Director Zhou didn't think Zheng Ren was making a big fuss.

has the relationship of Director 912 Kong, and Boss Zheng will definitely not slap Zhu Liangchen in the face for no reason. If you are ten years younger and jump out with arrogance, you may be hit head-on.

And the patient was fine just now, and the one who should be sent to the stage was also sent up, but there was something wrong at this time?

Looking at Zhu Liangchen's appearance, he should think the same as himself, thinking that there is nothing wrong.

It's weird.

Soon, Zheng Ren and Zhu Liangchen walked back.

"Mr. Zhu, I suggest postponing this operation. I watched the film of "Zheng Rendao" head, and I have some doubts. I would like to check a few more tests and confirm the diagnosis before having surgery. ”

"Boss Zheng, what do you think is the disease?" Zhu Liangchen was a little unhappy.

Negative diagnosis? This is a standard slap in the face.

Doctors are cold to each other, and the deadliest attack is - he will also see a doctor?

Zhu Liangchen looked at Zheng Ren, and the expression on his face became colder and colder.

"The CT of the patient's head showed bilateral lenticular symmetrical hypodense opacities. This image is relatively faint and can be easily overlooked, and the CT side is considered an artifact. Zheng Ren inserted the head CT film into the reader.

Pointing to the CT film, he said, "The RI of the head is more specific than CT, and it is manifested as low signal and T2-weighted image of lenticular nucleus, caudate nucleus, midbrain and pons, thalamus, cerebellum and frontal cortex, or high and low mixed signals of putamen and caudate nucleus on T2-weighted image, and there can also be different degrees of sulci widening and ventricular enlargement." ”

After speaking, Zheng Ren continued, "I think that the patient has rare Wilson's disease, and it is recommended to check the biochemical tests related to copper metabolism, serum ceruloplasmin, urine copper, and liver copper amount. ”

These examinations are relatively unpopular. There is no place like Haicheng. Even if you listen to it, you may not have heard of it.

However, the Imperial Capital Hepatobiliary Hospital, but a specialized hospital, should have these examinations.

Is Wilson's disease degeneration?

Zhu Liangchen and Director Zhou were stunned for a moment, and then began to think about this extremely rare disease.

This disease is caused by the accumulation of too much free copper in the serum in the liver, resulting in lobular cirrhosis.

When hepatocyte lysosomes cannot accommodate it, copper is dispersed and deposited through the bloodstream to various organs. Neurons in the basal ganglia and transport of their normal enzymes are particularly sensitive to the toxicity of inorganic copper, and copper deposition in the cerebral cortex and cerebellar dentate nuclei also causes symptoms.

Copper damage to the proximal tubules of the kidneys can cause loss of amino acids, proteins, and calcium and phosphate, and the deposition of free copper in the corneal elastic layer produces a k-f ring.

At the same time, cirrhosis can produce a series of changes in portal hypertension.

If you have Wilson's disease...... A smile appeared on Director Zhou's face.

Things are getting more and more interesting.

Zhu Liangchen's luck is not very good. The general incidence of this disease is only 1 in 100,000.

I still have to receive it in his hands, and then find Boss Zheng for surgery.

Tsk, this luck, it's really no one.

Zhu Liangchen was a little embarrassed, and his face drooped suddenly.

This was stopped by the "professor...... In the past, only one stopped other people's surgery, and no one stopped their own surgery!

"The patient has a strange expression, slurred speech, and muscle spasms, but not as rhythmic spasms as Parkinson's disease. Zheng Ren didn't care about Zhu Liangchen's unhappiness, and told the truth, "Let's stop this operation, let's make a clear diagnosis first." If the diagnosis is correct, the patient should be given D-penicillamine for a period of time, and after the symptoms are relieved, it can be done at any time. ”

Su Yun frowned as he watched from the side.

Running flying knives in the imperial capital, whether you make money or not, and don't talk about it first, you have to be very cautious at every step.

They are all big bulls in the industry, even if the level is almost good, they can't stand up to a wide range of people. This is a different concept from going to other cities to run flying knives.

After sweeping Zhu Liangchen's face, what will Director Kong think?

But what Zheng Ren said is not wrong, if it is really Wilson's disease, and the TIPS surgery is done directly, the patient's copper metabolism is problematic.

Alas, what a bad luck to encounter this situation.

Zhu Liangchen was silent for a few seconds, but still nodded, and said, "Then this patient's operation will be stopped." ”

The air in the office suddenly lightened a little.

The remaining two patients quickly finished reading, Zhu Liangchen had a gloomy face, arranged for someone to communicate with the patient's family, and then took Zheng Ren to the operation.

The atmosphere is not as harmonious as it was when I first arrived.

Su Yun wanted to pull Zheng Ren to ask about the situation, but Zhu Liangchen was always on the left and right, and he never found a chance.

When she came to the operating room, Hu Yanhui had already prepared the equipment for the live broadcast of the operation and waited for the live operation.

The order of this operation does not take into account the live broadcast of the operation, but is sorted according to the age of the patient.

Because the operation requires fasting from water, the older ones are in the front, which Zheng Ren also recognizes.

I went to change my lead coat and started brushing my hands. Su Yun finally seized the opportunity, grabbed Zheng Ren and asked, "Boss, Wilson's disease, is the diagnosis clear?"

"Huh?" Zheng Renleng paused for a moment, then smiled, "Clear." If this patient has undergone surgery, the venous blood does not go to the liver, and there is less filtration of toxins, and it is very likely that the symptoms of acute copper poisoning will occur. ”

Su Yun nodded, as long as he was sure, there was nothing to say.

took care of Zhu Liangchen's face, and it was Zheng Ren who was slapped in the face in the end. It's just that he was a little puzzled and asked in a low voice, "Have you ever seen a patient with Wilson's disease?"

"No, I don't. ”

"Then how did you diagnose it?" Su Yun asked.

It is said that the directors of the imperial capital see one hundred and eighty patients a day, and there are incurable diseases. If you fight for talent, Zheng Ren may be better than everyone. But if you fight for experience, he may be a little weaker.

This is also what Su Yun has been worried about.

But...... Today's incident made him feel that his three views were once again forcibly broken in another direction by Zheng Ren.

"Read, shouldn't you write down all the liver lesions and compare them all the same?" Zheng Ren was also surprised and said to Su Yun, "That's not how you see a doctor?"

"......" Su Yunzhen really wanted to smoke Zheng Ren.

There are lesions about the liver, if not a thousand, but eight hundred. Who can remember everything? And every time you see a patient, you have to go through it?

This guy really isn't human.

"I'm on stage, what is the live surgery scheduled on?"

"The third and sixth stations. Su Yun said expressionlessly.

"Oh, contact Director Kong and see when Director Kong and Professor Pei will arrive. Zheng Rendao.

"Are you still afraid that if you're done, they won't be able to arrive?" Su Yun was already a little impatient.

"yes. Zheng Ren said frankly.

。