Zheng Ren didn't know that so many things were happening in the Affiliated Hospital of Imperial Medical University.
He had dinner with Yi Ren at noon and then returned to sit on the chair by the window of the interventional department.
The afternoon was quiet and the sun was shining brightly. I sat in the sunshine with the fifth edition of Surgery on my lap, and leisurely went to the system library to read.
A quiet life is wonderful. It would be great if it could always be like this.
Zheng Ren was sitting on the edge of the small pond in the system space, reading a magazine quietly with his feet in the pond. When I saw happiness, my feet moved slightly, causing some ripples.
"Boss, come watch the movie!" Su Yun's voice came from outside. Zheng Ren regretfully gave up his leisurely moment and came out of the system space.
"What patient?"
"While wandering around just now, Fang Lin received a patient with pneumothorax." Su Yundao said.
"What's so good about pneumothorax?" Zheng Ren suddenly lost interest after hearing what Su Yun said.
Whether it is traumatic or spontaneous, a pneumothorax is a pneumothorax. Under general anesthesia and single-chamber ventilation, find the location of the bulla or lung tear and sew it up.
Nowadays, laparoscopic surgery is easier. Just find the breach and place a titanium clip. The procedure takes no more than 1 hour, including anesthesia and wake-up time.
The only thing you need to pay attention to is to inflate your lungs repeatedly to see if there is only one place where the gas comes out. If there are any omissions, a second thoracotomy may be required, which is difficult to explain.
"There's something weird about pneumothorax. Fang Lin is not sure. Come and take a look at it." Su Yun said with a smile.
Zheng Ren saw something strange in his expression, and his heart moved.
When it comes to the issue of openness and broadness, does Su Yun look to himself? There was an operation in Haicheng once. The lungs did not appear to be compressed in any way from the X-ray. In fact, the lung rupture was quite serious.
In this rare case, Su Yun would only claim to take the blame when he was unsure.
"What patient?" Zheng Ren asked.
"I had recurrent pneumothorax. The last time was 20 days ago. I went to the local hospital for treatment. After surgery, I still had gas, so I came to the imperial capital." Su Yundao.
"Where's the movie?"
"Fang Lin sent a picture on his phone. There's nothing interesting to see. Just go up and have a look." Su Yun pulled Zheng Ren and left.
"Recurrent attacks? Spontaneous pneumothorax?" Zheng Ren was confused.
"Well, it happened 7 times in 2 years." Su Yun said, "Boss, don't you find it strange?"
"I think it's very strange." Zheng Ren thought about it.
Spontaneous pneumothorax refers to the rupture of lung tissue and visceral pleura due to lung disease, or the spontaneous rupture of bullae and microemphysema blisters near the lung surface, allowing air in the lungs and bronchus to escape into the pleural cavity.
Generally, young men aged 15-25 are prone to spontaneous pneumothorax.
Especially high school students. When I returned to Haicheng a while ago, I met a mother who insisted on performing an appendectomy on her child. Su Yun used this example to scare her.
In fact, it was not a scare, it was just telling the truth.
In the young boy, the pulmonary bulla rupture used to require a large thoracotomy and suturing of the bullae. Nowadays, laparoscopic surgery only requires two eyes.
The recurring case at hand means that the doctors who performed the surgery did not remove all the bullae.
Some patients' lungs are covered with pulmonary bullae, at least a dozen or dozens of them. It is impossible to cut off the entire lung lobe.
There was also an abnormality in the last operation, and gas continued to be discharged from the chest bottle after the operation.
This problem is more serious.
Coming outside the chest, Fang Lin was watching a movie. A man in his forties, of medium build, but very fat stood beside him.
"Boss Zheng, Brother Yun, please give me a look." When Fang Lin saw Zheng Ren and Su Yun coming in, he immediately greeted, "This is my savior, Boss Zheng, and this is Brother Yun."
He introduced Zheng Ren and Su Yun to the fat man next to him.
Then, Fang Linda said, "This is Dr. Shao from City L."
Zheng Ren nodded and smiled kindly at the chubby Mosaic, indicating that he understood.
"Huh? Is this the hospital where you were treated for surgery?" Su Yun asked with a smile.
"Isn't that earthquake relief? Our hospital has gone to the front line, and I just went to Lao Shao's hospital for an operation." Fang Lin explained with a smile.
Flying knives are usually used by professor-level people when they go out for a run, and few people come to the hospital. Fang Lin also has a high technical level, and due to special circumstances, he only ran once.
"Brother Yun, why did you bring Boss Zheng here?" Fang Lin was a little embarrassed, "I just thought that the condition looked simple and there might be something wrong, so I asked you to give me a slap."
"Don't be so polite, it doesn't take any trouble." Zheng Ren said with a smile and walked to the reader.
The film was a CT scan, which looked very simple. It showed a pneumothorax on the left side, a closed chest drainage tube shadow, and about 10% compression of the lungs.
There were abnormal images on the lung surface and costophrenic angle. Zheng Ren estimated that the intubation time was relatively long, resulting in irritative hyperplasia or purulent fur caused by infection.
"How is the patient?"
"Zheng... Boss, hello, I'm Shao Jinghe." The chubby doctor greeted him honestly.
Zheng Ren felt funny in his heart. If he were a smarter person, he would have come up to shake hands after Fang Lin introduced him just now, and the condom was close.
I don't know if this person was hit by a medical accident or if he was just this kind of person. He was even a few steps late in saying hello.
"Dr. Shao, you're welcome. Please tell me about the patient's condition." Zheng Ren said with a smile.
"This is an old patient, 22 years old, female."
“…”
For a 22-year-old patient, this seems a bit strange to say. But everyone in Zheng Ren knew what Shao Jinghe meant - an old patient, which meant frequent contact with the hospital.
"Two years ago, the patient suddenly felt chest tightness and shortness of breath. A chest X-ray showed a spontaneous pneumothorax on the right side. I performed a thoracoscopy. He recovered well after the operation and was discharged home."
"Then during the two years, the patient got sick intermittently."
Shao Jinghe felt a little depressed as he talked.
"Old Shao, did you suffer from bullae?" Su Yun asked while looking at the film.
"I check carefully for every operation. There is nothing abnormal." Shao Jinghe said with a sad face, "Brother Yun, do I call you that too?"
"Anything is fine." Su Yun said with a smile. This old Shao still has some eyes, please help him.
"When I see this patient now, I want to hide... My colleagues in the work unit all laugh at me, wondering if I did something to this girl, and why are they pestering me?"
Zheng Ren glanced at Shao Jinghe's big belly and found it funny.
But this kind of emotion is normal. I had 6 or 7 surgeries in the past 2 years. Although the adhesion of lung tissue during thoracic surgery is not as serious as that of the intestinal tract, it is enough to cause a headache when opened.
This does not count. Anyone who has done thoracic medicine knows that it is rare for people to be able to perform two or three bullous resections. I've done this 7 times in 2 years, and no one wants to hide.