With the assistance of a ventilator, after a week of internal medicine anti-infection treatment, the condition of the baby, who is less than 2 months old, finally stabilized.

But the operation could not be delayed any longer, because there was still a lot of chyle pleural fluid drained every day, more than 100ml for 7 consecutive days, and Chen Qi had to take the risk of arranging the operation.

Of course, Chen Qi is still sure of the success of the operation.

"Isn't it just ligating the chest duct?"

Chen Qi watched the disinfection of the two assistants, while sitting next to him and bragging to the others: "The old man of the Second Hospital is too timid, and the Department of Surgery in Jixian County will have to look at our Fourth Hospital in the future!" ”

Hahaha, there was a laugh in the operating room.

The neonatal chylothorax surgery attracted the attention of all the surgeons in the four hospitals, and Chen Qi simply prepared to make the operation a teaching operation, and even the CCTV was turned on and broadcast live.

This condition is unique in the Vietnamese-Central region.

After Bian Meng finished eliminating the poison, he confirmed with the anesthesiologist again, and then shouted: "Chen Tou, you are ready before the operation." ”

Chen Qi stood up suddenly, took his "chess knife" from the sterile tray, inserted a standard posterolateral incision into the chest, and began the operation.

The director of surgery is the first assistant, Yan Shifan is the second assistant, and the border league is the third assistant.

As soon as the chest cavity was opened, Director Bian skillfully sucked up the chyle fluid accumulated in the pleural cavity, revealing a clean wound, and the first step of the operation went smoothly.

may feel that the atmosphere in the operating room is more relaxed, and Bian Meng's words are a little more:

"Chen Tou, where do you usually find this chest catheter?"

Chen Qi faced several of his henchmen, and he did not hesitate to teach:

"The thoracic catheter is generally between the asympathetic vein and the aorta, the color is easier to debate, it is generally bead-white translucent, about 5 mm thick, and after a while, our operation is mainly to ligate the two ends of the broken thoracic catheter, ok, discharge."

Director Bian smiled and patted his ass:

"That is, you said it so easily, such a small baby, you are already going crazy if you don't see the anesthesiology department, and the dosage of general anesthesia drugs formulated has been studied for several days."

The anesthesiologist nodded desperately on the side.

"Hey, it's good to have this momentum, not only our surgery has to improve, but also anesthesiology, internal medicine, and pediatrics have to improve. The anesthesiology department is so attentive and thoughtful that it should be praised. ”

Hehehe~~~

The atmosphere in the operating room was relaxed, and outside the operating room, the other doctors who watched the operation were chatting and watching the TV screen.

In the second step of the operation, Chen Qi was about to push the lungs to the side, and then expose the mediastinum and aorta behind him to facilitate the incision, and suddenly, Chen Qi did not move.

It can be seen with the naked eye that all the sweat on his face is dripping.

Director Bian and Yan Shifan next to Chen Qi glanced at each other, and they both saw the surprise in each other's eyes.

Because of the operation with this Dean Chen for so many years, it is the first time that everyone has encountered him showing a nervous, even frightened expression during the operation.

For a while, the operating room, which was still talking and laughing, became quiet, and both the nurses and the little doctors closed their mouths.

Everyone knows that the operation has gone unexpected.

And this accident is estimated to be very fatal.

Director Bian's voice trembled a little: "Chen Tou, what's wrong, what's wrong?" ”

Chen Qi didn't say a word, changed his left hand to his right hand, continued to gently touch the child's lungs, and then gritted his teeth and turned the inside of the lungs over.

"Hiss~~~~"

Everyone in the operating room gasped for air, and saw a small nodule similar to black on the inner side of the pink lung, with a diameter of less than 1cm, which was particularly dazzling under the shadowless light.

At this moment, everyone's sweat flowed down at the same time.

Yan Shifan's voice also stammered: "This, this, this, this looks like a malignant tumor?" ”

Chen Qi's face was pale, and he said to himself: "The touch is hard, the boundary is not very clear, it's over, it's over, why is this kid so unlucky." ”

Chen Qi knew in his heart that he was probably encountering a situation that he hadn't expected before, who would have thought that this 2-month-old infant would actually have a tumor in his lungs? Is there a direct relationship between this chylothorax?

As soon as he thought of this, Chen Qi was annoyed.

He was not annoyed that he was unlucky, but that he was reborn in this 80s, there were so many examination equipment, not even a CT machine, and the preoperative preparation was too inadequate.

Then Chen Qi thought of the expectation on the faces of the child's mother, grandparents, and grandparents before entering the operating room, they trusted him Chen Qi was transferred to the fourth hospital, and he didn't expect such a result in the end.

Thinking of this, Chen Qi really wanted to slap himself in the face.

Everyone in the operating room looked at Chen Qi's face white for a while, and then black, and everyone didn't even dare to breathe.

Suddenly, Chen Qi seemed to have come to his senses, and commanded loudly:

"Shifan, you immediately take a slice and send it to the pathology room for testing as quickly as possible."

"Okay!"

"Head nurse, you call the People's Hospital immediately, and ask Dean Guo and Director Zhu Huoyan to rush to the Fourth Hospital immediately, hurry!"

"Okay, I'll go right away."

"Department of anesthesiology, you immediately re-engineer the surgical plan, extend the time of general anesthesia, and pay close attention to the patient's vital signs."

Director Bian looked down at the suspected malignant tumor, and his heart was full of emotion.

"Chen Tou, what should we do now? This thing looks fierce, and this kid can't be saved. ”

Chen Qi's mind was a little confused: "Wait, wait until Dean Guo and Director Zhu arrive, if we overturn this operation today, I really don't know how to explain it to our families." ”

Outside the operating room.

When Chen Qi told his family about the emergency situation in his hand, Shen Lifen fainted on the ground at once, and several relatives hurriedly went to help.

The child's grandmother and grandmother immediately sat on the ground and began to howl, "My child~~~ My hard-working grandson~~~"

The child's grandfather and grandfather are also calm, and even if their hands are already trembling, it can be seen that their hearts are not calm.

"Dean Chen, then, what now?"

Chen Qi was also very angry when he saw this:

"Now the experts from the People's Hospital are on the way, the baby's chest is still open, we need to renegotiate the surgical plan, and don't worry, whether this lump is benign or malignant has not yet been determined, maybe things are not so bad."

The child's grandfather sat on a wooden chair:

"Yes, yes, it's definitely not so bad, my son is fighting devils in the south, our family has never done anything bad, it shouldn't be a good person who doesn't have something to repay."

The grandmother next to her wrung off her snot: "Ah, my grandson, you're dead, and grandma isn't alive~~~"

The family members were already in chaos at this time, and Chen Qi was also in turmoil, looking at the entrance of the hospital, and finally, a jeep drove into the hospital quickly.

Dean Guo and Director Zhu arrived first, and when they got out of the car, they rushed to the operating room.

Dean Guo was a loud voice, and as soon as he saw Chen Qi, he asked, "What's the situation?" I'm in such a hurry to come, I'm still in a meeting. ”

Director Zhu also asked, "Is there an accident in the operation?" ”

While helping the two godfathers change their surgical gowns, Chen Qi hurriedly reported:

"I took over a child with chylothorax in the second hospital for less than 2 months, and my father is a combat hero. The second hospital couldn't treat it, so I wanted to take the fourth hospital to do surgery and help them, but when I wanted to do a thoracic catheter ligation today, I found that the child had a tumor in the lower lobe of the right lung. ”

"Tumors? A child who is only 2 months old? ”

Dean Guo and Director Zhu both stopped dressing and looked at Chen Qi in surprise.

"Yes, and I visually believe that it is more likely to be malignant."

Hiss~~~

The two little old men also gasped, but the probability of infants and young children suffering from lung cancer is extremely low, less than one in a million, so low that everyone has never seen it.

Not to mention that Chen Qi, who has been a doctor for two lifetimes, is very surprised, even the two old doctors who have worked for decades are also unheard of, and it is the first time they have heard of it.

But after the surprise, Dean Guo's interest increased greatly, and the doctor's favorite thing is difficult and miscellaneous evidence.

"Wash your hands and disinfect them quickly."

Zhu Huoyan nodded, not knowing what he was thinking.

The three of them quickly entered the operating room, and Dean Guo didn't think he was an outsider, so he immediately stood in the position of the chief surgeon, and Director Zhu stood in the position of the first assistant opposite.

Chen Qi, the "master", was suddenly squeezed to the side.

"That's it, this place, look, I don't feel like it's a tuberculosis ball, it's not like a lung abscess, it's not like a hamartoma, it's not like a fibroid."

Dean Guo touched his hand and then said: "The probability of malignancy accounts for 90%, has the pathological section been done?" ”

"It's done, Nurse Qiu, is the result out? Go and urge. ”

After a while, Niu Meizhen from the pathology room of the laboratory department ran in panting: "Dean, the report is out, it is malignant, squamous cell carcinoma." ”

A burst of regret erupted in the operating room, and the doctors outside the operating room hurried to find relevant materials and textbooks.

confirmed the guess, Chen Qi was not only not happy or satisfied, but was a little confused, and really didn't know how to face his family.

Looking at the little sick number on the operating table, everyone felt a sense of powerlessness.

In the end, he is still young, an old man like Dean Guo, how can he have time to be sad at this time? Instead, he is calmly thinking about the problem:

"Lao Zhu, do you remember any books or magazines that record neonatal lung cancer?"

Zhu Huoyan thought about it for a long time and shook his head:

"I haven't heard of it, I haven't seen it, there were several suspected cases of lung cancer in our hospital, but the families of the children refused to do autopsies, so the final death was unknown."

Even the people's hospital does not have a CT machine, ordinary X-rays, or old-fashioned CR machines, and small nodules or tumors cannot be illuminated at all.

Like this small patient number, the X-ray of the second hospital did not show the tumor, so the preoperative examination was missed.

This problem exists both at home and abroad.

Even hospitals with CT rarely do CT for infants and young children, one is that the child does not cooperate, and the second is that the doctor will not think of the diagnosis of lung cancer.

When children have long-term cough, fever and other symptoms, the first thing doctors think of must be the most common pneumonia, followed by tuberculosis, and even chylothorax, let alone lung cancer.

Dean Guo pondered again:

"You say how did such a young child get lung cancer? Is it due to its own reasons, or is it brought out of the mother's womb? ”

This question suddenly made Chen Qi start to ponder.

As we all know, lung cancer is mainly prevalent in smokers over 40 years old, people who have been exposed to secondhand smoke for a long time, people living in areas with serious air pollution, people who are regularly exposed to carcinogens that can cause lung cancer, and people with chronic respiratory diseases.

So what is the reason for this newborn who is only 2 months old?

Even if you spend time in second-hand smoke, you can't get lung cancer right away, unless you put it in the Ichijima nuclear power plant.

Director Zhu opened his mouth at this time:

"This should be related to the child's own problems, and it is more likely to be brought out of the mother's womb."

Chen Qi thought of another possibility, there were papers in relevant journals on this,

"Do you think cancer is contagious or genetic?"

Dean Guo glanced at Chen Qi: "I didn't say that cancer is contagious, even if it is, do the child's parents have cancer?" ”

Chen Qi was speechless all of a sudden, this child's father is still fighting and charging on the front line, obviously not sick. This child's mother......

Chen Qi suddenly thought of Shen Lifen, his face was a little yellow and a little empty, looking like he was anemic or malnourished.

I always thought that she was caused by long-term care of her children, but now that I think about it, will Shen Lifen have any chronic wasting disease? For example, where is cancer?

Chen Qi had such a thought in his mind, and he couldn't get rid of it.

Nurse Qiu next to her saw that the three big doctors were all in deep thought, and couldn't help but be a little anxious:

"Dean Guo, Director Zhu, Dean Chen, what about the children now? Will the surgery be continued, or will the chest be closed? ”

Dean Guo shouted at Bian Meng: "Go, bring the pathology report." ”

"Oh, come on!"

Bian Meng obediently took the pathology report to Dean Guo and Director Zhu, and did not dare to come out with an atmosphere in his hand, these two are "teacher-level" elders and cannot afford to offend.

Dean Guo and Director Zhu discussed it, and carefully observed the condition of the right lung, and both of them nodded.

Dean Guo spoke first:

"The operation should still be continued, not only to continue, but also to expand, taking advantage of this thoracotomy, not only to ligate the chest duct that caused chyle to be exposed, but also to remove the child's right lower lobe along with the malignant tumor."

Director Zhu added:

"The pathology report shows that the lung cancer is still relatively in situ, and there is no sign of metastasis at present, so take this opportunity to remove it together, maybe the newborn's lung cancer will be cured so radically, and it is possible that it will not recur."

Everyone in the operating room swallowed their saliva, thinking that this operation would not be able to come down in half a day.

Moreover, if such a young child has to cut off part of the lungs, it is unknown whether lung cancer can be cured and whether it will affect survival after surgery.

This is already a super difficult operation.