Doctor's Life Simulator

Chapter 287 The Symposium Officially Begins (Leader Plus 03)
Finally the day of the seminar arrived.

As in the past, Qin Lang came to the Cancer Prevention and Treatment Center to look for Professor Shen Xi.

After yesterday's massage after Qin Lang's operation, it was obvious that Professor Shen Xi had recovered a lot.

I have confirmed that it is impossible for me to improve my abdominal aortic aneurysm stent-graft isolation surgery + Perclose vascular suturing device technology. Although my level cannot be compared with Qin Lang, I can bluff Tong Jinshan, Han Hu, Zhou Heng, etc. People are still enough.

Shen Xi was in a good mood. Since he was going to participate in the Huaguo Medical Association's Surgery Youth Symposium today, after the two of them got together, they were ready to go to the seminar together.

[Ding, new task, demonstrate a perfect level of surgery at the Huaguo Medical Association Surgery Youth Symposium, which was recognized by the expert judges.Special reminder: There will be a heavyweight guest secretly inspecting you in this meeting. If you win his approval, it will have a huge impact on your future career.Be sure to grasp.Task reward: 1.1 life simulation points, 2. Wang Heng's pancreatoduodenectomy: advanced]

Looking at this award, Qin Lang was also a little surprised. Wang Heng's pancreatoduodenectomy is good, and it has reached an advanced level.

However, what excites Qin Lang even more is that there will be a mysterious guest at this seminar, and as long as he gets his approval, it will have a huge impact. I really look forward to it.

Shen Xi wasn't very interested in this kind of seminar, but after all, there was a demonstration by Qin Lang this time, so I still have to give him some face.

Qin Lang drove his car with Professor Shen to the destination.

It's just that the urban traffic in Hangzhou is really a mess. It's really frustrating to drive and wait for a while along the way.

The two drove not far, and 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 the half-blocked vision, and suddenly someone seemed to fall down.

All of a sudden, the whole scene was in a commotion. Some people were taking pictures, some were taking videos, and some were helping to call the police.

Due to the large number of pedestrians, a large circle was 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 the intention from each other's eyes.

The two got out of the car directly and rushed towards the patient.

Since there were too many people, it was impossible to squeeze in at the first time.

Qin Lang is also in a hurry, after all, this kind of sudden fall is very critical, if there is no time to rescue, it is very likely that he will die suddenly.

After squeezing a few times, but unable to get in, Qin Lang directly opened his throat:

"Everyone make room, I'm a doctor from Zijingang No. [-] 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, grabbed Professor Shen Xi's hand, and entered the center of the crowd.

At first glance, the scalps of the two people were also exploding. The patient's condition was obviously not optimistic, and the whole person had gone into shock.

In this case, of course, Qin Lang directly used the simulation:

[Consume 1 simulation point to perform a single case simulation! 】

【On the way to the seminar, Professor Yi and Shen Xi met a special patient and fell down on the sidewalk. You revealed your identity as a doctor and came in front of the patient.The patient was found to be in very bad condition.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 knows that you still have the important task of the seminar today, so she and the patient went back to the hospital for first aid and asked you to go to the seminar.But in this case, how could you disregard patients' lives in vain? Compared with the false name of the seminar, you value saving people and treating diseases more.Shen Xi is very pleased and happy with your choice. 】

【The two of you got into the car together. Since the patient's condition is urgent, you are going to give the patient a further diagnosis directly in the car.The abdomen was distended due to a palpable mass in the patient's right lumbar abdomen.According to Professor Shen Xi's inference, the patient may have ruptured a kidney tumor and suffered massive hemorrhage, but the equipment conditions did not allow it, and she did not know emergency surgery.In order to verify as soon as possible, you performed a paracentesis directly on the patient. 】

【Shen Xi was amazed at your decisiveness and the emergency capability of the temporary combined puncture equipment.Following puncture, noncoagulant fluid is withdrawn.Right pleural effusion, ascites.It can basically confirm Shen Xi's judgment. 】

【Professor Shen Xi immediately contacted Hu Qiang, Director of Urology Department of Zijingang No.Urgent hemostasis was required due to the patient's intra-abdominal hemorrhage. 】

[Shen Xi, Hu Qiang, after you meet, we will stop the bleeding of the patient together.Even under the hemostasis of your perfect thoracic and abdominal tumor bleeding, the patient's condition is still not optimistic, because the operation time is too long. 】

[Afterwards, after further examination: Hb88g/L, HCT0.242, BUN0.4mol/L, CREA294μmol/L.

Plain CT scan showed internal hemorrhage in right renal angiomyolipoma, mass 10.5cm×15.3cm×23cm, mixed density; left renal angiomyolipoma was possible, mass 4.2cm×4.4cm, 1.4cm×1.9cm]

[Under the joint diagnosis of Director Hu and Shen Xi, the patient had a ruptured renal tumor and massive hemorrhage with multiple system organ dysfunction (MSOF), requiring radical nephrectomy and lymphadenectomy. 】

[At the beginning of the operation, since you have not yet undergone radical nephrectomy, you can only sit on the sidelines.Although Director Hu had superb medical skills and was supervised by Professor Shen Xi, the patient died in the end because the patient did not take measures such as emergency hemostasis, ventilator-assisted treatment, and blood pressure lowering. 】

[After the surgery, at the 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 in the ambulance as soon as possible to complete the hemostasis of the large blood vessels split by the tumor. At the same time, ventilator-assisted therapy, blood pressure lowering and other measures were carried out.After admission, radical nephrectomy and lymphadenectomy were performed in time. 】

[Summary of the meeting: Spontaneous splitting of renal tumors is more common in rupture and hemorrhage of renal cell carcinoma and renal angioleiomyoma.The principle is that the rapid growth of the tumor leads to rupture and bleeding of necrotic foci, and the effect of external force is the main cause of tumor bleeding. Increased abdominal pressure such as severe coughing, laughing, and straining to defecate may be the cause. 】

[Spontaneous renal tumor rupture and hemorrhage is one of the urgent and severe diseases 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 severity of bleeding. Patient's vital signs. 】

[Best first aid treatment: The patient's renal tumor ruptured and hemorrhaged, causing the patient to go into shock, followed by multiple systemic organ insufficiency.Infection, inflammation, oxygen supply, and tissue perfusion are insufficient, so patients should be controlled and targeted in a timely manner.Once acute respiratory distress is found, mechanical ventilation and respiratory support should be given in time.Timely surgical resection of the tumor to stop bleeding, active treatment of shock, and maintenance of cardiopulmonary function can help reverse multi-system organ dysfunction. 】

[Ding, the single case simulation is over, do you want to keep the clinical experience of this case? 】

[Congratulations to the host for obtaining clinical experience in this case. 】

ps: First four chapters tonight, three chapters will be updated for the leader Nangong Yi, one update is missing for the normal update, and 17 more updates will be added one after another.Thank you for your support!
(End of this chapter)