Pulmonary embolism. To be honest, emergency resuscitation had nothing to do with vascular surgery.
However, thromboembolism was probably deep vein thrombosis, which was one of the main diseases that vascular surgery treated.
"An emergency consultation?" Sun Chao asked.
"Yes, pulmonary embolism. I'll go take a look, "Mao Chi said as he stood up.
"Let's go and take a look. Let's take a look at your 912's diagnosis and treatment. We can also learn from it." Sun Chao subconsciously felt that this was an opportunity, so he said without hesitation.
Sun Chao thought to himself, 'Let's see if there's any possibility of finding fault.'
Mao Chi glanced at him and could vaguely guess what Sun Chao was thinking.
It didn't matter if he went for a consultation.
In yesterday's meeting, he performed a demonstration surgery, and it was very successful.
Even if the remaining few people wanted to watch him perform surgery, it did not matter. Although no one dared to guarantee that the emergency surgery would be a hundred percent successful, what they needed to do was only treating deep vein thrombosis.
As for the removal of the pulmonary artery embolism … This surgery was a little difficult. Even if it failed, no one would say anything about such a difficult surgery.
Mao Chi did not comment and quickly walked out of the conference room.
Sun Chao smiled and followed behind Mao Chi. The rest of the department heads looked at each other and followed.
To be able to see the emergency treatment of the 912 with his own eyes was also an accumulation of experience. Not to mention that this was an emergency pulmonary embolism.
Pulmonary embolism was also divided into different sizes and severity.
The small embolus blocked a small branch of the pulmonary artery, and only thrombolysis was needed. The most important thing for this disease was to have a clear diagnosis.
On the other hand, using a large embolus to directly embolize the main trunk of the pulmonary artery was extremely difficult.
Most people would avoid this disease when they saw it.
The treatment department for pulmonary embolism was not fixed either. Some hospitals had vascular surgery departments for treatment, some had interventional radiology departments for treatment, and some had cardiothoracic departments for treatment.
They did not know the severity of the illness, nor did they know how the 912 was going to diagnose and treat it. Everyone was very curious, and they followed behind and whispered.
At this time, most of them were talking about what kind of patients they had encountered. Pulmonary artery embolism, and after an arduous emergency treatment, the patient was pulled back from the brink of death.
Let's just brag. Since there's no evidence, everyone can just brag. Sometimes, this was how one's status in the pugilistic world was achieved.
But why was this patient transferred to the neurosurgery department?
He rushed all the way to the Department of Neurosurgery. Department Head Zhang Lin, who was in charge of circulation, had just arrived.
The neurosurgery chief resident, Shao Yongxiang, did not know why Chief Mao Chi was followed by a group of people, but he did not ask. Instead, he politely invited them into his office and began to brief them on their medical history.
"Director, the patient accidentally fell down the stairs at school 42 minutes ago, resulting in a fracture of the left temporal bone, intracranial pneumocephalus, and traumatic shock. This diagnosis is questionable. He was sent to the emergency department of our hospital by 120. A CT scan of the lungs and a plain CT scan of the head was performed and a large amount of fluid was found in the right thoracic cavity. "
"Emergency consultation with the Thoracic Surgery Department. During the physical examination, we found a large area of bruising on the patient's right lower limb," Chief Shao Yongxiang quickly reported the patient's medical history.
"Extensive bruising?" Chief Mao Chi mumbled softly.
"Yes, so the emergency department looked for an echocardiogram and color Doppler ultrasonography of the blood vessels in the lower limbs and abdomen, which suggested external iliac and common iliac vein thrombosis. An echocardiogram showed a suspicious image, but could not confirm the diagnosis. "
At this point, Shao Yongxiang paused.
He looked at Mao Chi, then glanced at Zhang Lin, who was beside him. The two directors were frowning in deep thought.
Shao Yongxiang inserted the film into the film viewer and did not continue to speak.
It was only dozens of minutes. To be able to do this was already considered extremely fast. For the emergency treatment to reach this level, it could be said that the standard of the 912 was quite high and commendable.
The chief physicians behind Mao Chi knew the severity of the situation and could see the door. Just the logical process of this judgment explained many problems.
The CT scan of the lungs showed multiple plaques near the pleura of the right lower lung. The right pleural effusion was confirmed.
It should be a pulmonary artery embolism. Everyone was pondering.
Did they need to do a CTPA, which was a pulmonary artery CT scan to examine it? Although the pulmonary artery angiography was the gold standard, it was an invasive examination. It was not as simple as a CTPA.
"Chief Shao, let's do a CTPA," Chief Zhang Lin said.
Mao Chi nodded and also reconsidered Chief Zhang Lin's words.
There was no problem with this. First, they would do the examination, then confirm the diagnosis, and then start the surgery. As for whether it was the Department of Circulatory Medicine or the Department of Vascular Surgery … In the 912, the Department of Vascular Surgery was still relatively strong.
After all, the Imperial Capital had Fuwai, Anzhen, and other specialized hospitals for heart diseases. The Department of Circulatory Medicine of the 912 was not second to none.
"Take a look at the patient. If his condition is stable, then hurry up and do the examination," Mao Chi said.
All the treatments were in accordance with the rules. They were very fast and there were no mistakes. Sun Chao was a little regretful. He did not find any problems.
"The two chief physicians arrived so quickly." As he spoke, Lin Ge strode in.
The Academic Affairs Office of the Medical University had already contacted the 912 Medical Division. Students' matters were all major matters, so Lin Ge ran over directly.
It was said that Principal Zhang of the Medical University and Deputy Director Yuan of the 912 were on their way.
A student who was perfectly fine suddenly became seriously ill? Moreover, it was the kind of illness that could kill him at any time. He had no choice but to be serious.
"Chief Lin, you're here." A few of the chief physicians and chief residents of the 912 immediately greeted him.
"How did you determine it?" Lin Ge asked.
"We suspect that it's a pulmonary artery embolism. We need to do a CTPA to see the situation. After confirming it, we'll perform emergency surgery," Shao Yongxiang said.
Lin Ge was just asking. An emergency like a pulmonary artery embolism was different from all kinds of rare diseases.
For rare diseases or diseases with high surgical risks, people from all over the country would come to the Imperial Capital to seek medical advice.
However, if the pulmonary artery embolism was true, the people who came to the Imperial Capital would probably be finished.
If the person was fine and was fine in the local area, it meant that the condition was relatively mild. This was a very simple logical problem. Therefore, no one believed that the 912's level of treatment for pulmonary artery embolism was very high.
Lin Ge knew that the problem was serious and immediately asked, "Do we need to look for a consultation?"
Because it involved students, no matter how small the matter was, it was a big matter!
This was not the time to pay attention to the 912's reputation. Lin Ge asked directly.
Chief Zhang Lin and Chief Mao Chi were both stunned. Mao Chi hesitated. After thinking carefully for a few seconds, he suggested, "Why don't we … let Boss Zheng take a look first?"
After hearing the three words' Boss Zheng ', Chief Sun Chao's eyes flashed!
In the 912, was Boss Zheng's status that high? Mao Chi actually said that he wanted him to take a look first?
"Okay, then let's do the CTPA first. I'll contact Boss Zheng."
"I won't do the examination. Go straight to the stage!" Zheng Ren's voice came from the door with a hint of impatience.
Remember the mobile version of the website:
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.