Big Doctor Live Room
Chapter 1356 Myohemoglobin
Chapter 1356 Myohemoglobin
"Hematuria, irregular heartbeat, I think it is more likely that the kidney or bladder is damaged!"
Among the more than ten doctors standing on the observation platform, a short, fat and kind-hearted old doctor gave his conclusion loudly above his head. As the deputy director of surgery of Xiangyun Hospital and the professor leading the group, he was willing to come here as a backup The fetus is only responsible for moving the mouth.It was one of his students who did the work, and he managed to grab a second assistant position from Liu Dapao, so he naturally wanted to come over to watch the students, so as not to embarrass himself.
Chen Qun is almost familiar with this phenomenon. In his three simulated patients, although the frequency of this phenomenon is not many, only one to two percent, after tens of thousands of operations practice, it is still hundreds of times. It was impressive, and it took him more than half a year to fully understand this phenomenon.
Now, give the answer directly.
"Wait, maybe we are all misdiagnosed. Let me think about it and sort out the relationship between them. The military doctors who sent the patient just now said that the patient had already developed high blood pressure on the plane, and he recovered after taking antihypertensive injections." Blood pressure. Perhaps the cutting caused severe muscle damage to him, which caused a large amount of myoglobin to enter the metabolic system. Myoglobin caused the urine to turn red and released a large amount of potassium to deal with metabolic chaos. something is wrong."
Chen Qun paused for a moment, then turned his gaze to Huang Haitao, and said unswervingly.
"Teacher Huang, I think this is rhabdomyolysis. Although this disease is not easy to appear in small muscle injuries, it is still possible. I have only seen a few cases in so many surgeries, and this time is the same as what I have seen. Very similar twice!”
Huang Haitao's mouth moved, and he didn't have the slightest urge to compete with this student who didn't speak martial arts. He was just a tool man anyway, so he wouldn't be slapped in the face by Chen Qun.This is the lesson he learned when he was a teacher, so his best way to deal with it is to send it over without shame, and you won't get hit.
Anyway, this is your territory, so I won't stretch my arms so far, and compete with you in the field you are best at!I am not stupid!
"What are you going to do? Now you have less than nine hours!"
"No matter how successful the operation is, it needs to be alive to make sense, so we must flush out myoglobin from his metabolic system, otherwise the patient will immediately suffer from renal failure. Immediately give him normal saline at a dose of 500 ml per hour, so that His urination reached 200. Give him an infusion of 2 units of bicarbonate 2-acrylamide-3-methylpropanesulfonic acid in 1 liter of glucose in water at 100 ml per hour. A little more mannitol, let's get him from Pull back the gate of hell!"
Seeing that the immediate operation was postponed, many people were disappointed and walked out of the stands above their heads.
Chen Qun took a hungry look at Huang Haitao, thinking that he should be of no use here, so he was going to push him back to the altar to eat cold pork, and don't follow him to get in the way.After all, there are some tricks that most doctors can't see, but general surgeons like Huang Haitao will be suspicious.
Some things are too proficient to use talent as an excuse.
"Mr. Huang, take a rest outside first, and wait for the data here to come out. I will go to operating room No. [-] to mark and clean the severed hand to prepare for the surgery to come!"
Huang Haitao directly put a hat on his head, "You boy, you are afraid that I will get in the way, so you just throw him out. Okay, my past is not very helpful, just wait for the patient's result."
Before Chen Qun turned out the door of the operating room, he saw Qi Hong running over out of breath, and quickly stopped her from continuing to run wildly.
"Something happened to the patient, rhabdomyolysis. We are detoxifying, so you don't need to be so anxious. Teacher Huang is not familiar with this area. After you rest for a few minutes, go to the operating room to help me build a [-]D model for the patient. It will be convenient for the operation later. "
Huang Haitao knew that it was actually Chen Qun who was avenging his own personal revenge, so he expressed a silent protest to him, which was also the sequelae of squeezing them too hard, so he couldn't help shaking his head to express his dissatisfaction.
"It seems that people are getting old, almost to the point where dogs hate people. Next time I beat you to death, I won't come to your side and poke your eyes!"
Chen Qun gave him a look of acquiescence and let him experience it for himself.
Since the facility configuration here is more reasonable, it reflects the convenience of various intelligent systems. In less than 3 minutes, the patient's rhabdomyolysis was confirmed, and then most of the corresponding medicines were configured by the robotic arm. It was only manually prepared by a rare pharmacist, which made many professors who came from the General Academy envious.
Originally thought that Chen Qun's experimental operating room in the emergency center was the peak configuration of all operating rooms in the world, but now it seems that even other systems are running in a matching manner here, which is more complete than a single operating room.Maybe in the future, if there is an opportunity, you can come here and borrow the operating room to complete a few operations.
These professors who lead the group have all seen the world and are well-informed. Knowing that the new courtyard has begun to expand again, it means that others will follow. There is a matching version.If each department pays for it by itself, it can be done in a mess, and it won't be so shabby.
Perhaps, after they go back, they should also learn from Liang Shaoming of the Respiratory Department, get sponsors to pay for it, and decorate a decent operating room in the new hospital by themselves.Even if they don't have as much money as Director Liang, but a few people gather together and persuade the departments in the hospital to be more crowded, so that the equipment can keep up.
What's more, as myopia repair surgery has been nominated for the Nobel Prize in Medicine these days, more people need surgery, and the reopening of the eye center in the hospital is also on the agenda, and surgery is considered a new technology for everyone. Everyone stands on the same starting line, and the hospital also recruits surgical elites from various departments to train and study. The income from surgery can also be distributed to each department. With this part of income, operating rooms with better configuration are already available. Material basis.
Perhaps a meeting can be held in the hospital to discuss the equipment of the operating room in the new hospital, and each department will provide some, so that the centralized arrangement in the hospital is more appropriate.Anyway, Liu Dapao is not good at other things, and he has never fallen behind in making money and stealing money. This time, it is more certain to let him do bloodletting than to find that poor Ye Hanlin.
Chen Qun didn't know that after the professors from other departments saw his operating room, which was never open to the public, everyone turned their attention to Liu Yang, which was a mess.
At this time, I was leading two assistants to mark and clean the palm of the patient's amputated limb in the relatively cold operating room. The neat and standard technique was extremely proficient, which made Miss Dongfang a little suspicious. Is this guy after an operation? , will repeat countless times in my mind.Perhaps as Qi Hong said, this guy's scholar syndrome is more like mirror syndrome, he can directly mirror a doctor who has the world's highest technology and then transform it into his own.
(End of this chapter)
"Hematuria, irregular heartbeat, I think it is more likely that the kidney or bladder is damaged!"
Among the more than ten doctors standing on the observation platform, a short, fat and kind-hearted old doctor gave his conclusion loudly above his head. As the deputy director of surgery of Xiangyun Hospital and the professor leading the group, he was willing to come here as a backup The fetus is only responsible for moving the mouth.It was one of his students who did the work, and he managed to grab a second assistant position from Liu Dapao, so he naturally wanted to come over to watch the students, so as not to embarrass himself.
Chen Qun is almost familiar with this phenomenon. In his three simulated patients, although the frequency of this phenomenon is not many, only one to two percent, after tens of thousands of operations practice, it is still hundreds of times. It was impressive, and it took him more than half a year to fully understand this phenomenon.
Now, give the answer directly.
"Wait, maybe we are all misdiagnosed. Let me think about it and sort out the relationship between them. The military doctors who sent the patient just now said that the patient had already developed high blood pressure on the plane, and he recovered after taking antihypertensive injections." Blood pressure. Perhaps the cutting caused severe muscle damage to him, which caused a large amount of myoglobin to enter the metabolic system. Myoglobin caused the urine to turn red and released a large amount of potassium to deal with metabolic chaos. something is wrong."
Chen Qun paused for a moment, then turned his gaze to Huang Haitao, and said unswervingly.
"Teacher Huang, I think this is rhabdomyolysis. Although this disease is not easy to appear in small muscle injuries, it is still possible. I have only seen a few cases in so many surgeries, and this time is the same as what I have seen. Very similar twice!”
Huang Haitao's mouth moved, and he didn't have the slightest urge to compete with this student who didn't speak martial arts. He was just a tool man anyway, so he wouldn't be slapped in the face by Chen Qun.This is the lesson he learned when he was a teacher, so his best way to deal with it is to send it over without shame, and you won't get hit.
Anyway, this is your territory, so I won't stretch my arms so far, and compete with you in the field you are best at!I am not stupid!
"What are you going to do? Now you have less than nine hours!"
"No matter how successful the operation is, it needs to be alive to make sense, so we must flush out myoglobin from his metabolic system, otherwise the patient will immediately suffer from renal failure. Immediately give him normal saline at a dose of 500 ml per hour, so that His urination reached 200. Give him an infusion of 2 units of bicarbonate 2-acrylamide-3-methylpropanesulfonic acid in 1 liter of glucose in water at 100 ml per hour. A little more mannitol, let's get him from Pull back the gate of hell!"
Seeing that the immediate operation was postponed, many people were disappointed and walked out of the stands above their heads.
Chen Qun took a hungry look at Huang Haitao, thinking that he should be of no use here, so he was going to push him back to the altar to eat cold pork, and don't follow him to get in the way.After all, there are some tricks that most doctors can't see, but general surgeons like Huang Haitao will be suspicious.
Some things are too proficient to use talent as an excuse.
"Mr. Huang, take a rest outside first, and wait for the data here to come out. I will go to operating room No. [-] to mark and clean the severed hand to prepare for the surgery to come!"
Huang Haitao directly put a hat on his head, "You boy, you are afraid that I will get in the way, so you just throw him out. Okay, my past is not very helpful, just wait for the patient's result."
Before Chen Qun turned out the door of the operating room, he saw Qi Hong running over out of breath, and quickly stopped her from continuing to run wildly.
"Something happened to the patient, rhabdomyolysis. We are detoxifying, so you don't need to be so anxious. Teacher Huang is not familiar with this area. After you rest for a few minutes, go to the operating room to help me build a [-]D model for the patient. It will be convenient for the operation later. "
Huang Haitao knew that it was actually Chen Qun who was avenging his own personal revenge, so he expressed a silent protest to him, which was also the sequelae of squeezing them too hard, so he couldn't help shaking his head to express his dissatisfaction.
"It seems that people are getting old, almost to the point where dogs hate people. Next time I beat you to death, I won't come to your side and poke your eyes!"
Chen Qun gave him a look of acquiescence and let him experience it for himself.
Since the facility configuration here is more reasonable, it reflects the convenience of various intelligent systems. In less than 3 minutes, the patient's rhabdomyolysis was confirmed, and then most of the corresponding medicines were configured by the robotic arm. It was only manually prepared by a rare pharmacist, which made many professors who came from the General Academy envious.
Originally thought that Chen Qun's experimental operating room in the emergency center was the peak configuration of all operating rooms in the world, but now it seems that even other systems are running in a matching manner here, which is more complete than a single operating room.Maybe in the future, if there is an opportunity, you can come here and borrow the operating room to complete a few operations.
These professors who lead the group have all seen the world and are well-informed. Knowing that the new courtyard has begun to expand again, it means that others will follow. There is a matching version.If each department pays for it by itself, it can be done in a mess, and it won't be so shabby.
Perhaps, after they go back, they should also learn from Liang Shaoming of the Respiratory Department, get sponsors to pay for it, and decorate a decent operating room in the new hospital by themselves.Even if they don't have as much money as Director Liang, but a few people gather together and persuade the departments in the hospital to be more crowded, so that the equipment can keep up.
What's more, as myopia repair surgery has been nominated for the Nobel Prize in Medicine these days, more people need surgery, and the reopening of the eye center in the hospital is also on the agenda, and surgery is considered a new technology for everyone. Everyone stands on the same starting line, and the hospital also recruits surgical elites from various departments to train and study. The income from surgery can also be distributed to each department. With this part of income, operating rooms with better configuration are already available. Material basis.
Perhaps a meeting can be held in the hospital to discuss the equipment of the operating room in the new hospital, and each department will provide some, so that the centralized arrangement in the hospital is more appropriate.Anyway, Liu Dapao is not good at other things, and he has never fallen behind in making money and stealing money. This time, it is more certain to let him do bloodletting than to find that poor Ye Hanlin.
Chen Qun didn't know that after the professors from other departments saw his operating room, which was never open to the public, everyone turned their attention to Liu Yang, which was a mess.
At this time, I was leading two assistants to mark and clean the palm of the patient's amputated limb in the relatively cold operating room. The neat and standard technique was extremely proficient, which made Miss Dongfang a little suspicious. Is this guy after an operation? , will repeat countless times in my mind.Perhaps as Qi Hong said, this guy's scholar syndrome is more like mirror syndrome, he can directly mirror a doctor who has the world's highest technology and then transform it into his own.
(End of this chapter)
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