Doctor’s Life Simulator

After Qin Lang finished the simulation, after a while, Director Han Hu from General Wai and Director Wei from the Emergency Department rushed to the conference room.

Han Hu walked into the conference room with a big head and black and white hair.

Regarding his future chief director, Wang Heng still respects him very much. Just as he was about to say hello, he saw Han Hu's eyes light up, and he looked at the little doctor in the corner of the conference room, with a little kindness in his eyes. appreciate.

"Doctor Qin, you are here too."

There was some surprise in Han Hu's tone. He still had a fresh memory of Qin Lang's last demonstration of basic surgical skills.

"Hello Director Han."

Qin Lang nodded, and he also respected Director Han very much.

After saying hello to Qin Lang, Han Hu looked at Wang Heng with a loud voice: "Wang Heng, welcome back. In the future, general surgery will need to rely on you new generation."

Han Hu valued Wang Heng and Lu Min very much. After a few simple greetings, he greeted Director Wei and started this consultation together.

"Wang Heng, what are your thoughts?"

Han Hu and Director Wei looked at various physical examination materials and asked Wang Heng, who was mainly in charge of the patients before.

Wang Heng originally wanted to take this opportunity to show his strength, but the patient's situation left him at a loss, a little unwilling, and a little helpless:

"The patient's condition is not very typical. According to the physical signs and various physical examinations, I cannot confirm the specific cause. Now I can only suspect diffuse peritonitis or perforated gastric ulcer."

Listening to Wang Heng's judgment, Han Hu nodded slightly, and soon he and Director Wei also understood the various conditions of the patient.

"Electrolytes, liver function, blood and urine amylase tests were normal, no abnormality in the liver and gallbladder, and no fluid was drawn from the McBurby's point of abdominal puncture. It is really difficult to draw a conclusion."

Director Han Hu is also a senior expert in the field of acute abdomen. After comparing with various common diseases one by one, there are some differences, not typical diseases.

After all, patients will not get sick according to textbooks. The human body is really an overly complex and sophisticated system.

Wang Heng didn't have a clear idea when he saw the two chief directors, but he was a little relieved. At least, he couldn't be diagnosed, and it was not ashamed.

But what is the cause of this patient?

Director Han and Director Wei are also a little depressed, but this kind of situation where no specific cause can be found is the norm in the medical field.

A medical expert once said: 1/3 of human diseases need no treatment, 1/3 of diseases cannot be cured, and I am ashamed, I can only see 1/5 of the remaining 1/3 diseases.

"Two directors, if you really can't find a specific direction, I suggest, or we go directly to intraoperative surgical exploration!" Wang Heng suggested that, after all, the art master is bold, and he is still very much about his own hands. confident.

As for Wang Heng's proposal, it is indeed not a solution. Basically, some common possibilities have been ruled out by the two directors.

Before confirming the intraoperative exploration, Han Hu looked at the other participants: "Doctor Lu, do you have any ideas?

Lu Min shook his head. He positioned himself very clearly, that is, the directors set the direction and design the operation plan. Then, when needed, he would cooperate with the operation and be an executor in peace.

Han Hu is used to Lu Min's reaction. The only thing that this guy is looking forward to is a pair of hands. Han Hu looked at the owner of the other pair of more powerful hands, came here, and asked casually:

"Doctor Qin, do you have any ideas?"

When Director Han asked Qin Lang, Director Wei, Wang Heng and others, they naturally had no expectations. They were just politely asking the participants for their opinions.

Wang Heng could not wait to get up and go to the operating room for his first demonstration, when he heard a steady voice:

"According to the location of the patient's abdominal pain and abdominal CT: inflammatory edema of the gallbladder fossa and periduodenal tissue, a small amount of fluid can be seen, is it possible that the cause of the gallbladder and related tissues is caused?"

Hearing Qin Lang's words, Wang Heng was stunned for a moment, then shook his head:

"But the patient's liver and gallbladder were normal, no gallstones, and no previous biliary disease. It's impossible to spontaneously perforate the bile duct, right?"

Wang Heng analyzed it according to common sense, but when he exited, he was stunned: spontaneous bile duct perforation, he had encountered in the general surgery of Xiehe, although it is very rare, but this kind of situation exists, but The last patient, who had undergone cholecystectomy 3 years ago, had multiple stones in the common bile duct.

Isn't it so coincidental? Wang Heng simply chose to ignore this fleeting thought.

Regarding Wang Heng's doubts, Qin Lang continued to lead to:

"The patient is older, and although there is no previous biliary system disease, but there is senile arteriosclerosis, it is possible to change the involved bile duct blood vessels, reduce the local blood supply, and cause ulcers and even perforation of the bile duct wall."

Hearing Qin Lang's analysis, Wang Heng thought for a while and continued to ask:

"However, according to the observation of the effusion by paracentesis, there are clearly no signs of biliary peritonitis, and the patient has no manifestations of jaundice."

Regarding Wang Heng's well-founded analysis, Han Hu and Director Wei nodded again and again, but Qin Lang's previous thinking was also very reasonable. So, how would he answer Wang Heng's question?

Unconsciously, Han Hu and Director Wei were also attracted by the discussion between the two and analyzed it.

On the contrary, Lu Min was very relaxed, waiting boredly for the final result. He just wanted to know which piece to cut and where to sew!

Qin Lang is the continuation of the guide of the side quest:

"Dr. Wang's analysis is absolutely right. I just raised a new possibility, which I encountered in the emergency department of our hospital before. The patient's biliary peritonitis was also mild and without jaundice, and we reflected after the operation. It was discovered that due to the patient's age and poor response, the micro-perforated omentum quickly responded to wrap and seal the perforation."

"Why don't we try to do an abdominal B-ultrasound, look at the common bile duct area, and perform a bile amylase test for the paracentesis fluid. How?'

Qin Lang said very sincerely.

Listening to Qin Lang's analysis, Wang Heng understood that what Qin Lang said was possible. Moreover, the profession of doctors is very experienced. You have encountered some impressive diseases once, and the next time you encounter similar diseases again, you will have more vision than others.

It's just that ~www.readwn.com~ will have such a coincidence?

However, Wang Yan still very much hopes that Qin Lang's inference is correct. After all, they are meeting and discussing here to find out the cause, not to show off their skills to each other and compare them with each other.

Wang Heng nodded, and Director Wei and Director Han also agreed that having a direction is better than having no clue.

Moreover, surgical exploration is the last resort. To be able to find the symptoms before surgery is always more preparation and less accidents.

As soon as he heard that there was a job, Lu Min instantly regained his energy and stood up: "I'll arrange it now!"

After a while, the results of the B-ultrasound and the results of the bile powder determination by abdominal puncture came out.

Lu Min is very experienced, and rushed back in a hurry, the expression on his face could not hide the surprise and admiration:

"Director Han, Director Wei, Doctor Qin, the results are out!"