562 Attitude flashes
"This side, Mr. Zheng. The general manager of the Second Department of General Surgery took Zheng Ren to the ward and introduced him all the way, "The patient had severe pain, asked about his medical history, and his family said differently about the scar on his abdomen. Some say it's appendicitis, others say it's intestinal obstruction. ”
Zheng Ren nodded, he would definitely be careful when he encountered this situation.
Clinically, there is a fear of such patients and their families. Some of them are deliberately concealed from their medical history, and some of them are not remembered at all, but in general, in either case, it will cause problems in the diagnosis and treatment of the disease.
Entering the ward, the patient has a gastric tube inserted and has already done gastrointestinal decompression.
He was hunched and humming on the bed like a prawn.
Zheng Ren subconsciously glanced at the system panel in the upper right corner of the field of vision, and the diagnosis on it was - intestinal perforation, intestinal obstruction.
Perforated? Zheng Ren was stunned for a moment.
It is said that the patient will have severe peritonitis after intestinal perforation, which is also consistent with his physical signs. It's just that the condition of intestinal obstruction has evolved to intestinal perforation, and the intestine is afraid of necrosis, and the intestine will be amputated.
Zheng Ren instantly became nervous, and his rating for patients had been upgraded from B to S.
Demand immediate action!
"Hand over the surgical slip and prepare for the operation. Zheng Ren said immediately, and then came to the patient's side, told him to lie down as much as possible, and began to examine the body.
The hospitalization of the Second Department of General Surgery was stunned for a moment, and he didn't understand why Zheng Ren's attitude changed instantly.
The momentum of a veteran director rose in Zheng Ren's body, which was the smell of self-confidence accumulated from years of clinical practice, successful surgery, and rescue.
He was stunned for a moment, then ran to submit the surgical order.
"Mr. Zheng, the ...... of the operation"
"Laparotomy!" Zheng Ren said as he examined his body.
The professor stood beside Zheng Ren and frowned as he examined his body.
The family members were surprised to see a tall foreigner in the first courtyard of Haicheng, and they were all silent and looked at Zheng Ren.
On a simple physical examination, the patient already has signs of a lamellar abdomen. This proves that the diagnosis given by the system is correct, intestinal perforation, and this diagnosis is not gone.
It's just that the condition of intestinal necrosis is not yet known.
"Family members, those who know the patient's condition, come with me. Zheng Rendao.
Several family members looked at each other, and finally two men in their forties and fifties stood up and followed Zheng Ren out of the door.
After only a few seconds of hesitation, Zheng Ren's side had already walked a long way briskly.
The two of them trotted all the way to the office.
When I entered the office, I saw Zheng Ren sitting in front of the computer and the professor standing behind him, and both of them froze.
"Sit down. Zheng Ren said: "First briefly talk about the patient's situation, sign the operation, and wait for Mr. Meng to tell you." ”
"Oh. The families of the two patients felt a tense atmosphere and nodded in a trance.
"The patient's condition is urgent now, and the patient is tentatively diagnosed with intestinal perforation, intestinal obstruction. Zheng Ren said: "This kind of disease is likely to lead to the death of the patient, and Mr. Meng will have to ask you for a critical illness in a while." I see the patient has a scalpel in the abdomen, what kind of surgery has he had before?"
Zheng Ren's eyes were fixed on the two family members, observing their micro-expressions.
The faces of the two family members showed stiff, embarrassed expressions. But the two of them were silent at the same time, and neither of them spoke.
Zheng Ren sighed in his heart, it was really a headache to meet such a family member.
"It's extremely important for the operation, and I want you to be honest. Zheng Ren accentuated his tone a little.
"......" The two patients' family members looked at each other again, and Zheng Ren's tone was calm, making them feel that something was wrong.
"Uh...... It was three years ago, and it was also this disease, and I did a laparotomy in our county. A patient's family said hesitantly.
"What about the postoperative diagnosis?" Zheng Ren pressed step by step.
Laparotomy is just the beginning, and the most important thing is the next sentence, which is the result of laparotomy.
Zheng Ren's tone was very serious, and it could even be said that he was a little harsh, like a knife.
He didn't want to give the patient's family time to think, he just wanted to know the truth about what happened at that time.
However, Zheng Ren was still disappointed.
His accumulated experience in communicating and communicating with the patient's family has been brought to the extreme, and the attitude of the family is obviously shaken, but in the end, he is silent again.
Zheng Ren really can't help it.
The strange emotions on the patient's home are like a landmine on the road. If you step on it, you may be crushed.
But no surgery?
The patient will surely die.
Perforation of the intestine, oozing of digestive juices, in the abdominal cavity...... Zheng Ren shook his head, unwilling to think about these things.
"Doctor......" one of the family members whispered, "we don't know why. ”
Jeong in was sure that the patient's family was lying, as his eyes flickered, avoiding his own gaze.
Even so, the family looks honest, and they don't look like the kind of people who want to make trouble on purpose.
Zheng Ren hesitated for a moment, and immediately made up his mind, saying: "The patient is extremely ill, his condition is not good, and the operation is risky. Can you sign it?"
"Yes, yes. The two stood up in unison and bowed repeatedly, "Doctor, please, save my dad, please." ”
Zheng Ren felt that he hadn't woken up yet, and it must be.
The expressions and actions of the family members represent two different intentions, which ......
"Mr. Zheng, the operation order has been submitted. The anesthesia is looking at the patient, this face ......" Mr. Meng hurriedly ran back and said to Zheng Ren.
"Confess according to the caesarean section. After Zheng Ren and Mr. Meng explained, he turned to look at the families of the two patients and said, "Surgery, the specific operation method should be decided during the operation." When the time comes, I will step down and tell you. ”
"Good, good. The two said.
Zheng Ren thought about it, picked up the phone, and called Su Yun.
"General surgery, a laparotomy. ”
"Well, let's talk about the operation. I pushed the patient up first. ”
"Yes, the large operating room. ”
After Zheng Ren finished speaking, he hung up the phone and walked quickly to the ward.
Because the time was still early, it was not the normal time to go to work, only the doctor on duty and the hospitalization were always there.
Zheng Ren explained his judgment to the general manager of the second general surgery department, and went directly to Director Sun.
Zheng Ren kept an eye on this.
The situation of the patient's family is complicated, and Zheng Ren cannot tell their intentions.
Surgery can be done, but normal risk-averse actions are still required.
How to circumvent it?
Naturally, he pulled Director Sun to the stage.
The patient came to him, and if something happened, Director Sun would be able to resist it. And he is only a doctor on the stage, and his responsibility is countless times lighter.
No matter how Director Sun didn't want to go to this operation, Zheng Ren still pulled him up very resolutely.
Just kidding, it's already good to be able to help with the operation, don't you have such a big director?
。 m.