Chapter 263

About half an hour ago, a major earthquake occurred in the leadership of the Second Hospital of the Provincial Capital.

All the middle and senior leaders, only those who worked in the hospital, rushed to the hospital from their homes in the middle of the night.

The VIP suite of the senior cadre ward was full of people at this moment. The dean, secretary, and directors in charge of relevant majors were participating in the discussion inside. More people could only stand in the corridor outside and wait quietly.

Although such scenes often appear in the senior cadre ward, it is the first time to see such a big battle so late.

The doctors and nurses on duty tonight were trembling and dared not say a word. Almost everyone present was several times higher than them.

They could only pray silently in their hearts that nothing would happen, and the patients inside must not have any accidents in their class.

Otherwise, everything they did would be wrong, and they would not do anything.

As for the patient, he was also a frequent visitor to the senior cadre ward.

At first, he came to the hospital for chronic obstructive pulmonary disease, which was commonly known as "old chronic bronchitis" in the past.

When he was young, he smoked a lot, repeatedly irritated the airway, and gradually developed tracheitis.

Usually, he coughs when he wakes up, coughs when the weather turns cold, and coughs when he does heavy physical labor. He often wakes up at night with sweat, as if he will die if he can't breathe.

This is all related to COPD.

Because the disease is irreversible, it can only slow down the progression. When the old man comes to the hospital, he can only be given some simple low-flow, low-concentration continuous oxygen therapy.

There is no other good way.

But this time in the hospital, the situation has obviously worsened a lot.

He was panting heavily, and oxygen inhalation did not relieve it. He tossed and turned for half a night. Just now, the old man felt uncomfortable in his stomach and wanted to go to the toilet, but he accidentally fell off the bed. Then he had symptoms of abdominal distension and abdominal pain, which scared the doctor on duty.

Because it was from the province, he didn't dare to delay. After reporting to the director, he immediately took the old man to the emergency room for a CT scan.

The diagnosis was beyond everyone's expectations.

The old man did not have obvious trauma, but there was a pseudocyst in the abdominal aorta, accompanied by the possibility of rupture and bleeding.

Now, the leadership exploded.

The hospital is 100% responsible for the patient's fall. Although the old man's condition was not caused by the fall, no one knows whether the provincial official will think so.

The most important thing is that the old man was diagnosed with pseudo-rupture of abdominal aortic aneurysm, which is a time bomb hidden in the blood vessels. Now the old man has symptoms and blood and fluid accumulation in the abdominal cavity have been extracted.

Although 50ml is not much, it is also a full needle tube of blood. The blood routine and coagulation four items were urgently checked. The hemoglobin was only more than 6g, which is moderate anemia.

The old man's face was also a little pale, his lips were no longer rosy, and the values ​​on the ECG monitor were not good.

Although red blood cells and plasma were urgently requested from the blood transfusion department, considering the old man's underlying disease, everyone agreed that it must be dealt with immediately, otherwise no one present could bear this responsibility.

That's why there was an emergency consultation for the whole hospital.

In the ward, Shen Yiwei stood in the corner, trying to shrink to the point where no one could see him.

But the ward was so small that apart from the dean, secretary, and medical department chief, there were only a few other administrative staff, and no one could escape.

The patient was guarded by the doctors and nurses on duty in the inner ward, and they never left.

The family members and the secretary general standing next to the family members were sitting outside.

Everyone had a serious expression, the whole room was quiet, and the atmosphere was extremely depressing.

The hospital was at fault first, so the dean did not dare to express his opinion easily, and the person sitting there could not speak up in person about some things.

All the communication tasks were placed on the secretary next to him.

"Dean Zhang, do you mean that the abdominal pain and bloating that the old man had after he fell down was because of the rupture and bleeding of the abdominal aortic aneurysm, and now he needs emergency surgery?"

Hearing the word "fall", the dean's face turned pale, but he still nodded.

"Director Shen, you said that the old man is too old and has a history of chronic obstructive pulmonary disease. If we open the abdomen for surgery, the risks are difficult to control and there is a high possibility that he will not be able to get off the stage. Is that what you mean?"

Shen Yiwei, who was huddled in the corner, sighed in his heart when he heard his name being called. It seems that he can't hide this time.

He stood up and didn't say anything, but bowed to the man who was bowing respectfully, as if to apologize.

"The old man's basic condition is not good, and abdominal aortic aneurysm is a very dangerous disease. I am not sure. I also consulted the authority of the capital about this matter just now, but the other party gave a reply..."

Speaking of this, Shen Yiwei laughed, looked up at the secretary, and found that the latter frowned, and said while speeding up.

"They said that with the patient's current condition, if the abdomen is opened for exploration, it is likely that there will be little chance of getting off the stage safely. The best way is to do laparoscopic surgery."

Shen Yiwei made up his mind and took the opportunity before Xu Guoqiang came to take the lead and throw the black pot over first.

After all, the old man's condition was already very bad, and it was unrealistic to travel a long distance to the capital for treatment.

Even if someone was asked to come over there to perform the operation, it would take at least three or four hours, but abdominal aortic aneurysm ruptures in a matter of minutes.

There were too many variables, and it was impossible to wait.

He couldn't do it himself, and the patient couldn't wait, so he asked the authority in the capital for instructions and asked about laparoscopic surgery.

When the other party replied that the chance was not great, but he could try, Shen Yiwei instinctively omitted the authority's previous sentence.

Well, it can be done if you try. The authority in the capital said that abdominal aortic aneurysm can be treated laparoscopically, so this matter is easy to handle.

Anyway, it is a dead end. If you don't work for yourself, you will be punished by heaven and earth. Shen Yiwei didn't want to be the golden cicada, but chose the yellow eyebrow.

As for whether there are big fish or small fish in the pond, who cares so much.

"Laparoscopic surgery?"

The one who had not spoken suddenly sat up straight, and a glimmer of light flashed in his eyes.

Shen Yiwei bit his back teeth and said firmly even in front of the directors.

"Laparoscopy is a type of minimally invasive surgery. Compared with traditional laparotomy, it does not require a more than ten-centimeter incision, but only a few incisions to complete the operation."

"The elderly are in poor physical condition and cannot bear a large incision. Laparoscopy is a new technology invented in recent years to take into account the elderly and frail patients."

"And this new technology is the first to be developed and put into use in our hospital nationwide."

"Our deputy director, Professor Xu Guoqiang, is a leader in this field. Last week, he performed laparoscopic radical resection of gallbladder cancer, which was well received by the patient's family and the hospital. The patient's recovery was faster than that of traditional surgery. In two years, he will be the director of minimally invasive surgery..."

Shen Yiwei made up his mind and praised Xu Guoqiang in front of everyone, as if no one could help this patient except him.

As for the previous suppression and restriction of surgery, Shen Yiwei had forgotten it completely.