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Chapter 780 The patient who was cut in half

Xu Qiu didn't care about this. It would be a good thing for him to develop better domestic hospitals.

If Linyi can really tie Union Alliance within more than ten years, Xu Qiu will feel a pity.

The best result is that Lin Medical has always maintained a rapid development momentum, but Union Medical College, West China and others are not inferior to each other and can still rank at the top, and the level of hospitals across the country has risen.

"By the way, don't you have to go to work today?" Xu Qiu asked instead.

Union Health is much busier than before, so Chen Qiao is still free to come to visit him.

"I took a leave. The hospital originally did not approve it, but I heard that I was here to find you, the leader immediately agreed!" Chen Qiao smiled happily.

Is his name so easy to use... Xu Qiu was a little surprised.

Chen Qiao seemed to remember something and added: "And there is also a patient who was admitted to the Temple of Heaven this morning. It is very serious. The Temple of Heaven cannot handle it well. I want to come and take a look."

"The patient who cannot be treated by the Temple of Heaven? What disease?"

"A wounded man hit by a truck was very unlucky. He was squeezed into the cement wall of the highway. His lower body was almost completely crushed. Because he was close to the Temple of Heaven, he was sent to the Temple of Heaven, but this kind of patient must be treated by Union cooperation."

Crushing the lower body?

Xu Qiu suddenly remembered something... It was almost impossible to cooperate with the Temple of Heaven and use Huili, a brain surgery department, to impress them.

As the leader in brain surgery in the country, they all have it in the medical field.

But what if the Temple of Heaven is the same competitiveness in other departments?

To put it more bluntly, Xu Qiu supported other departments in the Temple of Heaven, so that the Temple of Heaven no longer had the advantageous discipline of brain surgery, but could walk on multiple legs. In that case, cooperation might be reached!

"Have the patient been sent to Union Alliance?" Xu Qiu asked quickly.

Chen Qiao didn't understand why the teacher suddenly became excited and shook her head and said, "No, the Tiantan Hospital is still having a meeting. The patient's condition is very serious. It is very likely that he will die during the transfer and cannot be moved easily."

"Let's go and see it."

Xu Qiu took a few more mouthfuls, put away the lunch box and rushed to the Temple of Heaven Hospital.

...

At this moment, the conference room of the emergency department of the Temple of Heaven.

A multidisciplinary hospital-wide consultation was held here.

In addition to the emergency department, emergency surgery, vascular surgery, orthopedics, hepatobiliary and pancreatics, and anesthesia imaging department, Union Hospital also came to the directors of the orthopedics.

This conference gathered experts from almost all clinical subdivision departments.

This configuration is enough to sweep away most diseases, but despite this, every doctor present looked as heavy as a piece of iron.

The doctors in the emergency department of the Temple of Heaven report on the patient’s condition:

"The patient's navel is severely squeezed and damaged between his thighs. The abdomen of the sacral 1 horizontally and the entire pelvis is broken. Only the skin of the right lumbar iliac is five centimeters wide is connected to the pelvis, exposed intestines, penis, and scrotum avulsion; both sides of the iliac internal and external arteries are completely broken; the anterior iliac plexus and the right lumbar artery are lacerated and bleeding, thrombosis has appeared at the proximal end, and the distal vascular avulsion has occurred...

"In addition, the patient's lower section of the double ureter was broken, the bladder was severely contused and lacerated, the epiperitoneal section of the rectum was completely transverse, the mucosa was exposed, and the large area of ​​the skin on both sides of the thigh, the muscles and major blood vessels were avulsed, and the injury severity score was 75 points!

"After various departments, the possibility of a patient losing limb preservation!"

The injury severity score is a commonly used trauma scoring system in emergency and surgical departments. Compared with the general scoring methods, the injury severity score is to score each organ according to the degree of injury and the size of life threatening. Then, the three most severe injury areas are taken, and the sum of squares is calculated to be the final score.

The effective range of this scoring system is 1~75, that is, 75 points are the damage limit.

The brainstem injury, the head and neck break, the torso break, and the liver avulsion can all be scored 75 points. At this stage, it is basically impossible to rescue, which means death is undoubtedly the same.

It cannot be more serious if you go up. The corpse is more than 75 points.

...

The faces of many experts in the conference room are extremely difficult to see.

In layman's terms, this kind of patient has lost the lower body below the navel.

It's just a matter of time to die.

How easy is it to save it?

The brain surgery department, which is good at Temple of Heaven, does not have much experience in dealing with such serious systemic injuries.ωωw..net

Even if it is a junior high school like Union Medical College, it is only experienced in various departments, but whether it can be saved depends on the patient's own luck.

This is a major operation that can be heard by the news after being saved!

"It's hard, it's too difficult." The director of the emergency orthopedic department of the Temple of Heaven shook his head, with an extremely helpless expression.

"How sure are you in harmony?" asked the Director of the Temple of Heaven.

The director of the Union Emergency Department's eyes were a little distracted: "Sure? Are you sure to let the patient move to Union Health alive?"

These words instantly brought the atmosphere of heated discussion to freezing point.

Everyone's expressions were ugly... Now patients are still hiding their lives by relying on ICU. Not to mention being transferred to the hospital, they dare not say that they can live for two hours if they stay in this hospital.

"There can only try our best to try." The Director of Union Orthopedics, unlike the director of the emergency department, analyzed it seriously.

He said: "If a patient wants to survive, limb preservation surgery will definitely not work. All he can do is hemiectomy. However, there has only been one case with Union Medical College. Although it was successful, it has a lot of luck, and the patient only lived for three years in the end."

Hemiectomy, that is, to cut off from the lumbar spine and remove the pelvis, some pelvic contents, both lower limbs and external genitals, are basically equivalent to cutting half of them in half.

This kind of surgery is extremely rare in clinical practice. Most patients with severe injuries die on the spot. Those who can come to the hospital on the verge of death are considered strange people. Those who have supported the first round of the most dangerous rescue process are even more selected.

Moreover, even if the surgery is successful, it is rare for those who survive for more than five years.

"Have you explained the cost to the patient's family?" asked the director of Union Orthopedics.

This is a super-large operation, and the cost of the surgery alone is hundreds of thousands, which is only a small part of it.

What’s even more amazing is the postoperative care, and the best expectations may cost nearly one million.

After all, it was just a bet of more than one million to bet on a very small chance of successful operation. Even if everything went well, the patient would most likely be able to live for two or three years.

If you win the bet, you will pay more than one million yuan in one lump sum, plus tens of thousands of dollars in the later period of treatment, rehabilitation, and nursing expenses, and you will spend half of your body living for two to three years.

The price of losing the bet is the only cost of surgery, which looks like about 400,000 or 500,000.

The director of the emergency department of the Temple of Heaven said solemnly: "I have given the explanation and my family has a strong desire to treat him."

The director of the Union Emergency Department nodded and said, "If the economic conditions are good, the resistance to treatment will be much smaller and the coordination will be high."

"No, the patients are migrant workers, and they are just ordinary workers and peasants' families."

Upon hearing this, the experts present frowned.

——
Chapter completed!
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