Chapter 981: Daunting! Incredible surgical idea!

This thing is actually often used in brain surgery.

But it is mainly used to repair the brain.

And Jia Jia obviously doesn't need this thing...

Xu Qiu said briefly: "Prevent cholesterol crystals from accumulating."

Prevent... accumulation?

Many people raised their eyebrows and didn't understand what Xu Qiu meant.

However, the director of the ENT department suddenly opened his eyes wide.

Xu Qiu wanted to continue explaining, and seeing that the director seemed to understand, he said: "Director, can you say a few words?"

The director of the ENT department did not refuse, and stood up and said: "I roughly understand Dr. Xu's purpose..."

After that, he explained the principle.

Cholesterol granuloma is a non-specific lesion. Its pathogenic mechanism lies in the accumulation of cholesterol due to various reasons. After a large amount of crystals are deposited in one area, it will stimulate the surrounding tissues, thereby producing granulation tissue.

This granulation tissue gradually increases, that is, it becomes cholesterol granuloma, leading to a series of lesions.

The core link is the accumulation of cholesterol crystals, and the second is the stimulation of the surrounding tissues!

And Xu Qiu quoted a tubular silicone rubber sheet!

This thing can prevent crystals from precipitating on the tissue.

Then, it can avoid irritating the surrounding tissues!

The ENT director's eyes sparkled, and he said, "A two-pronged approach may really be effective?"

This surgical plan is unheard of.

Putting a tubular silicone rubber plate into the surgical area to prevent recurrence is a fantastic idea.

After listening to his explanation, the expressions of the people on the scene gradually became serious, and in the end they were full of astonishment.

At this moment, everyone had only one thought in their minds.

Fuck... Is this a method that people can come up with?

Xu Qiu's understanding of surgery and the use of various surgical instruments are simply perfect!

"Director Xu, we can't do this surgery in the ENT department..." The ENT director swallowed his saliva and said.

Before the consultation began, they thought they were the protagonists.

At the very least, they were brain surgeons.

But now, when the details of Xu Qiu's plan were presented to everyone, they only felt that their understanding of surgery was constantly broken, reshaped, and sublimated.

Excellent surgeons can understand the various tricks of existing surgeries and apply them to the scalpel, so that the knife can be opened as written in the textbook.

In short, it is dancing with shackles, and all actions are within the framework.

However, countless predecessors in the medical field have already pushed this framework to a mature enough level, almost perfect, so later doctors only need to follow the process to do it, and there will be almost no mistakes.

And doctors like Xu Qiu have already jumped out of the framework of the surgery itself.

What he sees is definitely not a certain surgery.

Rather, it is a combination of countless surgical steps, which can be used on patients, where can be improved, or whether a certain technique of other surgeries can be used in this surgery...

"I will be the main surgeon." In the eyes of everyone's expectation, Xu Qiu took on this task.

Hearing this, many directors in the conference room suddenly felt relieved, and felt that a big stone had finally been put down.

"Let's discuss the details of the operation." Xu Qiu said.

On the real operating table, any operation is often repeatedly scrutinized and constantly reviewed.

After the entire surgical team discusses and rehearses, they will finally enter the actual combat.

…

…

At the same time, in the assessment venue of Tiandu Union Hospital.

The wide venue is now artificially divided into small rooms, serving as the assessment venue.

At this moment, not only Shi Lian and others, but also Liu Si of Union Hospital, Shi Feng of West China and other teams are also confused.

The information given in the first PPT is not much or little, and there is only one thing that can be confirmed with a high probability: the patient is infected after liver transplantation.

As for more diagnoses, there is nothing we can do.

At this time, one by one, the invigilators entered each assessment venue.

In the doubtful eyes of the contestants, the voice of the chief examiner sounded on the screen in front.

"Hello everyone...

For this assessment, the information given in the early stage is exactly the same. The participating teams need to make the next diagnosis or treatment measures according to the condition!

Note: Among the information given, only the data obtained from the examination is completely correct, and other contents, such as physical examination, may be mixed with the doctor's personal judgment and cannot be guaranteed to be correct; and the treatment measures in the question are the choices made by the attending physician/general consultation, and do not necessarily represent the correct ideas!

Note: Pointing out suspicious points or determining that there are errors in the diagnosis and treatment procedures in the question can give extra points! But if you question the error, double the points will be deducted!"

After listening to this last explanation, everyone suddenly realized.

In short, the content on the screen, except for the examination results, is not guaranteed to be accurate.

If you can find an error, you will get extra points.

But if you question the correct approach, you will deduct double points.

"It's a bit interesting..." Liu Si smiled.

Shi Feng of West China also looked forward to it.

For geniuses like them, if they want to surpass each other, they must seize every opportunity for extra points!

Of course, more people inevitably thought of Xu Qiu after seeing this question.

In the last famous knife competition, one of Xu Qiu's most classic scenes was pointing out the error in the question, and finally proving that the consultation team of Union Hospital was wrong.

The correct answer should be the one given by Xu Qiu. All the directors of Union Hospital are not as good as him!

Now there is a similar surgery. This is a tribute to Xu Qiu's spirit back then. Do you want to cultivate more talents who dare to challenge and question authority?

…

"We can't embarrass the teacher!" After listening to the examiner's explanation, Shi Lian clenched his fist.

In fact, her ambition is not that great, and she has no desire for the title of the first medical genius of the younger generation.

But she cares about Xu Qiu.

Therefore, I must not be weaker than others when I stand up to Xu Qiu's students.

Especially the teacher’s former defeated generals, such as Liu Si, Shi Feng and others!

Click!

There was a crisp sound, and everyone including Shi Lian looked at the source of the sound, which was the screen in front of them.

At this time, the content on the screen has changed.

“During the treatment, the patient’s condition took a turn for the worse and he began to experience oliguria and difficulty breathing.

Blood gas analysis showed that the partial pressure of oxygen dropped, PaO2 was 51mmHg when breathing air, and the oxygenation index was 270mmHg.

In addition, the patient suffered from projectile vomiting in addition to diarrhea.

Biochemical examination showed elevated bilirubin and elevated alanine aminotransferase..."

Seeing this information, Shi Lian immediately had the answer in his mind.

The results of blood gas analysis, as well as vomiting and liver damage, all point to a critical illness: septic shock!

"Three minutes for discussion."

While the invigilator spoke, he pressed the stopwatch in his hand.

Shi Lian and others looked at each other without panic.

"Septic shock, is there nothing wrong with it?" Shi Lian asked.

Jiang Mai nodded.

The others didn't say anything after thinking for a short time.

Those who can come here are all elites selected by clinical doctors. Once this kind of performance appears, they are basically killed instantly.

"Then the next step is to discuss the next step of disposal." Shi Lian said.

Jiang Maidao: "The patient's septic shock is already very critical. We mainly focus on managing the respiratory tract and controlling infection."

Shi Lian nodded secretly.

For this type of patient, the most important thing is to keep the respiratory tract open!

The second step is to control the pathogen causing the infection.

With such a criterion, the subsequent processing measures are obvious.

"Isn't this too easy?" Shi Lian frowned suspiciously, feeling that the famous sword competition would not give such a simple question...

If you put this in a small hospital, any experienced emergency doctor can kill it instantly, right?