"Mr. Zheng, how did you judge?" the professor asked doubtfully.
"Slow intestinal strangulation is probably caused by food hoarding. Fecal stones may cause intestinal strangulation, but the process should be very fast and definitely not very slow." Zheng Rendao: "In addition, the patient last night After looking at the diet, it can be determined that the intussusception was caused by eating some kind of hard food and not chewing it enough, which caused the food to fall and accumulate."
"Tsk, tsk." Su Yun wanted to criticize Zheng Ren, but couldn't find anything to say to him.
"If the patient agrees to have an abdominal CT scan in the morning, surgery may be avoided." Zheng Rendao.
Su Yun was a little surprised and asked, "How can I avoid intussusception?"
"Drink Coke." Zheng Ren said: "Swallowing in large gulps and using carbon dioxide gas to expand the intestines will most likely avoid this surgery. Unfortunately, the patient felt fine in the morning and refused to do an abdominal CT scan."
Su Yun was silent.
The professor was confused.
After Zheng Ren took out more than 20 almonds, he stroked his intestines and found no other foreign objects. He corrected the intussusception of the intestines and asked for warm salt water gauze to cover it.
The causes of this patient's intussusception are essentially different from those of pediatric intussusception.
The strangulation and necrosis were not serious, and Zheng Ren estimated that there was a high probability that the intestines could be saved.
As for drinking Coke can solve the problem of intussusception in the morning, Zheng Ren saw it in a case report.
Zheng Ren didn't know whether it would work or not.
Anyway, now that he is proven right, in Su Yun's words, it is a slap in the face.
Zheng Ren didn't care whether Professor Rudolph's face hurt or not.
Ten minutes later, Zheng Ren opened the gauze.
The intestines are ruddy and have good blood supply.
After the intestines were sutured and the abdominal cavity was washed, Zheng Ren and Su Yun began to close the abdomen without foreign bodies or bleeding points.
The operation didn't take long, and the system didn't even give a task, so it's probably not that difficult.
Zheng Ren guessed that if the patient came to the hospital for treatment due to intestinal necrosis, the system would probably issue a task.
But... it's better to do this. The patient is expected to be discharged from the hospital soon after the operation.
"How is Yang Lili's condition?" Zheng Ren asked while closing his abdomen.
"General." Su Yun replied, "DID symptoms have appeared and are being treated accordingly."
"Where's the urine?" Zheng Ren asked.
In general, during severe ischemia-reperfusion, the kidneys and brain are two severely damaged organs.
If the kidneys are severely damaged, the patient may go from anuria to oliguria but not polyuria. At that time, dialysis was needed to solve some of the problems.
If it stays like this for a long time... the patient probably won't survive it.
Clinically speaking, there is no urine, which means roughly this.
"Still in the oliguric stage, I have about 10ml of urine in one hour." Su Yundao said.
"That is not bad."
"Generally, we have to observe the specific situation tomorrow." Su Yun said simply, not optimistic at all.
"Thank you for your hard work during this time."
"It should."
Five or six minutes later, the abdominal cavity was closed, the last stitch was completed, and the patient became restless.
Zheng Ren, Su Yun and others carried the patient onto a flat car. Professor Su Yun and Professor Su Yun took the patient back to the ward, while Zheng Ren took the pathology basin to show it to his family members.
Arriving outside the operating room, the patient's family members had long since given up on arguing with the physician in the emergency department.
Such patients are relatively simple and do not intentionally cause trouble. The vast majority of patients and their family members fall into this category.
When they saw a pot of more than twenty almonds, the whole family was shocked.
"There were almonds in the fruit plate last night. How could you eat so many?" Zheng Ren said.
"Yes... I drank some wine while eating hot pot last night, and then went to sing K. While singing and eating, I didn't notice why she ate so many almonds." The patient's lover was a little helpless.
If he had known that the consequences would be so serious... forget it, I never would have known.
Looking at the expressions of the patient's family members, Zheng Ren estimated that any future karaoke performances would leave a psychological shadow on him for the rest of his life.
While they were chatting, Su Yun pushed the patient out.
Zheng Ren picked up the patient and sent him back to the ward with Chu Yanran. Su Yun went directly to the ICU, and his battle was still going on.
Running out to perform an operation is considered a break.
Back in the ward, the patient was monitored and his vital signs were all stable. He recovered quickly from anesthesia and could communicate accurately.
The patient was fine and was treated in a timely manner, Zheng Ren knew that.
After writing the operation record, Zheng Ren left all other work to Chang Yue.
In terms of communicating with patients' families, Chang Yue's skills are slightly higher than Zheng Ren's, which has been strengthened several times by the system.
Zheng Ren also felt it was amazing.
The professor left the hospital depressed. This time he wanted to "slap" Zheng Ren in the face, but was slapped in the face by the facts. I guess he would have a deeper understanding of the word "slap in the face".
After looking around the ward, nothing happened, so Zheng Ren sent Xie Yiren a WeChat message.
The moment the message was sent out, news from the Xie people also came in.
Are you done yet? Garage, area d.
Zheng Ren felt sweet in his heart. The feeling that he was as busy as a dog and that after he was busy, no one cared about him and he was so familiar that he was so familiar to his bones, was gone.
After greeting Chang Yue, Zheng Ren hummed a little tune and went downstairs to find Xie Yiren in the underground garage.
The garage was still full of cars late at night.
The winter in the Northeast is very cold. Many employees do not have garages at home, so they use the hospital garage as a warm storage vehicle.
Zheng Ren searched and searched...
Don't have any extravagant expectations for a patient with terminal prosopagnosia and cancer. He can't even find a car.
Area d... red... Zheng Ren has been reciting these two keywords silently in his heart. There are not many red cars, and Area D is not big.
But no matter how hard Zheng Ren searched, he couldn't find the Volvo xc60 with its bulging front and back, which looked very streamlined.
Strange, where is the car
Zheng Ren picked up his phone and sent a message.
I can't find where it stopped.
You look up, I'm looking at you.
In an instant, Xie Yiren's reply arrived.
The quiet underground parking lot was filled with cars, but the cold machines were completely devoid of life.
Zheng Ren was a little scared at first, but he was shocked when he saw such a WeChat message.
Subconsciously raising his head, Zheng Ren saw Xie Yiren's smiling face, blinking at him in the car less than five meters in front of him.
"..." Zheng Ren was speechless.
So close, what were you looking for just now
Prosopagnosia is a disease, and it seems that I will never be able to cure it in my lifetime.
Turning off his phone, Zheng Ren quickly came to the car, opened the door and got in.
"What have you been looking for just now?" Xie Yiren asked.
"I didn't see it." Zheng Ren was also helpless.
"Are you hungry? Do you want something to eat?" Xie Yi asked.
In the afternoon, I went to No. 9 Primary School to rescue Yang Lili. After the operation, I went to the traffic police brigade and came back for another operation.
Before I knew it, a busy and fulfilling day had passed.
It wasn't until Xie Yiren asked that Zheng Ren felt that he was indeed hungry.
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