My Medical Skills Give Me Experience Points

Chapter 1368 542: Tragic Amputation, the Consequences of Inadequate Preoperative Examination (Part 3)

At this point, the truth is clear.

This is a typical medical accident that is worthy of deep reflection and vigilance.

After the patient underwent amputation, a series of anti-shock and anti-infection treatments followed. By the time Zhou Can finished his surgery at noon and went to check on the patient, the patient had already awakened.

His mental state was not very good.

His face was extremely pale.

The poor guy probably doesn't know yet that he has just turned back from the gates of hell.

Though he lost his right leg, his life is saved.

During lunch in the cafeteria, Yang Zhi couldn't help but ask, "Boss, if I encounter a patient with a similar right-leg amputation in the future, how can I prevent the accident from happening?"

Among the two subordinate doctors, Yang Zhi is more outgoing, while Pu Dingdong is the honest, reserved type.

He rarely takes the initiative to ask questions and usually quietly takes notes.

Only when he really can't understand by checking resources, he consults Zhou Can.

There's another interesting phenomenon.

Every time he asks Zhou Can for advice, he bows his head like a shy schoolboy.

"Encountering such patients, performing preoperative ultrasound, deep vein patency tests, and deep vein angiography can reveal issues. The surgeon at City Center Hospital failed to perform adequate preoperative checks and didn't detect the deep vein thrombosis; instead, he stripped the great saphenous vein, causing lower limb venous reflux obstruction. After surgery, problems arose, yet the diagnosing doctor mistakenly thought the patient's toe swelling and severe pain were due to overly tight bandaging, missing another chance for remediation, leading to gangrene of the lower limb, leaving amputation as the only option to save the life."

Zhou Can analyzed the pathological mechanism for the two subordinate doctors.

Since his pathological diagnosis level advanced to Level 6, various pathological analyses have entirely reached the level of a director. Yang Zhi and Pu Dingdong could only nod in admiration.

Of course, Qiao Yu and Ma Xiaolan occasionally learned a lot as well.

Today, there was one more person, Jiang Wei.

Although Dr. Xu hadn't given the final nod agreeing for her to stay, Zhou Can had already approved. As for Director Lou, that hurdle was crossed a long time ago. Her chances of staying are almost one hundred percent.

While rapidly consuming her food, she listened carefully to Zhou Can's pathological analysis.

It showed on her face that she, too, had an expression of admiration.

Zhou Can is so young and still just a resident doctor, yet he possesses such a high level of skill. He truly is impressive.

"Boss, if it's discovered post-surgery that the issue is caused by deep vein thrombosis, how can it be remedied?"

Pu Dingdong asked somewhat shyly.

He only asks questions right on the spot when he's extremely interested and is eager to know the answer.

"It's actually quite simple, similar to treating other lower limb deep vein thromboses. First, perform a bypass surgery on the descending blood vessels to ensure blood circulation recovery in the lower limb. Then find a way to perform a venous thrombectomy. The first choice for thrombectomy is interventional angiography. Interventional thrombectomy, on one hand, is minimally invasive, causing less harm to the patient. On the other hand, it ensures the thrombus is completely removed. For this type of venous thrombosis, interventional thrombectomy is an excellent first-choice solution."

Zhou Can looked approvingly at Pu Dingdong, then patiently provided the solution.

The oldest form of thrombectomy involved opening the blood vessel, which is a large-scale and highly challenging operation with significant trauma. Nowadays, with continuous advances in technology, interventional thrombectomy is gradually becoming mainstream.