medical road high rise

Chapter 13
Chapter 13 Dismissal ([-])
Lu Ming led Qin Feng out of the ward with a solemn expression.

"What do you think of this patient's condition?" Lu Ming asked.

"It should be that a blood vessel in the kidney has ruptured and needs to be repaired." Qin Feng said.

Lu Ming nodded. After reading the patient's medical record, Lu Ming had an understanding of the patient's condition and urgently needed surgery.

Soon, a hasty figure ran towards the ward.

"Are you sure it's a patient with renal bleeding?" The panting urologist confirmed.

Lu Ming nodded, and repeated the patient's case. When Lu Ming recounted, he brought his own considerations. What he said was much more detailed than the emergency doctor, and it was easier for the urologist to understand.

"Have you done the inspection? You can arrange the operation directly after the completion." The urologist said directly after listening to the situation, knowing that the situation was urgent.

"We still have to wait for the doctor from the circulatory department to come. It is too difficult to stop the bleeding of the kidneys with surgery. It is safer and more reliable to intervene." Lu Ming said.

The urologist nodded. The most important thing in the surgery for kidney bleeding is to stop the bleeding.

"Then I'll give the patient's family a pre-operative explanation. You can arrange to push the patient directly to the emergency hybrid operating room." Lu Ming said.

The urologist didn't show any politeness either. Now that life was at stake, he directly arranged for a nurse to help lift the patient into the wheelchair and push him to the operating room.

"The patient's family members come to my office." Lu Ming took the patient's family members back to his office. Lu Ming asked the patient's family members to sign the consent form for the operation and explain the problems that may arise in the middle and later stages of the operation.

Before the operation, especially the operation of renal hemorrhage, you must explain the postoperative complications and postoperative bleeding clearly. Otherwise, if something goes wrong and the patient dies, and the patient's family members come to your door, you will never be a doctor again. .

The family members of the patient also understood Lu Ming's work very well. After all, the patient had kidney cancer before and underwent a nephrectomy. He had already gone through a more severe preoperative confession. He just asked some routine questions and signed.

Lu Ming brought the patient's family members outside the operating room and asked the patient's family members to wait outside the operating room, while Lu Ming and Qin Feng entered.

"Is the circulatory doctor here?" asked the fully dressed urologist.

"I'll make a call and ask." Lu Ming called the director of the circulation department, but no one answered, which made Lu Ming a little anxious.

After a while, a doctor with a tired face hurried over. He was one of the two interventional doctors in the Department of Circulation and also the director of the Department of Circulation.

"Do you have the patient's film?" asked the director of the circulation department.

Lu Ming handed the patient's film and medical record to the director of the circulation department, and the director of the circulation department changed his expression after watching it.

"The patient has undergone nephrectomy before? I can't guarantee that this hemostasis operation can be done well. I thought it was an ordinary renal hemorrhage hemostasis embolization operation. In this patient's condition, if I operate blindly, it may lead to ectopic embolism." The Director of the Circulation Department shook his head.

The Circulatory Department of Taoshi No. [-] Hospital did not take long to build. The level of the two interventional doctors can only do ordinary interventional embolization and hemostasis operations. If it is a little difficult, such as this postoperative renal hemorrhage operation, it will make them Feeling a little helpless.

"I suggest cutting the kidney directly." The director of the circulation department suggested.

This is how hospitals in small cities deal with renal hemorrhage surgery. Most of the methods adopted are kidney cuts. This is much less damage than blind interventional embolization and hemostasis surgery, and it can be regarded as conservative treatment.

Interventional surgery does not mean that embolization can be 100% successful. Interventional hemostasis depends on the interventional instrument to send the tourniquet to the designated position through the guide wire. It is considered successful when the sheath is pulled out and the puncture point is no longer bleeding.

"Segmentectomy? Can you do it?" Lu Ming asked directly.

Kidney removal is definitely safe, but the problem is that there is no doctor like this in the entire Taoshi City. In addition, the patient has already undergone a kidney removal operation. Who will suffer from the consequences of a second kidney removal? Can you afford it?It is better to find a way how to stop the bleeding is the kingly way.

"Old Zhao, why don't you try it. If it doesn't work, we'll consider other plans. What do you think?" Lu Ming suggested.

Zhao Mingxue, director of the circulation department, glanced at Lu Ming, sighed and said, "Then I'll try, but I can't guarantee success."

Lu Ming had already brought up the dangers of kidney transplantation. Zhao Mingxue couldn't follow Lu Ming's hard line, but could only try to intervene to see if he could stop it.

It is Zhao Mingxue's experience to succeed, and it is no big deal if it fails.

Zhao Mingxue went back to the locker room to put on the heavy lead clothes, while Lu Ming took the urologist and Qin Feng back to the operation room, watching Zhao Mingxue's every move.

"Will Lao Zhao's operation be successful?" the urologist asked.

"Difficult, just now I re-read the patient's film, there is no stone shadow in the urinary tract, the left kidney is not developed, and there is a large filling loss in the bladder area. Since the patient has undergone a kidney cancer operation, the possibility of tumor is very small. , even if it is a regenerated tumor, it is impossible to grow so large in just two months. Obviously, the missing part should be caused by the accumulation of blood clots, and the patient's kidney bleeding should not last a day or two." Lu Ming looked through the glass muttered.

Qin Feng listened on the sidelines. Interventional surgery was like an unfamiliar subject to Qin Feng. He didn't understand it at all, and the system hadn't been trained to that level yet. He had only just had abdominal surgery.

Looking at Zhao Mingxue's operation on the video, Qin Feng remained silent, watching the guide wire slowly carry out the first round of puncture trials.

Director Zhao of the Department of Circulation was also a little nervous. The guide wire was deviated, and the first puncture failed, which almost caused another penetrating bleeding to the patient's kidney.

The second time, the third time the puncture points were wrong, and the fourth time, Director Zhao directly chose to give up.

Back in the operation room, Director Zhao sighed and said, "The patient's kidney is no longer allowed to be punctured, and if the puncture is performed again, there will be serious problems. We can only try to cut the kidney into sections. I will leave first. There is another interventional machine in the neurosurgery department." Embolization is waiting for me."

Director Zhao also felt very uncomfortable. If it was an ordinary person's kidney, Director Zhao's puncture was absolutely successful, but this patient's kidney had been removed, even if only one-third of the kidney was removed, but with the patient's The age still has a great influence on the puncture results.

The three of Qin Feng were left behind, and the atmosphere in the operating room was a bit dignified. Even now, you can still see the red color slowly flowing out of the urinary catheter, which is particularly dazzling.

"Would you like to try it?" Lu Ming looked at the urologist and asked.

The urologist repeatedly waved his hands and said, "Director Lu, please forgive me. Even the director of our urology department would not dare to perform this operation."

Looking at the urologist's retreating look, Lu Ming's eyes showed a gleam of disappointment. How much he missed the king of the emergency department. It would be great if he was still there.

(End of this chapter)