There were no emergency patients yesterday, the wards were stable, and there was nothing to say about the shift.

After handing over the shift and making rounds, Director Pan returned to his office.

Zheng Ren called two people who Lao Director Pan knew, asked about the patient's medical history, and checked the test report he brought.

The patient is a 69-year-old man who is in good health. 1 week ago, because I accidentally hit a hard object, I went to the township hospital for examination, and B-ultrasound found multiple liver space-occupying lesions, which were considered malignant tumors, and the largest mass was about 6x7.

The overall history is simple, as the patient has had intrahepatic metastases that cannot be surgically removed because the patient has an intrahepatic mass lesion.

At this time, intervention is the best option.

However, the specific situation, such as whether it can be done or not, and whether the postoperative effect is good, can only be determined after 64-slice CT enhancement.

instructed Chang Yue to admit the patient to the hospital, and Zheng Ren and Su Yun went all the way to see other postoperative patients.

Coming to the Department of Gastroenterology, Director Xia's enthusiasm for Zheng Ren has obviously increased by two levels. Even for the director of other departments in the hospital, Director Xia was not so enthusiastic.

She personally led and took Zheng Ren to see the postoperative patient.

After TIPS, the patient's hematemesis has improved significantly, and the symptoms of hepatic encephalopathy are not serious, Zheng Ren feels that after another day or two, the second stent can be removed.

The patient's family was very grateful to Zheng Ren, Zheng Ren just smiled, and Zheng Ren had already received the greatest satisfaction by being able to "fish" the patient back before the ghost gate closed.

As for the gratitude of the patient's family, it is not really important to Zheng Ren.

Patients with cesspool syndrome are also doing well, and although they still have a fever, their temperature has been controlled.

From yesterday's pre-operative 395 degrees Celsius to the current 385 degrees Celsius, this change is huge.

Zheng Ren is confident in her surgery, and the main thing for patients with sewage pool syndrome is to treat sepsis, as long as she can survive this hurdle, she will be considered alive.

After seeing the postoperative patients, Director Xia sent Zheng Ren all the way to the gate of the ward.

Looking at it like that, Director Xia has already recognized Zheng Ren's level in his heart. Subconsciously, she thinks that Zheng Ren has the qualifications to be an equal to herself.

Out of the gastroenterology department, Zheng Ren and Su Yun went to the ICU again.

There was not a trace of hangover on Su Yun's face, which was completely different from the situation of the eleven boxes of big green sticks that day.

Zheng Ren was also very strange, it was said that the alcohol content of Scotch whisky last night completely exceeded eleven cases of big green sticks, but Su Yun didn't have anything to do.

"Last night, did you succeed?" As he walked, Su Yun suddenly asked.

Succeed...... Jung in didn't know how to answer this question.

If you say hugs, it should be a success. However, it is estimated that Su Yun is not talking about this.

"Judging by how you look in the morning, it should be fine. Don't worry, the fierce girl is afraid of pestering Lang, step by step. Su Yun taught earnestly.

Zheng Ren suddenly felt that what Su Yun said seemed to be good, at least yesterday's story made him stop from the precipice.

Otherwise, according to his temper, he doesn't know where the situation is going.

All the way to the ICU, changing clothes and going in, Director Qian and others had serious expressions and were discussing their condition.

"Xiao Zheng, here. Director Qian saw Zheng Ren and Su Yun coming to see the patient, so he beckoned.

Zheng Ren knew that there was a problem and immediately walked over.

"The 5-bed patient was more agitated, and it was estimated that according to the condition, the tracheal intubation could be removed today and the ventilator could be stopped to assist breathing. But after the sedative medication passed, she began to be agitated and her vital signs became unstable. ”

Director Qian said simply.

The 5 beds in prison are the patients who were injured by a fall from a high altitude that Zheng Ren made the day before yesterday.

What else is going on?

Zheng Ren was a little puzzled, it is said that her condition should be better every day at this time, and she will be able to go to the orthopedic department for fracture internal fixation surgery in a few days.

The system issued a task to Zheng Ren, but Zheng Ren didn't want to complete it at all.

Chronic surgery is a chronic surgery and must not be done in an emergency. Otherwise, the patient will suffer more trauma and make the physical recovery unpredictable.

What's going on?

Zheng Ren glanced at the patient, and the system panel in the upper right corner of the field of vision was still a faint red background.

This is also normal, she still has many fractures that have not been treated.

Looking at the diagnosis given by the system, there seems to be nothing special about it......

Zheng Ren was puzzled, and stood quietly behind the doctors in the ICU, listening carefully to their analysis of the patient's condition.

"Boss, I have a feeling that the severe pain of adenomyosis causes the patient to have intense agitation when the concentration of the sedative drug is reduced. Su Yun whispered.

Zheng Ren also takes this into account, but without a quantitative standard, there is no way to be 100% sure.

He nodded, resting his cheek with his right hand, frowning in thought.

"Xiao Su, what do you think?" Director Qian asked familiarly.

"Director Qian, I think patients need to try interventional embolization to treat adenomyosis. If it doesn't work, the uterus will have to be removed. Su Yun didn't wait for others to question, so he continued, "The reason why the patient jumped off the building was because of the severe pain caused by adenomyosis and was unbearable, so he chose to commit suicide.

Just how high the peak of that pain is, we can't guess. But one thing is for sure, it must be high, I guess it should be about 4 degrees of pain. ”

The pain grade, 1-12 is made up by netizens. Professionally speaking, the medical pain grade is 0-4 degrees. Grade 4 is severe pain with changes in blood pressure and pulse.

The doctors in the ICU seemed to be accustomed to Su Yun's consistent correctness, and subconsciously substituted what he said.

Although what Su Yun said was more fanciful, the more he thought about it, the more he felt that it made sense.

Director Qian groaned.

"The pain of a fracture can be tolerated as long as you lie still. So I don't think the patient's agitation is due to the pain of the fracture.

I recommend that you explain your condition to the patient's family. If it doesn't work, the uterus needs to be removed. Su Yun was still firm, "If it drags on any longer, the patient has been intubated for nearly 48 hours, and he will soon have to have a tracheotomy."

In that case, you will face complications such as lung infection, and it will be more difficult to recover. ”

"You can try. Although Zheng Ren is not sure whether the patient is agitated because of the pain of adenomyosis, he still agrees with Su Yun's statement.

Now that the patient is no longer in the emergency of hemorrhagic shock, it doesn't hurt to try the possibility.

After all, interventional surgery is minimally invasive.

If the patient does not have such severe trauma, he or she will be able to move 24 hours after surgery.

Of course, if there is a series of high-value consumables such as hemostatic plates in the imperial capital, it can be put on the ground in 4-6 hours.

Director Qian felt incredible, after all, adenomyosis is not a particularly rare disease, but most people choose to remove the uterus once and for all.

For women who have not yet given birth, this disease rarely occurs, and Director Qian has no experience.

After pondering for a long time, Director Qian finally clapped his hand and said, "I'll go and communicate with the family and try it." ”