Chapter 168: Limb Salvage Treatment
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"The injured person had an open comminuted fracture of the lower leg, and the limb was destructively damaged, making it difficult to reconstruct the normal bone structure, and the nerves, blood vessels, and muscles were all damaged, and it was difficult to repair them again. Basically, it is unrecognizable, and if limb-salvage treatment is too risky, the injured person will also experience a lot of pain, both financially and financially. So, I still have an amputation. Li Yigang, who came for consultation, put forward his opinion on the treatment of Li Yong's left leg.
Li Yigang added: "In fact, in this case, the safest way is to amputate the leg. In fact, there is no need to worry about future life problems, and the installation of a prosthetic limb does not have much impact on normal mobility. Moreover, even with limb salvage treatment, it is impossible for the lower limb to fully recover its previous effects. ”
Li Yigang pointed to the film and said: "You see, the bone of his left calf has almost completely turned into fragments, and it is almost impossible to heal again. His condition is fully in line with the indication for amputation. In this case, I don't advocate reluctantly salvaging a limb. ”
Qin Chuan frowned, taking the film and observing it carefully.
"They are all crop people, and if this leg is wasted, the whole person will be completely wasted." Gao Zhanting was a little unbearable.
"It's not that we don't want to keep his leg, it's that we can't. Although we rescued them in time, his leg injury was too severe. Barely salvage, not to mention how much money it costs, most likely, the money is spent. The leg was not saved, and it had to be amputated in the end. The stakes are very high. It's better to amputate the leg directly from the beginning, so that it can cost less money, and he will suffer less guilt. Li Yigang said.
"Can you fix his vascular nerves first, and then let his tissues slowly repair themselves?" Qin Chuan said what he thought.
"It's hard. This kind of surgery is considered to be international. Few doctors are willing to do it. Thankless. It took a lot of effort, and it may end up being amputated. The patient suffers and has to pay more for medical treatment. When the time comes, not only will we not help each other, but we will harm the injured. And his condition is already in line with the indication for amputation, if we still go for limb salvage. In the future, the patient's family may take this to court. Li Yigang said.
Qin Chuan's expression became stern, Li Yigang is an expert in orthopedics, and his words are naturally very reasonable. But Qin Chuan was still a little unhappy. It took a lot of effort to get the person out of the person, and it took a lot of effort to protect the injured person's calf, but in the end, the leg had to be amputated.
"Let's talk to the families of the injured first." Qin Chuan said.
Li Yigang nodded: "Doctor Qin." In his case, if he is transferred to our orthopedic department, he will definitely have to have his leg amputated. There is no other possibility. If there are other treatments on your emergency side, our orthopedic department will definitely not be involved. ”
After Li Yigang left, Qin Chuan's medical team held a small meeting.
"This was the first consultation with our medical team. I would like to hear your opinions on how to choose. After Qin Chuan and all the team members arrived, he said very calmly.
"My opinion is in line with that of Li Yigang. In this case, there is no need to take any risks. The surgery is too difficult. The run-in time for our medical team is too short. It is definitely not enough to undertake such a difficult treatment as soon as you come up. He Xiaokang felt that he couldn't take any risks.
Gao Zhanting thought for a while and asked, "Xiaochuan, how sure are you?" ”
Gao Zhanting knew that Qin Chuan had something special. Since he did not directly agree with Li Yigang's opinion, it shows that he is still hesitating.
"I've seen a similar case where some treatments might work. But the risks are also significant. The risk is five or five. Qin Chuan said.
"If I'm 50% sure, I think I can try. Although the fifty percent certainty is not high, for the injured, it is just to pay some physical pain. As well as some money. Even if the operation fails, the injured person is still not in danger of life. It's worth trying. Gao Zhanting said.
Lu Shulei said: "I think we should try. The medical team has just been formed. We need some difficult surgeries to work as a team. Since Ogawa is fifty percent sure. We should try. As long as the family agrees. I think it's okay to give it a try. I am willing to take responsibility with Ogawa. ”
Zhang Jingzhou is also firmly on Qin Chuan's side: "Although this operation is extremely difficult, it is a real starting point for our team. In the future, when the emergency center is established, we will have to face all kinds of challenges, and this time we might as well serve as the first fortress for our team. ”
Yang Yaoqing also said: "Since I have gone with this Xiaochuan, no matter how Qin Chuan goes, I will follow a path to the black." ”
He Xiaokang smiled: "I take back my previous words, since Xiaochuan is fifty percent sure." I think it's something you can try. If I fail, I certainly won't run away. Our team is to give to the whole. ”
Qin Chuan was very comforted to see that every member of the team was supportive. Qin Chuan still has a great grasp in his heart. Because in the [Genius Famous Doctor] system, Qin Chuan has already seen the same case. The treatment plan is very clear, and although the treatment methods are very complex, there are no technical constraints. The medical team is just starting out, and it needs to gain experience step by step, while also some breakthroughs are needed to boost the self-confidence of each member. Pan Jiaming's team did not take the Qin Chuan team seriously, and Qin Chuan also did not take the Pan Jiaming team as his competitor. Qin Chuan hopes that his team can grow into a world-class team. This goal is not an extravagant hope for Qin Chuan, who has a [Genius Famous Doctor] system.
"Well, now that the team members have agreed to do limb salvage treatment, everyone is fully prepared for surgery from now on." Qin Chuan then made arrangements, requiring everyone to be familiar with all the details of the operation, and no link could be wrong.
Qin Chuan found Li Tang and the others, who had been waiting for news, and told Li Yong about the situation.
"Limb salvage, of course! We are people in the countryside, and if we have a wasted leg, we will not be able to work, and this person will be completely wasted. Doctor, you must find a way to save his leg. Kuritdo said pleadingly.
"Is his family here? What kind of plan to use, we still need to obtain the consent of his family and sign the consent form for surgery before we can carry out the operation. Qin Chuan said.
His family arrived quickly. We let you know early in the morning. Kuritao said.
"However, limb-salvage treatment is very risky, with a success rate of about 50 percent. If surgery fails, an amputation may end up. Qin Chuan reminded.
"It's only fifty percent?" Li Tang was also a little hesitant. Although this Li Yong is a cousin with him, such a decision is not something he can decide.
Li Yong's mother-in-law, Xiao Nianchun, rushed to the hospital, and she was also very hesitant in the face of a fifty percent chance of success.
"Sister-in-law, don't hesitate. Isn't there still a 50% chance of it? Besides, this time, you don't have to pay for the medical expenses at home, so even if you don't get cured, there is not much loss. Li Tang reassured.
Xiao Nianchun thought about it and agreed. Signed the consent form.
The news that Qinchuan's medical team was going to have limb-salvage surgery spread in the hospital.
After Li Yigang heard about it, he just smiled helplessly, Xiao Qin, a young man, was indeed as bold as when he was young, but he was not mature enough to do things without considering the consequences. But since he had persuaded Qin Chuan many times before, Qin Chuan still insisted on doing limb salvage surgery, and Li Yigang was not ready to ask. The difficulty of this operation is too great, and Li Yigang himself is not sure.
After Pan Jiaming's team heard about it, they felt that Qin Chuan was a little over-the-top, and he was completely brutal in what he did.
"Look, this Qin Chuan, I'm just afraid that something big will happen this time." He Jingtao said.
Pan Jiaming said disdainfully: "In order to become famous, he does everything." ”
"yes. Li Yigang from the Department of Orthopedics had a leg amputation during the consultation, but Qin Chuan insisted on doing limb salvage. Could it be that Qin Chuan thinks that his orthopedic skills are more powerful than that of an experienced old doctor like Li Yigang? Su Zhibin said on the side.
"We don't have to worry about other people's affairs. This time to participate in the rescue, our team still had a little problem. The thing our team lacks the most right now is hands-on experience. This time, everyone worked hard and accumulated some practical experience. Pan Jiaming still recognized the shortcomings of his team.
After hearing the news, Cheng Guanhua was also very anxious, and immediately called Qin Chuan to the office.
"Xiao Qin, what's the matter with you? Dr. Li Yigang has already attended the consultation and given the treatment advice, why don't you transfer the patient to the orthopedic department for amputation? Do you know what kind of impact it will have on your team if your team fails this time? Cheng Guanhua asked.
"Our team will be more and more experienced. Most importantly, we give our patients a chance. As a doctor, what you need to consider is not how to expand your own interests and reduce your own losses, but how to alleviate the pain of patients. Qin Chuan said.
"Are you sure? Tell me the truth. You're not one to do things on impulse. Cheng Guanhua saw that Qin Chuan was not worried at all, and he had some doubts in his heart.
"Five-five." Qin Chuan didn't hide it either.
"Five-five? There are still some adventures, and since you're ready to make a splash, be prepared. Cheng Guanhua reminded.
Qin Chuan nodded: "Strive to increase the probability of success by a few more points." ”
As soon as Qiē was ready, Qin Chuan's team was about to face the first very complex and difficult operation since the establishment of their team.
When applying for the operating room, Qin Chuan's team was suddenly notified by the hospital that the hospital was ready to organize an observation of this operation.
"What does that mean?" He Xiaokang didn't understand the hospital's decision.
Although if this operation is completed, the Qin Chuan team will be a complete hit, but if the operation fails, the pressure that the Qin Chuan team will face can be imagined. (To be continued)
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