508 Balloons in the stomach?
You should be able to give it a try. "Zheng Ren is sure of the operation and full of confidence.
"Alright, I'm going to remove the catheter. Professor Rudolf Wagner rejoiced, "Boss, if all goes well, I'm going to return to Heidelberg in the near future and have dozens of similar surgeries." ”
"Hmm. ”
"If you have any questions, can you fly to Heidelberg?" asked the professor apprehensively.
"Fly over......" Zheng Ren hesitated, Heidelberg, so far away.
"Boss!" Professor Rudolf Wagner's eyes twinkle with little stars and a pleading look, "I'm working hard for our research. ”
"I'll fly over unless necessary. In general, we still have an online consultation. Zheng Ren did not completely refuse, leaving the professor with a trace of life.
I guess the professor can understand what Zheng Ren thinks.
Hearing Zheng Ren's words, Professor Rudolf Wagner jumped up at once, "It's so good, I heard the angel's hymn, ringing for you." ”
"Don't talk nonsense, get busy. Zheng Ren waved his hand and drove the professor away.
Zheng Ren glanced at the office and saw that there was nothing wrong, so he went to the ICU to see the two patients after surgery.
Su Yun was very energetic, and he didn't look like he had a sleepless night at all.
Seeing him like this, Zheng Ren was relieved.
This means that the patient is in stable condition.
"Boss, why are you here?" Su Yun blew, and the black hair on his forehead fluttered.
"When I met a patient with an advanced tumor, I was preparing for surgery, and I explained a few more words. Zheng Ren said, "How's the situation?"
"Extubation, with me, it must have been extubated. Su Yun said with a smile, he could see that he was also very happy.
"Oh?" Zheng Ren glanced at the young man who had been pierced by the steel bar and removed the ventilator, his face was pale, lying on the hospital bed, looking around with his eyes wide open, his eyes full of fear.
Du Chunfang also took off the ventilator, pulled out the tracheal intubation, inhaled oxygen, and maintained the blood oxygen saturation on the monitor at about 95%.
It was immediate, Zheng Ren smiled. originally thought that Du Chunfang would have to wait for a day, but he didn't expect that under Su Yun's care, he would be directly withdrawn 12 hours after surgery.
Handsome!
Zheng Ren just glanced at indicators such as vital signs from a distance, and used the system panel to refer to them, and did not stand at the head of the patient's bed to point fingers.
First, it is not used, the patients are all extubated and weaned, which proves that the condition is stable, and there is nothing to beep.
The second is that this is not an emergency ward, and the second is the ICU. He is not Su Yun himself, and the more he beeps here, the more disgusted Director Qian will become. Maybe Director Qian won't have a seizure, but it's not good after all.
Zheng Rengang wanted to ask Su Yun if he wanted to go together, but his mobile phone rang.
When he took out his mobile phone and saw that it was the emergency department, Zheng Ren's heart rate suddenly soared.
"Hey, I'm Zheng Ren. ”
"Huh, what did you find?"
"Okay, I'll go down and see. ”
After speaking, Zheng Ren hung up the phone and turned to leave.
"Boss, what's wrong?" Su Yun was curious, and caught up with him and asked.
"The emergency department saw a 70-year-old man with a huge bubble above the symphysis pubis. Dr. Internal Medicine said that it was like a balloon in the abdominal cavity, and he had never seen it. Zheng Rendao.
"It's not going to be too H. Su Yun's mind turned, and he thought of other things.
"No, they're all 70, you can't play so fancy. Zheng Ren said: "When I took a look, I had a hunch that surgery might be needed. ”
It's just a hunch, it's just a guess, and there's no point in talking too much.
The two were silent and hurried all the way to the emergency department.
In the morning, there were no more patients in the emergency department, and on the bed in the emergency department, there was an old man, full of spirit and red face.
"Mr. Zheng, you take a look. When the doctor in the emergency department saw Zheng Ren coming, he immediately said to the patient in front of him, and then took an X-ray in his hand and inserted it into the reader.
On the film, above the pubic symphysis, there is indeed an image of 8×6cm, like a balloon, with a black shadow of a cavity inside.
"The patient complained of having lower abdominal pain for no obvious reason 1 day ago, which was tolerated. Accompanied by frequent urination and urgency, no fever, no nausea and vomiting, slight abdominal distention, and normal stools. The emergency physician introduced the condition.
"I had a physical examination to check for intestinal obstruction, so I opened a thoracoabdominal dialysis. The radiologist called and asked me to take a flat film, saying that there was a problem with the examination. ”
Well, seeing this kind of image, the radiologist will definitely ask the emergency department doctor to leave the imaging data.
"Later I did a non-contrast CT scan of the abdomen of the patient, and the opinion in the CT room was that there was an abscess around the colon. ”
Although Zheng Ren learned the patient's diagnosis through the system panel in the upper right of the field of vision, he refused to believe it even if he now had more trust in the big pig's trotters.
Watching the film carefully, Zheng Ren hesitated.
Because there are many patients in the emergency department, they can't be delayed here for too long, so Zheng Ren took the film and took the patient and the patient's family directly to the emergency ward.
The patient's family was a little worried, and during the treatment process, they had a bad premonition that they changed doctors and examinations one after another.
A family member fell behind and kept calling.
Haicheng is not a big place, find three or five people, spread the network of relationships, and most of them can know each other.
When he came to the ward, Zheng Ren went directly into the office, inserted the abdominal plain film and abdominal CT film into the reader, and looked at it carefully with his cheeks.
"Doctor, it's okay. A family member of a female patient asked worriedly.
"It's a little bit of a problem, but it's not going to be a big deal. Zheng Ren said.
Having said that, this kind of uncertainty cannot calm the anxiety of the patient's family at all.
"Boss, it should be an abscess. B-ultrasound-guided puncture and drainage. Su Yun watched the film for a while and said.
Zheng Ren shook his head slightly, he had already denied the possibility of an abscess, and now his judgment of the condition, similar to the diagnosis given by the big pig's trotters, should be a huge colonic diverticulum.
But to judge, there are also some difficulties, Zheng Ren is thinking about how to make a differential diagnosis.
"Xiao Zheng, what about watching the film?" was pondering, Director Xia of the Department of Gastroenterology walked into the office.
"Director Xia, hello, I am Brother Liu's buddy, and the patient is my father. The man who fell behind the phone hurriedly stepped forward and said politely.
"Well, it's okay to have Mr. Zheng here, let me take a look, and I can't see the flowers. Director Xia said directly.
The patient's family thought that Director Xia wanted a red envelope, so they were casually perfunctory, and no one believed it if Mr. Zheng was there.
Isn't it obvious who has more experience between a little doctor and an old doctor?
Walking to the reader, Director Xia only glanced at the film, and became interested.
"Director Xia, it's just that you can help me take a look. Zheng Rendao.
"Don't really say it. Director Xia said with a smile: "Your level, you don't need me to take a look at it at all." ”
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