When he came to the ICU, he changed his clothes and walked in. Zheng Ren saw that the red color on Ren Ling's system panel had faded, and it seemed that his condition was getting better.
"Boss Zheng, come to see the patient?" the ICU resident said.
"Yeah, you're busy, I just want to take a look." Zheng Ren said with a smile.
"The overall condition is gradually recovering, but the pelvic drainage volume is still a bit large." said the ICU resident general.
This is what Zheng Ren is worried about.
He carefully looked at Ren Ling's system panel again. There were no unfamiliar diseases or complications, such as the fatal diagnosis of pancreatic leakage.
"I'll take a look at the record," Zheng Ren said.
The chief resident of the icu put down what he was doing and took Zheng Ren to the computer to find Ren Ling's medical records and nursing records for him.
Zheng Ren is now in the limelight in 912, and he has always heard about hospitalizations in the ICU.
It didn't matter what he heard. After the patient named Ren Ling was sent here, he could not see the operation records for a long time.
She urged her three or five times, but the gastrointestinal surgery department always said they were still writing.
Hospitalization in the ICU is always weird. It's just a surgical record. What's there to write about? What kind of surgery has not been done in a mature large tertiary hospital like 912? What surgical record template does not exist
Under normal circumstances, it is enough to paste the template and then make some modifications according to the intraoperative situation.
It takes 20 minutes to write a post-operative record, which is considered too much. It must be laziness on the part of the gastrointestinal surgery department, and the ICU residents are always a little disdainful of this.
Later in the morning, the director made his rounds and was very angry at the gastrointestinal surgery department for not writing the operation records.
The director directly called Director Wei to explain the facts.
This situation is rare, but not uncommon. After a night of surgery and exhausted, who is in the mood to write the surgery notes overnight? But the unspoken rule is that it must be completed before the early shift.
Otherwise, it would be screwed if the chief director couldn't tell me anything about the surgical techniques during the ward rounds.
It must be some young doctor who is in training who is lazy. I always think so when I am hospitalized in the ICU.
But when I called Director Wei, he acted very calmly.
Director Wei seemed to know the situation. Instead of scolding him angrily, he asked this person to wait. The operation records would be uploaded in another 3 to 5 hours.
Just wait.
But when the operation records came up, the hospital staff in the ICU were dumbfounded.
She read the 3,000-word surgical record for a full hour.
What kind of surgery is this
During the operation, Director Lin from the Medical Department provided on-site guidance, including cutting and suturing section by section, as well as microsurgery. Finally, there is reconstruction of the superior mesenteric artery.
After reading it, the hospital resident in the ICU thought about it for almost a day, and he didn't understand how such a seriously ill patient survived.
Not only did he survive, he recovered quite quickly.
She could be taken offline within 24 hours, but she reported the operation situation to the director. The director of the ICU also fell silent after seeing the record of the longest operation in history.
This is a surgical record that will make both men and women silent.
Out of caution, we decided to go offline for 48 hours.
The hospital manager of the ICU has been observing the changes in Ren Ling's condition throughout the day. All laboratory indicators have improved to varying degrees. The person is actually awake and can breathe without a ventilator.
Except for a little more pelvic drainage, everything else is totally fine. Furthermore... the patient becomes slightly more restless after waking up.
Such a severe trauma and such a quick recovery, everyone who knows about it sincerely admires him.
The surgery was performed by Boss Zheng.
What a god!
People who are hospitalized in the ICU don't always know how to perform surgery, but I have only seen one surgeon in my life who can write an operation record of more than 3,000 words.
Unparalleled.
If that doesn’t count as awesome, what does
Unknowingly, Zheng Ren has another little fan girl... an old fan girl.
"Boss Zheng, today's abdominal drainage volume is a little less than yesterday, 600ml, light yellow, with sediment." The ICU resident said.
"Light yellow..." Zheng Ren recalled that he came to see the color of the drainage yesterday and looked at the various emergency test reports from this morning.
Zheng Ren thought about the light yellow drainage fluid: it didn't look like gastric juice, nor intestinal juice, nor lymphatic leakage.
If the bile leaks, the color should be darker. The patient's urine should be abundant and clear, and it does not look like a urine leak.
Could it be that the pancreatic juice was detected during the operation and the damage to the pancreas was missed
Because the completion of the operation was not 100% in the end, Zheng Ren had a suspicion in this regard.
Although Da Zhu Ho Zi did not give a clear diagnosis of complications, he still thought about it.
The early morning laboratory test showed no blood and urine amylase value. Although it is unlikely, it cannot be ruled out.
"Please check the blood and urine amylase," Zheng Ren said.
"Are you thinking there is a problem with the pancreas?" the ICU resident asked, "The physical signs are not very similar."
"Just checking the situation, I'm afraid I might have missed something. During the operation, the liver was bruised, the spleen was bruised, and there was nothing wrong with the pancreas." Zheng Ren said, suddenly startled.
"The pancreas is definitely fine. I looked carefully. It's very complete and there is no traumatic damage." Su Yundao said.
"No!" Zheng Ren suddenly raised his hand, paused, and had an idea in his mind, but was suddenly interrupted by Su Yun.
"What?" Su Yun didn't know that he had interrupted Zheng Ren's train of thought.
"There are no signs of peritonitis. I'll check my body later." Zheng Ren said, "The possibility of pancreatic problems is really not very high."
"I think you are just suspicious. The drainage will be reduced. As long as the fluid drawn out is not bloody, you are afraid of nothing." Su Yun said contemptuously.
"It's not that you're afraid. With so much drainage fluid, there has to be an explanation." After Zheng Ren finished speaking, he went to examine the patient.
There is about 300ml of light yellow drainage fluid in the drainage bag. I emptied it out early in the morning. There is more than 300ml at this point, which means that there will still be no less drainage today.
Zheng Ren looked at the system panel again, but there was still no special diagnosis.
He began a physical examination, and it was just like what was described in the course of the disease. There were no signs of peritonitis, the incision was intact, the drainage was smooth, and there was no bloody fluid.
While pressing the abdomen, Zheng Ren noticed that the patient had frowning and restless behaviors.
Postoperative pain is possible, but I didn't use much strength, so the reaction shouldn't be so strong.
But in the end, all doubts were dispelled after Zheng Ren heard the bowel sounds with a stethoscope.
Bowel sounds 4-5 times/min.
It's not an intestinal fistula or a problem with the pancreas. If there is digestive juice in the abdominal cavity, intestinal paralysis should definitely occur within 36 hours.
But now all physical signs are stable...it doesn't look like something is wrong.
But where does all this drainage fluid come from