Cheng Lixue was furious!

It's about putting on little shoes for yourself!

The diagnosis of the patient's liver cirrhosis is very clear, and the amount of ascites is also very large, so why does he say that he made a wrong diagnosis?!

Cheng Lixue stared at Gao Shaojie viciously, it must be because of this professor of Medical University, it must be!

Immediately, he glared at Zheng Ren, barely suppressed the anger in his heart, and said, "Mr. Zheng, I think the diagnosis is very clear. ”

As soon as the words came out, a stream of blood surged into Cheng Lixue's head, and he angrily clicked the film on the reader with his hand, and said: "The symptoms of liver cirrhosis are obvious, the portal pressure is very high, and there is a large amount of ascites!

The last sentence is a bit heart-wrenching.

After saying this, he has already torn all his faces.

It means that there is no possibility of cooperation between Cheng Lixue and Zheng Ren.

But!

Cheng Lixue can't bear it!

It's tolerable, it's unbearable!

MMP, even not to be a patient of Lao Tzu!

Dean Zhang's face changed, and he took half a step forward, blocking between Cheng Lixue and Zheng Ren.

Just as he was about to speak, he heard Zheng Ren say leisurely: "Director Cheng, didn't you see the patient?"

"Huh?" Dean Zhang was stunned for a moment.

Cheng Lixue's face turned red, and she was also puzzled, how did Zheng Ren know that he hadn't seen a patient?

But how can you admit it!

He thought that Zheng Ren deliberately poured dirty water on himself, and it was impossible for him to know that he had not seen a patient.

Yes, that's it! He's not a fortune teller, so how can he know that he's not seeing patients.

The idea makes sense.

As a result, Cheng Lixue was even more angry!

Boil over!

But before he could speak, Zheng Ren asked Wang Qiang for a pen, lightly clicked the film, and said: "The film does look like liver cirrhosis, spleen enlargement, and it is an advanced form." ”

Cheng Lixue snorted coldly.

"But did Director Cheng notice that the patient's liver did not shrink, but enlarged?" Zheng Ren asked.

"......" Cheng Lixue didn't even look at the film very carefully, and the liver did not shrink, which is not normal......

Of course, Cheng Lixue also knew that this was not normal. That being said, this rare case can be seen occasionally.

Cheng Lixue felt more and more that Zheng Ren was more and more guilty.

"It's not cirrhosis, it's Budd-Chiari syndrome. Zheng Ren sighed and said, "Budd-Chiari syndrome is a kind of posterior portal hypertension characterized by inferior vena cava hypertension caused by the hepatic vein and its opening caused by obstructive lesions of the superior inferior vena cava. ”

"It looks similar to the appearance of cirrhosis. It is possible to make a wrong judgment, but it is generally a misdiagnosis in hospitals below the county level, so why didn't Director Cheng see it? ”

Zheng Ren's words were very flat, there were no accusations, only questions.

But every sentence was like an invisible big hand, slapped on Cheng Lixue's face.

"You...... Impossible!" Cheng Lixue forcibly defended.

"Director Cheng, if you go for a physical examination in person, you will definitely find that the patient has the signs of a spider man, and the veins on the surface of the abdomen are distended, and the lower limbs are necrosis in the form of boots. These can tell you very clearly that it is different from cirrhosis. Zheng Ren's tone was still very flat.

However, the slap intensified.

Professor Rudolf Wagner pursed his lips and was very disdainful of Cheng Lixue.

Director Kong stood at the back with a smile, he had already seen it, but he was just a guest, if Zheng Ren ignored it, he would just whisper a reminder when there was no one.

But, there is no doubt that Zheng Ren can see it.

Gao Shaojie was expressionless and looked at the film coldly.

If Gao Shaojie's doctors, or even Wang Qiang, showed him the film of Budd-Chiari syndrome as liver cirrhosis, Gao Shaojie would have smashed the film on the doctor's face.

You don't understand, but it's too much if you don't even look at the patient.

Dean Zhang saw that Cheng Lixue's face was flushed, and he couldn't say a word, and he had already guessed that this product should really not see the patient.

He hurriedly played a round and said, "Teacher Zheng......"

"Let's go and see the patient. Zheng Ren said: "Budd-Chiari syndrome is almost incurable before interventional surgery. But with interventional surgery, it's no longer a difficult problem. ”

"Interventional surgery is one of the most typical diseases in the clinic, and Director Cheng really shouldn't be unaware. Zheng Ren shook his head and looked at Dean Zhang.

Dean Zhang was also helpless, asked the patient's ward, and took Zheng Ren over to see the patient.

The patient lies on a hospital bed with a high belly and thin limbs, typical of cachexia. Because the belly is high and bulging, the limbs are skinny, like a big-bellied spider with only four legs, lying on the bed.

In a trance, there is a magical feeling.

Zheng Ren glanced at the system panel in the upper right side of the field of vision, and the diagnosis given on it was the same as the diagnosis he had read - Budd-Chiari syndrome.

After saying hello to the patient and the patient's family, Zheng Ren began to examine the body in person.

The clothing on the patient's abdomen was lifted, and three veins about 1 cm in diameter snaked on the patient's belly like small snakes.

The symptoms were exactly the same as what Zheng Ren had judged in the office before, and there was no discrepancy in the slightest.

All the doctors fell silent.

Zheng Ren percussion to determine ascites and determine the extent of the liver area. Then he began to look at the patient's feet.

A pair of purple feet appeared in front of everyone.

Ischemia, but not to the point of necrosis. But even if it's just that, it's heavy.

Zheng Ren asked a few more words about his medical history before leaving the ward with everyone and returning to the office.

"Typical spider body signs, boot-like syndrome in both lower extremities due to venous return problems are also clear. Zheng Ren returned to the film, clicked on the film, and said, "Therefore, the patient's diagnosis of Budd-Chiari syndrome is already very certain." ”

Cheng Lixue blushed as if she was about to drip blood.

"Director Cheng, I remember that a few days ago, you went to the first hospital of the city and said that you wanted to learn TIPS surgery. Zheng Rendao.

Silence, silence.

"MRI diffusion can't be understood, it's okay. It is also difficult to use MRI diffusion to judge the relationship between portal vein and hepatic vein in the advanced stage of liver cirrhosis. Zheng Ren looked at the film and said in a flat tone, "But as a doctor, as a director, it is too much to not watch the film and not look at the patient before the operation!"

Cheng Lixue was speechless, he lowered his head and took a few steps back.

"Mr. Zheng, do you think this patient can be operated on?" asked Dean Zhang.

"Manager Feng, do you have any vascular consumables?" asked Zheng Ren.

"Thrombolysis? I brought it, just to prepare you to do thrombolysis. Feng Xuhui said happily.

"Without thrombolysis, ordinary guidewires can do it. Zheng Rendao.

Cheng Lixue suddenly raised her head, her eyes were bloodshot, and her lips moved, as if she wanted to say something.

Professor Rudolf Wagner glared at him and said, "What are you looking at?"

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