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"The injured leg suffered an open and comminuted fracture, and the limb was destructively damaged. It is difficult to reconstruct the normal bone structure. The nerves, blood vessels, and muscles are all seriously damaged and difficult to repair. Basically, it is beyond recognition. If limb salvage treatment is used,
The risk is too great, and the injured will have to experience a lot of pain, both financially and physically. Therefore, I suggest amputation." Li Yigang, who came for consultation, put forward his own opinions on the treatment of Li Yong's left leg.
Li Yigang added: "In fact, in this case, the safest way is amputation. In fact, there is no need to worry about future life problems. Installing a prosthetic limb will not have much impact on normal mobility. Moreover, even if limb salvage treatment is performed, the lower limbs will not
It is impossible to fully restore its previous function.”
Li Yigang pointed to the film and said: "Look, his left calf bone has almost completely turned into fragments, and it is almost impossible to heal again. His condition is fully in line with the indications for amputation. In this case, I do not advocate forced preservation.
limb."
Qin Chuan frowned and took the film to observe carefully.
"They are all farmers. If this leg is broken, the whole person will be completely disabled." Gao Zhanting couldn't bear it.
"It's not that we don't want to save his legs, it's just that we really can't. Although we rescued them in time, his leg injuries were too serious. Let's not talk about how much money it would cost to barely save the limbs. The most likely thing is, money
It was expensive. The leg could not be saved, and it had to be amputated in the end. The risk was very high. It was better to amputate it directly from the beginning, so that it would cost less and he would suffer less." Li Yigang said.
"Can we repair his blood vessels and nerves first, and then let his tissues repair themselves slowly?" Qin Chuan expressed his thoughts.
"It's very difficult. Even if this kind of surgery is done internationally, not many doctors are willing to do it. It's thankless. It takes a lot of effort and may end up with amputation. The patient suffers and has to pay more for medical expenses.
At that time, not only will we fail to help the other party, but we will harm the injured person. Moreover, his condition already meets the indications for amputation. If we still perform limb salvage, the patient's family may use this to take us to court in the future.
"Li Yigang said.
Qin Chuan's expression became serious. Li Yigang was an expert in orthopedics, and his words were naturally very reasonable. But Qin Chuan still felt a little guilty. It took a lot of effort to rescue the person, and it took a lot of effort.
Protect the injured person's lower leg, but in the end it has to be amputated.
"Then let's talk to the families of the injured first," Qin Chuan said.
Li Yigang nodded: "Doctor Qin, if he is transferred to our orthopedics department, he will definitely need amputation. There is no other possibility. If your emergency department has other treatment methods, our orthopedics department will definitely not participate."
After Li Yigang left, Qin Chuan's medical team held a small meeting.
"This is the first consultation of our medical team. I want to hear everyone's opinions on how to choose." Qin Chuan said calmly after all the team members arrived.
"My opinion is consistent with Li Yigang's. In this case, there is no need for us to take risks. The operation is too difficult. The running-in time of our medical team is too short. It is definitely not enough to undertake such a difficult treatment right from the beginning.
." He Xiaokang felt that he could not take risks.
Gao Zhanting thought for a while and asked: "Xiaochuan, how confident are you?"
Gao Zhanting knew that Qin Chuan was outstanding. Since he did not directly agree with Li Yigang's opinion, it meant that he was still hesitating.
"I have seen a similar case. Some treatments may work. But the risk is also very high. The risk is 50-50," Qin Chuan said.
"If there is a 50% certainty, I think you can try it. Although the 50% certainty is not high, for the injured, it is just some physical pain and some money. Even if the operation fails, the injured is still not life-threatening.
This is worth trying," Gao Zhanting said.
Lu Shulei said: "I think we should try. The medical team has just been established. We need some difficult surgeries to exercise the team's collaboration ability. Since Xiaochuan is 50% sure, we should try. As long as the family agrees, I think it can be done
Try. I am willing to take responsibility with Xiaochuan."
Zhang Jingzhou also stood firmly on Qinchuan's side: "Although this operation is extremely difficult, it is a real starting point for our team. When the emergency center is established in the future, we will have to face various problems.
Challenge, this time might as well be the first fortress for our team to attack."
Yang Yaoqing also said: "Since I have left with Xiaochuan, no matter how Qin Chuan goes, I will follow the same path until the end."
He Xiaokang smiled and said: "I take back what I said before, since Xiaochuan is 50% sure, I think it can be tried. If it fails, I will definitely not escape. Our team is to give to the whole."
Qin Chuan felt very relieved when he saw that every member of the team was supportive. Qin Chuan still felt very confident because in the [Genius Doctor] system, Qin Chuan had already seen the same case. The treatment plan inside
It is very clear that although the treatment methods are very complicated, there are no technical constraints. The medical team has just started and needs to accumulate experience step by step. At the same time, it also needs some breakthroughs to enhance the self-confidence of each member. Pan Jiaming’s team did not compare Qin Chuan’s team to
In his eyes, Qin Chuan also did not regard Pan Jiaming's team as his competition. Qin Chuan hopes that his team can grow into a world-class one. This goal is not an extravagant hope for Qin Chuan who has a [genius and famous doctor] system.
"Well, since the team members have unanimously agreed to carry out limb-salvage treatment, from now on, everyone will make full preparations for the operation." Qin Chuan then made arrangements, requiring everyone to be familiar with all details of the operation, and every link
Can't make a mistake.
Qin Chuan found Li Tang and others who had been waiting for news and told Li Yong's situation.
"Of course we have to save our limbs! We are from the countryside. If our legs are broken, we won't be able to work, and this person will be completely disabled. Doctor, you must think of a way to save his legs." Li Tang pleaded.
said.
"Are his family members here? What kind of plan should be adopted? We still need to obtain the consent of his family members and sign the operation consent form before we can perform the operation." Qin Chuan said.
"His family members arrived quickly. We notified them early in the morning," Li Tang said.
"However, limb salvage treatment is very risky, and the success rate is about 50%. If the operation fails, amputation may be necessary in the end." Qin Chuan reminded.
"Only 50%?" Li Tang also hesitated. Although Li Yong was his cousin, such a decision was not something he could make.
Li Yong's mother-in-law, Xiao Nianchun, rushed to the hospital. Faced with a 50% chance of success, she was very hesitant.
"Sister-in-law, don't hesitate. Isn't there still a 50% chance? Besides, this time, your family won't have to pay for the medical expenses. Even if you are not cured, there won't be much loss." Li Tang consoled him.
.
Xiao Nianchun thought for a while, then agreed and signed the consent form.
The news that the Qinchuan medical team was going to perform limb-salvage surgery spread like wildfire in the hospital.
After Li Yigang heard about it, he just smiled helplessly. Xiao Qin, a young man, was indeed as courageous as he was when he was young, but he was not mature enough and did things without considering the consequences. But since he had persuaded Qin Chuan many times before,
Qin Chuan still insisted on undergoing limb-sparing surgery, and Li Yigang was not prepared to ask. This kind of surgery was too difficult, and Li Yigang himself had no confidence.
After Pan Jiaming's team heard about it, they felt that Qin Chuan was a little too ambitious and was completely reckless in everything he did.
"Look, this Qin Chuan is going to cause something big this time." He Jingtao said.
Pan Jiaming said disdainfully: "In order to become famous, he does everything possible."
"Yes. Li Yigang from the Department of Orthopedics recommended amputation during the consultation, but Qin Chuan insisted on limb salvage. Does Qin Chuan think that his orthopedic skills are better than those of experienced doctors like Li Yigang?" Su Zhibin said at the side.
"We don't have to worry about other people's affairs. This time when we participated in the rescue, our team still encountered some problems. What our team lacks most now is practical experience. This time, everyone should work harder and accumulate some practical experience." Pan Jiaming still said
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 participated in the consultation and given treatment suggestions. Why don't you transfer the patient to the orthopedics department for amputation? You know this time, if your team fails, what will happen to you?
What kind of impact does your team have?" Cheng Guanhua asked.
"Our team will become more and more experienced. The most important thing is that we give patients a chance. As a doctor, what you have to consider is not how to expand your own interests and reduce your own losses, but how to alleviate the patient's pain."
Sickness." Qin Chuan said.
"Are you sure? Tell me the truth. You are not a person who does things based on impulse." Cheng Guanhua felt a little confused when he saw that Qin Chuan was not worried at all.
"Fifty-fifty." Qin Chuan didn't hide it either.
"Fifty-fifty? It's still a bit risky. Since you are going to make a big splash, you should be fully prepared." Cheng Guanhua reminded.
Qin Chuan nodded: "Try to increase the probability of success by a few points."
After everything was ready, Qin Chuan's team was about to face the first very complex and difficult operation since their team was established.
When applying for the operating room, Qinchuan's team suddenly received a notification from the hospital that the hospital was planning to organize an observation of this surgery.
"What does this mean?" He Xiaokang was a little confused about the hospital's decision.
Although if the operation is successful, the Qinchuan team will be a hit, but if the operation fails, the pressure that the Qinchuan team will face can be imagined. (To be continued)
