"At present, the patient's physiological indicators have temporarily stabilized, but the infection situation is still developing.
The patient's appeal was to keep his legs, but the situation was not optimistic. The opinion of our burn department was to give priority to life preservation and amputation. "
After Director Liu Haihong finished her speech, everyone fell into deep thought.
"Okay, let's talk about your opinions."
Yuan Bin nodded, looked at the crowd and said,
"Director Deng, what do you think? Tell everyone first."
"Okay, Dean."
A man wearing glasses, whose hair already showed traces of a strong man raised his head,
"Everyone, I just read the patient's examination report and specific conditions. From the perspective of our dermatology department, the severity of the patient's burns has completely lost the conditions for surgical intervention.
Especially after acrylic fibers are burned, the skin and muscles are poisoned to varying degrees, which must be removed.
Everyone, look at the lower part of the patient's left tibia, which has been completely burnt through..."
Deng Gang, the deputy director of the dermatology department, expressed his opinion and elaborated on the argument from the perspective of dermatology.
Qin Feng looked at the inspection chart in his hand, and the deep burn tissue was indeed too serious.
The muscles and nerves of the left leg were dissolved and severed, which could not be recovered at all.
In other words, the left leg is doomed to fail.
"Director Meng, tell me."
"OK."
After Director Deng finished speaking, Yuan Bin looked at Meng Dawei.
"At present, according to the patient's condition, we have carried out a series of anti-infection measures. In terms of surgery, the burned tissue needs to be removed as soon as possible. Otherwise, once an explosive infection occurs, it will affect the heart and other important organs, and life will be in danger at any time.
I have also carefully studied it before, and I think Director Deng's words have some truth.
Judging from the current injury situation, the patient's left leg should not be kept. "
Having said that, he took out a report and raised his hand,
"Everyone, please read this inspection report. At present, the necrosis and infection have reached the middle of the thigh, and the whole body is slightly infected with the virus..."
Crash!
Hearing this, everyone took out the report, and suddenly many people frowned.
Severe soft tissue infection combined with systemic poisoning symptoms!
When Qin Feng saw the test result, his heart sank.
If the conventional treatment method is followed, there should be only one result for this patient.
High amputation of both legs!
As far as the current situation is concerned, the sooner amputation is better for the patient, because the risk of viral infection will increase, and I am afraid that it will not be as simple as high amputation.
"The opinion of our orthopedic department is amputation."
"That's what we think too."
"I think it is possible to try amputation of the left leg and conservative treatment of the right leg?"
"I also think there is hope for the right leg. If it can heal itself after surgery, at least it will be better for the patient."
"I disagree. What if the poisoning infects the heart and lungs, causing danger?"
"The patient's wish is to keep the leg. Is it too arbitrary for us to amputate directly? I think conservative treatment can be tried."
…
For a while, the entire conference room began to fall into a debate, and everyone expressed their opinions, expressing their views based on the patient's demands and the current situation.
Only Qin Feng sat in the back, looking at the scene in front of him with a solemn expression, without saying a word.
He was quickly searching for various treatment options for severe burns in his mind, and matched the most suitable methods at home and abroad according to the patient's condition.
10 minutes...
1 hour...
2 hours...
Time flies, and two relatively complete proposals have gradually emerged in the discussions with all our efforts.
Even if this is the best hospital, it is also anxious to face such a serious disease.
The most supported option is amputation, which is currently the safest surgical option.
Although the patient will lose both legs, it is undoubtedly safe in terms of life.
As for the second one, high amputation was performed on the severely necrotic left leg, and the necrotic part of the right leg was surgically removed, followed by conservative treatment to see if self-regeneration could resume.
Maybe a chance to save a leg if given the chance.
However, the probability of this is not high, and great efforts must be made to fight infection and poisoning.
The most important thing is that amputation is a one-time solution to the problem, and if you choose the second option, not only is it very risky, but also requires a lot of money to support it.
If it succeeds, it can be regarded as a small miracle case, but if it fails, it will still require amputation.
So in the end it depends on how the patients and their families choose~~~
"Qin Feng, what are you thinking while sitting in the back without saying a word?"
At this moment, a voice suddenly broke his thoughts.
Qin Feng raised his head and found that the vice president Yuan Bin was looking at him with a smile.
And following these words, all eyes fell on him.
Qin Feng, those here may not have seen this name, but they must have heard of it.
Several top-notch and difficult surgeries spanned several disciplines, and they conquered the master intensive medicine in less than half a year.
Such a record is absolutely no more than one hand in the more than 30 years since the intensive medical department was established.
This includes the two present here, Meng Dawei and Yuan Bin.
And Qin Feng is the third one!
"I see that you are a little dazed looking at the patient's information, do you have any ideas?"
Yuan Bin said with a smile, and then pointed to these people present,
"You can boldly say that they are all old people, so don't worry about it."
"President Yuan, it's nothing. I'm just thinking about the treatment plan of the experts and directors just now."
Hearing this, Qin Feng nodded, stood up and looked around the crowd,
"Actually, the two plans discussed by the directors are all right, and I just carefully read the patient's various inspection reports.
I have also done some operations and treatments for patients with severe scalds and burns before, but of course I am still lacking in experience.
But from my point of view, no doctor would like to see a patient have his legs amputated and become a disabled person. "
Having said that, he paused.
Director Liu of the Burn Department couldn't help but sighed in a low voice.
In fact, she is the most stressed here, and she is also the saddest.
She has worked in the burn department all her life, ranging from a baby just a few months old to an old man in her eighties or nineties.
It is really painful to see these pains caused by various accidents or causes of large areas of burns, and even need repeated operations, which cannot be cured in the end.
Almost every day, the burn department can hear the wailing and moaning of patients in pain.
This is different from the emergency department, they are really in torture all the time.
Those who get better have new granulation, the pain is so unbearable that they cannot be touched; those who get worse even have to watch their own body necrosis, infection, pus, and finally amputated in despair, and may even face death.
Just like the patient in front of me!
"Yeah, we all don't want to see this result, but more often than not, the fate and requirements of our profession make us have to make a choice.
Even if patients cannot accept it, we must find ways to keep their lives safe. "
Yuan Bin also sighed and said helplessly.
"Actually... I think the plans discussed by the directors just now are very reasonable.
However, as Director Liu said just now, the patient still hopes to keep his legs. "
Qin Feng continued,
"I think we can give it a try. In fact, the necrosis of the patient's right leg does not necessarily require amputation. There is still hope to try to preserve it."
"Doctor Qin, I can't agree."
As soon as the words fell, the deputy director of the orthopedics department immediately objected,
"It's still the problem just now. Although there is a glimmer of hope in the degree of necrosis of the right leg, don't forget that the wound has been poisoned and deteriorated, and infection has appeared.
With the current level of surgery, it is impossible to completely remove and restore regeneration, and amputation will still be required at that time.
Moreover, this has greatly increased the financial and psychological burdens of patients. Have you considered the consequences? "
Qin Feng smiled when he heard this, and nodded slightly.
This problem has already been completely rehearsed in his mind, and even the process of the operation plan has been tried.
The result was the same as Director Deng said.
Amputation!
That is to say, in fact, the success rate of the second surgical plan discussed by everyone is almost zero!
"Director Deng is right. Even if it is the second conservative treatment plan, the probability of failure is extremely high, and there is no need to even try it."
Qin Feng opened his mouth and spoke directly, and there was no need to hide it.
"Qin Feng, what do you mean?
Just now he said that he supports conservative treatment, but now he denies our plan. "
At this time, the director of neurosurgery frowned, somewhat dissatisfied.
As soon as these words were said, Meng Dawei and Yuan Bin looked at each other subconsciously. Years of tacit understanding made them instantly understand each other's thoughts.
There is something in Qin Feng's words!
"Qin Feng, if you have a good idea, just say it boldly!"
Yuan Bin raised his hand to stop everyone, and said firmly,
"There is no seniority ranking in medicine. If you know what you know, you should be a teacher. At least that's how it is for me."
"Okay, Dean Yuan."
Hearing this, a smile rose from the corner of his mouth. Seeing that Meng Dawei was also staring at him closely, he immediately settled down, his eyes stopped on Director Liu Haihong of the Burn Department, and said loudly,
"Director Liu, I want to ask you a little question."
"Okay, you say."
Liu Haihong nodded and looked at him curiously.
"Why not try biological therapy?"
As soon as the words fell, everyone was stunned, some showed doubts, and some were confused.
But in the next second, many people seemed to think of something, and suddenly their eyes lit up.
Snapped!
At this moment, Liu Haihong slammed the table and stood up.
correct!
How could she have forgotten it!