After picking up a car, Su Yun suddenly remembered something. He said to Fan Tianshui: "Old Fan, go and look at that machine."
"Okay." Fan Tianshui never asked why. Zheng Ren found this habit particularly good, but Su Yun found it awkward. You must explain a few words, otherwise your wild ideas will not be seen by a blind man.
After getting in the car, Su Yun said: "Boss, do you know what I'm worried about?"
"Tell me." Zheng Rengang wanted to take a look at the system operating room, but Su Yun called him back. He was very unhappy and his tone was a bit harsh.
"Never underestimate their shamelessness. If no one is watching, they would dare to transport the juicer away. Believe it or not."
"I don't believe it." Zheng Ren said, "Chengzi has been sent for examination. It's clear at a glance whether something is wrong or not."
Su Yun shrugged his shoulders and did not agree with Zheng Ren's words.
After calming down, Zheng Ren entered the system space and clicked to purchase surgical training time. The system operating room rose from the ground and he got directly into it.
The subject was lying on the operating table, with closed thoracic drainage removed, and laparoscopic equipment placed next to him.
According to Fang Lin’s phone call, the patient was routinely sent for a CT examination after having the chest bottle removed, and then went to the emergency room because of splenic rupture. At this time, the CT images came back and it was found that there was torsion of the heart and great blood vessels, and the heart was still fully torsion.
Fang Lin probably thought it was dextrocardia at first, but after consultation on the stage, it was considered to be caused by trauma.
Zheng Ren first read the relevant inspection report, and then repeatedly confirmed that he was in the system space. He did not attempt splenectomy. This level of "minor" surgery was no longer a problem for Zheng Ren.
It is only proper to dissect the experimental body and see the position and condition of the twist.
There are many papers on cardiac torsion, most of which are caused by certain damage to the physiological structure of the heart during pericardial resection for lung cancer in the left or right lung.
The process is 6-12 hours after the operation. Insufficient gas exchange occurs, and then the patient goes into shock, which is only discovered by doctors during ultrasound examination.
At this time, if a bedside chest X-ray is performed, it will indicate that the heart has herniated into the chest cavity, causing pulmonary edema. If the thoracotomy is performed again, it will be confirmed that the apex of the heart has herniated into the chest cavity.
It is difficult to detect cardiac torsion in time after surgery, so most patients with this complication die soon from respiratory and circulatory failure.
After dissecting the experimental subject, Zheng Ren found that the heart had shifted to the right chest after a 90-degree twist.
This condition is so rare that there are some reports of dextrocardia caused by surgical blow, but it is extremely rare that it is caused by trauma.
Zheng Ren has never seen such a case. What's amazing about it is that the patient's heart is twisted and deflected so far, but the patient is still alive and conscious.
The reset operation was not difficult. Zheng Ren completed the operation quickly, with a completion rate of 110%.
Based on the autopsy, Zheng Ren began to speculate that the body of the injured person in the car accident was violently twisted, causing his heart to spin out of alignment.
This speculation seemed logical and reasonable, but Zheng Ren soon began to have doubts.
He thought of another possibility - such a strange change did not occur at the scene of the car accident, but might occur minutes or even an hour later. The positive pressure formed by the air filling the chest might be the driver of the heart displacement. .
A left-sided traumatic pneumothorax creates positive pressure in the chest, "pushes" the heart to the right, and causes cardiac torsion in the process of pushing.
Zheng Ren felt that this judgment was possible because the position of the heart on the CT image was somewhat different from the position and angle he saw.
The time difference between the two is relatively short. The difference in such a short time is because the air in the left chest is drawn out and the pressure changes cause this to happen.
A bold idea appeared in Zheng Ren's mind - what would happen if he didn't take care of it? Zheng Ren initially felt that this idea was a bit bizarre and weird, but the more he thought about it, the more it made sense.
Zheng Ren was a little worried about buying surgery training time again, but now that he has a lot of money, he doesn't seem to care about this time consumption.
He first intubated the patient's trachea and administered general anesthesia.
Because the heart was displaced, Zheng Ren was careful every step he took, fearing that any step would cause complications such as cardiac arrest in the subject.
But he was obviously overthinking it. The experimental subject was in good condition and the general anesthesia went smoothly.
First, he performed a splenectomy with laparoscopic equipment and explored the abdominal cavity. When he saw that there was no active bleeding, Zheng Ren ended the abdominal surgery.
However, he did not choose to leave the system operating room after the operation. Instead, he "wasted" a lot of surgical training time squatting in the system operating room to observe the patient's condition with ultrasound.
After waking up from general anesthesia, he was not given a ventilator to assist breathing. Zheng Ren monitored the echocardiogram every 0.5 hours.
Sure enough, as expected, the patient's heart slowly returned to its normal physiological and anatomical position without external intervention. The experimental subject's vital signs were stable throughout the entire process, and the ECG monitoring did not even cause an alarm.
After monitoring for a full 28.2 hours, the heart returned to its normal position smoothly, and Zheng Ren let out a sigh of relief.
This means that I now have more money and can "waste" a certain amount of surgical training time on this kind of experimental observation.
Weighing the pros and cons of the two, each has his own idea. Zheng Ren is now at the peak level, so he will naturally want to try some newer treatment methods. If you can do it without surgery, don't do it. After all, no matter how small the surgery is, it is a blow to the patient.
Zheng Renye is no longer the same as the rookie who spent one or two hours of surgical training when he had a big pig's hooves a year ago.
After leaving the system operating room, Zheng Ren took a look at his energy level, which was full! The big pig's hooves are quite good. As long as they are in the system space, the energy value is restored very quickly.
It's just a pity that it can't withstand the consumption of the Eye of Truth.
What Zheng Ren couldn't forget was the Eye of Truth. At the beginning, he didn't expect that this skill would become the thing that he was most entangled in, with a mixture of love and hate.
The car was swimming in the river of traffic in the Imperial Capital. After returning to 912, the two of them took the fire escape and rushed to the operating room.
After changing clothes and entering the operating room, the expressions of the people coming and going were solemn, and their walking voices were much lower.
Zheng Ren guessed that Director Xu should be consulting, otherwise these medical staff would not be so quiet. Quiet means depressive, and working for a long time in a depressive atmosphere can make people go crazy.
After asking about the operating room, Zheng Ren and Su Yun strode in.
There were more than a dozen people standing inside, some watching movies and some whispering quietly. The patient was lying on the operating table with a pale face and a blood pressure of 80/50mmHg. He was obviously frightened when he saw more and more people in the operating room, and his eyes were full of fear and helplessness.