, the transthoracic approach should use the lateral recumbent position, and the transthoracic-abdominal combined approach should adopt the inclined recumbent position.
"Director Zu, we have completed the preparatory work, and we will leave it to you next."
Qin Lang neatly handed over the position of the main knife to Director Zu, turned around and arranged for Wu Youtu to cooperate together.
Zu Liang nodded slightly. When did he do such a satisfactory operation in general surgery?
As soon as he stretched out his hand, Qin Lang had already handed the scalpel to his hand, and Zu Liang directly began to make a midline incision on the left upper abdomen.
With Qin Lang's timely assistance, Zu Liang was like a duck to water, and successfully completed the exploration and separation of adhesions. Fortunately, Qin Lang's discovery was timely, and the abdominal organs were not necrotic or perforated, but only minor parts were repaired.
Soon, Director Zu returned the abdominal organs and began to reveal the rupture of the diaphragm. Looking at the extremely small rupture, Director Zu was also slightly surprised. How did Qin Lang find out, even if he came to check It is possible to miss the diagnosis, and there is a high probability that it will be discovered after the chest is opened in the later stage.
However, when the patient develops emergency symptoms, the situation is different at the time of discovery.
In many diaphragmatic ruptures, due to misdiagnosis, missed diagnosis, and delayed detection, the edge of the tear is atrophied, only widely dissociated, and closed without tension. Even if the defect is difficult to repair, artificial materials or autologous tissue reconstruction is required, which will undoubtedly increase the operation cost. Difficulty, and pain for patients after surgery.
"so close."
Zu Liang's evaluation of Qin Lang was a little higher in his heart.
Next, Director Zu completed the short mattress suture of the ruptured opening, and after he completed the first step, Qin Lang had prepared the chest drainage tube in advance.
All the actions are coordinated with the flow of water, and then the water is sealed and the bottle is sealed.
"The last belly is left to you."
Qin Lang instructed Cai Qing, and Zu Liang and Wu Youtu certainly had no objection to this.
One belly was closed, but Cai Qing still did it in a normal manner, and in his heart, he admired his teacher Qin more than ever.
Young, skilled, and willing to give himself a chance to get started, which is perfect.
Thinking that before, the fellow training doctors still felt sorry for him, Cai Qing raised the corner of his mouth slightly, his little teacher is amazing!
At the end of the operation, Wei Guoqiang also heard the sound and came to the operating room.
On the bed of the burn department, a patient was found with a traumatic diaphragmatic hernia. Of course, he was very nervous, for fear of an accident.
However, when he entered the operating room, the entire operation had been completed perfectly.
Seeing Zu Liang, Qin Lang, Wu Youtu, and Cai Qing, before Wei Guoqiang opened his mouth to ask, Zu Liang had already said something envious:
"Director Wei, you are really lucky to have discovered such a young man as Dr. Qin. This one, traumatic diaphragmatic hernia repair, was the smoothest and easiest operation I've ever done."
Wu Youtu was also on the side, and immediately reported to Wei Guoqiang the cause and effect of the entire operation.
Hearing Qin Lang, such a keen discovery, even Zu Liang thought that it was easy to miss the diagnosis of traumatic diaphragmatic hernia, and Wei Guoqiang was a little complicated.
There are too many people in this Qin Gallery meeting.
"Qin Lang, you did a good job. Of course, I would like to thank Director Zu for his help."
Wei Guoqiang praised a few words, and then walked out of the operating room with a few people.
After a few people pushed the patient into the ward again, several other training doctors who were still in the ward, You Daren, also came over.
"The operation was very successful. The patient was indeed a traumatic diaphragmatic hernia as judged by Dr. Qin."
Wu Youtu proudly shared the results with his colleagues at the first time.
"Really, Doctor Qin, how did you come to this conclusion?"
They want to know how ~www.novelbuddy.com~ Qin Lang discovered the real cause of the patient, and listen to his analysis process.
Director Zu and Director Wei also pricked up their ears, and they also wanted to know how Qin Lang reasoned.
After all, before, when the time was urgent, Qin Lang just said a few words, which made them ignorant. Until now, they are still in a fog.
For the sharing of diagnosis experience, Qin Lang is still very happy. Only when everyone becomes better in the entire treatment center can we go further. In the medical field, we always need team strength. .
Seeing that Qin Lang was about to start the analysis, Cai Qing had already taken out a small notebook to record it. Looking at Qin Lang surrounded by a group of senior doctors, he was really handsome.
"...The X-ray diagnosis of traumatic diaphragmatic hernia is characterized by: one side of the diaphragm is elevated, the diaphragm surface is unclear, and dense shadows or bubbles appear above it, and the mediastinum moves to the healthy side...CT of traumatic diaphragmatic hernia The diagnostic features are: the disappearance of the diaphragm, part or all of the diaphragmatic surface is unclear, and the false diaphragm surface is elevated, air-liquid level or gastric bubbles can be seen in the chest cavity, and the mediastinum is displaced to the healthy side..."
Listening to Qin Lang's eloquent talk and personable demeanor, everyone admired him.
Even Wei Guoqiang and Zu Liang gained something from Qin Lang's experience.
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