MTL - Doctor’s Life Simulator-Chapter 108 difficult? Qin Lang did it all with one person

"You Daren, go see if Dr. Qin has time now and ask him to come to the conference room immediately."

"Okay, Director Wei."

When You Daren heard Director Wei's words, he also had a glimmer of hope in his heart. Maybe Qin Lang could really handle this complicated and difficult finger-glove-like injury.

And when You Daren went to invite Qin Lang to come over for consultation, Wei Guoqiang, Chu Tianxiong, and Zhao Zhen also began to specify a treatment plan.

After thinking for a while, Wei Guoqiang said:

"After the patient was admitted to the hospital, the right internal jugular vein catheter was placed, indwelling catheterization, active fluid replacement and anti-shock therapy. The crystalloid is mainly sodium lactated Ringer's solution, and the colloid is mainly the same plasma."

"First, use cefoperazone/tazobactam + levofloxacin in combination to fight infection, and adjust to sensitive antibiotics after the results of bacterial culture and drug sensitivity test on the wound surface..."

Listening to Wei Guoqiang's treatment plan, several directors nodded, and then began to assign tasks.

"The next preventive tracheotomy will be carried out by Director Zhao. After completion, low-flow oxygen inhalation will be continued synchronously, and the ventilator will assist with positive pressure ventilation."

Zhao Zhen happily took the order: "Okay, Director Wei."

"Wound treatment is after the patient's vital signs are basically stable. I will personally perform annular eschar incision and decompression on the III and IV wounds to prevent limb ischemia due to swelling of the limbs and compressing the internal tissue. Necrosis."

"After that, Dr. You performed the debridement. After that, the highlight was the tendon suture, the reduction and fixation of the fracture, and finally, the most difficult skin flap repair..."

"The reduction and fixation of hand fractures can be done by the two of us."

Yang Yi and Yang Yue also volunteered. After all, at such a critical juncture, the two of them are the treatment center and the only two orthodox hand surgeons, but they can't handle this complicated flap repair, and it's not a good feeling in my heart, so I hope It can exert some force on the basic fracture reduction and fixation.

"Okay, then Yang Yi and Yang Yue will complete the fracture reduction and fixation. Director Chu will check and guide."

"no problem."

Chu Tianxiong, a big man of 1.9 meters, is a very forthright person, and he readily agreed. If the two sisters can't handle it, he will know the truth.

After the whole treatment plan is discussed, the most critical part is the repair of the patient's skin flap, the repair of the tendon in the hand, and the anastomosis of the nerves.

At times like these, the importance of a top hand surgeon does show.

Under normal circumstances, at this critical moment, for the comfort of the patient, Wei Guoqiang had no choice but to invite Director Tian Bo to come over for joint treatment.

At this time, You Daren brought Qin Lang to the conference room.

For this scene, Qin Lang knew through the simulation world long ago that it is not necessary to think that it is the black hand of Director Tian Bo.

If there is no self-evident, in the end, for the patient's treatment, Director Wei will compromise, and then he will lose face at the nearby hospital regular meeting. He is considered to be selfish, and he will expel the hand surgery from the core department, which will not end.

If it weren't for Director Tian Bo, Gao Fengliangjie, there would have been a medical accident.

It's just a pity that Qin Lang was already prepared for this.

"Director Wei, Director Chu, Director Cui, all the doctors, and the patient's situation, Dr. You has explained to me in detail. Don't worry, I can play the role of this hand surgeon."

Qin Lang stepped forward to analyze the patient's condition again. At the same time, he started to design his treatment plan on the small whiteboard with a pen.

"Because the deep ischemic tissue of the patient's finger is exposed, it is difficult for free skin grafting to survive, and there are also problems with ordinary skin flap transplantation. Therefore, the best way is to bury the injured hand under the skin of the abdominal wall, and wait for the wound to regenerate and then repair it with skin grafting. "

"Delayed skin grafting with subcutaneous burial in the abdominal wall?"

Hearing Qin Lang's plan, Yang Yi and Yang Yue's eyes lit up, yes, why didn't they expect that Doctor Qin was so powerful.

Wei Guoqiang and Chu Tianxiong were also pleasantly surprised: "Qin Lang, continue talking."

"As for the lower extremities, the third and fourth degree wounds of both lower extremities are treated with escharectomy, autologous microskin transplantation + ADM coverage treatment..."

After Qin Lang detailed the entire flap repair method in stages and areas, the entire conference room fell into silence.

Then, Wei Guoqiang took the lead in applauding: "Qin Lang, today's operation will undoubtedly be recorded in the history of the development of my wound treatment center! It will be a pivotal treatment."

Yang Yi and Yang Yue were also impressed by Qin Lang's comprehensive and complex technical abilities.

"I'm afraid it's Director Tian Hua and Director Tian Bo who came to design the plan in person, right?"

Don't think about it, it must be this kid who is frantically learning and researching flap repair techniques in private.

"Qin Lang, I suddenly had an idea. At this regular meeting of the hospital, I am going to directly launch a special topic of skin flap repair for hand composite injuries. After that, I will apply for funding for this topic. As for the doctor Strength, I also have an idea, since the flap repair of hand composite injuries in my treatment center far exceeds that of hand surgery, then they can stop the operation in this direction after hand surgery."

"Power should be directed to one place! In the future, in the first hospital of the city, all patients involved in the repair of skin **** with composite hand injuries will be accepted by our treatment center. Since Director Tian Bo is so enthusiastic, he will not come and go. Indecent assault. I'm going to bring all patients in hand surgery and doctors in the field of flap repair into my treatment center."

Tian Bo's action this time was originally a conspiracy. With such a big movement in the surrounding hospitals and lower-level hospitals, how could Wei Guoqiang not sense the disturbance.

However, now that Qin Lang was born, Wei Guoqiang was able to strike a thunderbolt.

Deputy Director Cui licked his lips, which was simply speaking from his heart.

"Director Wei, I have an immature suggestion. Huang Kaihang, the deputy director of hand surgery, was originally dissatisfied with Director Tian Bo's one-handed covering the sky, but now he is suppressed by Li Lian'an, and he has long wanted to transfer to my treatment center. Before, he He also asked me to ask Dr. Qin to give him the opportunity to observe and study."

For this, UU Reading www.uukanshu.com Qin Lang of course welcomed her, Yang Yi and Yang Yue, watching the fun is not too big of a deal, and her eyes are eager to try.

Everyone is fun!

Director Chu Tianxiong of the Department of Orthopedics and Deputy Director Zhao Zhen of the Department of Thoracic Surgery knew the origin of this patient well.

Tian Bo is insidious and cunning, they are naturally happy, the hand surgery was dismembered, and they agreed with Director Wei's plan.

At the regular meeting of the hospital, they will be the strong backing of Director Wei. For the big plan of the treatment center, for every core department, the department director is a good thing, a great achievement!

"In this case, we will start the treatment according to the plan!"

Soon, everyone entered the operating room. Zhao Zhengang, the deputy director of thoracic surgery, was going to perform tracheotomy according to the arrangement of Director Wei.

He took the scalpel from Zhao Zhen and said very politely, "Thank you~"