One condition must be met for debridement and suturing, that is, most of the tissues in the crushed part must be normal.
If a large amount of tissue has died, then the leg cannot be saved.
The first step is to completely debridement and see how much normal tissue is left before deciding whether to keep the legs.
He still proposed this idea to everyone.
"Science allows trial and error. The first step is to check whether the injured leg can be preserved. The second step is the specific operation." Zhang Wenke said generously.
In his heart, he wants to help the girl save her legs.
Now that he has come out, his legs can’t be saved, so what’s the point of coming out?
The discussion just now was one-sided, and he was very dissatisfied.
The opinions of the experts present are not wrong. It is still difficult to say who is right or wrong whether to retain the leg or to amputate it, and it may be difficult to say right or wrong in the future.
The expert opinion is, of course, that the first priority is to save your life.
And Zhang Wenke is a senior member of the ministry, why should he come out to preside over the nationwide consultation? He wants to give the girl the best treatment.
If it is just an amputation, then the significance of his coming out is not big, it is purely formalism.
Later, when he saw Liu Muqiao raising objections, he was secretly happy. However, only one Professor Wu stood up to support him. His strength was too weak, so he had to say a few words.
What he said only revealed a little bit about Liu Miqiao's possible award. Fortunately, someone understood it.
The key is that Director Zhao also understands.
Director Zhao chose Liu Muqiao's plan, and he nodded with satisfaction.
Well, not bad.
Well, Director Zhao is good.
Well, Liu Muqiao is pretty good.
Well, these experts are very good.
"Professor Lao Wu, you will be the deputy team leader, and you will be responsible for infection control. I will completely rely on you and Professor Liu Miqiao. Other comrades, Professor Liu Miqiao and Professor Wu, you choose." Director Zhang Wenke said with a full face.
smile.
Liu Muqiao scanned the surrounding area and found that everyone wanted him to participate.
He ordered four professors, all of whom are experts in orthopedics.
"Professor Zhang, Professor Zeng, and Professor Tan, the three of you will join. You will be responsible for fracture treatment and tendon suturing. Leave the rest to me. And Professor Qiu, you will be my plastic surgery assistant." Liu Maqiao said.
I clicked on 4 professors.
Finally, he returned the decision-making power to Professor Wu and Director Zhang Wenke, "You guys, help me choose experts in internal medicine. I'm not good at internal medicine."
The professors just named, in their previous speeches, they all opposed Liu Miqiao.
Now, they have no objection.
They feel lucky to be able to enter the treatment core group. Once successful, this will be capital in the future and can be written into their achievements.
The surgical plan is out.
A leadership group was also established above Liu Muqiao's treatment group, with Zhang Wenke as the group leader and Director Zhao as the deputy group leader.
This leadership group is very authoritative, and Liu Miqiao's plan must be approved by them.
Liu Muqiao led the team members to see the patient again and performed an enhanced MRI.
These enhanced MRI films are the most critical reference evidence. Liu Miqiao marked the normal tissue and necrotic tissue on the film, as well as the suspicious tissue.
When this marked picture came into the hands of Zhang Wenke, all the leading members were stunned.
Liu Muqiao, can you distinguish necrotic tissue from normal tissue on the film?
Several chief doctors of imaging from the Affiliated Hospital of Sichuan University were summoned. They looked at the pictures with blank faces. Finally, they had to invite Mr. Qu, who was semi-retired.
Mr. Qu is the super boss of the imaging department at the Affiliated Hospital of Sichuan University. He is 78 years old this year and has a high degree of myopia. He wears 500-degree myopia glasses, which makes him particularly knowledgeable.
He held the film almost up to his nose.
After watching it for about 30 minutes, I raised my head and said, "I want to meet this imaging master."
"His name is Liu Muqiao. He is not an imaging specialist. He is an expert in neurology, hepatobiliary and pancreatic surgery, and cervical spine surgery."
Qu Lao looked unbelieving and said, "It's impossible. His level of imaging is too advanced. I must see it."
Liu Muqiao is here.
He looked at it for a while and said, "Are you kidding me? Liu Miqiao, he? So young! Boy, do you really know how to read MRI films? Did you make this mark?"
"Yes."
"You really saw it? You didn't cheat? How did you learn such advanced imaging knowledge at such a young age?"
"Mr. Qu, I really saw this myself, you can test me on the spot!" Liu Miqiao said with a smile.
Mr. Qu hesitated for a moment and said to his graduate student: "Go and get that film. I really want to test him."
Not long after, his graduate student brought over several films, which were also MRI films.
"Look. Do you want to report your medical history?"
Generally speaking, the clinician's application form will briefly introduce the medical history for the imaging doctor's reference.
Liu Muqiao shook his head and started to read.
"Cerebral cysticercosis." Soon, Liu Miqiao had the answer. It took about 2 minutes.
Generally speaking, the diagnosis of neurocysticercosis is not too difficult. It’s just that this patient’s imaging was very atypical. It took more than a dozen experts to finally get the diagnosis from Qu Lao.
Mr. Qu was only 4% sure about this picture. Later, after treatment, it was confirmed that this case was indeed cysticercosis.
He has always been proud of this.
He had used this picture to test many people, but no one could figure it out.
Now, Liu Muqiao only took two minutes to come to the final conclusion.
There was a "ding" in Liu Muqiao's head.
This is the first time I have received a reward since today’s consultation, and it is an intermediate treasure box X6.
Liu Muqiao couldn't help but glance at Mr. Qu, "Good guy, this is a real big boss!"
Someone who can reward 6 intermediate treasure boxes at a time is also a tough guy in the world.
Such experts, if they are lucky, can become academicians.
In other words, he has reached the level of an academician.
"Old Qu, thank you."
When Mr. Qu heard this, he said, "Why are you thanking me? Classmate Liu Maqiao, you are really a genius. Your level is better than mine."
As soon as these words came out, the experts present looked at Liu Miqiao with surprise.
"Mr. Qu, are you saying that Dr. Liu's diagnosis is correct?" Deputy Director Zhang Wenke asked.
"Well, it should be correct. He is the highest-level imaging expert I have ever seen. His diagnosis should be correct." Qu Lao said.
"So, Dr. Liu, do you think the patient's leg can be saved?" Zhang Wenke was a little excited.
This is the final decision-making meeting. If it goes according to the picture marked by Liu Muqiao, there is a very good chance of saving these two legs.
