Big Doctor Live Room

Chapter 613 Hereditary Mitochondrial Disorders
Of course, Chen Qun didn't think that Xiehe Hospital was trying its best to diagnose and treat the patient, and couldn't find his symptoms. He didn't think about it at the moment, and immediately expressed his judgment.

"It should be that the patient's muscle cells are pouring into his blood, so it may be due to electrolytes. Have you done eight bedside biochemical tests?"

"It has been done. The blood sodium is 135, the blood sodium bicarbonate is 22, the blood sugar is 113, and the blood sodium is 6.9. We judged that the patient needs calcium and sodium bicarbonate, and have injected ampoules of calcium gluconate and sodium bicarbonate, plus ten units of regular insulin. , which temporarily alleviated the condition. However, abdominal swelling and hemoglobin drop have already occurred at this time, and I need your help to perform an operation."

"Spleen tear repair surgery is done in a minimally invasive way, trying to ensure that patients are not traumatized by secondary surgery!"

Chen Qun raised his head, looked at the old doctor in front of him, and gave the answer he wanted.

"Yes, because it is best for you to perform this operation. Originally, the hospital had decided to combine surgery and interventional surgery, but here you can improve the quality of the operation by several levels, and at the same time reduce the risk. few."

When Chen Qun heard the former dean's words, he felt even more flattered.Knowing that with the strength of Xiehe Hospital, it is not impossible to do a torn spleen, and you need to ask outsiders for help.

But now the patient's problem has not been found out, and it is the best choice for the hospital to reduce the most unnecessary damage under the condition of headache and foot pain.Since he came here to perform a wonderful brain surgery, no one would object to dragging him over to do minimally invasive surgery in his old profession.

However, this kind of illness is also what he is best at, so of course he is bound to do so.What's more, he loves the system space and has performed thousands of visceral and bone fragmentation operations. It can be said that there are few doctors in the world who have performed so many operations.

The system space trains him with impossible surgeries that can be squeezed to the limit. In reality, it is almost impossible for the extreme situation simulated by the system to occur. Even if internal organs and bones are injured at the same time, the probability of him solving it is at least 90.00%.

"Then I'll prepare for the operation right away! I hope I can prevent him from dying on the operating table before his true condition is found out."

Chen Qun immediately stood up and walked out towards the door.

A few minutes later, he looked at the comatose patient who had been intubated in his mouth, and a faintly discernible line of writing suddenly appeared on the corner of his eyes, which jumped twice and then froze.

Seeing this symptom, Chen Qun couldn't help opening his mouth wide open.This... is simply impossible for an athlete to happen!
This world is too strange, right?
Just as he was thinking, he heard the monitoring panel hanging above the patient's bed beeping suddenly, which made Chen Qun immediately find a better way to completely solve the patient's problem.

"Ms. Ruan, the patient's condition is urgent, and it's too late to repair the spleen with minimally invasive surgery. I need to use conventional surgical methods for rescue."

Ruan Changzheng is also experienced. Seeing the patient's blood pressure and heartbeat rising together, he made a decisive decision. He knew that the patient needed to decompress and stop the bleeding immediately, or he would die. Xiao Chen gave the best choice and agreed without hesitation. .

Chen Qun picked up the surgical scissors and cut the sutures on the patient's surgical wound that was sutured two days ago, and made a small request to Ruan Changzheng who entered the operating room together.

"Mr. Ruan, I need to use half of the previous incision, and then make a six-centimeter incision to complete the repair of the spleen, which can minimize the surgical injury. It's just that the upper half of the incision is a little bit away from the position of the spleen. There is an assistant on the opposite side to pull the hook for me, which is a little different from conventional surgery."

While making the request, Chen Qun neatly made a small incision, pointed the scalpel at the lower part, and continued to explain the situation.

"I slightly deviated from the midline of the fascia to avoid damaging the rectus muscle of his abdomen. I tried to cut the knife from the weakest part and cut out a suitable part. Hey, wait, something seems wrong, nurse, give me the hemostatic gauze immediately .”

The movement of Chen Qun's hands suddenly stopped, took the hemostatic gauze handed over by the nurse, wiped the surface of the muscle fascia a few times with force, and rolled the skin outward with surgical forceps to reveal a larger field of vision.

"Look at the color of the muscle, it doesn't look like muscle at all, the color is too pale, it should be diseased!"

Chen Qun gave his "inference" with certainty, and then used surgical forceps to poke the pale muscle twice.

"Look, there's hardly any twitching in the muscles. That's impossible, the patient is a national athlete, and with his background. I think we've found the root cause of what's wrong with his body. We need to do a muscle biopsy right away to confirm that he If the guess is correct, we can cure him."

Chen Qun's last few words were already full of strong and unparalleled confidence. Even if he didn't perform simulated surgery and observation in the system space, he could still come up with the most accurate prediction.

Because of the knowledge and experience taught to him by the system space, this has been verified countless times.In the final analysis, the system space is still a matter of imparting his technology. All simulated operations are carried out in accordance with the medical laws he knows.With the same evidence, whether he does the simulated operation or not, the result is the same in the end.

This time it was Ruan Changzheng's turn to be a little dazed, but he was not a professional doctor, so he could put down his airs and ask the two young people shamelessly.

"Xiao Qi, can you hear what disease Xiao Chen is talking about? I seem to have a little impression, but I am old and can't remember it. Can you tell me?"

Qi Hong only deliberately questioned her at the time, and gave the answer directly.

"This should be a hereditary mitochondrial disorder, which occurs when mitochondria cannot produce enough energy for the body to function normally. After the patient became a national-level athlete, he often needed to participate in various competitions, which led to intermittent fasting, so It triggered a disorder in his mitochondria, which in turn exacerbated various traumas in his body."

"That means he can't continue to return to the game?"

"Grandpa Ruan, you are wrong again. This disease can be controlled through diet. You only need to take special diets and supplements, and eat at a reasonable time, such as using the method of eating less and more frequently. Replenishment of energy in his body to get him back on the field."

"Actually, this kind of disease sounds very high-end, but the treatment method is very simple. Zhou Lin, you come here to be responsible for pulling the hook, and I will cooperate with Chen Qun to fix the patient's small intestine and stop his abdominal spleen bleeding as quickly as possible."

This time, Chen Qun did not need to teach, and he did it very quickly. In almost 7 minutes, he completed the repair of the spleen and began to wash and disinfect the abdomen.

Ruan Changzheng watched his two hands complete all the delicate movements in a very narrow space, just like embroidery, and he only completed the stitching of the spleen with his fingers, and he sighed even more.Why did Liu Dapao say that Xiao Chen is a genius surgeon first, and a minimally invasive doctor second.

The reason is also very simple, that is, his surgical skills are unmatched.Just relying on his fingers to complete the suture, and at the same time to complete the hemostasis in the operation with foresight, these two points are enough for him to complete many operations that others cannot complete.

(End of this chapter)