Chapter 0006 - Fractures That Can't Be Seen by CT (Part II)

A few minutes later, Chen Xiaobo, a resident physician under Director Tian, called from the operating room: "Director Tian, there is ecchymosis and swelling in front of the left knee. ”

"Xiaobo, the operation is suspended, and the patient is pushed to the imaging department for bilateral hip MRI, yes, I will explain to the family, right now, immediately, immediately."

Really dashboard damage!

Director Tian hung up the phone and cast an approving glance at Yang Ping: "It's really a dashboard damage!" You should be right, I immediately suspended the operation, and now push the patient to do an emergency hip MRI, thank you for the reminder! ”

Director Han said: "Well, if there is really a hidden fracture of the femoral neck, the surgical method needs to be changed, do you have any other opinions?"

No one spoke, Director Han said, "Then everyone is in place, Tianyuan, you will go to the imaging department immediately, and I will go down later, and we will see the MRI together." ”

Director Han dismissed everyone, found a computer by himself, and carefully read the patient's X-rays and CT films.

Song Zimo came over and asked Yang Ping softly: "Does this patient really have a femoral neck occult fracture?" Occult fracture X-ray and CT can't be seen, right? How do you see that?"

"I can see it with my eyes." Yang Ping said with a smile.

Song Zimo glared at him, and then said, "I'll go down to the imaging department to have a look, do you want to go down?" ”

Yang Ping didn't have anything to do, and on the first day of work, he didn't arrange any tasks. What's more, the doubts were raised by themselves, and they must go down to take a look.

Director Han walked over at this time: "Let's go, let's go down and take a look, I looked at it again just now, and there are indeed suspicious points." ”

The three of them went straight to the imaging department, and many others followed Director Tian to the imaging department.

The patient was also sent to the MRI room and began to prepare for the examination.

Director Han called Director Meng in advance to Director Meng, Director of the Imaging Department, and Director Meng was also waiting in the reading room.

When everyone saw Yang Ping coming down, they all gave up their positions and gave him to stand inside, they were all curious, whether there was a fracture, anyway, they didn't see it.

"Old Han, what's wrong, I'm in a hurry to do an MRI for this patient, I just watched his CT and X-rays again, and there is no femoral neck fracture?" Director Meng said.

"Xiao Yang Gang of our department raised doubts, and from the X-ray and CT scan, he saw a hidden fracture, in order to clarify, so I did an MRI, wait to see the MRI, I also looked at the film carefully, this patient does have suspicions." Director Han said.

"That's it!" Director Meng stopped talking and waited quietly for the magnetic resonance image to appear on the screen.

The nurse in the MRI room checks the patient for magnetic metals, asks if there are any contraindications such as claustrophobia, and then signs a slip to confirm.

Magnetic resonance is the use of magnetic examination, if it is magnetic metal, it is not allowed to be brought in, there are implanted magnetic metals in the body, some are not allowed to do, strong magnetic force will move these metals.

Other metals that are not magnetic are fine, but endoplants are generally non-magnetic.

Magnetic resonance is the absence of ionizing radiation, unlike X-ray and CT, which are the discoloration of nuclear radiation.

Chen Xiaobo, a resident doctor under Tian Yuan, is helping to move patients, and Fang Yan, the attending physician, is among them.

"Brother Fang, why did Director Tian suddenly stop the operation and want to get the patient down for MRI?" Chen Xiaobo didn't figure it out.

"The new Dr. Yang said that our patient had a femoral neck fracture, and Director Tian didn't see it, but he saw it." Fang Yan was not very happy.

The patient was on the operating table, the anesthesiologist's puncture needle had entered the spinal canal, and he almost pushed the medicine, and the operation was suddenly stopped, and he had to be pushed here for magnetic resonance, which was naturally a little unhappy.

"What's new? Such a cow! Chen Xiaobo asked.

"Cow or not, let's wait for the MRI to come out." Fang Yan said.

"You too, how do you listen to the new doctor, he said to do it, pull it down and do it, two doctors, let's go out, we can check." The technician also helped to whine.

"As soon as he said this, Director Tian couldn't pay attention to it, it was us who were tired." Fang Yan said.

When everything is ready, the technician presses the switch on the outside console, and the moving tablet carries the patient slowly through the holes in the circle shape of the machine.

On this side, the two directors did not speak, and the others stopped talking, and everyone waited quietly for the inspection to be completed, and the technician uploaded the picture.

The MRI takes a little longer than the general examination, but Sanbo Hospital has introduced the world's most advanced 3.0T light-speed MRI, which is dozens of times faster than the general MRI scan.

After a few minutes, pictures start to appear on the screen, and then spread all over the screen. Director Meng immediately grabbed the mouse and began to read the film, in fact, he was also very curious about whether this patient had a fracture.

Director Han leaned over, and the others kept a certain distance from the two directors and tried to surround them as much as possible. The pictures are turned over the pages, enlarged, one by one, turned over, and overturned.

Then a picture was locked and enlarged, Director Meng leaned forward, pointed the mouse to a part, and looked at it for five minutes.

"It's true that the femoral neck is fractured, you see, Lao Han, here, T1 and T2 both have banded hyperintense edema shadows, which is an ironclad fracture." Director Meng said with certainty.

Director Han reflexively looked at Yang Ping behind him, and then leaned over: Indeed! Fractured!

This kid is capable, and after going through the film in the morning, he identified the occult fracture of the femoral neck, this kind of occult fracture, go to X-ray and CT to see, it is the mosquito wings to find the lines, it is very difficult.

The first time we met, Director Han was amazed by the amazing basic surgical skills, and today's reading technology once again surprised Director Han.

"Fractured, fractured!"

The answer came out, and everyone looked at Yang Ping together.

Fang Yan and Chen Xiaobo rushed from the MRI room to the reading room, you heard you right, are they really fractured? Is he really right?

Director Han immediately told Director Tian: "Re-talk with the patient's family, the informed consent for the operation should be re-signed, and the surgical method should be re-determined, and it is best to use the extended PFNA to fix the femoral shaft and femoral neck at one time, so that the operation will be postponed until tomorrow, and we will discuss it this afternoon." Fortunately, we rushed to do an MRI, otherwise we would have fallen into the pit. ”

"Thank you!" Director Tian patted Yang Ping on the shoulder.

"Wait a minute, my office." Director Han also patted Yang Ping on the shoulder.

Song Zimo felt a little magical, how did he see the fracture, how did he do it.

"How did you do that?" Song Zimo asked.

Yang Ping shrugged: "It's nothing, if you suffer a loss once, you will naturally be powerful." ”

"The colleague terminated the operation, re-diagnosed the diagnosis, the task was successfully completed, and the last newbie package was in place." The female voice of the system reminds you.

Now Yang Ping is used to the system and will not be startled by his sudden sound and subtitles.

Office of the Director.

Director Han and Yang Ping were across the desk, and said seriously: "I should thank you for today's matter, to avoid a dispute for Corey, you have studied imaging before?" ”

Yang Ping shook his head.

But immediately said: "When I was in the People's Hospital before, as long as it was stored in the computer system, I studied almost all the orthopedic imaging data one by one. ”

Director Han pondered for a moment, so that he could figure it out.

This is not a casual lie, Yang Ping did study medicine very hard, he used to be in the People's Hospital, he studied almost all the imaging materials in the department, and often went to the radiology department to ask for advice.

With such an accumulation of foundations, coupled with the sudden madness of the system, tens of thousands of X-movies were fed solidly.

The abnormality on the X-ray, no matter how subtle and difficult it is, he can see it at a glance.