Spiral CT vascular imaging can show that the distal end of the artificial blood vessel anastomosis, the aortic arch and the descending aorta are significantly expanded, with a diameter of about 62mm at the widest point.
Multiple intimal tears were seen in the cavity, forming multiple compartments. The intimal tears involved the openings of the three brachiocephalic arteries in the aortic arch and formed dissections.
From the true and false lumen of the thoracoabdominal aorta to the right common iliac artery. The superior mesenteric artery and the left renal artery open into the true lumen, and the right renal artery opens into the false lumen.
This disease... Zheng Ren finds it very difficult.
It's not generally tricky, but...even at Zheng Ren's own level, it's very difficult to win.
Not only was there something wrong with the elephant's trunk, but the superior mesenteric artery and renal artery were also affected.
And the most important thing is that this is a patient who has undergone elephant trunk replacement surgery. The second surgery was extremely difficult.
"Ding dong~"
The long-lost mission reminder sounded.
Urgent mission: certain death.
Task content: Surgical treatment of a patient who other doctors thought was certain to die.
Mission time: 5 days.
Mission reward: 100,000 experience points, 10,000 skill points, master level skill book x 2, energy potion x 1.
Uh... this mission name is absolutely amazing!
He was absolutely certain to die, yet he had to undergo a wool operation.
Zheng Ren mentally cursed and complained about the mission name given by Big Pig Hoof, and then saw that the mission time was 5 days, and felt a little relieved.
Judging from his ability to fuck the big pig's hooves, Dr. Rudy's wife can last at least 5 days. No matter how much, Zheng Ren can't guarantee it.
"Look for Cleveland...find Mayo..." Dr. Rudy murmured.
His assistant immediately wrote down his words.
For cardiothoracic surgery, Cleveland Clinic and Mayo Clinic rank among the top two in the world.
There are some of the world's most powerful and top-notch cardiothoracic surgery experts.
However, Zheng Ren didn't feel angry yet. He took a closer look at the mission time and determined that it was five days later, and then began to think about Lao Luo Che's case again.
Treatment may not be possible. But who doesn’t know how to find faults? Especially Zheng Ren, a "big cow" doctor who spans countless branches of medicine.
Because Zheng Ren didn't know the internal conflicts and factions of the Bruch family, he couldn't break them down and defeat them one by one. But he didn't want to do that. After telling the medical history, he turned around and left. It was enough to bury a nail.
Porphyria? Is it congenital porphyria
Zheng Ren sneered.
Zheng Ren knew exactly what the differential diagnosis was for congenital porphyria.
Doctors have the weapons of doctors, and besides, Zheng Ren doesn't have such big ambitions. He wants to overthrow the Bruch family, which has been standing on the European continent since the Middle Ages, and uproot this big tree.
Neither the Crusaders nor the Templars had completely defeated the Bruch family, let alone themselves.
But to plant a thorn in this huge family, Zheng Ren thought he could do it.
As for how many members of the Bruch family would die after that, Zheng Ren was not concerned about this.
Even if it doesn't work, it doesn't matter. Zheng Ren doesn't care at all. If it doesn't work this time, it will be better next time.
If it doesn't work this time, I'll just wait for a while and try again when I get the chance. There is a saying that goes well, don’t be afraid of thieves stealing, just be afraid of thieves missing you.
Zheng Ren has always been stingy, and he has been grudged for a long time about Liu Tianxing's incident at that time.
"Dear Dr. Zheng, a tenured professor at Massachusetts General Hospital, while Dr. Rudy is still here, please tell me your diagnostic opinion on Mr. Roche." Wormel said.
"Mr. Wormeer, I have different judgments on the patient's condition." Zheng Ren smiled slightly and said gently: "But in my country, when explaining the condition, you must communicate with people at home who want to know the condition. , otherwise it will be said countless times, you know, that is a very troublesome thing."
The muscles on Wormel's left cheek twitched slightly, and he immediately asked: "What is your diagnosis?"
"Chronic variant Crohn's disease." Zheng Ren said.
Su Yun was stunned for a moment, what nonsense is the boss talking about? Bullshit Crohn's disease, this disease is considered a rare disease, but we have encountered it no matter in Haicheng or 912.
The boss will never make a wrong diagnosis.
Could it be that he was also infected... by congenital porphyria? Or did you accidentally get your first hug on the plane and now you're delirious
Su Yun was puzzled, but Wormel smiled, "As you wish, there are many different opinions in the family regarding your Nobel Prize this year. I hope that after listening to your wonderful diagnosis and analysis, everyone will have a common understanding." judgment."
After speaking, Wuermeier and his entourage whispered a few words.
"Christian, I think he will be here too." Zheng Ren said: "Mr. Wormel, please forgive my shyness. Apart from you, I only know Mr. Christian."
"It's absolutely no problem. Members of the Family Council of Elders must attend." Wormell said.
Zheng Ren stopped talking and didn't watch the movie of Dr. Rudy's wife. He stood aside and began to think about his own case.
There must be a problem. In such a short period of time, the opponent's character and temperament are not known, and it is impossible to be flawless.
Zheng Ren just wanted to do his best.
"Boss, are you crazy? Who am I?" Su Yun came over and asked.
"Don't talk nonsense, I just said the diagnosis casually." Zheng Ren said, "I need to take the time to think about it, don't disturb my train of thought."
"..." Su Yun was stunned.
The tacit understanding in the past disappeared without a trace at this moment, and Su Yun didn't even know what Zheng Ren was thinking about.
Seeing this guy standing there meditating, Su Yun started to play a guessing game.
It is said that women's thoughts are the most difficult to guess, but the seemingly honest and honest boss is so bad that even Su Yun can't guess what he wants to do.
Dr. Rudy's eyes turned red while looking at his wife's film.
His assistant had been watching the world, and felt that it could not be delayed any longer, so he reminded Dr. Rudy in a low voice.
"Chronic variant Crohn's disease? What is that?" Dr. Rudy shouted, his emotions seemed to have begun to collapse and he was completely out of control.
Su Yun looked at Dr. Rudy helplessly, and then at the boss.
That guy was still making a meditative expression, not knowing what he was thinking.
"How shameless. I want to waste an hour with this bullshit diagnosis?!" Dr. Rudy roared.
"Dr. Rudy, please maintain respect for Dr. Zheng." Christian walked in and just heard Dr. Rudy's roar. He said coldly.
"Lord Kerry, he..."
"No matter what the diagnosis is, the minimum respect is needed." Christian came to Zheng Ren and bowed, "Dr. Zheng, thank you for your diagnosis. Fan Di has made initial improvements after receiving symptomatic treatment. She let I pay my respects to you.”
Dr. Rudy was stunned.