"Mr. Zheng, who is the patient? Was there a car accident?" Feng Xuhui asked while driving back to the First Hospital of the City.
"No, Mr. Wang said it was Crohn's disease. Abdominal pain suddenly appeared. The abdominal pain was very severe, and I suspected that there was acute ischemic change in the intestines. Let me go back and take a look. If I can't save it, I will perform emergency surgery to remove the intestines."
"Crohn's disease?" Liu Xiaojie was startled. This is a very difficult problem in gastrointestinal surgery. When she was in school for internship, her teacher told her that Crohn's disease was the most difficult disease in gastrointestinal surgery.
And it ranks very high, and is at least in the top five in terms of difficulty.
"Is it Crohn's disease complicated by intestinal obstruction?" Liu Xiaojie asked.
She had seen similar cases, and speaking at this time, she also wanted to leave an impression on Mr. Zheng. Otherwise, Mr. Zheng might not even know who he is tomorrow if he spends the whole night playing soy sauce.
"I don't think so." Zheng Ren said lightly: "If it is intestinal obstruction, Mr. Wang will tell you directly. Let's go and have a look. We can't speculate yet."
"Xiao Feng, have you brought the vascular interventional consumables?"
"I've brought it, I've brought it." Feng Xuhui said quickly, "The complete set of vascular interventional consumables is not in large quantity and cannot be packed in the box, but the variety is definitely enough. But it will be much better if Xiao Liujia comes in. I will bring more tomorrow. A box would be much better.”
"That's good." Zheng Ren smiled, "Thanks to you this time. If it weren't for you, I would have had to open my intestines."
"Look what you said, I'm just an errand boy. I know what kind of surgery you can do. I'm just afraid of this happening, so I've prepared one. The patient is saved because of your diagnosis and surgery, and your cooperation with me. It doesn't matter." Feng Xuhui quickly and politely rejected Zheng Ren's praise.
Zheng Ren did not continue talking, and the car quickly drove to the emergency building of Haicheng City No. 1 Hospital. Zheng Ren said hello, got out of the car and rushed directly to the emergency ward.
"Mr. Wang, how is the patient?" Zheng Ren asked after entering the office and seeing Mr. Wang watching a movie.
"Boss Zheng, you came back so quickly!" Mr. Wang said: "The film is here, you can take a look first."
Zheng Ren stood in front of the film reader. He habitually placed his left hand under his right armpit and his right hand on his chin to read the film.
The film is an ordinary abdominal CT scan, and not much information can be obtained from it. Zheng Ren only discovered the existence of superior mesenteric vein thrombosis after he performed vascular reconstruction in his mind.
The patient's superior mesenteric vein branch thrombosis and complete occlusion of the left and right portal veins were accompanied by obvious ischemic thickening of the small intestine and portal vein thrombosis.
This... is a bit tricky.
But it was just tricky. As long as Feng Xuhui brought the consumables, Zheng Ren could perform the operation. After all, the branch of interventional surgery had just reached its peak a few days ago, and Zheng Ren already had a bird's-eye view of all interventional doctors in the world.
Even if interventional surgery cannot be performed, intestinal resection surgery can be performed.
"Boss Zheng, how do you judge?" asked Mr. Wang.
"The initial consideration is superior mesenteric vein thrombosis complicated by portal vein thrombosis." Zheng Rendao.
Mr. Wang was speechless.
Is the diagnosis based on just a plain CT scan of the abdomen? He knew that Boss Zheng had a high level of diagnosis, but he still had doubts.
Doubting everything is the most basic trait of a doctor.
"Go and take a look at the patient." Zheng Ren said.
Mr. Wang nodded. Although he did not believe in the diagnosis given by Zheng Ren, it was necessary to see the patient before surgery, and judging from the patient's condition, at least an exploratory laparotomy was indispensable.
A group of family members gathered around the door of the emergency room, walking around anxiously. The uneasy atmosphere could be felt from a distance.
Seeing Mr. Wang come out, the patient's family members began to gather around him, anxiously asking about the situation.
"Mr. Wang, you are the professor of 912. Can you tell me if this disease can be cured?"
"Yes, I must have surgery."
Mr. Wang nodded, surgery is necessary. Whether it is Boss Zheng's diagnosis or his own diagnosis; whether it is interventional surgery or open bowel resection, it must be done anyway.
"I knew it!" said a patient's family member: "It's hard to have an operation. The old man was very hungry, so I gave him something delicious to eat when he came. Otherwise, it would take a long time after the operation. …”
"What did you say?!" Mr. Wang almost shouted.
"..." Zheng Ren was also speechless. He had just eaten? They all have to come to the hospital to give the patients a meal. There are a lot of things going on now, the risks of anesthesia have doubled, and after surgery... In short, there are countless dangers, just because of this meal.
"Yes." The family members did not notice the ferocious expression on Mr. Wang's face at all. He said with a little pride: "I have seen others undergoing surgery and being unable to eat or drink for two or three days after the operation. Mr. Wang, please say okay If you can't eat for two or three days, you must be starving. So, I gave the old man something to eat."
"What have you eaten?" Mr. Wang asked fiercely with a slightly ferocious expression. I don't know if he has already greeted this relative in his heart, but the expression on his face is scary.
Zheng Ren shook his head and walked into the emergency room.
The voices of the patient's family members came from behind: "Two dumplings stuffed with fresh shrimps, a small bowl of wontons, seafood porridge..."
There were at least seven or eight things. Zheng Ren was also very confused. It was said that there was a superior mesenteric vein thrombosis, a problem with intestinal venous blood return, and serious congestion and edema in local tissues. The patient had severe abdominal pain. Why could he eat so much
Is it because of fear
Who knows, anyway, we encounter so many strange patients in the hospital that many people cannot use logic to analyze them.
Walking into the emergency room, the nurse was preparing the skin.
Zheng Ren took a look at the patient system panel and found that the diagnosis was consistent with his own analysis: superior mesenteric vein thrombosis, portal vein thrombosis, Crohn's disease and other chronic diseases.
Zheng Ren started a physical examination and found typical signs of peritonitis. He also admired the patient very much. How could he eat so much when he was in so much pain? If I were a good person, I probably wouldn't be able to eat so much at night. (Note 1)
Strange things.
"Hey, are you the student given by Mr. Wang?" a family member asked in a rude tone.
Zheng Ren knew that when he looked young, he was easily regarded as a little doctor and looked down upon. But I'm used to it and don't take it seriously.
"No." Zheng Ren replied calmly.
"Where's your teacher? Why are you pressing the button when you have nothing to do? Look at my dad's pain!" The patient's daughter just asked and answered herself, not listening to Zheng Ren's answer at all.
"Mr. Wang explained the condition to others outside. Because the patient had eaten, the surgical operation may encounter great risks." Zheng Ren said.
"What?!" The patient's daughter raised her eyebrows.
…
…
Note 1: A young nurse once had appendicitis and ate a lot of food before the operation. When he came on stage, the deceased old director's face was dark, and he was probably cursing in his heart.