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Chapter 345: ?345?Lessons from death cases
Chapter 345: ?345?Lessons from death cases
??Chapter 345 [345] Lessons from Death Cases
?? There are projectors and curtains installed in the conference room, but usually no one turns them on. Doctors are very busy, and no one has time to prepare ppt lectures for such routine internal department meetings. The more important thing in discussing the case is to explain clearly what you think about the case.
??Unless there is a leader to inspect, everyone must prepare carefully.
?? "Let's start." Shen Jinghui personally presided over the meeting, "Each group brings out the cases that need to be discussed. The 16 beds and 31 beds that died last week, the doctor in charge said the situation."
??Shen Jinghui works better as the director of the Second General Foreign Affairs Department. The meetings he controls are like surgery to cut key parts, and he doesn't want to waste everyone's time.
?? Discuss privately and quietly within each group. The doctor in charge of the 16-bed and 31-bed deaths was the first to speak.
?? "The 16 beds are patients with advanced rectal cancer. Originally, they had undergone radical resection of rectal cancer in our hospital. Due to the advanced stage, they had undergone palliative surgery. This time, three years later, there was a lot of ascites after systemic metastases."
?? This kind of patient has never been saved, and can only relieve the patient's last suffering.
"Bed 31 came in from the emergency department, with acute suppurative appendicitis and diffuse peritonitis. Emergency surgery was performed immediately after entry. However, it was found to be too serious after laparotomy. It took a long time for the operation, and he died of septic shock after the operation.”
?? This case sparked the thoughts of many doctors at the meeting.
"Originally, the mortality rate of appendicitis is very low. However, such cases occur from time to time. There was also a recent case in Puwaiyi, and their case was an older woman in her fifties. It was also too late. After coming here. The family doesn't care, saying that appendicitis won't kill people now, so how can they die?"
?? "Diffuse peritonitis is the most terrifying thing. At this time, you want to conservatively treat infection without surgery. Like this kind of intestinal obstruction, there is no time period for doctors not to operate."
?? "At the stage of intestinal obstruction, purulent infection, and then sepsis - Speaking of which, Dr. Tan, did your group also accept an old lady with intestinal obstruction?"
?? Suddenly the topic turned to Tan Kelin's side. At the beginning of the discussion, one group was very quiet, because people in one group tended not to open their mouths to express their opinions. Probably Deputy Director Liu wanted to activate the atmosphere of the whole department and moved the topic to a group.
??Others asked about this patient, and Tan Kelin answered by the way: "There is no hospital bed, so I only took it in on Wednesday. The operation needs to be completed after all the examinations. It is expected to be done next Tuesday, and I want to communicate with the anesthesiology department on the phone on Monday."
?? "Is it intestinal obstruction?"
?? "The tumor is relatively large and almost blocked the entire intestinal tube, so at this stage it is fasting and drainage enema, and it is supported by nutrient solution."
?? "I heard you are in your nineties?"
?? "Yes, I am old and my heart and lungs are not very good. The anesthesiology department has a lot of opinions. But my student said that it can be done."
?? Hearing Teacher Tan's last sentence suddenly, Xie Wanying was stunned, but she didn't expect the teacher to shake her out.
?? "Xiao Xie, please express your opinion." Sun Yubo turned his head and instructed her.
?? In the department meeting, all the doctors in the department, including the professor and director, are more fully staffed than the shift meeting every morning. For example, Professor Li, who seldom comes to the department, is now retired and has gray hair. He is a highly respected senior in the general surgery department of the National Association, and he came to participate in the academic discussion in the department today. He is an academic leader who is not seen at all on weekdays.
?? (end of this chapter)