Original Title: Shanghai Youth Aid Doctor: "For the First Time, My Heart Felt So Close to the Plateau" The picture shows Zhang Hongzhi carrying out ward rounds. (Data Map) Map provided by Shanghai Youth Aid Command China News Network reporter Zhang Tianfu Clean the abdominal cavity with 40 bottles of saline, benefit one side from medical teaching and research, and build a skilled surgical team. In July, the fourth batch of cadres and talents in Shanghai are about to end their youth aid life. A few days ago, a number of Shanghai Youth Aid Cadres and Talents were interviewed by CNN reporters to see how they accepted challenges and honed in the plateau, and how they paid sweat and wisdom. For the first time, my heart felt so close to the plateau. To make greater contributions-as a surgeon in Shanghai, Zhang Chenggang has been thinking and practicing. "For the first time, my heart feels so close to the plateau," he said at the Qinghai Provincial Hospital of Traditional Chinese Medicine. What impressed Zhang Chenggang was a night in early April 2020. At that time, the treatment of a patient with colon perforation, the opening of the abdomen immediately spread a smell-to explore the pelvic cavity, found that the pelvic cavity was filled with pieces of feces, the stench hit the face, everyone was fumigated dizzy. When Zhang Chenggang cleaned up the lumps of feces with his hands, all the people present felt sick to their stomachs, and the itinerant nurses could not help but run out and vomit. After cleaning up, it was found that it was an advanced tumor in the lower sigmoid colon, which completely blocked the intestine, dilated the intestine above the tumor, and caused perforation when the pressure reached a certain level. The stool flowed into the abdominal cavity of the patient from this perforation. Zhang Chenggang controlled the leakage of fecal juice in time,tailor measure tape, removed the tumor and perforation site for the patient, and performed lymph node dissection to complete the radical resection of sigmoid colon cancer. In order to prevent postoperative abdominal infection, he repeatedly washed the abdominal cavity, over and over again, tirelessly, as the washing water gradually became clear, the patient's vital signs became better and better. At this point, he found that he had used 40 bottles of 500ml saline. At the end of the operation,mini tape measure, it was already 1 am the next day, and Zhang Chenggang was already exhausted by the extreme mental and physical exhaustion on this plateau where "you will breathe when you move.". At seven o'clock the next morning, he got up early to see the patient rescued last night. "The follow-up treatment of this severe septic shock patient should not be lost.". I explained the key points and measures of treatment to the bed doctor in detail. Eventually, the 75-year-old man with intestinal cancer perforation and septic shock recovered and discharged from hospital, and we won the difficult battle for life. Action: Medical, teaching and research benefit one party Expand the full text The picture shows Zhang Chenggang carrying out the operation. (Data Map) Map provided by Shanghai Youth Aid Command Zhang Hongzhi, a doctor at Shuguang Hospital affiliated to Shanghai University of Traditional Chinese Medicine, was a little worried that he would not be able to integrate into the working environment of Qinghai, but he did not expect to "wrap" Zhang Hongzhi with enthusiasm and respect and feel at home. An octogenarian woman surnamed Li in Xining was sent to the emergency department of the Qinghai Provincial Hospital of Traditional Chinese Medicine after she fell to the ground with a sudden vague speech and poor movement of her right limbs. The head CT completed in the emergency department of the hospital showed no intracranial hemorrhage lesions. After that, please consult the encephalopathy department. Zhang Hongzhi put down her work and rushed to the emergency department. After detailed medical history, she initially considered acute ischemic stroke, also known as acute cerebral infarction, after physical examination and imaging report. "If the treatment is not timely, she may lie in bed for the rest of her life." In Zhang Hongzhi's eyes, "within 4.5 hours of gold, bespoken tape measure ,custom tailor tape, intravenous thrombolysis is the most effective treatment for acute cerebral infarction.". Fortunately, intravenous thrombolytic therapy can be taken within 4.5 hours. Zhang Hongzhi urgently instructed nurses to collect blood for examination, contacted the laboratory green channel to speed up the laboratory report, assessed contraindications, and fully informed family members of the necessity and risks of intravenous thrombolysis. The patient successfully used intravenous thrombolytic drugs within 4.5 hours to open the blood flow in time-the patient's speech function recovered, the right limb muscle strength recovered as usual, the patient and his family are deeply grateful. Stroke is a disease with high morbidity, high mortality and high recurrence rate. We generally believe that in the golden time window, timely and effective opening of blood vessels to achieve blood flow recanalization is the most effective method for acute cerebral infarction at present. But through this incident, I found that my colleagues in Qinghai urgently need to update their knowledge and technology in this field, and the treatment process needs to be improved. Zhang Hongzhi said. To this end, Zhang Hongzhi invited the hospital's medical department, outpatient and emergency office, emergency department, encephalopathy department, radiology department, laboratory department, nursing department and other relevant departments to hold a stroke treatment coordination meeting to further optimize the stroke treatment process. Build a skilled surgical team "When I was a child, I saw that the country was weak and the people were weak, and many of my predecessors studied medicine to cure diseases and save people.". But in the face of the years of war, they abandoned medicine for the army and medicine for the literature. Zhu Xiaoming talked about his childhood ideals, "Nowadays, we live in a peaceful era, not as strong as the sense of achievement of defending the country in the war years.". But curing diseases and saving people can better reflect their own value. Zhu Xiaoming, an expert in gastrointestinal surgery from Yueyang combined use of traditional Chinese medicine and Western medicine Hospital affiliated to Shanghai University of Traditional Chinese Medicine, became one of the fourth batch of young cadres in Shanghai in February 2021. Every effort has been made to build a surgical team with excellent technology that can not be taken away-Zhu Xiaoming has decided on his own direction of helping the youth. Because of many factors, many patients in Qinghai will not go to the hospital until they have obvious symptoms or symptoms are aggravated. Zhu Xiaoming said that this is not like Shanghai, which pays attention to early treatment or preventive treatment. Ma Ming (not his real name), 62, always felt a dull pain in his lower abdomen, accompanied by unexplained blood in his stool, and colonoscopy and pathology showed "rectal cancer". He came to Qinghai Hospital of Traditional Chinese Medicine for treatment. Zhu Xiaoming learned that Ma Ming is a rare "mirror man" with an incidence rate of only one in a million-compared with normal people, all internal organs are left and right inverted, the heart is in the right thoracic cavity, and the liver is in the left abdominal cavity. Operating on him is like operating on a person in a mirror image, requiring doctors to use reverse thinking to reverse each step 180 degrees, which greatly increases the difficulty and risk of the operation. Although the operation is difficult, we must face the difficulties and relieve the pain of patients. After Ma Ming was admitted to the hospital, Zhu Xiaoming led the team to make a full preoperative assessment. After excluding the contraindications of the operation, he personally performed laparoscopic radical resection of rectal cancer for Ma Ming under general anesthesia. The conventional "five-hole method" was used in the operation, but Zhu Xiaoming stood in the opposite direction and used the ultrasonic scalpel to separate the tissues carefully and dissect them step by step. After three hours of tacit cooperation, the operation was successfully completed, Ma Ming's tumor was completely removed and lymph node dissection was completed. I thought there was no cure for a special group of people like me. Thank the doctor for giving me a new life with his excellent medical skills! Before discharge, Ma Ming and his family members expressed their gratitude to the Shanghai Youth Aid Cadres and the Department of Surgery of the Qinghai Provincial Hospital of Traditional Chinese Medicine. For a new technology, Zhu Xiaoming always takes young doctors by hand to cultivate their confidence until they can complete it independently. In Zhu Xiaoming's view, "This process is of great significance, not only to develop a new technology in the department from development to maturity, but also to help doctors independently carry out surgery." The simple folkway makes Zhu Xiaoming feel that patients are highly dependent on doctors. 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