"how?"
"Yang Lili's test report looks pretty good." Su Yun said with a smile.
One night, I finally saw a genuine smile on his face.
Zheng Ren hurriedly came over. Seeing that Zheng Ren was in trouble, Xie Yiren returned to the operating room to look at the golden retriever named Harry with love.
Taking Su Yun's cell phone, Zheng Ren enlarged the test sheets and looked at them one by one.
Renal function has basically recovered, and urea nitrogen and creatinine have dropped to levels slightly higher than the upper limit of normal values.
Liver function transaminases also dropped to around 100. Zheng Ren was also very happy to be able to recover so quickly from acute liver injury.
The coagulation value is particularly optimistic and has basically returned to normal. This is the most important thing.
Blood gas analysis and other laboratory indicators also showed that the vitality in Yang Lili's body was revitalized.
"Not bad!" Zheng Ren patted Su Yun's shoulder hard.
For two consecutive days, Su Yun was as tired as a dog... It seems that dogs don't have to be so tired now, except for those who ate socks.
Yang Lili was finally brought back from the brink of death.
"Of course, it must be perfect." Su Yun smiled.
"Are you going to try extubation tomorrow?" Zheng Ren asked.
"Well, give it a try. If you don't need a tracheotomy, try not to do it. You don't even know how virulent Acinetobacter baumannii is in the ICU. As long as the tracheotomy is done, it basically won't escape."
"Then you should go back and rest early. You have worked hard these past few days."
Suddenly, the fatigue on Su Yun's face disappeared, replaced by a gossipy look.
"Boss, have you pushed it down?" Su Yun asked in a low voice.
"..." Zheng Ren wanted to curse.
"Holding hands counts." Su Yun was full of hope.
“…”
"Forget it, I know you are a coward, take your time." Seeing Zheng Ren's appearance, Su Yun knew that it was just as he expected, and sighed.
"I went to live at her house." Zheng Ren said.
"..." Su Yun's eyes were full of exclamations!
"It's just another house."
"cut… "
"Don't blame me. We went to see a movie today and we got a call from the emergency department." Zheng Ren was also helpless.
Spread your hands.
"Take your time, I tell you, don't miss such a good girl." Su Yun's face was full of fatigue again, he took a breath and said, "I'm going back to sleep."
"give you?"
"There are no cars on the road. I drove slowly. It's okay." Su Yun staggered out and Zheng Ren was really worried that he would fall down and fall asleep at any time.
"By the way, I'll give you the expert fee for this surgery when I find time. Don't worry." Su Yun raised his hand and walked out of the dog house and disappeared into the night.
"Boss Zheng, you are amazing." Shen Xiaoou said with a smile.
"..." Zheng Ren didn't know how to answer the conversation again. He and Shen Xiaoou were not familiar with each other. If someone praised him, he should be polite. But what should be said
"The person introduced by Brother Yun is indeed amazing." Shen Xiaoou continued: "Harry has seen it in the provincial capital and said that there is nothing that can be done. The mortality rate after surgery is as high as 90%."
"Oh, the veterinarian doesn't know how to perform surgery." Zheng Ren said casually, not knowing how many people he offended.
The employees who were still busy in the dog house had something wrong in their eyes.
Shen Xiaoou said: "Veterinarians rarely do this kind of surgery, and they have little experience in post-operative care. As you know, the veterinary industry is still an emerging industry, and it is a blue ocean."
Zheng Ren has no interest in this.
"Can you leave your contact information?" Shen Xiaoou asked tentatively.
"No, if you have anything to do, just ask Su Yun." Zheng Ren refused directly, showing no interest at all.
The smile on Shen Xiaoou's face froze slightly.
This rejection is really a pleasure.
After greeting Xie Yi and Chu Yanzhi to leave, I was busy chatting all night, and I was somewhat tired.
The three of them randomly found a shop and had some food, which was considered a midnight snack.
After dinner, the three of us arrived at Xie Yi's house in two cars.
Because of Chu Yan's presence, the hug Zheng Ren imagined was gone. Xie Yi is thin-skinned and really doesn't look like a girl of this era.
After saying goodbye and going back, Zheng Ren followed Xie Yiren's request, filled a tank of water, and took a comfortable bath.
I chatted with Xie Yi for nearly an hour before falling asleep.
…
The next day, the sun shines brightly.
It's a new day.
Zheng Ren planned the work he had to do today, including ward rounds and patient visits, which were necessary.
The next step is to go to the ICU to see Yang Lili. It is indeed a miracle that the girl can be saved.
If a patient undergoing tip surgery in the gastroenterology department has low blood ammonia and no symptoms of hepatic encephalopathy, it seems that he should undergo a second-stage surgery to remove the retrievable stent.
In this way, the outflow tract is ensured to be unobstructed and the radius is increased to ensure that there is no gastric venous bleeding.
I probably don’t have time to perform an orthopedic lumbar spondylectomy surgery. Zheng Ren has a little interest in orthopedics, but not to the extent that he wants to observe the surgery at all costs.
After planning everything, I had breakfast and came to the hospital.
Director Lao Pan asked about the status of the patients who were voluntarily discharged yesterday, cursed a few times in a low voice, and then began to hand over shifts and make ward rounds.
After everything was over, Zheng Ren went to the gastroenterology department first.
When Director Xia saw Zheng Ren arriving, he took a junior doctor to the emergency room.
The subordinate doctor reported on the recent situation that the patient recovered very well after the operation, and the vomiting of blood has long gone, and there is no hepatic encephalopathy. Blood ammonia is slightly high, but acceptable.
Zheng Ren assessed the patient's condition and believed that the retrievable stent could be removed.
Director Xia also agreed with Zheng Ren's judgment, and the two made an appointment for the second stage of surgery early tomorrow morning.
After seeing the post-operative patient, Director Xia said: "Xiao Zheng, your tip surgery was done well."
Zheng Ren basically didn't know how to respond to this very straightforward compliment.
"I asked the professor in Imperial City, and he was also surprised. Emergency tip surgery is much more difficult than chronic surgery." Director Xia said with a smile: "I have a patient with stubborn ascites here. Please give me a look. , if possible, let’s do it tomorrow. The patient’s condition is relatively serious, and if it is delayed any longer, I’m afraid he won’t be able to survive a month.”
Zheng Ren was already immune to the praise from Professor Didu.
On the contrary, Zheng Ren was more interested in the patient with stubborn ascites that Director Xia mentioned.
If you want to make further progress in interventional surgery, you may not make any progress in your lifetime by performing ordinary minor hemostatic surgeries.
If you want to do it, you have to do a crown jewel surgery like tips surgery.
Arriving at the ward, a thin patient with only bones left but a bulging belly was half sitting on the bed.
Because there was a lot of ascites, it was a little difficult for him to breathe.
Every time you breathe, the supraclavicular fossa and suprasternal fossa will deflate.
Zheng Ren knew that this was not the three concave signs, but a symptom of dyspnea caused by the pressure brought by ascites pushing up the diaphragm, preventing the lungs from fully opening.
In the upper right corner of the field of view, the system panel also provides diagnosis at the same time.