MTL - Doctor’s Life Simulator-Chapter 284 The seminar officially begins
Fall in love with youkanshu.com, a doctor's life simulator
Finally the day of the seminar came.
As before, Qin Lang came to the Cancer Prevention and Treatment Center to find Professor Shen Xi.
After yesterday's massage after Qin Lang's surgery, it is clear that Professor Shen Xi has recovered a lot.
It has been determined that it is impossible for me to improve the technique of endoscopic stent-grafting of abdominal aortic aneurysm + perclose vascular stapler. Although my level cannot be compared with Qin Lang, I am bluffing Tong Jinshan, Han Hu, Zhou Heng, etc. There are still enough people.
Shen Xi was in a good mood. Since he was going to attend the Young Surgeon Symposium of the Chinese Medical Association today, after the two gathered, they were going to set off for the seminar together.
[Ding, new task, to demonstrate a perfect level of surgery at the Huaguo Medical Association Young Surgeon Symposium, which was recognized by the expert judges. Special Note: This conference will have a heavyweight guest spy on you, and if you win his approval, it will have a huge impact on your future career. Be sure to grasp. Quest Rewards: 1.1 Life Simulation Points, 2. Wang Heng's Pancreaticoduodenectomy: Advanced]
Looking at this reward, Qin Lang was also a little surprised. This Wang Heng's pancreatoduodenectomy was okay, but it was even at an advanced level.
However, what makes Qin Lang even more excited is that there will be a mysterious guest at this seminar. As long as he gets his approval, he will be able to make a huge impact. I really look forward to it.
Shen Xi was not very interested in this kind of seminar at first, but after all, there was Qin Lang's demonstration this time, so this face still had to be given.
Qin Lang drove his car with Professor Shen and headed for the destination.
It's just that the urban traffic in Hangzhou is really messed up. It's really frustrating to drive on the road for a while and wait for a while.
The two drove for a short distance when suddenly, there was a commotion ahead.
"what's the situation?"
Sitting in the car, Qin Lang vaguely saw the sidewalk at the crossroad ahead through his blocked vision, and suddenly someone seemed to fall down.
All of a sudden, the whole scene was riotous, some people were taking pictures, some people were filming videos, and some people helped the police.
Since there were many pedestrians, a large circle formed in a short while, surrounding the man who fell to the ground.
Qin Lang and Shen Xi glanced at each other. After all, they were both doctors, and they both understood their intentions from each other's eyes.
The two got out of the car directly and rushed towards the patient.
Since there are too many people, it is impossible to squeeze in the first time.
Qin Lang was also in a hurry. After all, such a sudden fall was very critical. If there was no time for rescue, it was very likely that he would die suddenly.
After squeezing a few times, but unable to get in, Qin Lang opened his throat:
"Everyone, let me go, I am the doctor of Zijingang No. 1 Hospital. Let me take a look!"
Hearing that Qin Lang was a doctor, the crowd of onlookers gave way.
Qin Lang didn't care too much, he took Professor Shen Xi's hand and entered the center of the crowd.
At first glance, the scalps of the two were also exploding, and the patient's condition was obviously not optimistic, and the whole person had gone into shock.
In this case, Qin Lang of course directly used the simulation:
[Consume 1 simulation point to simulate a single case! 】
[You and Professor Shen Xi met a special patient on the way to the seminar and fell down on the sidewalk. You revealed your identity as a doctor and came to the patient. The patient's condition was found to be very bad. You immediately contacted the 120 Emergency Center of Zijingang First Hospital. 】
[The ambulance arrived soon, and with your assistance, the patient was carried to the car. Professor Shen Xi knew that you still have the important task of the seminar today, so she and the patient returned to the hospital for emergency treatment and asked you to go to the seminar. But in this case, how could you disregard the patient's life? Compared with the illusory name of the seminar, you value saving people and treating diseases. Shenxi is very pleased and happy with your choice. 】
[The two of you got into the car together. Since the patient is in an emergency, you are going to give the patient a further diagnosis directly in the car. The patient's abdomen was distended due to palpation of a mass in the patient's right flank and abdomen. According to Professor Shen Xi's inference, the patient may have suffered from a ruptured renal tumor and hemorrhage, but the equipment conditions did not allow it, and she did not understand emergency surgery. To verify as quickly as possible, you performed paracentesis directly on the patient. 】
[Shen Xi was surprised by your decisiveness and the emergency ability of the temporary combined puncture equipment. After the puncture, non-coagulable fluid was withdrawn. Right pleural effusion, ascites. It can basically confirm Shen Xi's judgment. 】
[Professor Shen Xi immediately contacted Hu Qiang, director of the Urology Department of Zijingang No. 1 Hospital. After the ambulance arrived at the hospital, he immediately performed anti-shock and blood transfusion treatment. Urgent hemostasis was required due to the patient's massive intra-abdominal bleeding. 】
[Shen Xi, Hu Qiang, after you meet, stop the bleeding of the patient together. Even with the hemostasis of your perfect thoracic and abdominal tumor bleeding, the patient's condition is still not optimistic, and the operation time is too long. 】
[After that, after further inspection: ... hb88g/l, hct0.242, bun0.4mol/l, crea294μmol/l.
CT scan showed internal hemorrhage in right renal angiomyolipoma, mass 10.5cmx15.3cmx23cm, mixed density; left renal angiomyolipoma possible, mass 4.2cmx4.4cm, 1.4cmx1.9cm...]
[Under the joint diagnosis of Director Hu and Shen Xi, the patient suffered from renal tumor rupture and massive hemorrhage and multi-system organ insufficiency, requiring radical nephrectomy and lymphatic dissection. 】
[At the beginning of the operation, since you have not undergone radical nephrectomy, you can only sit and watch. Although Director Hu had superb medical skills and was guarded by Professor Shen Xi, because the patient did not take emergency hemostasis, ventilator-assisted treatment, blood pressure and other measures at the first time, the rescue was ineffective in the end. 】
[After surgery~www.novelbuddy.com~death summary, and at the follow-up discussion meeting, Hu Qiang and Shen Xi proposed that the only possibility for the patient to survive is to perform laparotomy on the ambulance as soon as possible to complete the tumor burrowing. Hemostasis of large blood vessels, ventilator-assisted treatment, and blood pressure reduction measures. After admission, radical nephrectomy and lymphadenectomy were performed promptly. 】
【Summary of the meeting: Spontaneous cracking of renal tumors is more common in the rupture and bleeding of renal cell carcinoma and renal angioleiomyoma. The principle is that the rapid growth of the tumor causes the necrotic foci to rupture and hemorrhage. External force is the main cause of the tumor hemorrhage. Increased abdominal pressure, such as severe coughing, laughter, and forced defecation, may be the cause. 】
[Spontaneous renal tumor rupture and hemorrhage is one of the emergencies in urology. Timely and correct diagnosis is crucial for correct treatment. The treatment of spontaneous renal tumor rupture and hemorrhage depends on the size and location of the tumor, the speed, severity and Patient's vital signs. 】
【Best first aid treatment: The patient's renal tumor ruptured and hemorrhage caused the patient to be in shock, secondary to multi-system organ insufficiency. Infection, inflammation, oxygen supply, and tissue perfusion are insufficient, so patients should be controlled and managed in a timely manner. Once acute respiratory distress is found, mechanical ventilation and respiratory support should be given in time. Timely surgical resection of tumors to stop bleeding, active treatment of shock, and maintenance of the stability of cardiopulmonary function can help reverse multisystem organ insufficiency. 】
[Ding, the simulation of a single case is over, do you want to retain the clinical experience of this case? 】
[Congratulations to the host for obtaining the clinical experience of this case. 】
ps: There are four chapters tonight, and three chapters will be added to the leader of Nangong Yi. The normal update owes one more update, and the 17th update will be added one after another. Thank you all for your support!
