Zheng Ren communicated with the previous patient with acute appendicitis and the patient's family, and when they saw that a child less than a year old was sick, they also generously gave the operation to the child.

Subsequently, Zheng Ren asked Director Sun to find the director of the anesthesiology department to anesthetize the child.

After all, Chu Yanran and Chu Yanzhi are not experienced enough, and children's anesthesia, especially for children under the age of three, is completely different from adult anesthesia.

Preparing everything, Zheng Ren took Director Sun to the operating room.

Director Kong had already heard the mess in the corridor, and the sound of children crying with milk.

He was very curious, there are few doctors outside children, and only places like provincial cities will have children's majors.

Haicheng? There is no way at all.

Unexpectedly, Zheng Renlian had pediatric surgery...... That's fine.

Director Sun changed his clothes and went directly to the operating room with the child in his arms. Seeing that Director Sun was gone, Director Kong asked, "Boss Zheng, you have a wide range of knowledge, and you can do it outside your child?"

"It's not a child's thing. Zheng Ren frowned, and he was also a little embarrassed.

"Huh?" Director Kong paused.

"The patient's air enema failed, and it is thought to be due to intestinal pinworm disease. Zheng Rendao.

“……”

Although he is not a general specialist, Director Kong knows that intestinal parasites are not easy to diagnose. Zheng Ren didn't even have a CT scan on this side, how to diagnose encephalopathy?

Intussusception is the most common cause of intestinal obstruction in children. In most cases, viral infections (often from the upper respiratory tract) cause the intestinal lymphoid tissue to swell, creating an initiation point that causes the proximal portion of the distal bowel to "stretch" and cause intussusception.

If the air enema cannot be opened, the only way to do it is to open the knife and perform manual reduction.

The disease has nothing to do with parasites at all.

Seeing Director Kong's expression of wanting to speak and stopping, Zheng Ren took out the X-ray film left by Director Sun.

It was already dark at this point, and there was no way to look through the window. Zheng Ren could only tilt his neck, look at the lamp, and said, "Here, back to the blind part, you can see the image of the silky thread." We can consider this to be an artifact or overlap in fluoroscopy, but we cannot rule out the possibility of intestinal parasites. ”

Seeing the film, Director Kong regained some self-confidence.

After all, he has been dealing with images all his life, and without the films, Director Kong has a feeling that his whole body martial arts have been abolished.

Seeing the film at this moment, Director Kong's eyes narrowed.

Zheng Ren said the location, he saw. It is indeed doubtful, but if it were not for Zheng Ren's reminder, based on Director Kong's clinical experience, there is a high probability that it would not be judged to be a parasitic disease.

It's hard to push forward, but it's much easier to push back.

First decided that what Zheng Ren said was right, Director Kong thought in reverse and immediately found the theoretical basis.

"Here, the density on the image is wrong. Director Kong then said, "I think you're right. ”

"It's not just here, it's here. Zheng Ren pointed to another location and said: "It is estimated that the patient is infected with pinworms, and the eggs ingested by him hatch in the small intestine, and the adult worms live in the appendix area......"

"Mr. Zheng, Mr. Zheng, have you finished changing your clothes?" As he spoke, Director Sun ran in as if he was burning his buttocks.

Seeing Zheng Ren and another person studying the film, he was stunned for a moment.

What is there to study about that film? It's just that out of the doctor's instinct, Director Sun subconsciously ordered an X-ray after the air enema failed.

He also watched this film, but it was just a simple intussusception.

"Tell me about it. Zheng Ren said with a smile: "This is Director Sun of the Second Department of General Surgery of our hospital. ”

Director Sun stretched out his hand in confusion, but he didn't expect Director Kong to just nod his head and signal that he knew.

"This is Director Kong of the Interventional Department of the Imperial Capital 912 Hospital. ”

Director Sun was excited.

912 Hospital, the top military hospital in the country, is also the top large-scale tertiary hospital in the country.

The slight displeasure was like a cloud of smoke for a moment before, and even if there were, there was no time to care about this now.

My little grandson is under anesthesia and has to undergo surgery, so how can I have time to care about other people's attitudes towards me.

"Director Sun, Director Kong and I both suspect intestinal parasitic diseases. After the operation, you can look for the director of the pathology department to take a look. If it is a parasite, it is necessary to take the appropriate insecticidal medication after surgery. Zheng Rendao.

Director Sun was a little puzzled and a little dazed.

But since Zheng Ren said so, no matter what he was asked to do, he would definitely only agree

"Boss Zheng, your level of diagnosis, but you have left my old guy far away" Director Kong smiled, without jealousy or envy, just stating a fact.

Zheng Ren shook his head, changed his clothes, and came to the operation room with the two directors.

Director Sun wanted to brush his hands on stage, but his hands trembled slightly, and he couldn't go to surgery at first glance.

Zheng Ren pressed Director Sun's shoulder and said, "Director Sun, you can watch the stage." ”

After speaking, he roared, "Su Yun!"

"What are you doing!" In the lounge inside, Su Yun's voice came out.

This guy relied on himself to drink a little wine at noon, and has been lazy since heart surgery. Anyway, with Cao Guozhen taking care of it, there will be no problem.

"Brush your hands, go on stage!" Zheng Ren saw that the director of the Department of Anesthesiology had already done general anesthesia for Director Sun's little grandson, so he went directly to brush his hands.

Brush your hands, disinfect them, and lay out the sheets.

Zheng Ren and Su Yun worked together and quickly made preoperative preparations. Then disinfect your hands, get dressed, and wear sterile gloves.

The light of the shadowless lamp is bright and somewhat harsh.

"Boss, what technique?" asked Su Yun.

"Exploratory laparotomy. ”

Su Yun's eyebrows furrowed slightly, but he didn't speak.

Right lower quadrant, pararectus abdominis incision, 5 cm.

For adults, 5cm is a small incision. But for an 11-month-old baby, the incision is already huge.

At the same time, the live broadcast room of Xinglin Garden was opened.

[Now the surgeon is becoming less and less attentive, and the number of live broadcasts is so small. 】

[Speaking of the same as the live appendicitis surgery every day, you will seem to have it.] 】

[Don't say it, today's surgery is really appendicitis.] No, how can there still be intussusception and intestinal parasites?]

The doctors who came in as soon as possible released their hand speed and chatted with barrage while looking at the patient's medical history.

Then, everyone's interest came.

Infants, 11 months old, intussusception air enema was ineffective, and intestinal parasites were also diagnosed.

With such a complex disease and such a young child, the difficulty of surgery has increased exponentially.

[It's strange how the surgeon can see the intestinal parasites.] 】

[Isn't there a post-enema spot in the data?] I guess it was diagnosed based on imaging data. 】

[No, that dot piece...... I'm in the video business, I'm going to take a closer look. 】

In the screen of the live broadcast room, the surgeon's hand rises, the knife falls, a small amount of blood is dipped off, the electric cautery stops the bleeding, blunt separation, and the cooperation between the surgeon, the assistant, and the instrument nurse is like a smooth flow.

。 m.