MTL - Doctor’s Life Simulator-Chapter 102 urgent! 1 case of spontaneous eruptive skin ulcer

The operation ended very smoothly.

Yang Yi and Yang Yue, in order to express her gratitude to Qin Lang, invited Qin Lang to have lunch.

As the host, he had just learned the advanced orthopaedic reduction and fixation techniques from the two sisters, Qin Lang refused the invitation of the two and planned to be the host himself.

Unable to beat Qin Lang, the two sisters, Hua, obediently obeyed Qin Lang's arrangement:

"Then it's all up to Doctor Qin's arrangement."

The three of them came to a mutton noodle restaurant that Qin Lang often came to. There were many customers in the small restaurant, so it took a long time to wait, but it also happened to give people a relaxing time.

For doctors, this is very rare, especially, the wound treatment center has just been launched.

Qin Lang looked at Yang Yi and Yang Yue, and was also very curious, and chatted casually: "I'm curious, what is the experience of twins?"

Yang Yi glanced at Yang Yue and smiled:

"Let's put it this way, I feel like we're a bit like most couples."

Qin Lang was stunned for a moment, and then heard Yang Yue say:

"We appreciate each other's looks, and we honor each other's parents. There is only family affection, no love."

Qin Lang: "..."

"Because they look alike, they will be said to be scary. If you don't know, the first time you see a group photo, you will also think that the P-picture technology is good."

"You can easily unlock the other party's phone!"

"It's great fun to take pictures and let others guess who it is."

"When I was a child, I often washed Yang Yi with Ma Ma, then turned around and grabbed Yang Yi to wash it again. I laughed so hard, hahaha."

"When I was young, I often finished eating for Yang Yue, then turned around and fed Yang Yue a big spoonful. Laughed at me, hahaha."

...

In the midst of the bizarre lives of the twins, the three had a very pleasant lunch time.

When the three of them rushed back to the treatment center, Qin Lang's phone rang. At first glance, it was Wu Youtu, the attending physician, who called.

"Hey, Qin Lang, hurry up to the treatment center for a consultation. There is a very special patient who is in an urgent condition. Come home quickly!"

Hearing Wu Youtu's anxious words, Qin Lang also had a solemn face. These days, Director Wei Guoqiang was either going to Hangzhou or the Magic Capital to contact the development of the treatment center, introduce talents, and learn to apply for various matters.

Therefore, in the treatment center, most of the courage in the field of burns was carried by Wu Youtu and You Daren, and just now a rare patient was admitted. In desperation, Wu Youtu instinctively thought of Qin Lang, who had repeatedly performed miracles.

"Doctor Yang, in the afternoon, you will assist Deputy Director Cui to perform some operations and treatments in the field of hand surgery. I will go to Dr. Wu's side to participate in a consultation."

Yang Yi, Yang Yue is now full of respect for Qin Lang. If they still wanted to talk about the problems that the attending physician can't solve, what's the use of being a little doctor.

However, now they believe that Qin Lang is really relied on and trusted by the doctors in the treatment center.

"Okay, Dr. Qin, I wish you a smooth consultation."

When Qin Lang felt the meeting room, he saw Wu Youtu, You Daren, and Zhong Chengfa, an old acquaintance of the dermatology department.

When the three saw Qin Lang, they immediately waved: "Qin Lang, come, let's see together, do you have any ideas."

Qin Lang looked at the patient's condition:

"Patient, male, 30 years old, came to the treatment center because of diffuse swelling of the eagle shell with pain and fever for 4 days, which worsened for 2 days. There was no obvious incentive before 4 days. The patient had obvious swelling with pain and fever in the eagle shell, and then the surface appeared The black scabs fell off, forming a necrotic ulcer."

Qin Lang looked at the photo of the patient's affected area, and his scalp was numb, shocking.

Wu Youtu also looked nervous on the side:

"Moreover, the patient's condition shows explosive expansion. From admission to the present, it has only been four hours, and the rate of expansion and necrosis is almost 2-3 centimeters per hour."

You Daren also showed a trace of fear in his eyes. He had never encountered such a strange symptom. He pointed to the ulcer surface on the photo:

"Qin Lang, the base of the affected area contains a lot of purulent secretions, with a pus-smelling odor. The ulcer area is like a broken bamboo, with blisters and blood blisters on it. After the rupture, it turns blue-black, and the edge changes to red, and the pain is obvious."

Hearing the introduction of the two chief physicians, Qin Lang was also stunned. This patient's situation is very urgent. If the real cause and an effective plan are not found out in time, it is likely to lead to death.

"It will take at least 18 hours for the bacterial culture of the infected tissue to produce results. Given the current deterioration of the patient's condition, I'm afraid it won't take so long. We need to come up with a targeted plan as soon as possible."

As a dermatologist, Zhong Chengfa has experienced all kinds of ulcers, no matter how serious the defect, but such acute and rapidly expanding skin ulcers are somewhat clueless.

"Director Wei, report to the leaders of the provincial capital now. Even if you rush back, it will be at least six hours later."

Wu Youtu thought for a while: "It's not really, we have to transfer the patient immediately and send it to Hangzhou Hospital for treatment."

"Qin Lang, do you have any ideas?"

Before they knew it, the three major physicians had already regarded Qin Lang as the last straw. Indeed, these days, Qin Lang's talent and knowledge had made them look forward to their desperate situation.

If Qin Lang said yes, they would be willing to give it a try.

The three held their breaths and waited for Qin Lang's result, only to see him continue to watch the results of the physical examination and dermatology examination.

"Physical examination: The patient has a 5-year history of rheumatism, poor joint mobility, and long-term use of hormones. Five other systemic examinations are obviously abnormal."

"Dermatological examination: Two purple-black necrotic ulcers can be seen on the surface of the eagle, and the consignment is ~www.novelbuddy.com~ with clusters of blisters, blood blisters, thin walls, easy to rupture when touched, swollen edges, twisting Pronunciation, high skin temperature, with purple-red patches, clear borders, tenderness, more obvious on the right side than the left..."

Qin Lang looked at these materials and quickly recalled them in his mind, but he still found nothing.

[Ding, new task, through single-case simulation, find the real cause of the patient, specify a targeted plan, and the main surgeon completes the operation. Task reward: 1.1 life simulation points, 2. Finger sleeve avulsion repair: master level. 】

At this time, Peng Yun also hurried into the conference room.

"Doctor Wu, it's not good. The patient's condition has deteriorated again. There are signs of sepsis, and the patient has a mild mental disorder. The ulcer site is growing explosively. If you are not sure about the specific plan, it will be life-threatening!"

Hearing Peng Yun's report, Wu Youtu's face changed greatly, and he made a decisive decision:

"You continue to discuss, I will go to perform routine first aid first."

"Peng Yun, there is no result of the patient's venous blood culture. Only intravenous rehydration, oxygen inhalation, and intravenous broad-spectrum antibiotics can be administered to cover Gram-positive and negative aerobic and anaerobic bacteria."

"Qin Lang, I'll give you another half an hour. If you still can't get results, you can go to me to perform debridement of necrotic tissue, skin and subcutaneous fat, and even prepare for another or multiple debridements. Daren, go and contact Zijingang No. 1 Hospital and be ready for transfer at any time."

"Everyone, we must discharge the patient safely and healthily!"

After Wu Youtu made arrangements, he took Peng Yun to the rescue.