"Mr. Zheng, I haven't seen you for a while. How are you doing in the Imperial Capital?" The doctor in the CT room chatted with Zheng Ren and wasted no time in checking.
Doctors in the emergency department send patients for examination in person, which means they have to judge the condition very seriously. Needless to say, the doctors in the CT room also know this.
For gentle patients, who has the time to accompany them for examination
The machine roared, and Zheng Ren did not chat with him. Instead, he put his left hand under his right armpit, his right hand supporting his chin, and looked at the computer screen.
The atmosphere was somewhat solemn.
The doctor in the CT room did not dare to neglect, stopped chatting, and looked at the screen seriously.
After 1 minute, the image appears on the screen.
Several people were stunned.
At the end of the left clavicle, an image of a needle appeared, inserted diagonally into the mediastinum. The pericardium was moderately and severely packed, and both lungs were covered with large shadows.
The changes in the lungs can be ignored. The most important thing is the image of the needle. It looks like it is a Kirschner wire used to fix a fractured clavicle!
It is halfway out from the end of the clavicle, and the tip of the needle is just at the edge of the aorta.
It turned out to be like this, Zheng Ren suddenly realized after being surprised.
"I'm going..." The doctor in the CT room saw this kind of image for the first time. He pointed at the image of the K-wire in surprise and couldn't say a word.
Zheng Ren took the time to reconstruct the CT images in his mind. The diagnosis given by Big Pig Hoof was an ulcer of the aortic adventitia. After image reconstruction, it was determined that the media and intima had been involved, the surrounding tissue was edema, and there was no local secretion.
The aorta is about to rupture at any time! The hair on Zheng Ren's back suddenly stood up.
"Call Mr. Wang, emergency hybrid operating room, prepare aortic stent." Zheng Rendao.
Su Yun nodded, took his cell phone and started to contact the operating room.
"Mr. Zheng, I'll give you the film. The report will have to wait until tomorrow." The doctor in the CT room knew that the situation was urgent, so he printed out the film and gave it to Zheng Ren.
"Thank you." Zheng Ren took the film, and together with the examiner and the patient's family, he carried the patient onto a flat car and ran all the way to the emergency operating room.
MD, how can the distal end of the K-wire be freed? Zheng Ren couldn't understand this either.
The problem may have occurred when the orthopedic surgeon inserted the needle, or it may have occurred when the patient resumed training after surgery.
Now is not the time to ask why, but to seize the time to perform surgery.
The aortic adventitia is damaged and has affected the media and intima. Once the blood pressure rises, the patient may rupture the aorta and die at any time.
On the way, Su Yun caught up with him.
"Luckily, there is also an aortic stent. Next time I return to Haicheng, I must take Xiao Feng with me." Su Yundao said.
Zheng Ren realized that Haicheng should not perform interventional surgery while he was away.
If Feng Xuhui doesn't follow, he won't even know whether he has an aortic stent.
Last time, Wang Qiang from the Second Hospital came to deliver various consumables. This time, there is still some left, probably because Wang Qiang had surgery recently, or it was left over from the past.
No matter what, as long as he can cope with the current situation, Zheng Ren thought. This patient was lucky enough to meet himself.
"You go and explain to the patient's family, and I'll remove the stent." Zheng Ren said, "The family members sign, you call me, and then go on stage."
The patient's family members suddenly panicked after hearing the exchange between the two.
Emergency surgery? What is this scenario? !
Moreover, the expressions of the two doctors were very serious, which was even more frightening than the doctor from the emergency medicine department confessing to death.
No matter how serious it is, these are rare unexpected situations. What I was most afraid of was that the doctor had a gloomy face and ran all the way. He was so busy that he had no time to explain to himself in detail.
The patient's family members were understanding people and were frightened by Zheng Ren and Su Yun.
Pushing the patient into the operating room, Mr. Wang had just finished the operation. He saw Zheng Ren hurriedly pushing a patient in, and asked in surprise: "What's going on?"
"The distal end of the Kirschner wire is free, the aortic adventitia and media are damaged, and there is pericardial tamponade." Zheng Ren said quickly.
"..." Mr. Wang was stunned.
"Send the patient back and then come up to help." Zheng Ren said unceremoniously.
At this time, if you ask Mr. Wang to help you, you are really helping him.
In 912, I would be polite to Director Wei and Professor Feng. But this is Haicheng, and he is facing Mr. Wang, so there is no need to be polite.
"Okay." Mr. Wang knew that the situation was urgent, and he and his assistant immediately sent the patient down.
"Mr. Zheng, let's just say that you are busy and have to operate overnight whenever you come back." Chu Yanzhi said while helping Zheng Ren carry the patient to the hybrid operating table.
"Hey, we just met." Zheng Ren was also speechless.
If I weren't here, maybe I wouldn't be so busy.
But in the Department of Gastroenterology, I am afraid that within a day or two, a patient will die suddenly, inexplicably and silently.
Perhaps, this kind of thing happens every day.
With the help of Big Pig Hotter, Zheng Ren avoided tragedies again and again through early detection, diagnosis, and treatment.
"How many sets are you planning to make tonight?" Chu Yanzhi continued to chatter.
"I don't want to do it either." Zheng Ren said helplessly, "It'll be fine in a while. The director has finished the intravenous drip and sent him home. Let's go out for a late-night snack."
"Yiren said that we have ordered a meal, but it is rare for Mr. Zheng to be generous. You guys earn a lot in the imperial capital. Are you such a stingy guy that you already know how to treat guests to dinner?" Chu Yanzhi asked.
If you don't want to eat, it's annoying and a waste of time. It's not stingy. Zheng Ren cursed in his heart, but he did not explain, but said directly: "General anesthesia, first remove the aortic stent, and then open the chest."
"What is the diagnosis?" Chu Yanran asked.
"Aortic adventitial ulcer, pericardial tamponade, and distal Kirschner wire dissociation." Zheng Ren said.
"Wow, Kirschner needle?!" Chu Yanzhi jumped.
"Hurry up and anesthetize." Chu Yanran was busy and said with some disgust: "Is the ulcer serious, Mr. Zheng?"
"It's serious. It's considered to be caused by Kirschner wire scratches. The tunica media and intima have been affected and may rupture at any time." Zheng Ren saw that the little lady was busy preparing things for surgery, so he went to brush his hands.
The level of emergency care in Haicheng is not as good as that in Shenzhou City. Although the Chu family sisters have good technical skills, there is still a certain gap between them and Lao Hebi.
But Zheng Ren thought it was fine. As long as the situation in Xilin Town didn't happen, everything would be fine.
The last time I was rescued in Xilin Town, I really had a psychological shadow.
After the patient came out and the anesthesia was over, Su Yun also called, saying that the patient's family had signed the pre-operative consent form and he started the operation directly.
Su Yun took the film down to explain the condition to the patient's family. Zheng Ren was disinfecting the patient while recalling the images in his mind.
Aortic stent is not difficult, as long as it is not broken, it is enough to lower the stent first.
"Yanran, pay attention to suctioning phlegm." Zheng Ren warned.
"I know." Chu Yanran said, "I just heard that there are a lot of wet rales in both lungs. Don't worry, Mr. Zheng."