This was an unexpected surprise, which was beyond Zheng Ren's expectations.

Could it be the effect of luck +16? Zheng Ren hated the big pig's trotters. I don't explain anything, I can't predict it in advance, and I can't maximize the effect.

But it can't be helped, that's how the big pig's trotters behave.

chatted with Professor Yang all the way and finalized some details. Professor Yang was also very generous, saying that he directly explained the live broadcast of the operation to the patient's family at the earliest.

For the live broadcast of surgery, communicating with the patient's family from the very beginning and explaining it before the operation has a completely different effect.

If Professor Yang can do this, it will be another surprise for Zheng Ren.

Professor Yang was in a hurry to go out of the outpatient clinic, and the patients were already piled up, so he had to read today's number before he could get off work.

You don't have to think about going home on time, and after seeing the registered patients, you have to go to the ICU to see today's patients, so that it can be considered complete.

When Zheng Ren arrived at the operation, he saw that the operation in the urology department was nearing the end.

The adrenal tumor was isolated very cleanly, there was erosion, and a segment was cut without removing the entire kidney.

On the monitor, the patient's vital signs were stable, the adrenal tumor was resected, and there was no complications such as a sudden decrease or disappearance of blood pressure with a small probability.

Mr. Yu saw Zheng Ren standing behind Director Miao, and said with a smile: "Boss Zheng, did you go to the rescue just now?"

"Well, malignant hyperthermia. Zheng Ren looked at Shuye and said softly.

"This rare disease in the anesthesiology department, Boss Zheng also has research?" Director Miao put the cutting stapler aside, turned around and stepped down, and hit Zheng Ren in the face.

"I've seen it in journals and have an impression. Zheng Ren gave way and said respectfully.

"Young man, what a good memory. Director Miao didn't have too many expressions, the first assistant and the second assistant were responsible for the final finishing work, and he went to another operating room.

On that side, the skin has been opened, waiting for the kidney segment to be cut.

Zheng Ren just smiled and didn't leave with Director Miao. He had no interest in urology, and the patient himself attended the hospital-wide consultation, so he came up to take a look.

I didn't expect to encounter a rare malignant high fever.

Mr. Yu waited for Director Miao to walk out, and then said with a smile: "Boss Zheng, what is a malignant high fever?"

I don't do anesthesiology, so I don't know that malignant hyperthermia is normal.

Even if it is dry anesthesia, 90% of people do not know what malignant hyperthermia is. After all, it's a rare complication, and once it does...... There is basically no salvation.

I know too much, and I can't do anything, and people are not good.

"Malignant hyperthermia is not a matter of our surgery. Zheng Ren subconsciously regarded himself as a doctor outside the general world, and said naturally.

"It is the only genetic disorder that can cause perioperative death from conventional anesthetic use. It is a subclinical muscle disease, that is, the patient usually has no abnormal manifestations, and after exposure to volatile inhalation anesthetics and depolarizing muscle relaxants during general anesthesia, there is a tonic contraction of skeletal muscle, which produces a large amount of energy, resulting in a continuous and rapid increase in body temperature. ”

"Is it curable?"

"It's not easy to treat, if there is no Anesthesiology Department of Xiehe to study the diagnosis of malignant hyperthermia, and there happens to be dantrolene, it is estimated that this patient will die." Zheng Ren told the truth.

"Just now, Lao He went to look at it and came back to say that you were directing the rescue. Mr. Yu glanced at the anesthesiologist and said, "It scared me." ”

The anesthesiologist's surname is He, which is the old He in Mr. Yu's mouth.

He kept looking at Zheng Ren, and he still couldn't believe it, so he lowered his voice and said, "Boss Zheng, when I went in, I saw our director squatting to see the amount of urine, which scared me out." ”

"......" Zheng Ren couldn't answer.

"Our director, usually saying the wrong word is a slashing of the head and covering the face. How did you do that?" Lao He looked around sneakily, especially behind him, and looked at it three times to make sure that the director was not there.

Talking nonsense behind the director's back, if he appears behind him unconsciously, the embarrassing cancer will explode all of a sudden, and the whole body will spread.

Lao He was also careful, and it seemed that he was reprimanded by Director Xu of the anesthesiology department.

Zheng Ren thought about it for a while, but he didn't have much memory.

"I don't know, I took a look, determined that it was a malignant high fever, and then began to rescue. This disease is not very common, and I guess none of the people present have much experience, so I said a few words. Zheng Ren thinks about it now, and he also regrets it a little.

"Having said that, it's still used to being a hospitalist in our hometown, and I habitually yelled. Zheng Ren said: "Teacher He, please tell your brothers, bear with me if you have offended." ”

"How come!" Lao He looked at Zheng Ren in surprise and said, "I have worked in the operating room for more than ten years, and I have never seen a single case. What the book says, I have long forgotten when I am nervous. I guess if I were at the scene, I would have someone to direct the rescue. ”

"Huh. Zheng Ren smiled dryly.

"How did you succeed?" asked Lao He.

"The director called and borrowed dantrolene in Concord. Intravenous injection, coupled with continuous pumping by a micropump, is expected to be controlled quickly. Zheng Rendao.

"During the Chinese New Year, the classmates had a dinner, and it was said that a malignant hyperthermia gene had been detected on the side of Concord. Lao He said: "But I don't think it's useful, one test, thousands, for the chance of 1 in 100,000, I think it is difficult for patients to accept." ”

"Well, I guess so. However, there is medicine on the side of Concord, and the bottom of my heart is supported. If I change my hometown, I will encounter a patient with malignant high fever, and I will just wait for death. Looking back now, Zheng Ren also feels very lucky, both as a patient and as a hospital.

If it's in Haicheng...... The consequences are unimaginable.

chatted for a while, from malignant hyperthermia to various cases told by the teacher when Lao He was in school. Zheng Ren also gossiped out a lot of case reports in his memory, and the atmosphere in the operating room was finally harmonious.

Let's talk and laugh, this is the operating room, this is the operating room in memory.

"Boss Zheng, I heard that you had an emergency liver hydatid removal a while ago?" Lao He suddenly remembered this and asked.

"yes. ”

"It's a shame that I wasn't on duty that day. The next time you have a chance to touch the stage, what song do you like to listen to? Lao He asked.

"Do we have a stereo in the operating room?" asked Zheng Ren.

"Professors who come back from studying abroad are usually willing to listen to music and have surgery at the same time. Lao He smiled: "If the level is high enough, you can still make the rhythm of the music from the operation." ”

This is just nonsense, Zheng Ren just responded with a smile.

Zheng Ren doesn't care about the music surgery in the operating room. I did the surgery quickly, and I listened to the music of yarn.

With that effort, the operation was already done.

……

……

Note: Malignant high fever, rare, rare, a few years ago there was no dantrolene in Shanghai, I don't know if there is now.

In a word...... I pray that I can't touch it.

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