Doctor's Life Simulator

Chapter 111 Difficult?Qin Lang handles everything by himself

"You Daren, check to see if Dr. Qin is free and ask him to come to the meeting room right away."

"Okay, Director Wei."

Hearing Director Wei's words, You Daren also had a glimmer of hope in his heart, maybe Qin Lang could really get rid of this complicated and difficult finger-glove-like injury.

And when You Daren went to ask Qin Lang for consultation, Wei Guoqiang, Chu Tianxiong, and Zhao Zhen also started to formulate a treatment plan.

After thinking for a while, Wei Guoqiang said:
"After the patient was admitted to the hospital, the right internal jugular vein catheterization, indwelling catheterization, and active fluid rehydration anti-shock treatment have been performed. The crystalloid is mainly sodium lactate Ringer's solution, and the colloid is mainly plasma."

"First use cefoperazone/tazobactam + levofloxacin combined anti-infection, and then adjust to sensitive antibiotics after the results of wound bacterial culture and drug sensitivity test come out"

Listening to Wei Guoqiang's treatment plan, several directors nodded, and then began to assign tasks.

"The following preventive tracheotomy will be performed by Director Zhao. After the completion, the patient will receive continuous low-flow oxygen inhalation and ventilator-assisted positive pressure ventilation."

Zhao Zhenxin accepted the order: "Okay, Director Wei."

"Wound treatment is after the patient's vital signs are basically stable. I will personally perform circular escharotomy and tension reduction on III and IV degree wounds to prevent limb ischemia caused by swelling at the extremities and compression of internal tissues. necrosis."

"Afterwards, Dr. You performed the debridement. After the completion, it was the main event, the tendon suture, the reduction and fixation of the fracture, and finally, the most difficult repair of the flap transplantation."

"The reduction and fixation of hand fractures can be done by the two of us."

Yang Yi and Yang Yue are also self-recommended. After all, at this critical moment, the two of them are the treatment center and the only two orthodox hand surgeons, but they can't handle this complicated skin flap repair, and they don't feel good about it. So, I hope Able to contribute to basic fracture reduction and fixation.

"Okay, then Yang Yi and Yang Yue will complete the fracture reduction and fixation part. Director Chu will check and guide."

"no problem."

Chu Tianxiong, a 1.9-meter tall man, is a very bold person, and he readily agreed that if the two sisters couldn't figure it out, he would cover it up.

After discussing the entire treatment plan, the most critical part is the repair of the patient's skin flap, the repair of the tendon of the hand, and the anastomosis of the nerves.

At this time, it really shows the importance of a top hand surgeon.

Under normal circumstances, in this critical moment, for the safety of the patients, Wei Guoqiang had no choice but to invite Director Tian Bo to come over for joint treatment.

At this time, You Daren brought Qin Lang to the conference room.

Regarding this scene, Qin Lang had already learned about it through the simulated world, and it was not necessary to think that it was the black hands of Director Tian Bo.

If there is no self, it is obvious that Director Wei will compromise for the treatment of patients in the end, and then lose face at the nearby hospital regular meeting. He is considered to be self-interested, and the hand surgery is expelled from the core department, which makes it impossible to end.

If it weren't for Director Tian Bo's high integrity, medical accidents would have occurred.

It's just a pity that Qin Lang was already prepared for this.

"Director Wei, Director Chu, Director Cui, and other doctors, Dr. You has explained the patient's situation to me in detail. Don't worry, I am qualified for the role of hand surgeon."

Qin Lang stepped forward and analyzed the patient's condition again. At the same time, he began to design his treatment plan on the small whiteboard with a pen.

"Because the deep ischemic tissue of the patient's fingers is exposed, free skin grafts are difficult to survive, and there are also problems with ordinary skin flap transplantation. Therefore, the best way is to bury the wounded hand under the skin of the abdominal wall, and wait for the capillaries on the wound surface to regenerate and then repair the skin with skin grafting. "

"Delayed skin grafting with subcutaneous burial in the abdominal wall?"

Hearing Qin Lang's plan, Yang Yi and Yang Yue's eyes lit up, yes, why didn't they expect that Dr. Qin is so powerful.

Wei Guoqiang and Chu Tianxiong were also very pleasantly surprised: "Qin Lang, continue talking."

"As for the lower extremities, the third and fourth degree wounds of the lower extremities were treated with escharectomy, autologous microskin transplantation + ADM coverage treatment"

After Qin Lang put forward the entire flap repair method in detail, stage by stage, and region by region, the entire conference room fell into silence.

Then, Wei Guoqiang took the lead in applauding: "Qin Lang, today's operation will undoubtedly be recorded in the development history of our wound treatment center! It will be a very important treatment."

Yang Yi and Yang Yue were also impressed by Qin Lang's comprehensive and complex technical capabilities.

"I'm afraid Director Tian Hua and Director Tian Bo came in person to design the plan, isn't that the case?"

No need to think about it, it must be this kid who is frantically learning and delving into skin flap repair technology in private.

"Qin Lang, I suddenly had an idea. At this regular hospital meeting, I'm going to launch a special project on skin flap repair for compound hand injuries. After that, I will apply for funding for this project. As for the doctor Strength, I also have an idea, since my treatment center's flap repair for hand composite injuries far exceeds that of hand surgery, then their hand surgery can stop the operation in this direction."

"Strength should be directed to one place! From now on, in the city's No. [-] hospital, all patients involved in the repair of skin flaps for complex hand injuries will be accepted by our treatment center as ordered. Since Director Tian Bo is so enthusiastic, he will come and go. It's rude. I plan to include hand surgery patients and doctors in the field of skin flap repair in my treatment center."

Tian Bo's action this time was a conspiracy. How could Wei Guoqiang have not sensed the disturbance from the surrounding hospitals and lower-level hospitals?

Just helpless.

However, now that Qin Lang was born, Wei Guoqiang could strike with a thunderbolt.

Deputy Director Cui licked his lips, which literally spoke his mind.

"Director Wei, I have an immature suggestion. The deputy director of hand surgery, Huang Kaihang, was already dissatisfied with Director Tian Bo's one-handed overshadowing of the sky, and now he is being suppressed by Li Lian'an, and he has long thought of transferring to my treatment center. Before, he You also asked me to ask Dr. Qin to give him a chance to observe and learn."

For this, Qin Lang certainly welcomed it. Yang Yi and Yang Yue, watching the excitement is not a big deal, and they are also eager to try in their eyes.

Everyone is a fun person!
Director Chu Tianxiong of the Department of Orthopedics and Deputy Director Zhao Zhen of the Department of Thoracic Surgery knew the origin of this patient well, and they didn't tell the truth. Now that Director Wei showed his fangs, they could only stand in line.

Tian Bo is insidious and cunning, they are naturally happy, the hand surgeon was dismembered, and they all agree with Director Wei's plan.

At the regular meeting of the hospital, they will be Director Wei's strong backing. The big plan of the treatment center is a good thing for every core department and department director, a great achievement!
"That being the case, we will start the treatment according to the established plan!"

Soon, everyone entered the operating room. Zhao Zhengang, the deputy director of the Thoracic Surgery Department, was going to perform a tracheotomy according to Director Wei's arrangement, but he saw a figure who took the lead and took the position of the chief surgeon very naturally.

He took the scalpel from Zhao Zhen, and said very politely: "Thank you~"

(End of this chapter)