Zheng Ren communicated with the previous patient with acute appendicitis and his family members. Seeing that a child less than one year old was ill, they generously gave up the operation to the child.
Later, Zheng Ren asked Director Sun to find the chief director of the anesthesiology department to anesthetize the child.
After all, Chu Yanran and Chu Yanzhi are not experienced enough, and anesthesia for children, especially for children under three years old, is completely different from anesthesia for adults.
After preparing everything, Zheng Ren took Director Sun to the operating room.
Director Kong had already heard the mess in the corridor and the sound of children squealing and crying.
He was very curious. Generally, there were few doctors in pediatric surgery, and only places like provincial capitals had pediatric surgery majors.
Haicheng? It's impossible.
Unexpectedly, Zheng Ren even underwent pediatric surgery... This is okay.
Director Sun changed his clothes and went directly to the operating room with the child in his arms. Seeing Director Sun leave, Director Kong asked: "Boss Zheng, you have a wide range of interests, can you also do it as a child?"
"It's nothing special." Zheng Ren frowned, feeling a little embarrassed.
"Huh?" Director Kong was stunned for a moment.
"The patient's air enema failed, which is considered to be caused by intestinal pinworms." Zheng Rendao.
“…”
Although he is not a general surgeon, Director Kong knows that intestinal parasites are difficult to diagnose. Zheng Ren didn't even have a CT scan, how could he diagnose encephalomyelitis
Intussusception is the most common cause of intestinal obstruction in children. In most cases, a viral infection (often from the upper respiratory tract) causes the intestinal lymphoid tissue to enlarge, creating an initiation point that causes "telescoping" of the proximal portion of the distal bowel, causing intussusception.
If the air enema cannot be filled, the only option is to perform surgery and perform manual reduction.
This disease has nothing to do with parasites at all.
Seeing Director Kong's hesitant expression, Zheng Ren took out the X-rays left by Director Sun.
It was already dark now and I couldn't look out the window. Zheng Ren could only raise his neck and look at the film in front of the lamp, and said: "Here, in the ileocecal part, you can see a series of images. We can consider this to be an artifact or overlapping image that appears under perspective. But the possibility of imaging of intestinal parasites cannot be ruled out.”
After seeing the film, Director Kong regained some confidence.
After all, he has been dealing with images all his life. Without the video films, Director Kong felt as if his martial arts skills were wasted.
Director Kong narrowed his eyes when he saw the film.
He saw the location Zheng Ren mentioned. It is indeed doubtful, but if it had not been for Zheng Ren's reminder, based on Director Kong's clinical experience, there is a high probability that it would not be judged to be a parasitic disease.
It is difficult to push forward, but it is much easier to push backward.
After first deciding that what Zheng Ren said was right, Director Kong thought in reverse and immediately found the theoretical basis.
"Here, the density in the image is wrong." Director Kong said immediately, "I think you are right."
"Not only here, but also here." Zheng Ren pointed to another location and said: "It is estimated that the patient is infected with pinworms. The ingested eggs hatch in the small intestine, and the adult worms live in the appendix area..."
"Mr. Zheng, Mr. Zheng, have you finished changing your clothes?" Just as he was saying this, Director Sun ran in as if his butt was on fire.
He was startled when he saw Zheng Ren and another person studying the film.
What is there to study about that film? It was just out of doctor's instinct that Director Sun subconsciously ordered an X-ray after the air enema failed.
He also saw this video, it was just a simple intussusception.
"Let me introduce you." Zheng Ren smiled and said, "This is Director Sun of the Second Department of General Surgery in our hospital."
Director Sun stretched out his hand in confusion. Unexpectedly, Director Kong just nodded, indicating that he understood.
"This is Director Kong of the Interventional Department of Imperial Capital 912 Hospital."
Director Sun was excited.
912 Hospital, the top military hospital in the country, is also the top large tertiary hospital in the country.
The slight dissatisfaction that was felt in the past moment was like a cloud of smoke, and even if there was, there was no time to care about it now.
My grandson is under anesthesia and needs an operation. How can he have time to care about other people's attitudes towards him
"Director Sun, Director Kong and I both suspect it is intestinal parasitic disease. After the operation, you can ask the director of the pathology department to take a look. If it is parasites, you need to take corresponding insecticides after surgery." Zheng Kindness.
Director Sun was a little puzzled and at a loss.
But since Zheng Ren said so, no matter what he is asked to do, he will definitely only agree
"Boss Zheng, your diagnostic skills have left me, an old guy, far behind." Director Kong smiled, not jealous or envious, just stating a fact.
Zheng Ren shook his head, changed his clothes, and went to the surgery room with the two directors.
Director Sun wanted to brush his hands on stage, but his hands were trembling slightly, and he couldn't do the operation at first sight.
Zheng Ren pressed Director Sun's shoulders and said, "Director Sun, please watch the stage."
After saying that, he yelled, "Su Yun!"
"What are you doing!" Su Yun's voice came from the lounge inside.
This guy took advantage of the fact that he drank some wine at noon and has been slacking off since the heart surgery. Anyway, with Cao Guozhen watching over there, there won't be any problem.
"Wash your hands and come on stage!" Zheng Ren saw that the director of the Department of Anesthesiology had given general anesthesia to Director Sun's grandson, so he went directly to wash his hands.
Brush hands, disinfect, lay out sheets.
Zheng Ren and Su Yun started working together and quickly made preparations for the operation. Then disinfect your hands, put on clothes, and wear sterile gloves.
The light of the shadowless lamp is very bright and a bit dazzling.
"Boss, what kind of technique?" Su Yun asked.
"Exploratory laparotomy."
Su Yun frowned slightly, but said nothing.
Right lower quadrant, pararectus abdominis incision, 5cm.
For adults, 5cm is a small incision. But for an 11-month-old infant, this incision is already quite large.
At the same time, the Xinglin Garden live broadcast room is open.
Nowadays, practitioners are becoming less and less interested in it, and there are very few live broadcasts.
You will seem to be talking about the live broadcast of appendicitis surgery every day.
Don't tell me, today's surgery is really appendicitis. No, why are there still intussusception and intestinal parasites
The doctors who came in immediately were using barrage to chat while looking at the patient's medical history.
Then everyone's interest picked up.
Infant, 11 months old, with intussusception, air enema failed, and intestinal parasites were diagnosed.
For such a complex disease, and for such a young child, the difficulty of surgery has increased exponentially.
It's strange how the surgeon can detect intestinal parasites.
Isn't there a picture of a spot after an enema in the information? I guess the diagnosis was based on imaging data.
No, that spot photo... I'm a video artist, so I'll take a closer look.
In the screen of the live broadcast room, the surgeon's hand is raised, the knife is dropped, a small amount of blood is dipped, electric cautery is used to stop the bleeding, and blunt separation is performed. The cooperation between the surgeon, his assistant, and the equipment nurse is as smooth as water.