In addition to Wu Jingrong, Zheng Youren and other neurosurgery (brain surgery) authorities in the hospital, experts from other departments such as general surgery and vascular surgery also participated in the consultation.

As a student of Wu Jingrong, Zhang Sheng was fortunate to come to study with him, sat on the bench against the wall in the outermost row, and also saw the medical records of patient No. 3, patient Wang Fuchang, who was 80 years old and was admitted to the hospital due to loss of consciousness, accompanied by nausea, vomiting, and urinary incontinence.

Transcephalic cT examination showed that the patient had a right thalamic hemorrhage and ruptured the human ventricle, with a hemorrhage of about 4omI, a blocked aqueduct in the midbrain, enlargement of the ventricles, a shift in the midline structure to the left, and a swollen brain. Two hours after the illness, a minimally invasive puncture and crushing of the intracranial hematoma was performed.

On the fifth day after surgery, the patient was recognizable and could nod or shake his head in agreement or disagreement, with a G1ASGO score of 15.

But just this morning, the patient regained consciousness, vomited white fluid, and cT showed no new hematoma in the skull.

Zhang Sheng listened to the opinions of the experts in the hospital while looking through the medical records in his hand, and just then he followed Wu Jingrong, went to the ward to see the patient, and secretly gave him a pulse.

Zhang Sheng felt it, and there were innocent pretty eyes looking at him from time to time, but he didn't look up, it was He Shanshan, who was also a student and nurse who helped distribute various materials, and also got the opportunity to enter the conference room.

"Is there a problem with the postoperative medication, and the blood clot is formed when the amount of urokinase is not enough to inject, otherwise, this symptom cannot be explained. Xiao Liu, you are personally responsible for the drainage, right?" Zheng Youren looked at his disciple Liu Xuefan suspiciously, he didn't shirk his responsibility, the current symptoms, there are really not many possibilities.

In each department of 601 Hospital, the doctors are actually divided into three levels, and the front-line doctor treatment team is composed of a resident doctor or a young attending doctor who is qualified to practice medicine, and a trainee or trainee doctor under him.

Zhang Sheng belongs to the treatment group of front-line doctors.

The second-line doctor is served by an associate chief physician or an attending physician who has been practicing for a long time, and is the superior of the first-line doctor, who will lead one or two first-line treatment groups. When a patient is newly admitted to the hospital, he will take the first-line treatment team in charge of the patient to treat the patient, because the outpatient clinic is generally provided by the second-line doctor, so he will appear in the ward about 2-3 days to check the ward of the first-line doctor under him.

Liu Xuefan is a second-line doctor.

If there are multiple third-line doctors in the department, the second-line doctors will be equally assigned to each third-line doctor for management.

Wu Jingrong, Zheng Youren, etc., naturally belong to the third-line doctors.

Wang Fuchang's old man has a special identity, that is, the second-line doctor has been responsible for one-on-one service throughout the postoperative recovery period, and Liu Xuefan, a disciple brought up by Zheng Youren, accompanies Wang Fuchang every day during the day.

However, regardless of whether Zheng Youren's intention was intentional or not, Liu Xuefan's face turned white in a moment, if it was as Zheng Youren said, it was a medical accident caused by himself, and the victim was the father of the No. 1 commander in the army to which the hospital belonged.

"No, I have been following what you said, after each saline suction and cleaning, inject 40,000 urokinase, and open drainage for four hours. Liu Xuefan didn't care if he was asking him if it was his mentor, and he was anxious to argue.

At the conference table, the phone in front of President Hu Xiyuan suddenly rang, he picked it up and said a few words, and immediately looked blank and said, "Commander Wang is here." ”

The faces of the experts in the conference room changed, 601 is a naval hospital, Commander Wang, the commander of the navy, is the head of the sky for them, but now the symptoms of the old man Wang, no one can tell what is going on, after discussing for a long time, there is no specific treatment plan to deal with, Commander Wang is here, how to report the condition to everyone?

However, the one who should come will always come, under the leadership of Dean Hu Xiyuan, a large number of people hurriedly left the conference room, and when they went down from the second floor, they happened to meet several soldiers in military uniform.

Hu Xiyuan took the lead and took the hospital experts to salute, regardless of whether he was in the military or not, the first time he saw Commander Wang, it seemed that you had become a soldier under him.

Commander Wang is not very tall, but his momentum is compelling, his whole body is uniformed, and his epaulettes are shining with stars, like a straight benchmark, and his eyes under the thick sword eyebrows are like torches, which makes people dare not look directly.

"Wasn't my old man all right yesterday?" Commander Wang asked while motioning for Hu Xiyuan to lead the way, his voice also revealing a tough face.

Hu Xiyuan's forehead was slightly sweating, and he really didn't know how to answer, so he said vaguely: "Our hospital has organized a competent force to conduct a consultation, and the symptoms of the old man are very unusual......

Nodding, Commander Wang stopped, and at this time they had already arrived in front of the conference room, "Well, that is, you haven't concluded yet." Okay, you continue to discuss, if I am here, it will affect your diagnosis, I will go to the old man's hospital room and wait. With an unquestionable gesture, Commander Wang, accompanied by the guards, walked to the top of the stairs.

Hu Xiyuan was stunned, Commander Wang was thoughtful and reasonable, there were family members of the patient, especially his identity, everyone didn't dare to speak freely, it was true that the result of the discussion could not be achieved, but the commander could not be allowed to go to the ward alone?

Hu Xiyuan hurriedly whispered a few words in Wu Jingrong's ear, asking him to continue to preside over the consultation, and he quickly chased after Commander Wang and the others.

Everyone went back to the conference room, but no one spoke, the conference room was quiet and everyone could hear everyone's breathing, the symptoms of the old man were too strange, and the brain lesions were not easy to judge, it was really helpless.

"Youren, apart from the insufficient dosage of urokinase, do you think there is any other possibility?" Wu Jingrong is now full of bags, and the initial bit of schadenfreude has long been thrown to Java, if the old man is really in danger, it will be a shame for the whole hospital, and when the brunt is the entire neurosurgery, it will be even more difficult for him, the director of the neurosurgery, to blame.

Zheng Youren frowned, and said, "Let's examine it in detail, some causes cannot be judged quickly." Obviously, he didn't have any ideas.

Wu Jingrong looked at the past, and these experts in the courtyard were helpless, and he couldn't help but feel a little cold in his heart, this incident is really bad.

"Director Wu, I have some opinions about Elder Wang's condition. It was Zhang Sheng, who sat in the back row to listen, who broke the silence.

Wu Jingrong was distraught, and said casually: "You say." The words came out of the mouth to ask for Zhang Sheng, who is a little evil in the ya, but it is too late to think about it.

"I think it may be a parasite that caused the recurrence of Wang Lao's condition......"

Before Zhang Sheng finished speaking, he was interrupted by Zheng Youren, his face was full of disdain, "Doctor Zhang, before the minimally invasive surgery, we conducted a detailed examination of the patient, the patient with cerebral herniation and cerebral hemorrhage, the patient is very old, the possibility of parasites causing patients is very small, but the elimination of parasites is still the most basic judgment, I think, you don't need you to give us a new university pathology class." ”

Zheng Youren, who relied on Wu Jingrong's connections, has always looked down on him, but how can he have the right to speak during today's consultation?

In fact, the most heartwarming thing for Zheng Youren is that when Zhang Sheng first entered the hospital, Zheng Youren wanted to have a relationship with him, who knew that Zhang Sheng, this guy didn't understand, he didn't have a little human touch, and he couldn't get off the stage several times, and since then Zhang Sheng has become a thorn in his eyes, not to mention that he heard that Zhang Sheng's father was also involved in this corruption case in the city, and he was afraid that it would be a matter of time before he was taken down, so he didn't have to be polite to him in the future, and he would be driven out of the hospital as soon as possible, so he would not be worried about looking at him.

"What Director Zheng said is. Zhang Sheng was unmoved by Zheng Youren's cynicism, and Wu Jingrong was shocked by his calmness, if he wanted his previous temper, didn't he stand up and scold his mother earlier?

Zhang Sheng just said to himself: "Leaders, division commanders, let's take a look at Magnetic Resonance 3 and 6. He saw that the doctor in front of the projector looked at him inexplicably, so he simply walked over and turned on the projector himself, and soon two MRI images of the head appeared on the big screen.

Wu Jingrong winked at him and said, "Xiao Zhang, you come down." But Zhang Sheng didn't seem to hear it, and continued: "Let's look at the frontal part of the patient's left brain, first look at T1 and T2 of magnetic resonance three, and look carefully, whether there are small gray spots in the frontal part of the left brain of the T1 diagram, and the same part is shown in the T2 diagram. ”

The MRI is divided into T1 and T2 sequences in order to better observe the lesions, in the T1 sequence, the cerebrospinal fluid is black, the normal brain is gray, the degeneration is grayer than the normal brain, and the infarction is grayer. In the T2 sequence, the cerebrospinal fluid is white, the normal brain tissue is gray-black, and the degeneration and infarction are whiter than the normal brain.

If, as Zhang Sheng said, there are small gray spots and small white spots in the picture, it means that there is indeed a suspicion of lesions in this area.

Some of the expert doctors present looked at the big screen, but they couldn't see anything at first, but in the area designated by Zhang Sheng, looking at it, it seemed that they could really see that its color was a little different from the one next to it.

However, after staring at something for a long time, and Zhang Sheng's psychological suggestion, visual illusions will occur, and the doctors here naturally understand these truths.

Zheng Youren sneered: "Dr. Xiao Zhang's eyes are more powerful than the computer, the computer can't judge it, but you can't judge it." ”

Zheng Youren's disciple Liu Xuefan was even more disdainful in his heart, since he was slapped by Zhang Sheng, he hated this little white face to the core, but he knew that Zhang Sheng was a related household of Director Wu Jingrong, and he didn't dare to offend lightly.

It's okay, you just jump and see if you drag Lao Wu into the water.

He Shanshan looked at Zhang Sheng even more worriedly, Brother Zhang, what's wrong?

Wu Jingrong was a little crying and laughing, what did this demon king of the mixed world want to do? Fortunately, Commander Wang was not there, otherwise he wouldn't know how to end it.

But I'm going to have to hurry up and find a way to get him down.

"Xiao Zhang, can't you come down?!" Zheng Youren seemed to have the same idea as Wu Jingrong, wanting to remove Zhang Sheng from power.

Some doctors have also called Zhang Shengsheng, and some who don't give Wu Jingrong face have already reprimanded him.

The entire conference room is about to become a criticism meeting for Zhang Sheng.

"Me, I can see the lesions. A weak, timid voice suddenly seemed very different and clear in the noise of the full hall of coaxing the birth to step down.

It was He Shanshan, seeing that this bad guy who had helped herself before but usually liked to tease herself was besieged, she didn't know how, so she mustered up the courage to help Zhang Sheng speak.

Everyone looked at her, and her little face was flushed, but she didn't flinch.

Zhang Sheng was also slightly stunned, took a deep look at He Shanshan, and the peerless figure in white who had once hesitated to turn against his senior brother and make enemies of the world appeared in front of him.

Zhang Sheng was stunned for a while, came back to his senses, turned his head, ignored the commotion in the field, changed the picture with a snap, and said: " Similarly, in the frontal part of the left brain, we can see these lesions, but the lesion site has undergone subtle changes, that is, the lesion is migratory, so I judged that the patient has parasites in the brain, but this parasite is too small, and we have not judged the exact location of the lesion, plus the patient has cerebral hemorrhage and brain herniation symptoms, there are too many brain lesions, and it is difficult to use general ** biopsy to show these parasites. ”

Zheng Youren sneered: "Doctor Zhang, I can't see the lesion you said, and the wandering nature of the lesion is impossible to talk about. ”

Zhang Sheng nodded and said, "Then you might be able to see it more clearly." As he spoke, the two magnetic resonance images were superimposed and hung up, and under the strong illumination of the light, the experts and doctors present all sighed.

It is difficult to say that Zhang Sheng said that the lesion is migratory, but after the two pictures are overlapped, the image displayed on the big screen, the front lobe of the patient's left brain, seems to really have subtle lesion symptoms, and in the TI sequence, it shows small gray spots that can barely be seen by the naked eye.

"These parasites are very small larvae that would not have caused damage to the patient's brain, but the minimally invasive surgery to remove the hematoma from the patient's brain may stimulate them to start swimming collectively on a certain stage, which caused the patient to have brain herniation again," Zhang added. ”

Zheng Youren's face was pale, Zhang Sheng's meaning, but his operation was wrong, and he was about to speak, Wu Jingrong had already beckoned: "Okay, Xiao Zhang, you come down, come down." ”

Zhang Sheng nodded, sat honestly in the back row, and stopped talking.

Seeing Zheng Youren's embarrassment, Wu Jingrong's heart was more refreshing than eating ice cream in the summer, Zhang Sheng's appearance today was simply too unexpected, regardless of whether his judgment was correct or not, a little doctor who had just finished his internship period boldly expressed his remarks, which had greatly swept Zheng Youren's face.

"In this way, prepare the operating room, I will do a directional biopsy on Elder Wang, and I will report to Commander Wang and the dean first. Although Wu Jingrong didn't believe Zhang Sheng's judgment in his heart, it seems that Wang Lao's left frontal lobe does have a lesion, and there is nothing wrong with a detailed examination.

Zheng Youren's face was pale, and now he even wondered if Wu Jingrong had already shown something, and deliberately arranged for this disciple to not be able to get off the stage.

Liu Xuefan scratched his head, he couldn't understand this scene, he really couldn't understand it, this little white face could still talk about the pathogen seriously? He even told the authorities of the hospital here that they were ready to follow his train of thought? This world is really crazy.

The consultation ended like a farce, and Zhang Sheng noticed the anger in Zheng Youren's eyes, but he just didn't see it, and walked out of the conference room at the back of the crowd.

He Shanshan didn't expect this kind of ending, and in a moment of righteous indignation, she risked being fired to help Zhang Sheng speak in front of the authoritative experts and doctors of the hospital, and now she was a little afraid, but she didn't expect that Brother Zhang's judgment turned out to be true, and it seemed to be true, and no one would pursue the episode of helping him speak.

But, Brother Zhang, is it so powerful?

He Shanshan was full of suspicion, walked out of the conference room, and then Zhang Sheng seemed to be walking behind on purpose, staring at himself, He Shanshan's face was hot, and he hurriedly left.

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