The red color of the system panel was so dazzling that several diagnoses appeared in front of Zheng Ren.
Septic shock, intestinal rupture, congenital muscle abnormality of the right waist, subcutaneous pneumatosis...
Zheng Ren looked at the diagnosis and felt a little dazed.
Congenital muscle abnormality of the right lumbar region is a rare diagnosis. The main reason is that the muscle tissue is relatively thin and hernia is easy to form.
However, the system did not give a diagnosis of lumbar hernia, so during liposuction, the intestinal rupture was caused by negative pressure due to abnormal abdominal muscle tissue.
How could it still be like this... Zheng Ren was particularly speechless.
Various clinical surgeries have various complications. Zheng Ren could only guess at high probabilities before, and he never expected the possibility of intestinal rupture.
The flat car roared in, and the doctors and nurses in the emergency department felt the wind at their feet, pushing the patients and running out. Zheng Ren quickly got out of the way and watched the patient leave.
However, it is good to have a clear diagnosis. Although septic shock is serious, it is better than fat embolism, a disease that cannot be treated at all.
After finding Dr. Liang, Zheng Ren sat in the office of the CT room. Dr. Liang took the time to upload the film, and Zheng Ren soon saw the CT image of the patient's abdomen.
The CT scan showed extensive subcutaneous pneumatosis on the abdominal wall under the xiphoid process. Zheng Ren seemed to be able to detect a feeling of snow when looking at the film. Free air pockets and inflammatory changes are also present around the ascending colon, which are more typical imaging changes of intestinal rupture.
Zheng Ren watched the film and reconstructed it in his mind.
The intra-abdominal infection was particularly serious, and Zheng Ren estimated that there were many intestinal ruptures and perforations.
"Boss Zheng, you don't come here very often recently." Dr. Liang saw Zheng Ren reading the film and came over to get close to him.
Boss Zheng flew higher and higher, and Dr. Liang felt that he could no longer reach it. But it's good to take the opportunity to say a few words and get close.
"I've been quite busy lately." Zheng Ren smiled and said, "How are you doing here? You're pretty busy, right?"
All his thoughts were on the CT scan and talking to Dr. Liang, and he was not distracted at all.
"That's it, nothing special. Watching movies and writing reports every day is very boring." Dr. Liang said with a smile: "Boss Zheng, do you know this patient?"
"My friend asked me to take a look."
"The patient's intestinal rupture was quite serious. Was it a car accident when he was beaten? No, it was not a car accident. If the collision was like this, there must be fractures." Dr. Liang said to himself: "Is it domestic violence? Boss Zheng, if this is the case Domestic violence is a big deal.”
"No." Zheng Ren sighed, "It's a complication of liposuction surgery."
"Uh..." Dr. Liang was startled. Is there such a serious complication of liposuction surgery
"Here." Zheng Ren tapped the computer screen with his finger. "The abdominal wall muscle tissue is a bit thin. It is estimated that the negative pressure stayed in this position for a long time during the liposuction surgery, which caused intestinal perforation."
Generally, when looking at a CT scan, whoever has nothing to do will look at the muscle tissue. Even if you see it, you will pass it by without paying attention. Dr. Liang was stunned for a moment, and then looked over according to Zheng Ren's guidance.
But if liposuction surgery is performed, the thin abdominal wall will be fatal.
"There are such serious complications from liposuction surgery." Dr. Liang said with emotion.
"As long as it is an operation, there will be complications." Zheng Ren also feels the same way. Medical treatment is not easy to do.
If too many preoperative examinations are done, the patient will be unhappy. There is a term called over-medication in recent years, which refers to this.
But if there are less examinations, the patient in front of me is an example. Although this patient had liposuction surgery at Xiaohei Clinic, the principle is the same.
What a dilemma.
If you're not lucky enough to work clinically, you won't be able to do it for long. An unexpected situation will bring everything to a halt.
Xiaohei Clinic was just unlucky this time and encountered a rare patient.
"It's going to cost a lot of money this time." Dr. Shen sighed with emotion.
The infection in the intestine is so obvious that even if the operation is successful, it is doubtful whether the septic shock can be rescued.
Spending money is only one aspect. There is also the possibility of spending a lot of money and not being able to keep it.
"I'm going to have a look at the gastrointestinal surgery department. You go first." Zheng Ren stood up, said hello to Dr. Liang, and turned to leave.
As he walked, he thought about it.
There is no problem with the diagnosis of the patient, but the question of how to treat it is huge.
If she didn't intervene, it seemed that Lin Jiaojiao would have to contribute money and effort. But they are strangers, why should she contribute money and effort
Will the patient's family think he has a guilty conscience? Do you think that small medical beauty clinic has something to do with Lin Jiaojiao? Got bitten at the end
How far things will develop in the end, I can't say.
Thinking about it, Zheng Ren took out his cell phone, hesitated for a moment, and called Feng Jianguo.
"Brother Feng, a patient has just been sent to your department. Who picked him up?" Zheng Ren asked.
"The resident president and Xiaocao went to see her." Feng Jianguo said on the phone: "I am watching a movie. I have a ruptured intestine and am preparing for surgery."
"The patient's family, did you see it?"
"After taking a look, I saw that I was in a hurry to watch the movie. The patient's family members seemed to have conflicts and were quarreling." Feng Jianguo said nonchalantly.
Doctors and nurses rarely intervene in conflicts between patients and their families.
As long as you're responsible for treating illnesses, what's the point of getting involved in other people's housework? It is difficult for an upright official to deal with household chores, let alone doctors and nurses.
If you force yourself to participate, you might end up alone.
"Brother Feng, let me take a look." Zheng Ren said as he walked.
"Huh? Do you know this patient?"
"I don't know him. It's quite complicated to say." Zheng Ren was also very helpless, "He is a patient who suffered from intestinal rupture after liposuction."
"After liposuction?" Feng Jianguo was a little surprised.
Although he has been practicing gastrointestinal surgery for decades, this was the first time he had seen intestinal rupture caused by liposuction. As soon as he picked up the patient, the patient's family started arguing before he even had time to ask about the patient's medical history.
"Let's talk in person." After Zheng Ren finished speaking, he hung up the phone.
Zheng Ren didn't bother to predict what to do. He first saw the patient and the patient's family, and then adapted accordingly. Besides, there are still conflicts between the patient’s family members, so it’s useless no matter how much you think about it.
Soon, we came to gastrointestinal surgery.
A weather-beaten, dark-skinned peasant woman stood in the corridor, grabbing the clothes of a young man and wiping her tears.
The young man looked about 22 or 3 years old, he was very angry, and he even had an earring on his left ear. He was impatient and had a look of disgust on his face.
The corridor was in a mess, patients' family members, doctors and nurses were all 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 need help."
"None of my business!" The young man shook his sleeves and said, "I'm telling you, don't mess with me, this has nothing to do with me!"