726 Data primitive, reconstructed

"Huh?" Director Chen was stunned for a moment.

Zheng Ren held the patient's CT film in his hand, and countless thoughts flew in his mind.

In the ruins of Nanchuan Town, the operation between life and death made him touch the shackles of technology, and he inadvertently broke these shackles.

Although it is only reflected in the operation for the time being, Zheng Ren knows that his ability to read films must have changed dramatically.

When I was doing surgery in Pengxi Township Hospital, every time I saw the X-ray of a patient, I couldn't help but think of more relevant information.

If it weren't for the fact that he was on the front line, with countless wounded waiting for treatment, Zheng Ren would have been unable to suppress his curiosity to ponder.

At this time, in the face of a patient with abdominal pain, the film Zheng Ren saw was not the same as the clip that appeared in his mind.

The CT film was simplified, turned into data, and then fused in his mind to become what Jeong-in wanted.

Because Jung In saw the patient's diagnosis, the load to complete all this was not great, and he immediately found the anomaly in the film and found the problem.

Looking at the CT film in front of me, there is only a little bit of a very vague abnormality, if you don't identify it carefully, this is an ordinary CT film of a posterior peritoneal hematoma. And that bit of abnormality can be judged as a fat shadow or an artifact.

However, when Zheng Ren looks at the CT film now, it is a different scene.

Su Yun leaned over, frowned and asked, "Boss, I think this film is fine." ”

Director Chen was also very strange, but he didn't speak. The experience in Nanchuan made him realize how special this young doctor was. Otherwise, he would not have made a special call to ask Zheng Ren to come over.

"Su Yun, look at ......" Zheng Ren said, suddenly remembered something, and immediately said: "Director Chen, micropump, blood pressure, control the patient's blood pressure." The patient has severe pain and pushes 5 mg of morphine first. ”

Zheng Ren said it politely, but his confident expression and tone that could not be refused were the posture of a standard senior doctor.

Although Director Chen was puzzled, he did not refuse. He immediately called the nurse and pushed 5mg of morphine according to Zheng Ren's words, and then installed a micropump and intravenously pumped sodium nitroprusside to control blood pressure.

Now the patient can't move, and Zheng Renjian can't help it.

Although the blood pressure on ECG monitoring is not high, there is still a possibility that the blood pressure suddenly rises during the movement and bursts through the abdominal aorta.

Be sure to control your blood pressure first.

This is similar to the first time I went to the imperial capital and foresaw Cui Heming's thoracic aortic dissection on the plane.

It's just that now there are micropumps, there are all kinds of medicines, and everything is much better than it was on the plane.

Seeing that the other side was busy and would not have surgery for a while, Su Yun didn't follow, grabbed Zheng Ren and asked, "How did you see it?" Anyway, the patient can't move for the time being, so hurry up and talk about it. ”

Zheng Ren nodded and walked to the doctor's office with the film.

The reader is lit up, and two films are inserted on it.

Zheng Ren put away the film inserted in the reader, found the film bag according to the time and name in the upper right corner and put it away, and then inserted the abdominal CT of the abdominal pain patient into the reader.

"Here, you look closely. Zheng Ren said: "It looks normal, like a normal vascular structure." But do you feel that the density is different from the surrounding blood vessels?"

He pointed to a point in the film and said definitely.

Su Yun stared at the position of Zheng Ren's finger with a strange expression.

"Well, you put the pixels in a matrix of numbers, and you turn it around. Belch...... It's a bit hard, can you imagine?"

Su Yun glanced at Zheng Ren and said disdainfully: "Are you saying that the number matrix goes through a digitization converter to convert each number into pixels ranging from black to white, and arranges them according to the matrix?"

This is the basic principle of CT imaging, and Su Yun certainly understands it. But the other way around...... What do you get?

"You know just give it a try, and in turn, get the most raw data, and then follow the 64-row CT 3D imaging and transform it again. ”

"......" Su Yun was stunned.

In this way, the human brain is regarded as a machine, and it is also a high-frequency machine.

Is this something that people can do?

The arrogance in his eyes turned into countless doubts, and he looked at the film inserted on the reader, and was speechless for a long time.

After arranging the work of the nurses, Director Chen also followed.

He was curious about how Zheng Ren was diagnosed.

As a veteran imaging worker, when Director Chen was young, the hospital imported a machine, and if it broke, he had to repair it himself.

So what Zheng Ren said, he understood it more thoroughly than Su Yun.

It's just that...... Is that okay too?

"Dr. Zheng, have you built a 64-slice CT three-dimensional imaging in your brain?" asked Director Chen suspiciously.

"It's not that exaggerated. Zheng Ren smiled: "If all the data is rebuilt, it will be difficult to do it." However, if we limit ourselves to this one point, the data that needs to be reconstructed is much less, and it is relatively simpler. ”

In his opinion, it is absolutely impossible to do it, but Dr. Xiao Zheng only said that it was difficult, not completely impossible!

"I understand!" Su Yun slapped the table in front of the reader and said loudly: "Here, there is a vascular intima fault!"

"Yes. Zheng Ren said: "When you are injured, your blood pressure rises and the lining of your blood vessels ruptures. However, due to heavy bleeding, the blood pressure decreased, and there was no major problem with the lining of the blood vessels. After the intervention, the bleeding blood vessels are embolized, and the patient's blood pressure gradually increases, causing the abdominal aorta intimal rupture to start tearing again. ”

"Boss, I remember you just glanced at it. Su Yun was a little puzzled, there was no problem with the diagnosis, and even he thought that Zheng Ren said so much, it was all nonsense.

The key point is that Zheng Ren restores the CT image to the original data and then reconstructs it, which is simply too fast!

Moreover, Su Yun's biggest doubt was not asked. That's how Zheng Ren judged that there was something wrong with that point.

Zheng Ren pointed out the location, and he had to mentally calculate for a long time before he could restore and rebuild. And this product, with a film, casually said that it was going to be an emergency operation.

It's really a demon, Su Yun nagged in his heart.

"I watched a lot of films, and I felt it. Zheng Ren said casually.

Although Director Chen knew, he was too old for his brain to do such complex calculations like when he was young.

According to the normal process, the patient needs to be taken to the CT room for vascular CTA examination before the diagnosis can be confirmed. After the diagnosis is confirmed, the problem can be solved by taking the surgical order and placing a stent in the patient's abdominal aorta.

Before interventional surgery, aortic dissection was a serious disease, a fatal disease. With interventional surgery, as long as it can be diagnosed, except for type 1 aortic dissection, it is a minor problem.

As long as interventional angiography, the location of the arterial dissection can be seen on the image, and there is no need to do 3D reconstruction of the blood vessel.

But this needs to be based on the correct diagnosis.

Director Chen hesitated.