Zheng Ren spoke carefully, without harsh words. But even the gentle breeze and drizzle made Xia Hua a little embarrassed.
“Generally speaking, the initial symptoms of patients are severe nausea and vomiting, followed by chest pain and upper abdominal pain.
Some patients have hematemesis or bloody vomitus.
The pain is tearing and unbearable, and is not easily relieved by large doses of analgesics. The pain is mostly located in the upper abdomen, behind the sternum, in the ribs, and in the lower chest. Sometimes the pain radiates to the shoulder and back. Severe symptoms include obvious shortness of breath, difficulty breathing, cyanosis, and even shock. "
Zheng Ren looked at the film, found the position he wanted, and explained it to Xia Hua calmly.
"I haven't seen the medical records, and I don't know the patient's condition, but why can I be sure that it is a spontaneous rupture of the esophagus with a high probability? Because there are typical imaging findings."
"On the lateral chest X-ray, mediastinal emphysema and subcutaneous emphysema shadows can be seen in the neck. In the posteroanterior view, emphysema shadows can sometimes be seen on one side of the postero-inferior mediastinum, which is triangular in shape."
"This is a typical imaging sign. It is displayed here on CT." Zheng Ren then used the mouse to outline an area.
"If you are worried, you can choose to use Meilan for upper gastrointestinal tract imaging. You can see that the chest drainage is led by Meilan."
"Another point is that the drainage fluid in the patient's chest bottle is turbid, which is not consistent with the drainage characteristics of bronchopleural leakage."
"But there is no need to do more examinations. I go directly to the stage and perform surgery through thoracotomy. If my judgment is correct, I will perform simple sutures after dissociation and install an esophageal stent."
"If your judgment is right, let's repair the lung lobes. Do you think that's okay?"
These words made Xia Hua confused.
"Have you sent the puncture fluid for amylase testing?" Su Yun asked from behind, his tone full of contempt.
Although his words were a question, you can feel that he was actually saying that he didn't even test for amylase, so you're just talking about a bronchopleural leak!
"No..." Xia Hua was stunned.
Is this the difference between a provincial capital and an imperial capital
"It's not necessary. Just do a thoracotomy for exploration." Zheng Ren said with a smile: "The diagnosis is very clear. I will see the patient and send him directly to the operating room."
"Do you still want to see the patient?" Su Yun said from behind.
"It is a rule to see patients before surgery. You cannot ignore this just because time is short." Zheng Rendao.
Although the diagnosis was clear, Zheng Ren still had to use the system panel to refer to it. He was already used to it.
However, the shock that these words brought to Gao Shaojie and Xia Hua was far more than just explaining the patient's condition.
Responsibility is what a doctor must possess.
But everyone has been obsessed with life for decades, and some of their original intentions have changed.
It takes a whole day to fly here for surgery. The more surgeries you perform per unit of time, the more income you earn.
More income means a better life for the wife and children.
This is a very simple account that everyone can calculate.
Therefore, many professors have seen the films transmitted by mobile phones before coming here and are unwilling to see patients again.
Of course, it doesn't matter if you do this. After all, the local hospital takes care of the first step. If a patient has a problem, he will definitely raise it directly.
The professor can perform the operation and leave, but the bedside doctor cannot.
Besides, Boss Zheng has no profit from this operation. He is just selling his skills to help with the operation.
Gao Shaojie was a little embarrassed, but he didn't say anything.
Xia Hua immediately contacted the accompanying examiner who sent the patient for examination and said that the patient was already on the way. A few people went directly to the corridor to wait, so as not to have to toss the patient to the hospital bed and then get down again.
"Boss Zheng, is Lao Liu okay over there?" Gao Shaojie asked when the patient came back.
"It's good, but I'm too tired. I think..." Zheng Ren hesitated.
"The hair is getting less and less. He also said he wants a hair transplant. I guess the hair on the back of his head is almost gone. Lao Liu's hairline is really reaching his waist." Su Yun said with a smile.
"Has the level improved significantly?" Gao Shaojie asked pretending to be casual.
"Fortunately, it can be improved to a higher level. Now that Lao Liu is back and doing TIPS surgery by himself, there shouldn't be any mistakes." Zheng Ren looked at the door and said casually.
Gao Shaojie's heart was rolling and sizzling as if it had been thrown into a frying pan.
At that time, I had a thought...
But my child has to take the college entrance examination and I really can’t live without it. Even if he had to do it over again, Gao Shaojie would probably choose to stay at home.
How can parents abandon their children in the last few months and create instability
When the little kid at home is admitted to college, he will wait until Lao Liu comes back to go to the imperial capital.
It would be best if the child could be admitted to a university in the capital city of God.
When the time comes, I will accompany him to study and study... Gao Shaojie is planning the future in his heart.
"Boss Zheng, when Lao Liu comes back, my son has also finished the college entrance examination. Can I go to study for half a year?" Gao Shaojie asked.
"Welcome." Zheng Ren said with a smile: "Lao Gao, it would be best if you could go. Fugui'er and Lao Liu are both leaving, and I don't have any surgery on my side."
Gao Shaojie felt confident.
As he spoke, the sound of a flat car was heard.
It's been a while since he stayed away from the emergency department, but Zheng Ren's heart rate still accelerates when he hears the sound of the wheels of a flat car crushing the marble floor.
This problem will probably never get better in my lifetime.
Stopping the flat car, Zheng Ren examined the patient.
The breath sounds on the left side were extremely weak, and bubbling sounds could be heard vaguely, but they were not obvious. None of this is important. The key is that Zheng Ren checked the system panel and found that it was indeed a spontaneous rupture of the esophagus.
"Come on stage and ask for a hybrid operating room." Zheng Ren said: "Dr. Xia, you might want to ask the training doctor to give pre-operative instructions."
Xia Hua forgot his tiredness and began to run quickly.
Explain the patient's condition to the patient's family, talk about the emergency surgery, and sign. Although the patient had indwelling gastric tubes, urinary tubes, and intravenous channels, all he needed to do was prepare the skin, but he was still busy in less than half an hour.
More than 10 minutes later, Xia Hua handed over the pre-operative instructions and signatures to the training doctor, and went to the stage with the patient who had prepared the skin first.
"Boss, you just have a too gentle temper." Su Yun said rather dissatisfied: "I remember that you were different after you went abroad. What's the matter?"
"It's the same after going abroad, there's no difference." Zheng Ren said.
"At King's Hospital, I remember you kicked Ged against the wall."
"He wants to perform heart compressions. Look at the posture. Once he performs the compressions, there is no need to resuscitate him. That's killing people, not rescuing people. Can you please take it easy?" Zheng Ren said, "It's you who used pliers to hit Sun Yat-sen from the Medical University Affiliated Hospital. Director, the impact is very bad."
"I don't like that guy." Su Yun said: "He's just here to find faults. Can't the operation be performed just by his mouth? He's really a dog in the beginning, and the operation depends on his mouth."
Gao Shaojie was stunned when he heard this.