Doctor's Life Simulator

Chapter 245 Wang Heng's shock: Isn't he a burn doctor?
Looking at this award, Qin Lang was also a little happy. The massive bleeding in chest surgery is directly related to the life safety of the patient, and it is a severe test for surgeons.

Especially for locally advanced tumors, massive bleeding caused by intraoperative vascular injury is very fatal.Once this situation is encountered, it will be a test of the physician's clinical experience and psychological quality.

When massive bleeding occurs, the surgeon must be very calm to avoid blindly clamping and aggravating blood vessel damage. The bleeding can be stopped by pressing with fingers. After controlling the amount of bleeding, a series of operations can be used to save the day.

There are a lot of details here, such as the control of blood pressure, the judgment of the severity of bleeding, the search for the bleeding point, the suture technique, and the establishment of extracorporeal circulation through the femoral artery in case of severe bleeding, such as ECMO.

Qin Lang believes that after he masters the techniques of dealing with massive bleeding during chest tumor surgery, he will be able to face such emergencies with ease, even surpassing many senior chief physicians.

"Waiting for the right opportunity, we must surprise Professor Shen."

After all, the field of Shen Xi's research is tumor prevention and treatment. Naturally, there will be many opportunities to come into contact with patients with chest tumors. With Shen Xi's emphasis on Qin Lang, of course, he will be given many opportunities to participate.

After learning about the reward this time, Qin Lang began to assist Wang Heng in resolving the patient's diagnosis.

In the conference room, Wang Heng had already exchanged opinions with the other attending physicians.

"Director Wang, we have performed enhanced CT on the patient. By maintaining the iodine content in the blood, we have enhanced the image clarity of organs and lesions, and obtained more image information. It's hard to tell."

"The MRI scan is also adjusted to a higher frequency. In theory, most of the chest lesions can be displayed, but this patient's situation is a bit special, and it is still impossible to confirm."

Listening to everyone's analysis, Wang Heng also fell into confusion for a while:
"It's really not possible. We can only perform a closed drainage of the left thoracentesis. If we still can't judge, then we can only do an intraoperative exploration. Thoracotomy + left thoracic tumor resection!"

After Wang Heng came to this conclusion, he was also a little helpless. For any operation, the chief surgeon always hopes to be able to understand the patient's condition and symptoms as much as possible before the operation, so as to reduce accidents and complications during the operation. risk.

Similar to this kind of thoracotomy, there are great risks and the possibility of accidents to make further judgments during the operation.

It's just that Wang Heng thought about it and couldn't think of a better preoperative diagnosis method. As for his own team, there is a high probability that he can't come up with any new ideas. If you ask another question in a procedural way, Wang Heng is ready to arrange surgery. :
"Everyone, do you have any other ideas? If there is no other suggestion, then we will start the preoperative preparation according to my plan."

Although Wang Heng is young, after a period of time, he has established absolute authority. Several attending physicians, Lu Min, Ma Shuya and others have no objection to his words.

"Qin Lang, what about you?"

Although he only participated in the consultation symbolically, Wang Heng also asked Qin Lang. Although he knew that Qin Lang was focusing on the burn department, he still had to ask on the scene.

What Qin Lang was waiting for was this sentence. After all, it was related to his new reward. Even if he used simulation, he would never encounter this kind of bleeding skill in a lifetime. Thinking of reaching the master level, with his current talent level, a few simulation points are indispensable.

Qin Lang thought for a while and said:
"Director Wang, fellow physicians, I have a little suggestion that is not very mature."

Hearing Qin Lang's statement, Wang Heng, Lu Ming, and Ma Shuya all raised their ears in surprise and anticipation:

Qin Lang calmly explained: "The most commonly used clinical examinations are mainly X-ray, CT, and magnetic resonance. The main difference lies in the imaging principle. In general, the commonly used imaging diagnosis is CT, which can be observed from multiple angles. The progress of the disease can be assessed, and the exact location and degree of invasion can be evaluated, but there are also certain limitations and shortcomings. It is more susceptible to infection by ionizing radiation, which affects the accuracy of diagnosis. MRI will not be affected by ionizing radiation, and Ability to increase image resolution
However, there are still some defects, and the diagnosis is also easily affected by the patient's vital signs. "

"So, I think that in addition to CT and MRI, we can try to add other auxiliary technologies: CT simulation tracheal endoscopy new technology!"

Listening to Qin Lang's well-founded analysis, it was obvious that several doctors were shocked by Qin Lang's solid basic skills, especially Wang Heng, who was a little surprised that Qin Lang had such a deep understanding of the diagnostic techniques for chest tumors.

"Isn't he a burn doctor?"

Wang Heng suppressed the puzzlement in his heart. He was also very curious about this new technology, and asked directly: "Qin Lang, can you talk about the new technology of CT simulation tracheal endoscopy you mentioned?"

The other attending physicians, Lu Ming and his like, are even more unclear.

"CT virtual endoscopic imaging is a new three-dimensional reconstruction technology, which can fully display the infiltration of the surrounding tissues of the disease, and has the characteristics of no need for intubation, no trauma, less side effects, and multiple observations. Its inspection The image is more intuitive, and it is not invasive in the examination of patients with chest diseases, and can clearly display the structure of the disease with high resolution."

"In addition to reflecting the pathological conditions of diseased tissues, this technology can also reflect the surrounding details and surface conditions of benign and malignant diseased tissues."

After Qin Lang's introduction, Wang Heng's eyes lit up.This technology really has a new ability to break the game in some difficult and miscellaneous diseases.

Of course, routine CT and MRI examinations are the foundation and are indispensable. Most of the cases can be diagnosed clearly, and only a small number of difficult cases will use the brand-new auxiliary technology proposed by Qin Lang.

"In that case, let's try again according to Dr. Qin's plan."

Wang Heng is also very interested in this cutting-edge technology.

"Well, a full set of inspection equipment is now in the entire Zijingang No. [-] Hospital, and it is only owned by the Cancer Prevention and Control Center under the command of Professor Shen, and it is not used very much at ordinary times. I will contact Professor Shen now."

Qin Lang quickly got through to Professor Shen on the phone. For this kind of multi-department joint diagnosis and treatment of patients, Shen Xi is of course very cooperative, especially for patients with such difficult chest tumors, it is also very helpful for the Cancer Prevention and Control Center. Classic medical records.

However, Shen Xi was a little surprised at Qin Lang, who thought of using CT simulation tracheal endoscopy technology to assist treatment.

This new technology has not been developed in the Cancer Prevention and Control Center for a long time, and there are not many specific cases of application. I didn't expect Qin Lang to think of it.

It has to be said that Qin Lang's bold innovation and habit of embracing cutting-edge technology made Shen Xi very satisfied.

After receiving Professor Shen's approval, Wang Heng couldn't wait to arrange further auxiliary examinations.

Soon, the patient was sent to Shenxi's Cancer Prevention and Control Center,

With the help of brand-new technology, Wang Heng had rich experience in the field of chest tumors, and quickly judged the patient's condition through the new impact data. It was a very rare malignant fibrous histiocytoma MFH, also known as Fibrous histiocytic sarcoma is a highly malignant tumor of mesenchymal origin with unknown etiology.

MFH has a high degree of malignancy, rapid metastasis, easy recurrence, and poor prognosis. It is more common in middle-aged and elderly people. The peak incidence is 50-60 years old, and the male to female ratio is 2:1.Rarely occurs in the chest.

The MHF in this patient is located in the deep tissue, which is multi-nodular, uncapsulated, with necrosis, cystic changes, and rare calcification in the tumor. The margin is clear but irregular, infiltrates and grows around, and invades adjacent blood vessels and nerves. , due to the lack of characteristic imaging, so preoperative diagnosis is very difficult, easy to misdiagnose.

Fortunately, Qin Lang proposed a brand-new CT simulation tracheal endoscopy technology to assist inspection.

When the disease was detected, Wang Heng was of course relieved, but he was also a little impressed that Qin Lang had such a keen sense of smell in the field of chest tumor diagnosis.

After Wang Heng informed the doctors under him of the patient's diagnosis, everyone was very excited.

Especially Lu Min and Ma Shuya: "Doctor Qin is too good."

"It's just that Dr. Qin is not a burn doctor. When did he treat the symptoms of general surgery so badly?"

Lu Min was a little puzzled, and Ma Shuya on the side also blinked:

"Ah, isn't Dr. Qin a doctor in the emergency department? I followed Director Han before and I went to the city's first hospital to observe several operations performed by Dr. Qin. He has amazing accomplishments in appendectomy and cholecystectomy. Where is Director Wang?"

Hearing Ma Shuya's words, Wang Heng felt a little unstable. He always thought that Qin Lang had made great achievements in the field of burns, and that he was overwhelmed by Lu Yu.Didn't expect him to be an all-rounder?

Ma Shuya described Qin Lang's operations vividly.

Wang Heng, Lu Ming, and the other attending physicians were all shocked.

"How long has he mastered so many general surgery techniques?"

"Oh, by the way, Dr. Qin has been studying laryngeal dehiscence tumor resection in the Cancer Prevention and Control Center and the General Surgery Department for the past few days. I believe that Dr. Qin will be able to show his skills in tumor surgery in a short time!"

After Wang Heng finished listening, the corners of his mouth twitched. All along, he thought that Qin Lang was an elite genius like him, but the department he studied was different, so he didn't communicate in depth, but it turned out that the burn department was just his department. Just one side.

Wang Heng has already made up his mind to get closer to Qin Lang more in the future.

However, thinking of Qin Lang's age, he actually felt a little sour.

PS: Thank you for the 100 coins reward for the quick recovery of the needle~
(End of this chapter)