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【345】Lessons brought by death cases

The conference room is equipped with a projector and a curtain, but no one usually opens it. The doctor is very busy, and no one has time to prepare for PPT lectures during routine meetings in the department. What is more important in discussing cases is to explain their own thoughts about the case.
Unless a leader comes to inspect, everyone must prepare carefully.
"Let's start." Chen Jinghui personally presided over the meeting. "Each group took out the cases that need to be discussed. The 16 and 31 beds died last week, and the doctor in charge told me about the situation."
As the director of the second-year-old Mansion, Chen Jinghui is more comfortable doing things. He controls meetings like surgery to cut key parts, and does not want to waste everyone's time.
Each group discussed privately in a low voice. The supervisor of the deaths in beds 16 and 31 beds spoke first.
"Bed 16 is a patient with advanced rectal cancer. He used to undergo radical rectal cancer surgery in our hospital. Due to the advanced stage, he had palliative surgery. This time he came in three years and had a large amount of ascites after systemic metastasis."
This kind of patient has never been saved, and can only alleviate the patient's final pain.
"Bed 31 came in from the emergency room, with acute suppurative appendicitis and diffuse peritonitis. After entering, emergency surgery was immediately performed. However, after opening the cavity, it was found that it was too serious and the intestinal duct was adhesions everywhere. The patient in his thirties had been delayed for too long before undergoing the operation and died of septic shock after the operation."
This case sparked the thoughts of many doctors at the meeting.
"The mortality rate of appendicitis was very low, but this kind of case occurs from time to time. There is also a case in the recent U.S.A. Their case was older and in her fifties, and she came too late. After coming, the family members didn't care and said that appendicitis would not die now, so how could they die?"
"Diffuse peritonitis is the most terrible thing. You want to treat the infection conservatively without surgery. For example, if you have intestinal obstruction, you will not give the doctor a period of time to not operate."
"When it comes to the stage of intestinal obstruction, septic infection, and sepsis - Speaking of which, Dr. Tan, has your group also accepted an old lady with intestinal obstruction?"
Suddenly the topic turned to Tan Kelin. When the discussion was just now, Group One and Two was very quiet, because the people in Group One and Two have never liked to express their opinions. Perhaps Deputy Director Liu wanted to liven up the atmosphere in the whole department and moved the topic to Group One and Two.
When asked about the patient, Tan Klin answered: "There is no bed, so I took it in on Wednesday. All the tests need to be completed before the surgery is done. It is expected to be done next Tuesday. I want to communicate with the anesthesiology department again on Monday."
“Are you intestinal obstruction?”
"The tumor is relatively large and almost blocks the entire intestinal tract, so at this stage it is fasting and draining enema, which is supported by nutrient solution."
"I heard that I am in my 90s?"
"Yes, I'm old and have a bad heart and lung. The anesthesia department has a lot of opinions. But my student said that I can do it."
Suddenly hearing Teacher Tan’s last sentence, Xie Wanying was stunned, but the teacher shook her out directly.
"Student Xiao Xie, please express your opinion." Sun Yubo turned his head and instructed her and pointed.
Chapter completed!
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