1295 is in a dilemma

The red color of the system panel was so dazzling, and several diagnoses appeared in front of Zheng Ren.

septic shock, intestinal rupture, congenital muscle anomalies of the right flank, subcutaneous pneumatosis......

Zheng Ren looked at the diagnosis and was in a trance.

Congenital muscle abnormalities in the right side of the lumbar region, a diagnosis that can be rare. The main reason is that the muscle tissue is relatively thin and prone to hernia.

However, the system does not give a diagnosis of lumbar hernia, so it is at the time of liposuction, because of the abnormal abdominal musculature, the negative pressure leads to the rupture of the intestine.

Can you still do this...... Zheng Ren was particularly speechless.

There are various clinical surgeries and strange complications, and Zheng Ren can only guess from a high probability before, and he didn't expect the possibility of intestinal rupture at all.

The flat car roared, and the doctors and nurses in the emergency department ran out with the wind under their feet, pushing the patients. Zheng Ren hurriedly got out of the way and watched the patient leave.

However, it is good to have a clear diagnosis, and although septic shock is severe, it is always better than a disease that cannot be treated at all, such as fat embolism.

Finding Dr. Liang, Zheng Ren sat in the office of the CT room, Dr. Liang hurried to upload the film, and Zheng Ren soon saw the CT image of the patient's abdomen.

CT showed extensive subcutaneous pneumocarpus in the abdominal wall under the xiphoid process, and Zheng Ren looked at the film and seemed to be able to detect a feeling of holding snow. Free air sacs and inflammatory changes are also present around the ascending colon, which is typical of radiographic changes of bowel rupture.

Zheng Ren watched the film and reconstructed it in his mind.

Intra-abdominal infections are particularly severe, and Zheng Ren estimates that there are many places where the intestine is ruptured and perforated.

"Boss Zheng, I rarely come here lately. Dr. Liang saw Zheng Ren reading the film, and came over to get close.

Boss Zheng flew higher and higher, and Dr. Liang felt that he was out of reach. But it's also good to take the opportunity to say a few words and get closer.

"I've been busy lately. Zheng Ren smiled and said, "How are you doing here?" ”

He put all his mind on the CT scan, talking to Dr. Liang, and he didn't get distracted at all.

"That's it, nothing special. It's boring to watch movies and write reports every day. Dr. Liang smiled and said, "Boss Zheng, do you know this patient?"

"My friend asked me to take a look. ”

"The patient's intestine ruptured quite severely, was it a car accident? No, it wasn't a car accident. If it happens like this, there must be a fracture. Dr. Liang said to himself, "Is it domestic violence?" Boss Zheng, if this is domestic violence, it will be a big deal. ”

"It's not. Zheng Ren sighed, "It's a complication of liposuction." ”

"Uh......" Dr. Liang was stunned for a moment, how can there be such a serious complication of liposuction?

"Here. Zheng Ren tapped the computer screen with his finger, "The musculature of the abdominal wall is a little thin, and it is estimated that the negative pressure stayed in this position for a long time during the liposuction operation, resulting in intestinal perforation." ”

Usually when you see CT, who will go to see muscle tissue if you have nothing to do. Even if you see it, you will pass by and you won't care. Dr. Liang paused for a moment, and then looked over according to Zheng Ren's guidance.

But in the case of liposuction, the thin abdominal wall is very fatal.

"Liposuction has such serious complications. Dr. Liang was very emotional.

"As long as it's surgery, there are complications. Zheng Ren also deeply agrees, medical treatment is not easy to do.

If there are too many preoperative examinations, the patient will be unhappy. In recent years, there has been a word called excessive medical treatment, which is what it says.

But if there are fewer examinations, the patient in front of you is an example. Although this patient had liposuction done at Xiaohei, the reason is the same.

It's a dilemma.

If you are unlucky, you won't be able to do it for long. An unexpected situation will collapse and sink into the sand.

Xiaohei Clinic was unlucky this time and met a rare patient.

"It's going to cost a lot of money this time. Dr. Shen sighed.

The infection in the intestine is so obvious that even if the operation is successful, it is doubtful whether septic shock can be saved.

Spending money is only one aspect. There is also the possibility that people can't keep it after spending a lot of money.

"I'll go to the gastrointestinal surgery department to take a look, you are busy first. Zheng Ren stood up, said hello to Dr. Liang, and turned to leave.

As he walked, he pondered the matter.

The patient's diagnosis is fine, but how to treat it is a big deal.

If she hadn't intervened, Lin Jiaojiao would have to contribute money and effort. But she doesn't know all her life, why should she contribute money and efforts?

Will the patient's family think that it is because of the lack of heart? that the small medical aesthetic clinic has something to do with Lin Jiaojiao?

It's hard to say how far things will go in the end.

Thinking about it, Zheng Ren took out his mobile phone, hesitated slightly, and called Feng Jianguo.

"Brother Feng, there is a patient who has just been sent to your department, who picked it up?" asked Zheng Ren.

"Hospitalized and grassy went to see it. Feng Jianguo said on the phone: "I'm watching a film, my intestine is ruptured, and I'm ready for surgery." ”

"Do you see that side of the patient's family?"

"After taking a look, isn't it in a hurry to watch the film? The patient's family seems to have a conflict and are arguing. Feng Jianguo said distractedly.

Doctors and nurses rarely get involved in conflicts between patients' families.

As long as they are responsible for curing diseases, what is there to be involved in other people's housework? It is difficult for a clean official to decide on housework, let alone doctors and nurses.

If you force yourself to participate, you may end up with a no-end solution.

"Brother Feng, I'll take a look. Zheng Ren said as he walked.

"Huh, do you know this patient?"

"I don't know, it's complicated to say. Zheng Ren was also very helpless, "It was a patient after liposuction and had a ruptured intestine. ”

"After liposuction?" Feng Jianguo was a little surprised.

Although he has been practicing gastrointestinal surgery for decades, this is the first time he has seen liposuction cause a ruptured intestine. He had just picked up the patient, and before he could ask for a medical history, the patient's family quarreled.

"Let's meet. After Zheng Ren finished speaking, he hung up the phone.

Zheng Ren didn't bother to think about what to do, first saw the patient and the patient's family, and then improvised to do so. Besides, there are still conflicts between the patient's family, and it is useless to think about it yourself.

Soon, came the Department of Gastrointestinal Surgery.

A creamy, dark-skinned peasant woman stood in the hallway, clutching a young man's clothes and wiping her tears.

The young man looked 22 or 3 years old, and he was duffled with a stud on his left ear. He was impatient, with a look of disgust.

The corridor was chaotic, the patient's family, doctors and nurses were busy, and Zheng Ren didn't hear their conversation clearly.

After taking a few steps closer, Zheng Ren heard the peasant woman pleading: "Son, I don't have much money here, but we have to save my life." ”

"What's the matter with me!" the young man flicked his sleeve and said, "I'll tell you, don't touch porcelain with me, it's none of my business!"