It's a magical feeling.

The director of the imaging department turned his head to look at him, Zhang Tianyang stood upright, looking at him calmly.

So the director of the imaging department was a little depressed.

Obviously, he is the authority, and the one who is being questioned and is about to be judged should be the one next to him.

But why, is he so calm, but he is a little nervous?

"Ahem!"

coughed lightly twice, and the director of the imaging department suppressed the discomfort in his heart and regained the initiative.

He looked around and spoke slowly in the eyes of everyone.

"The results of the reading he just talked about...... That's right. ”

"I knew it!"

Before the white coats could react, Zhao Tianwang, who had already been impatient, slapped his thigh suddenly, pointed at Zhang Tianyang and squirted wildly-

"I knew what you stinky boy said......"

Halfway through his words, he suddenly reacted.

Wait!

Did the director of the imaging department just say that this stinky boy's result was wrong or not?

It seems like...... Is that right?

But how can it be right!

Zhao Tianwang suddenly got stuck on the spot.

"Ahem. ”

The director of urology, who was a step slower, glanced at Zhao Tianwang and spoke slowly.

"What Dr. Zhao means is that we have known for a long time that Dr. Zhang is right. Dr. Zhao and I are very optimistic about Xiao Zhang. ”

I see!

The white coats who had just risen a trace of excitement about eating melons in their hearts were instantly extinguished.

Looking at Zhao Cha Zhao Tianwang again, I saw that his mouth had not been closed, and the muscles on his face trembled slightly.

"Doctor Zhao, sit down, the doctors in our own department should be maintained, but there is no need to be so excited. ”

The director of the Department of Urology pulled Zhao Tianwang leisurely, and turned his head to look at the white coats around him.

"Okay, the patient is still waiting in the emergency department, let's ask the director of the imaging department to tell us more about the results of the imaging!"

A group of white coats really regained their spirits, and their eyes turned to the director of the imaging department again.

Zhao Tianwang was dragged by the director of urology and sat down, the muscles on his face had not stopped trembling, he could only take a deep breath, forced himself to stare at the medical records in his hand, and no longer looked at Zhang Tianyang.

Zhang Tianyang seemed to feel something, glanced here, and then took his gaze back and listened attentively to the explanation of the director of the imaging department.

"The results on the medical record profile are correct, but they are relatively brief, and I will give you a detailed explanation now. ”

The director of the imaging department pointed to the screen and began to analyze little by little.

"There are indeed multiple nodular shadows in the lungs, and infiltrative pulmonary tuberculosis is considered, which is dominated by proliferative foci, and may be active in pulmonary tuberculosis.

Diffuse hyperopacity of the lungs is considered to be traumatic wet lung. Left thoracic collapse, multiple rib fractures, considered fresh lesions.

A small amount of pleural effusion on the left side, and atelectasis. Esophageal dilation in the mediastinum is evident, and cardia compression is considered. ”

"There was no damage to the liver in the abdomen, and there were no clear abnormalities in the portal vein, bile duct, gallbladder, portal vein, splenic vein, etc.

The left kidney does not have a clear intact structure, and the left retroperitoneal mass is huge, and blood can be seen around it.

The right kidney is atrophied, fluid accumulates, and suspicious stones are seen. The inferior vena cava and aorta are compressed and displaced, and the superior mesenteric artery is compressed and deformed. ”

The overall result is very different from what Zhang Tianyang wrote in the medical record, but the details are much more detailed.

While listening, the faces of the white coats present gradually became serious.

"After the patient completed the CT examination, he has contacted the interventional department and sent to the interventional operating room. ”

Zhang Tianyang opened his mouth and directed everyone's attention to the interventional doctor.

The director of the imaging department, who had just summarized the imaging results, had completely lost his exposure, but his face was serious and he also set his sights on the interventional doctor.

The patient's visibly distended abdomen, plummeting hemoglobin, and imaging results point to a term - hemorrhage.

And it's heavy bleeding.

What is not identified now is the site of the bleeding.

At this time, the first thing that comes to mind is the interventional department.

"What's going on now? Can you find the bleeding artery? Can you embolize it?"

The chief director of urology furrowed his brows and stared at the interventional doctor.

The doctor from the interventional department looks a little young, although he is definitely older than Zhang Tianyang, but it is estimated that he is not much older.

At this time, Leng Buding became the focus of everyone, and his voice trembled irrepressibly.

"I started putting the guidewire two minutes ago, I'll ask again!"

After that, he quickly took out his mobile phone, his fingertips trembling slightly.

"Now, let's consult a thoracic surgeon. ”

The chief of urology pushed the consultation down, "How is the patient's chest condition now?"

"The patient had no clear bleeding in the chest cavity and was considered pleural adhesions. At present, multiple fractures of the left rib are fresh lesions, but they have not been displaced, and they can be left untreated. ”

Although the patient is currently in critical condition, the part in charge of their thoracic surgery department is not very urgent, and the thoracic surgeon who was named has a slightly relaxed face.

But the face of the chief director of urology was not easy at all.

"At present, the patient's abdominal tension is extremely high, considering the rupture of giant hydronephrosis in the left kidney to the formation of intrarenal and perirenal hemorrhagic hematoma, and the current retroperitoneal state of extreme pressure, resulting in compression of the right kidney and abdominal organs. ”

But looking at the patient's high bulging belly, you can imagine how serious the hematoma inside is.

Abdominal visceral hypertension can lead to organ dysfunction, abdominal compartment syndrome, and serious consequences such as ischemia, multi-organ dysfunction and even necrosis.

Zhang Tianyang also wrinkled his brows, his face serious.

Now patients have two paths to take.

If the interventional department can find the artery where the patient is bleeding and embolize it smoothly, then things will be easier.

The patient currently looks serious because the disease is progressing too quickly.

If the embolization can be successfully completed and the bleeding can be stopped, then the next thing to solve is the bloody fluid that is currently accumulating in the patient's abdominal cavity.

Whether it is conservative treatment waiting for absorption, or abdominal puncture to put a part of the fluid every day, you can take it slowly.

But Zhang Tianyang thought about his face carefully and felt that the patient had little chance of taking this path.

In the unlikely event that the bleeding vessel cannot be found or cannot be successfully embolized, the bleeding persists.

Then, the patient has to undergo emergency surgery.

Surgical exploration, hemostasis, and perhaps removal of the diseased left kidney without normal anatomy, and decompression.

But the patient's current condition ......

Zhang Tianyang frowned.

At this time, the interventional doctor, who had been in contact with his superiors, suddenly raised his head.

"The results are out in the intervention room!"

"DSA imaging showed 4 arteries, 3 of which were clearly located, 2 of which were the right renal artery and the mesenteric artery, and 1 artery was suspected to be the left renal artery, but the development was incomplete.

It is uncertain whether this artery is the source of active bleeding, so it is ......

Unable to embolize the artery......"

The interventional doctor's voice became quieter and quieter the more he spoke.

The face of the chief director of urology is also getting more and more ugly.

Zhang Tianyang took a deep breath, and his heart slowly sank.

Really!

Stealing incense