1964 A brand new emergency treatment method
Zheng Ren stood in front of the film reader and looked at the film with his chin in his hands.
“Boss Zheng, it doesn’t look like a tumor.” Professor Feng first stated his own judgment.
“Well, I’m not considering. There’s only a blood supply to the periphery, so there should be a feucius in the middle. ” Zheng Ren said.
“Trouble …” Quan xiaocao wanted to say something, but she only managed to say one word before she swallowed her words.
“Little grass, don’t be afraid. Just say what you have to say. What are you afraid of? I can’t eat you if I say something wrong. ” Su Yun encouraged her.
Quan xiaocao had combed her hair today. There was a hint of green in her black hair. The more he looked at her, the more she looked like a blade of grass.
“HM…Hm…Mm …” Quan xiaocao lowered her head and looked at her feet. She seemed to be regretting why she had spoken earlier.
“If you’re so cowardly, what will you do if you encounter any problems in the future?” Su Yun’s attitude towards Quan xiaocao had always been gentle. He even encouraged her.
“The patient’s excretion and excretion rate have been normal.” Quan xiaocao expressed her opinion like a mosquito.
“This is indeed a problem.” “There’s defecating and excretion, which means intestinal peristalsis is normal,”Zheng Ren said.
“I heard rumbling sounds. It’s four to five times per minute.” Feng Jianguo added.
Zheng Ren looked at the X-ray silently. He already had the relevant diagnosis in his mind.
“It’s a huge space-occupying lesion, and there are no blood vessel images inside. Active substances are not considered, so the possibility of it being fetid is very high. ” Zheng Ren reiterated.
Quan xiaocao was a little confused. Didn’t she say that the patient was defecating normally?
If there was such a large fetid stone, the intestinal obstruction would definitely be very serious, and the Qi and liquid would be flat … Although it was not an vertical abdominal X-ray film, it would also be shown on the CT.
During this period, Quan xiaocao had been cramming up on her clinical knowledge. She felt that her level had improved a lot.
However, when he faced boss Zheng, he couldn’t help but feel terrified, no matter how ridiculous boss Zheng was.
She didn’t have the courage to question boss Zheng, the Nobel Prize candidate, who was as dazzling as the rising sun.
“How’s the patient now?” Zheng Ren asked.
“Severe abdominal bloating, accompanied by tearing pain. Can’t eat, drink, or lie down.” When Feng Jianguo saw Quan xiaocao looking at the ground, he knew that her mind had gone blank. He then explained the patient’s current condition to boss Zheng.
Quan xiaocao was a hardworking, kind, and hardworking child. Everything was fine, but she was a little too cowardly. Feng Jianguo felt very helpless about this.
“What do you guys think?” Zheng Ren looked at the X-ray and said softly.
Feng Jianguo was stunned for a moment. What did this mean?
Was boss Zheng testing him?
“Boss Zheng, I have the same opinion as you. I don’t think it’s a tumor. However, for the fetid … We’ll need to do a CT scan to enhance it. ” Lin Yuan said directly.
Feng Jianguo glanced at Lin Yuan. Since when did boss Zheng have a female doctor by his side?
It was not a common habit for doctors in China to unbutton their white clothes. It was either because some department directors did not button their buttons, or because some young doctors who did not know their place would try to look cool.
“Lin Yuan, you didn’t expect …” Su Yun’s lips had just revealed a skillful smile. Then, he paused for a moment and said in a gentle tone,””You need to think more about it, boss. My diagnosis is a repeated deformity of the transverse colon and the descending colon.”
Zheng Ren nodded.
“Brother Feng, let’s do an emergency surgery.” Zheng Ren said,”I’ll go take a look at the patient. Su Yun’s diagnosis should be correct. The patient has a duplicated deformity in the colon. There are fetid stones in the extra intestine in the middle, and they are pressing on the abdominal organs and diaphragm.”
“…” Feng Jianguo saw that Zheng Ren was going to see the patient and immediately said,””Boss Zheng, I’ve also considered this rare disease, but generally speaking, gas images can be seen in the colon with repeated deformities.”
“For this point, we can temporarily consider that the patient has been sick for a longer time, and the malformed intestines that grew are filled with feces.” Zheng Ren smiled.”Let me use the stethoscope.”
When Quan xiaocao heard Zheng Ren’s words, she immediately took out a stethoscope from her pocket.
But when she looked up, she saw that the female doctor beside boss Zheng had already handed the stethoscope to boss Zheng.
“I’m here to take a look at the patient. ” “Regardless of whether it’s intestinal repetition deformity or not, a C-section exploration surgery is required.” If that’s the case, it’ll be more troublesome. It’ll be more troublesome than removing a tumor. “
Feng Jianguo knew what boss Zheng meant. Although the surgery for repeated intestinal deformities was relatively simple, there were so many feucites in it that it was almost certain that the patient would have a serious infection. It was very likely that the intestines would be left out and wait for the second stage of anastomosis.
Just thinking about these methods gave him a headache.
It was better to see the patient first. Feng Jianguo led boss Zheng to the ward.
“The patient was admitted today. Her stomach looks pregnant. I think the situation inside is very serious.” Feng Jianguo explained the situation to Zheng Ren.
Zheng Ren nodded.
When he entered the ward, Zheng Ren saw a male patient rolling around on the bed.
His stomach was bulging, just like what Feng Jianguo had described, like a pregnant woman who had been pregnant for ten months.
The abdominal pressure was probably extremely high. No matter how he lay down, it was very uncomfortable. It was difficult to find a way to let him lie down comfortably for a while.
It was said that sick people were anxious and uncomfortable. Who could talk calmly?
Moreover, the patient had been suffering from abdominal bloating for more than ten to twenty years. After a long period of torture, it was like his entire life had fallen into hell.
The system panel showed a bright red color. The diagnosis was the same as Zheng Ren’s judgment-a repeated deformity of the transverse colon and descending colon. There were a bunch of other diagnoses, but they were all other complications that were not very urgent, so Zheng Ren did not care.
He listened to the patient’s rumbling, and it was normal.
When asked about the patient’s medical history, the patient had not eaten well for three or four days. He had almost not defecated recently, but his smoke was normal.
Zheng Ren already had an idea of the overall treatment.
He performed a physical examination on the patient and finally confirmed his judgment before leaving the ward.
“Brother Feng, let’s do the preoperative preparation. You can go to the next consultation.” Zheng Ren said.
“It’s fine. Just come up if you want. There’s no need for a consultation.” Feng Jianguo laughed.
Feng Jianguo had known for a long time that boss Zheng, who was a doctor from the General Surgery Department, would be itchy to treat rare diseases.
“No,” she said. Zheng Ren said,”perform an enteroanastomosis before the surgery, and then retract the intestinal stent during the surgery.”
“Ah?” Feng Jianguo was stunned.
Surgery combined with interventional surgery? There didn’t seem to be such a technique.
“A recyclable intestinal stent? Do you want to block the intestinal hyperplasia to prevent the fetid from flowing back and contaminating the wound?” Lin Yuan asked with a frown.
“You’re indeed a PhD student from Harvard, your judgment is right!” Su Yun said.
He was beaming with joy, and there was no trace of sarcasm.
Lin Yuan’s brows furrowed even more. She looked at Su Yun cautiously, as if she was guarding against a thief.