Chapter 572: Medical ethics are lost, everyone in the world knows you
"No... there is something abnormal at the ruptured artery." Li Quan's experience in suturing is not particularly rich, but his diagnostic ability is extremely strong.
I was a little curious before, why would the artery rupture in this location?
Because the placenta is rooted far away from here.
That is, the likelihood of rupture due to injury to placental abruption is very low.
When I was preparing to suture just now, there was an obvious abnormality in the stitching.
There is hardening of the arterial walls.
“Have you ever had a uterine artery CTA done?”
The so-called CTA is actually CT enhanced angiography, which can detect subtle lesions in blood vessels.
“Never!”
Mizhenako shook her head.
"I suspect that the rupture of the artery in this part of the patient's uterus is caused by an aneurysm. An angiogram must be performed immediately before deciding on the next treatment plan."
Li Quan's expression was serious and his tone was solemn.
If an aneurysm is not discovered, even if he repairs the rupture in the arterial wall, the lesion will still exist.
A time bomb will be buried in the body of this woman.
He could bleed again and die at any time.
"Intrauterine aneurysm..." Mizhenako is a famous obstetrician and is definitely one of the top experts in the country.
At this moment, her face was full of surprise.
This time it was indeed her negligence.
In other words, no one ever thought that an aneurysm would occur in the uterus of a pregnant woman.
Because the mother experiences heavy bleeding during childbirth.
This is a relatively common bleeding phenomenon.
"Immediately give the mother an enhanced CT scan and iodine angiography."
The mother's condition is very bad, and the heavy bleeding has caused fluid accumulation, which will cause .
In order to ensure accuracy and high efficiency, the use of vascular contrast agents is the best way.
Iodine is generally used more frequently.
After angiography, it was discovered that the mother had an aneurysm and arteriosclerosis in her uterus.
Li Quan's surgical skills are currently at a minor level, and removing this aneurysm is somewhat challenging.
Fortunately, there were two top obstetricians and gynecologists, Mizhenako and Zhou Dabao, nearby, so if anything went wrong, there would be someone to save the situation.
Being the surgeon in charge of this operation was also a very rare opportunity for growth for Li Quan.
"The aneurysm is small and grows on the outer wall of the blood vessel, right at the rupture site. I personally think that taking advantage of this surgical opportunity, directly removing it and then reconstructing the artery can solve the problem in one go. Professor Sun, and the other two experts, what do you think?"
There are many different treatment options for aneurysms.
Many times, in order to reduce risks, doctors generally focus on interventional treatment.
If it is a visceral artery aneurysm, coil embolization can also be used to form a blood clot in the tumor to prevent further expansion, rupture and bleeding of the tumor.
In short, as long as the aneurysm does not rupture, the patient is generally safe.
Of course, an aneurysm can cause the blood flow channel inside the artery to narrow, and may even cause blockage or the risk of blood clot formation.
If this happens, a stent may be needed to solve the problem.
Given the current condition of this pregnant woman, Li Quan believes that surgical resection followed by arterial reconstruction should be the most thorough treatment option.
"I agree."
Professor Sun Limin has blind confidence in Li Quan's medical skills.
She didn't give it much thought at all.
"I wonder how long it will take for Director Li to complete the aneurysm removal and artery reconstruction surgery? The patient's bleeding volume has exceeded 6,000 CC, and the blood bank is already in critical condition. In addition, the patient has received too many blood transfusions, and almost all of the coagulation factors in the blood have been lost. Surgery to stop the bleeding is a huge risk."
Mizhenako should be the person who is really in charge in this operating room.
In fact, when solving each problem, there will be a skilled doctor arranged by the organizer in the operating room.
It’s just that they won’t easily interfere with any treatment behavior of the contestants.
The condition of the pregnant woman is now very critical, so Meizhenazi is properly controlling the risks.
"It should be done in less than ten minutes. But as you can see, the patient's arteries are hardened and adhered to the surrounding tissues, so the operation is very difficult."
Li Quan didn't dare to say anything too final.
"You, you can really finish it in just ten minutes?" Zhou Dabao next to him stared at Li Quan as if he was looking at a ghost.
The shocked expression on his face and his mouth opened so wide that he could swallow a whole egg.
Even if he, a top expert, were to perform the operation, it would take at least an hour to complete the whole operation. A lesser surgeon might need more than three hours.
"Let's get started right away!"
Mizhenako is more straightforward.
But she also understood that the patient's condition was very critical and every second was particularly precious.
"Monopolar electric knife, long-handled scalpel!"
Li Quan didn't waste any time and immediately began to concentrate on the operation.
His hands were steady and he looked calm as he removed the aneurysm.
But his nerves were tense.
Sweat broke out on his forehead.
"Please help me wipe the sweat off my face." Li Quan said without raising his head.
"Excuse me!"
The nurse came forward and gently wiped the sweat off his face.
It is common for surgeons to sweat during surgery, either due to nervousness or excessive physical exertion.
It must be wiped off in time to prevent the sweat from blinding the surgeon's eyes, and be more careful about the sweat dripping onto the patient's surgical site.
…
It was not known how long it had been before Li Quan breathed a sigh of relief. The aneurysm was successfully removed and the artery was reconstructed.
Whether it is tumor resection or arterial stump anastomosis, it is a highly difficult operation.
Li Quan actually succeeded in doing all of them.
And it’s done quickly and well.
"It took 8 minutes and 54 seconds, my God!"
Meizhennazi was afraid that she had never seen such an enchanting surgeon in her life.
In fact, Li Quan is not a full-time surgeon.
It is only because he learned the surgical skills from Hua Tuo, the founder of surgery, that he became so outstanding.
"That ruptured artery is just one of the bleeding spots. There is another bleeding spot inside the uterus, which is the wound when the placenta peeled off. Immediately take a large amount of uterine gauze to fill the uterus and help stop the bleeding."
Li Quan adopted multiple bleeding control strategies.
This method of filling the uterus with gauze to help stop bleeding is rarely used.
Generally, the palace gauze should be removed after 24 hours.
In fact, the biggest bleeding point is the ruptured uterine artery aneurysm. After being repaired by Li Quan, the mother's bleeding has been reduced by more than three quarters.
…
"Finally, the hemostasis operation is completed!" After checking that the instruments were correct, Li Quan sutured the wound of the parturient.
[You have successfully performed a highly difficult surgical technique, which is an extraordinary performance. Skill points +1000. ]
The direct increase of 1,000 skill points made Li Quan unbelievable.
However, the difficulty of this operation was indeed extremely great.
A powerful flow of information floods into the brain.
He was pleasantly surprised to find that after the headache, he had gained a lot more advanced surgical skills and experience.
If I'm not mistaken, surgical skills have been upgraded.
[Surgery, master level 5%. ]
After checking the attributes of the Miracle Doctor's skills, Li Quan discovered that, as expected, his surgical skills had been successfully upgraded to the master level.
Now, his surgical level should be equivalent to that of chief surgeon.
The ability to perform surgery has also been improved.
Surgery has always been the top priority in medicine.
Many modern and difficult diseases need to be treated through surgery.
The most common ones are accidental injuries, tumor resection, artery reconstruction, etc.
"The patient's blood pressure has started to rise, his heartbeat has stabilized, and the amount of bleeding has been effectively controlled."
The anesthesiologist reported the patient's condition to everyone.
"After 24 hours of observation, if there is no abnormal bleeding, the cervical gauze can be removed and the patient can be transferred to a general ward for care." Li Quan tried his best and finally helped the woman keep her uterus.
"Director Li, thank you! When this woman wakes up, I will tell her that it was you who saved her uterus and life." Mizhenako bowed deeply to Li Quan.
" You are so kind!"
Li Quan checked the condition of the pregnant woman and found that she was out of danger. He could retire now.
Take Professor Sun Limin outside.
Expert Zhou Dabao caught up.
"President Li, watching you perform an operation today is better than reading ten years of books. I have some friendship with Professor Liu Jinshu of your hospital. I heard that he is in much worse health after a cerebral hemorrhage. I was sighing that without Professor Liu Jinshu, the medical skills of the Department of Obstetrics and Gynecology of Huier Hospital would decline rapidly. I didn't expect that you are so young, but you can surpass your teacher. I admire you."
Zhou Dabao gave Li Quan a thumbs up.
As a medical expert of his level, he naturally doesn't need to flatter Li Quan.
Instead, he truly admired Li Quan's superb medical skills.
"You're too kind! Thank you for your concern for my teacher. He is recovering well now."
Li Quan's favorable impression of expert Zhou Dabao increased a lot.
It turned out that this person was a friend of my teacher.
"I'll go to the Huier Hospital in Shanghai to visit him when I have time." Zhou Dabao smiled and nodded. "No wonder you are so outstanding. It turns out that you are Lao Liu's apprentice. I'm not surprised."
Zhou Dabao expressed his admiration for Professor Liu.
"If you are planning to go to Shanghai, please inform me in advance and I will pick you up at the airport." Li Quan would definitely give a warm welcome to his teacher's friends.
"OK!"
Zhou Dabao didn't say anything polite.
Li Quan came out of the operating room and appeared in the competition venue again, and the whole audience was boiling.
Everyone saw clearly what happened in the operating room just now.
Everyone recognized the abilities of Li Quan, the rising star.
Not only is Li Quan's Chinese medicine skills amazing, but I didn't expect his surgical skills to be even more amazing.
"Thank you to the medical staff for their efforts. You have successfully saved a life. The following is the score of this question. Dr. Li Quan from Huier Hospital has recreated the top style of Huier Hospital's obstetrics and gynecology department in the past. He successfully diagnosed the patient's condition and found an aneurysm that no one else could find. He also saved the pregnant woman with his superb medical skills.
Obtained a full score of three points.
Expert Zhou Dabao from Beijing Maternity and Child Health Hospital successfully diagnosed the mother's condition, held his ground, and scored two points.
Professor Longchang of Yuanyang Hospital backed down from the battlefield and was too careful about his reputation. Three points will be deducted. "
As soon as the host finished speaking, the whole audience was in an uproar.
Immediately afterwards, warm applause broke out.
Dozens of contestants from Yuanyang Hospital lowered their heads, wishing they could find a crack in the ground to crawl into.
Professor Longchang's face turned red with shame.
Everyone else was scoring points, but he was deducted points.
And he became the person with the most deductions in history.
Three points were deducted directly.
This is clearly punitive in nature.
"This is unfair. Even if our Yuanyang Hospital answered the question incorrectly, we should only lose one point at most." Xu Tiangao relied on his status as an expert and angrily spoke up for Yuanyang Hospital and fought for their interests.
"The three points were deducted after a unanimous discussion among all the judges. The extra two points were deducted for medical ethics. I hope everyone here will take this as a warning. What is the duty of us doctors? It is to save lives and heal the wounded! It is not for false reputation or false profit. To be honest, when I saw Professor Long Chang of Yuanyang Hospital fleeing in fear after discovering that the patient was in a critical condition, I felt particularly sad and angry.
Fortunately, the patient was in a coma at the time, otherwise, she would have been so scared that she ran away when she saw the doctor. How desperate she would have been! "
Academician Bao Guodong's face was full of sadness.
He must have been extremely disappointed to see that a professor from a tertiary hospital had such poor medical ethics.
Xu Tiangao originally wanted to fight for the interests of Yuanyang Hospital, but unexpectedly, it caused Yuanyang Hospital to be criticized again.
It has become a typical negative example.
His old face turned as red as Guan Gong's.
The contemptuous looks cast by the crowd were enough to make Xu Tiangao and dozens of famous doctors in Yuanyang Hospital feel ashamed.
The elders and others sitting in the front row all had gloomy faces.
Afterwards, Yuanyang Hospital will definitely not have any good consequences.
If they dare to bring shame to the leaders of provincial departments like them, then shouldn't we overhaul the Yuanyang Hospital?
…
The afternoon game lasted until six o'clock, when it ended.
Li Quan led 24 doctors from Huier Hospital to answer the questions several times.
Because of his excellent diagnostic ability, he only lost one point. For the other questions, he got at least one point.
Huier Hospital's comprehensive score currently ranks first in the country, and it is a full seven points away from the second place.
If the situation continues in this way, it is possible that Huier Hospital will win the championship this year.
After the competition, the host announced that the medical skills competition will continue tomorrow and the day after tomorrow.
Tonight, the organizer has arranged accommodation for everyone.
It is a vacant university dormitory.
There were 7,000 to 8,000 people, at least 7,000 of them were from other places. It was not an easy task to arrange accommodation for so many people.
No other hotel can accommodate so many guests.
Arranging everyone to live in the university’s dormitory is the most worry-free and economical way.
Without waiting for the staff to distribute lunch boxes, Professor Hawking and Dr. Anne ran over and took Li Quan to the Beijing Special Grade 3 Hospital where they were.
"Come on, Director Li, go and help us take care of those patients. After you finish seeing them, we'll treat you to a sumptuous dinner."
After witnessing Li Quan's outstanding performance during the competition, the two of them had higher expectations for Li Quan.
Li Quan may really be able to help them find the cause of the illness of those special patients and then cure them.
Fortunately, Professor Hawking and Dr. Anne acted quickly and took Li Quan away.
Because there are quite a lot of people who want to discuss medical issues with Li Quan.
"Dean Li, can you go see my brother first? He has been in a coma for so many years, and I dream of waking him up. I even changed my career from a pediatrician to a psychologist and learned hypnosis just to save him."
Doctor Anne pleaded.
