Director Wei was a little dissatisfied when he heard Zheng Ren's somewhat vague answer.
He knew the patient's parents, and especially when he saw the child's mother sitting slumped as soft as mud, he felt an urgency in his heart to cure the child.
At this time, I really hope that Boss Zheng can say a little thing, no problem.
But he said he wanted surgery and a laparotomy, which was exactly what he thought.
Who can't do this.
However, there was no examination before the operation, so it would be a bit difficult for Boss Zheng to give a clear answer.
Director Wei sighed and put his hands on his waist. The two squats had done a lot of damage to the lumbar disc. It seemed that he would no longer be able to do this kind of movement in the future, he thought to himself.
Ten minutes later, preoperative preparations were completed.
Intravenous access, gastric tubes, urinary tubes, and skin preparation in the surgical area, the overall quality of 912 is quite high, especially when facing emergency rescue, this quality is fully reflected.
"Boss Zheng, I'm such an old guy..." Director Wei smiled bitterly, "Please bring it up. Open it and take a look. I'll explain and sign with the patient's family below."
Zheng Ren nodded and rushed straight to the operating room with the patient.
Although the diagnosis was clear, Zheng Ren still raced against time to send the child to the stage.
Time is life. If it looks stable, it may be delayed for half an hour, and the child will not be saved.
Arriving at the operating room, Quan Xiaocao happened to send the patient with stomach stones off the stage.
Zheng Ren handed the patient to Lao He who came out. Zheng Ren took the time to change clothes.
"Boss, what's wrong with you?" Su Yun asked.
"I ate a bottle cap and got stuck in Meckel's diverticulum." Zheng Ren said.
"I'll go..." Su Yun sighed, then looked at Zheng Ren and asked, "Are you coming?"
"Director Wei squatted twice, and the lumbar disc could no longer support it." Zheng Ren said: "Hurry up and solve it quickly. The child's Meckel diverticulum is bleeding, but the problem is not likely to be serious."
"How was it diagnosed?" Su Yun's eyes narrowed because he was wearing a sterile cap, and the black hair on his forehead tried to flutter in the cap, but was suppressed.
"The patient's mother is in the intraoperative explanation room. You go and ask for the film. Go in and take advantage of the anesthesia time, and I'll tell you." Zheng Ren said calmly.
Su Yun is so smart, he seems to have doubts.
Then let professional knowledge tell him why, so as not to have thoughts in his heart and always stare at himself.
It felt very bad to be stared at, especially by Su Yun.
After Zheng Ren finished speaking, he changed his clothes and strode into the operating room.
Su Yun looked at Zheng Ren doubtfully, Meckel's diverticulum? Diagnosis seems difficult.
But he didn't say anything and went out into the intraoperative briefing room. I saw a gastrointestinal professor holding a film while looking at a middle-aged woman.
It's just a plain abdominal X-ray. Is that what the boss used to diagnose
Su Yun politely asked the professor for the film, saying that he needed surgery. When the professor who led the team heard that it was Meckel's diverticulum, he was a little confused.
While he was deep in thought, Su Yun quickly returned to the operating room with the film in hand.
"Boss, there are only three X-ray films. How did you diagnose? Come on, teach me." Su Yun used the word "teach" for the first time.
But it is obvious that there is a strong sense of ridicule in it.
Lao He was under intense anesthesia.
The child's anesthesia required greater efforts, and in front of Boss Zheng, Lao He did not dare to ignore it at all.
What a coincidence this time. Today, I have two emergency gastrointestinal surgeries in the emergency room.
How about saying that opportunities always come to those who are prepared? With large stomach stones, I informed Boss Zheng as soon as possible, knowing that he would be interested.
As for the person who was reading the film, Lao He took a moment to take a few glances.
Only plain abdominal X-ray... What did Boss Zheng diagnose
Meckel's diverticulum? I go! Did he diagnose it with a plain radiograph
Awesome!
Lao He is not like Su Yun. He has successfully brainwashed himself, as long as Boss Zheng's diagnosis is correct!
This is what a qualified anesthetist in the medical team should do.
If the surgeon's diagnosis is not believed, the medical team can be disbanded.
Zheng Ren did not tell the whole story of the condition, but directly inserted the X-ray film in the last chapter into the reader and asked: "X-ray film provides data information and converts it into abdominal CT. Can you do it?"
"Yes." Su Yun said with certainty, his eyes narrowed unconsciously, the corners of his eyes raised, and he did not know how many turns he attracted from the traveling nurse.
only,
In the operating room,
In front of the reader,
A few straight men and rough guys, but no one noticed.
"Here." Zheng Ren pointed at a location on the child's right lower abdomen, "The density is wrong and it is converted into a CT image."
Quan Xiaocao went to send the patient off the stage. Feng Jianguo knew that there was another operation, so he just took off the sterile gown but did not go down and stayed in the operating room.
He stood behind, looking at the X-ray film, and heard the conversation between Zheng Ren and Su Yun.
Nima, the raw data of plain films are converted into abdominal CT...
Is this something that humans do? It would be normal if only Boss Zheng could do it.
But Su Yun said it was okay, and the conversation between the two was very bland. It seemed that they had done this often before.
Feng Jianguo felt a sense of powerlessness.
The most annoying thing is this kind of genius. It has been like this since school.
They don't have to do anything. They can read it once and get a perfect score on the exam.
People play all day long and don’t read at all, but their final test scores are better than what they would have achieved through hard work.
Just as he was thinking about it, Feng Jianguo heard Zheng Ren say: "Diverticula come from the developmental remnants of incomplete degeneration of the vitelline duct and the umbilical mesenteric duct that connect the midgut and the yolk sac in the early embryonic stage. Diverticula can be inflamed and clinically manifest as acute abdomen." "
"On CT images, inflamed Meckel diverticula appear as blind bags of different sizes, with wall thickening and surrounding mesenteric inflammation." Zheng Ren continued: "On plain films, there are weak changes in density. It is this raw data There is a slight abnormality, and I feel something is wrong.”
"After the intestinal wall here is converted into CT images, it can be seen that it is thickened, and the inflammation in the surrounding mesentery is very serious, which irritates the peritoneum of the child and causes signs of a plate-shaped abdomen."
"Inflamed Meckel's diverticulum is similar to an inflamed appendix." Su Yun frowned and asked, "How do you judge this?"
"The differential diagnosis of the two diseases is actually not difficult." Zheng Ren was confident and pointed his finger on the abdominal X-ray.
"This is the location of Meckel's diverticulitis." Zheng Rendao: "The inflammatory structure is attached to the distal ileum, not the cecum, and a normal appendix separated from the disease can usually be confirmed."
Su Yun frowned and thought.
Zheng Ren spoke a little too fast. He felt that his brain was running at high speed, but the speed could not increase.
The sterile cap has successfully hindered heat dissipation, which makes Su Yun feel a little distressed.
"Many times, Meckel's diverticulitis located anterior to the midline on CT imaging may be suspicious of an infected urachal cyst."