Peritoneal protection, Zheng Ren opened the young patient's peritoneum.
A bunch of twisted intestines appeared in the field of vision. There are already signs of paleness and ischemia in the tighter parts.
It turned out that Director Sun was still behind Zheng Ren, looking at it from the perspective of a magician.
When he saw signs of intestinal ischemia, his mind suddenly became dizzy and his body staggered twice.
"Yanran, help Director Sun." Su Yun looked around and noticed Director Sun's pale face.
"Give him 20ml of high sugar." Su Yun rarely opened his mouth to spray, but asked the circulating nurse to use some energy on Director Sun.
Zheng Ren patted the patient's leg with the sharp knife in his hand, and then started to rub the intestines with both hands.
His movements were careful and gentle.
Intussusception-type intestinal obstruction itself is not a multiple disease, and the manual reduction is particularly simple. Unlike patients who have undergone multiple abdominal operations, the intestinal adhesions in the abdominal cavity are in a mess and require extremely sophisticated techniques to free and break them down.
Zheng Ren can handle difficult situations like this with ease, let alone the one in front of him.
In less than a minute, the intussusception was completely released.
As soon as Zheng Ren stretched out his hand, a large gauze pad soaked in water and semi-dry was placed on the intestines.
"Wait a moment and let the blood supply to the intestines resume." Zheng Ren said.
"Boss, what disease do you suspect? Why do you still need to perform a laparotomy?" Su Yun asked out of curiosity.
"Intestinal parasites probably breed in the cecum." Zheng Ren said.
"The Little Village Widow and the Miraculous Doctor, I told you, don't read this kind of online novel. If you read too much, your IQ will drop." Su Yun despised it.
"Director Kong and I both think so."
"..." Su Yun was filled with hatred.
Zheng Ren dug a hole for himself to jump into.
He could criticize Zheng Ren, but the chief directors of the imperial capital were all of the same generation as Su Yun's teacher, and he was not willing to offend them casually.
What if there was a meeting and the teacher led him to the front, only to find that the director opposite had been sprayed...
Su Yun still has a sense of proportion in doing things, but except for Zheng Ren, there is no one in Haicheng who can keep a sense of proportion.
Of course, except for old Director Pan.
And Zheng Ren... I always feel uncomfortable if I don't criticize him.
Director Kong stood aside and smiled: "If Boss Zheng hadn't reminded me, I wouldn't have noticed the possibility of intestinal parasites."
Su Yun was speechless, just lowering his head and looking at the large warm salt water gauze pad, which seemed to have flowers embroidered on it.
In the Xinglin Garden live broadcast room, barrages were flying randomly.
The intermission period of this kind of operation happens to be a time for doctors to communicate.
How did the magician make the decision? Why didn’t I see it
That only proves that your level is low. I just sent the spot images to Mr. Lin from Imperial Hospital. Unfortunately, they are not available for download. There is a small problem with the pixels.
There were two case reports from the University of Kansas Medical Center and Columbia University Medical Center three years ago and five years ago respectively, both of which were cases of infants and young children having abdominal dissections after failed air enema, and parasites found in the cecum.
Huh? What article? I will search the database.
the journalpediatrics, time... you find the keywords yourself.
Those who can go to Xinglin Garden are a group of energetic doctors who are eager to learn and willing to study.
There are only a few of these doctors nationwide, and at most there are only a few thousand. And the vast majority of them are gathered in top-tier tertiary hospitals such as Imperial Capital and Shanghai Magic Capital.
After all, in a small hospital like Haicheng City No. 1 Hospital, after learning so much, there is no room to put it into practice. Local tertiary hospitals still focus on the diagnosis and treatment of common diseases.
This is determined by the nature of the hospital and is related to the hospital’s genes.
For example, Union Medical College's huge database is an existence that makes all doctors who want to make progress jealous.
Legend has it that an old man from out of town who was in his 80s or 90s went to Xiehe for medical treatment. He said that he had never been to Xiehe. But after the nurse entered the information, it immediately popped up that the old man had seen a doctor in Xiehe in 1950, and the information was detailed.
Even the patients forgot things, but Xiehe remembered them. (Note 1)
Therefore, it is not unreasonable that Xiehe is the top hospital.
For the same case, no similar patients could be found in local hospitals, and doctors could only guess. But things are different at Xiehe Union Medical College. Dozens of related patients can be found anytime and anywhere.
Therefore, the Xinglinyuan website can only be a niche website, a high-end website.
Ten minutes later, the warm salt water gauze was removed after changing it twice.
The symptoms of intestinal ischemia of the young patient have been relieved and he looks pink and tender without any problems.
Everyone breathed a sigh of relief,
fine,
Just fine.
Zheng Ren and Su Yun began to perform appendectomies.
This kind of surgery is even more familiar.
In 3 minutes, an appendix was cut out. Zheng Ren did not rush to close his abdomen, but asked Xie Yiren for a sharp knife to cut open the appendix.
Visible filamentous pinworms filled the appendix.
It seems that my judgment is correct. The inflammatory lymph nodes around the appendix prove that the initial driving force of the small patient's intussusception comes from the appendix.
The diagnosis was clear and the operation went smoothly. Zheng Ren put the sharp knife and the appendix into the pathology basin, then took off his gloves and stepped off the stage.
When cutting the appendix, there may be insect eggs on the gloves, which will cause a certain risk of recurrence for the patient after recovery.
Anyway, it's just a matter of confinement, Su Yun can do it alone.
"Boss Zheng, that's awesome!" Director Kong stood next to the instrument table and admired the pinworms in the appendix carefully.
"Haha." Zheng Ren smiled dryly.
In this situation, this kind of compliment, Zheng Ren really didn't know how to respond appropriately.
He came to Director Sun and said with a smile: "Director Sun, the operation is finished."
"Ma...it's troublesome." Director Sun said weakly.
Just after seeing the ischemia of the small intestine at the intussusception site, Director Sun suddenly suffered from hypoglycemia. He did not recover until the operation was completed.
"I'm one of you, why are you so polite?" Zheng Ren said with a smile, "It's pinworms. Can you take a look? After seeing it, send it to the pathology department immediately. The diagnosis will be clear and appropriate medication will be given."
Director Sun struggled to stand up from the small round stool and came to the equipment table.
Seeing the white worms in his appendix, he felt mixed feelings.
I feel both distressed and grateful.
"Director Sun, then you can find someone to send pathology. I'll just be lazy and ignore it." Zheng Ren left the operating room with Director Kong with a smile.
In the Xinglinyuan live broadcast room, the live broadcast of the surgery has been closed. But the barrages were flying like crazy... dancing like crazy.
Awesome! Just look at a X-ray and you can determine that it’s intestinal parasites!
It's amazing. Mr. Lin from the Imperial Hospital also said that it was appendiceal parasites and suggested surgery. I didn't dare to tell him that it was a live broadcast of the surgery.
The elderly may not be able to accept this new thing.
It is indeed top-notch. It is broadcast live every few days and the time is good. If you watch it once, you can ponder it for several days. If you read too much at once and don’t understand, it’s better to do this.
Xinglin Garden is so outdated, how could it not have a reward function!
Did they give you three melons and two dates? Top hospitals, top surgeons, it is estimated that the registration fee starts at 10,000 US dollars. If you reward me with an airplane rocket, is that a curse
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Note 1: I heard what my classmates said, but I don’t know whether it’s true or not. This is probably true. After all, one of Concorde's three major advantages is its huge database. These are all entered manually after informatization, so it takes a lot of effort.