The Surgeon’s Studio

Chapter 1757: 1742 Angry Mosaic

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Mao Chi wanted to say something, but when he thought about the intervention at the International Hospital to remove the big frame that fell into his heart a few days ago, his mouth felt like it was covered by a big invisible hand, and he couldn't say a word.

Director Zhang Lin didn't say anything.

A few days ago, Dean Yan had surgery. When she arrived, two purple-black blood clots were in front of her. I had already rushed here in a hurry. From the time I got the news to the time I entered the operating room, it didn't even take 20 minutes.

But Boss Zheng has even completed the surgery.

Even if it’s done, Boss Zheng doesn’t even think of sending Dean Yan back to the ward!

He just threw away his hands and left, acting like he was treating Dean Yan as an ordinary patient.

Although we were faced with a mass "poisoning" incident of unknown diagnosis at that time, why couldn't another person send Dean Yan back to the ward and say a few heart-warming words

Why are people so confident

It’s not because of the high technical level. Although I don’t know why Boss Zheng is so arrogant and domineering this time, it definitely makes sense.

Director Zhang Lin glanced at Sun Chao and felt that this guy would most likely die on 912.

She has dealt with Boss Zheng several times, and it is an indisputable fact that Boss Zheng’s diagnosis is very powerful.

Director Zhang Lin always remembers the fact that family members gave up on channel disease.

Every time she thought about it, she would be surprised at why Boss Zheng was so sure, without even a trace of hesitation.

This time, it should be the same.

Boss Zheng is definitely not the kind of person who doesn't know the importance of things. When he says he wants to open his chest, he means opening his chest.

Sun Chao glared at Zheng Ren, but Zheng Ren completely ignored the mosaic around him. Who would compete with Mosaic

Zheng Ren carefully looked at the lung CT film and reconstructed the operation in his mind.

Although there is no experimental subject, it is just a virtual surgery, but do it if you can and seize the time. Zheng Ren has accumulated a lot of surgical training time, but he is still very stingy and unwilling to use it indiscriminately.

Before going on stage, I have to do at least three or five more surgical trainings. Now I can become more proficient.

Zheng Ren was also a little troubled. Big Pig Hoof never refused to give him a peak-level skill book.

I have not found a way to reach the peak level of surgery, so I can only perform surgery at the master level.

Just as he was thinking about it, there was a rush of footsteps in the corridor.

Lin Ge's heart moved and he looked up.

Principal Zhang walked in quickly, and Lin Ge quickly stepped forward to greet him, stretched out his hands and said, "Principal Zhang, you are really here."

"How is it?" Principal Zhang asked hurriedly.

"The situation is very bad. It is now suspected to be pulmonary embolism." Linge said: "Our opinion is emergency thoracotomy."

Principal Zhang was stunned for a moment, emergency thoracotomy or heart surgery...

This pressure is a bit big.

"Has Dean Yan been discharged from the hospital?" Principal Zhang asked.

"He has been discharged from the hospital and is recuperating at home. As you know, Dean Yan's... Vice-President Yuan has a meeting in the department and is rushing back." Lin Gehui reported, "However, our judgment is not optimistic about the patient's condition and needs Seize the time for surgery.”

"You don't even have time to be a CTPA?" Sun Chao said angrily, "You are so irresponsible, this is a crime!"

Principal Zhang was really stunned this time.

He knew Director Sun Chao from the Affiliated Hospital of Medical University. Director Sun was short and fat, the kind of person who couldn't see his toes when he lowered his head.

It's hard not to remember him.

But why does Director Sun Chao appear here

"Director Sun? What do you mean?" Principal Zhang asked in shock.

"Boss, the ultrasound pictures." Su Yun squeezed into the crowd and handed a stack of printing paper to Zheng Ren.

"Okay, teachers who have questions, let me tell you why the condition is urgent. It is judged to be pulmonary embolism." Zheng Ren said: "Su Yun, send the patient!"

Neither Ringer nor Mr. Shao, nor Director Zhang Lin or Director Mao Chi said anything.

After Boss Zheng said these three words to send the patient away, he narrowed his eyes and scanned the crowd.

Those who had opinions were silenced by the sharp eyes.

"It's so careless, it's just a waste of human life!" Director Sun Chao said angrily, "No one cares about your 912?"

Mao Chi lowered his head and looked at the ground, as if there were some images on it. Lin Ge smiled slightly and said, "I believe in Boss Zheng's diagnosis. If something goes wrong, our medical office will bear the responsibility."

Sun Chao almost spit out blood.

MLGBD! Is the 912 medical office crazy? Unconditionally support this young boss Zheng? !

This is absolutely crazy.

"Principal Zhang, you can make the decision, right?" Zheng Ren asked Principal Zhang directly.

Principal Zhang nodded cautiously but said nothing.

"Then let me talk about the ultrasound images. If any teacher has any questions, please ask them directly. If there are no questions, just start the show directly after the lecture." Zheng Ren said: "There is no time."

Everyone's hearts trembled when they heard the words he said there was no time.

Although pulmonary embolism is urgent, it is not like a myocardial infarction, which can lead to death in a few minutes.

What does he mean by that

"First of all, as the most specific echocardiographic feature, when the ratio of the anteroposterior diameter of the right ventricle to the left ventricle is > 0.5; the ratio of the transverse diameter of the right ventricle to the left ventricle > 1.1 or the end-systolic and end-diastolic diameters of the left ventricle are both reduced, especially diastolic When the end stage is present, thrombotic pulmonary embolism can be diagnosed.”

"This point is very clear based on the echocardiographic images. There is no doubt about it." Zheng Ren said loudly. Although his voice was still urgent, it had a sonorous energy that sounded like gold and iron.

"Second point, under normal circumstances, the range of motion of the right ventricular anterior wall should be >5 mm, and the range of motion of the right ventricular free wall should be >8 mm. However, in patients with pulmonary embolism, the range of motion from the base of the right ventricular wall to the free part is reduced, or even disappear."

Zheng Ren took the ultrasound image and said, "Teachers, you don't have any doubts."

The image was printed, and people around him couldn't help but gather around to look at the image carefully.

What Zheng Ren said was reasonable and could not be refuted.

Even Sun Chao couldn't say a word to deny Zheng Ren's statement.

"Third point, the diameter of the normal main pulmonary artery is 20 mm; in patients with chronic thromboembolic pulmonary hypertension, the MPA is even more dilated. obvious."

"In the image, the RPA is 28mm, and the initial diagnosis is acute pulmonary embolism." Zheng Ren continued.

"Fourth point, I don't know if you know the formula for calculating the collapse rate of the inferior vena cava."

Zheng Ren said and glanced at Principal Zhang.

The person he wanted to convince was Principal Zhang. As for the angry Mosaic beside him, Zheng Ren had no impression at all.

Principal Zhang was already confused.

What the hell is this? With the standard thinking of a man with a science background, what else can I say if I tell you one, two, three, four, five? !