Chapter 780 The patient who was cut in half
Xu Qiu doesn't care about this. It is also a good thing for him that domestic hospitals can develop better.
If clinical medicine can really catch up with Union Medical College in more than ten years, Xu Qiu will feel it is a pity.
The best result is that clinical medicine has maintained a momentum of rapid development, but Union Medical College, Huaxi Hospital, etc. are not far behind and can still remain at the top. The level of hospitals across the country has followed the trend.
"By the way, you don't have to go to work today?" Xu Qiu asked instead.
Xiehe is much busier than Linyi, but Chen Qiao still has time to visit him.
"I asked for a leave. The hospital originally refused to approve it, but when I heard that I came to see you, teacher, the leader immediately agreed!" Chen Qiao smiled happily.
Is his name so easy to use... Xu Qiu was a little surprised.
Chen Qiao seemed to have remembered something, and added: "Moreover, there was a patient admitted to Tiantan this morning. It is very serious. Tiantan can't handle it well. I thought I would come over and take a look."
"A patient that the Temple of Heaven cannot handle? What disease is it?"
"An injured person who was hit by a truck was very unlucky. He happened to be squeezed against the cement wall of the highway, and his lower body was almost completely crushed. Because it was close to the Temple of Heaven, he was sent to the Temple of Heaven, but this kind of patient must Only Concord can handle it.”
Crushing lower body?
Xu Qiu suddenly remembered something... Cooperating with Tiantan, it is almost impossible to impress them with Huili, a brain surgeon.
As the leader in brain surgery in the country, they have everything clinically available.
But what if Tiantan is allowed to have the same competitiveness in other departments?
To put it more bluntly, Xu Qiu has supported other departments in Tiantan, so that Tiantan no longer only has brain surgery as a dominant discipline, but can walk on multiple legs. In that case, maybe cooperation can be reached!
"Has the patient been sent to Union Medical College?" Xu Qiu asked quickly.
Chen Qiao didn't understand why the teacher suddenly became excited. He shook his head and said, "No, Tiantan Hospital is still in a meeting. The patient's condition is very serious. He may die during the transfer. He cannot be moved easily."
"Let's go and have a look with me."
Xu Qiu took a few more bites, put away the lunch box and rushed to Tiantan Hospital.
…
At this moment, the conference room of Tiantan Emergency Department.
A multidisciplinary hospital-wide conference was held here.
In addition to doctors from Tiantan Hospital’s emergency department, emergency surgery, vascular surgery, orthopedics, hepatobiliary and pancreatic surgery, and anesthesiology and imaging departments, two directors of the emergency department and orthopedics department from Union Hospital also came.
This meeting brought together experts from almost all clinical subdivisions.
This configuration is enough to sweep away most diseases, but despite this, every doctor present has a face as serious as a piece of iron.
The doctor attending the Tiantan Emergency Department reported the patient’s condition:
"The patient was severely squeezed and damaged from fifteen centimeters below the belly button to between the thighs. The abdomen and entire pelvis were severed at the level of sacrum 1. Only the five-centimeter-wide skin of the right lumbar and iliac region was connected to the pelvis. The intestines and penis were exposed. , scrotal avulsion; both internal and external iliac arteries and veins were completely severed; the anterior iliac artery plexus and right lumbar artery were lacerated and bleeding, thrombus had appeared in the proximal end, and the distal blood vessels were avulsed...
"In addition, the patient's lower segments of both ureters were broken, the bladder was severely bruised, the extraperitoneal segment of the rectum was completely transected, the mucosa was exposed, and large areas of skin, muscles and major blood vessels on both thighs were avulsed, and the injury severity score was 75 points!
"After evaluation by various departments: the patient may lose the possibility of limb salvage!"
The Injury Severity Score is a trauma scoring system commonly used in emergency departments and surgeries. Compared with general scoring methods, the Injury Severity Score scores each organ according to the degree of injury and the degree of threat to life, and then selects the three most serious injuries. area, calculate the sum of squares, and get the final score.
The valid range of this scoring system is 1~75, that is, 75 points is the damage limit.
Brain stem injury, head and neck disconnection, trunk disconnection and liver avulsion can all score 75 points. At this stage, it is basically impossible to save, and it is almost certain to die.
It can't get any more serious if it goes higher than 75 points, it's a corpse.
…
The faces of many experts in the conference room were extremely sad.
In layman's terms, this kind of patient has lost the lower body below the navel.
Death is only a matter of time.
How easy is it to save him?
Tiantan specializes in brain surgery, but does not have much experience in dealing with such severe systemic injuries.
Even if it is a top three university like Xiehe University, each department only has rich experience, but whether it can be saved or not depends on the patient's own destiny.
This is a major surgery that makes the news even if it saves someone's life!
"It's difficult, it's too difficult." The director of the Tiantan Emergency Department of Orthopedics shook his head with a very helpless expression.
"How sure are you of Concordia?" Tiantan's director of liver and gallbladder asked.
The director of the Emergency Department of Xiehe Union Medical College looked a little distracted: "Are you sure? Are you sure that the patient will be transferred to Xiehe Union Medical College alive?"
These words instantly brought the lively discussion to a freezing point.
Everyone's expressions are ugly... The patient is still hanging on in the ICU, let alone being transferred to another hospital. Even if he stays in this hospital, he can't even say that he can survive for more than two hours.
"The Union Medical College can only try its best." Unlike the emergency room director's bad temper, the director of Union Medical College's Department of Orthopedics analyzed it seriously.
He said: "If the patient wants to survive, limb salvage surgery is definitely not feasible. All that can be done is hemitomy. However, there has only been one case at Xiehe. Although it was successful, it was mostly luck, and the patient He only lived for three years."
Hemibody resection, that is, the lumbar spine is severed, and the pelvis, part of the pelvic contents, both lower limbs and external genitalia are removed, which is basically equivalent to cutting off half of the body.
This kind of operation is extremely rare in clinical practice. Most patients with such serious injuries die on the spot. Those who can come to the hospital with their last breath are considered rare people, and those who can survive the first round of the most dangerous rescue process are even more rare.
Moreover, even if the operation is successful, it is rare to survive for more than five years.
"Have you explained the cost to the patient's family?" asked the director of the orthopedics department of Union Hospital.
This is a super-large operation. The cost of the operation alone is hundreds of thousands, and this is only a small part.
What is even more amazing is the postoperative care. The best expectation may cost nearly one million.
In total, it is to use more than one million to gamble on an operation with a very small probability of success. Even if everything goes well, the patient will most likely only live for two or three years.
If you win the bet, you will pay more than one million in one lump sum, plus tens of thousands of monthly nursing, rehabilitation, and nursing fees in the later period, and live for two to three years with half of your body.
The only price to pay for losing the bet is the cost of the surgery, which is about 400,000 or 500,000 yuan.
The director of the Tiantan emergency department said solemnly: "I have explained that the family members are very willing to treat the patient."
The director of the Union Hospital emergency department nodded and said: "If the economic conditions are good, the resistance to treatment will be much smaller and the degree of cooperation will be high."
"No, the patients are migrant workers, and they are just ordinary workers and farmers."
Hearing this, the experts present frowned.
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