Cheng Lixue was angry!
This is putting on small shoes for yourself!
The patient's diagnosis of liver cirrhosis was very clear, and the film showed a large amount of ascites. Why should he say that his diagnosis was wrong? !
Cheng Lixue stared at Gao Shaojie fiercely, it must be because of this professor from the Medical University, it must be!
Immediately, he glared at Zheng Ren, barely suppressed the anger in his heart, and said, "Mr. Zheng, I think the diagnosis is clear."
As soon as the words came out, a rush of hot blood rushed to Cheng Lixue's head. He pointed at the film on the reader angrily with his hand and said: "The symptoms of liver cirrhosis are obvious, the portal pressure is very high, and there is a lot of ascites! I don't know Why did Mr. Zheng say that my diagnosis was wrong? Does he not want to be my patient?!"
The last sentence is a bit heartbreaking.
Having said these words, all the skin has been torn apart.
This means that there is no possibility of cooperation between Cheng Lixue and Zheng Ren.
but!
Cheng Lixue couldn't bear it!
It is tolerable, but what is unbearable!
Mmp, you don’t want to be my patient!
Dean Zhang's expression changed and he took half a step forward to stand between Cheng Lixue and Zheng Ren.
Just as he was about to speak, he heard Zheng Ren say leisurely: "Director Cheng, are you not seeing the patient?"
"Huh?" Dean Zhang was stunned for a moment.
Cheng Lixue's face turned red and she was confused. How did Zheng Ren know that he was not seeing the patient
But how can you admit this!
He thought that Zheng Ren was deliberately throwing dirty water on him, and it was impossible for him to know that he had not seen the patient.
Right, that is it! He was not a fortune teller, so how could he know that he was not seeing the patient
The idea makes sense.
As a result, Cheng Lixue became even more angry!
bristle!
But before he could speak, Zheng Ren asked Wang Qiang for a pen, tapped the film, and said: "It does look like cirrhosis of the liver and splenomegaly, and it's in an advanced stage."
Cheng Lixue snorted coldly.
"But did Director Cheng notice that the patient's liver did not shrink, but instead increased?" Zheng Ren asked.
"..." Cheng Lixue didn't even look at the film carefully. Her liver didn't shrink. That's not normal...
Of course, Cheng Lixue also knew that this was not normal. Even so, rare cases of this kind are occasionally seen.
Cheng Lixue felt more and more that Zheng Ren was more guilty.
"This is not cirrhosis, but Budd-Chiari syndrome." Zheng Ren sighed and said: "Bud-Chiari syndrome is caused by various causes of obstruction of the hepatic vein and the inferior vena cava above its opening, often accompanied by inferior vena cava. A type of retrohepatic portal hypertension characterized by vena cava hypertension.”
"It seems to be similar to the symptoms of liver cirrhosis. It is possible to make wrong judgments, but it is usually misdiagnosed by hospitals below the county level. How come Director Cheng didn't notice it? It shouldn't be."
Zheng Ren's words were very calm, there were no accusations, only questions.
But every word he said was like a big invisible hand slapping Cheng Lixue in the face.
"You...impossible!" Cheng Lixue argued forcefully.
"Director Cheng, if you go for a physical examination in person, you will definitely find that the patient has Spider-Man signs, as well as bulging veins on the abdominal surface and boot-like necrosis of both lower limbs. These can tell you clearly that they are different from liver cirrhosis. ." Zheng Ren's tone was still very calm.
However, the slaps intensified.
Professor Rudolf Wagner curled his lips and was very disdainful of Cheng Lixue.
Director Kong stood at the back with a smile. He had already noticed it, but he was just a guest. If Zheng Ren ignored it, he could just whisper a reminder when no one was around.
But, without a doubt, Zheng Ren saw it.
Gao Shaojie had no expression on his face and watched the film coldly.
If Gao Shaojie's doctor, or even Wang Qiang, had shown him a film about Budd-Chiari syndrome as cirrhosis of the liver, Gao Shaojie would have smashed the film in the doctor's face.
It’s okay not to understand, but if you don’t even look at the patient, that’s too much.
Dean Zhang saw Cheng Lixue's face flushed red and couldn't say a word. He already guessed that this guy really didn't look at the patient.
He quickly smoothed things over and said, "Teacher Zheng..."
"Let's take a look at the patient." Zheng Ren said: "Before interventional surgery, Budd-Chiari syndrome was almost an incurable disease. But with interventional surgery, it is no longer a difficult problem."
"Interventional surgery is one of the most typical diseases entering clinical practice. Director Cheng really shouldn't be unaware of it." Zheng Ren shook his head and looked at Dean Zhang.
Dean Zhang was also helpless. He asked the patient's ward and took Zheng Ren over to see the patient.
The patient was lying on the hospital bed with a bulging belly and thin limbs, a typical cachexia state. Because his belly was bulging high and his limbs were skinny, he was lying on the bed like a big-bellied spider with only four legs.
In a trance, there is a magical feeling.
Zheng Ren glanced at the system panel on the upper right side of his field of view. The diagnosis given above was the same as Budd-Chiari syndrome as he had read the film.
After greeting the patient and his family, Zheng Ren began to conduct a physical examination in person.
Lifting up the clothes on the patient's abdomen, three veins with a diameter of about 1cm were winding on the patient's belly like small snakes.
The symptoms were exactly the same as what Zheng Ren had judged before in the office, without any discrepancy.
All the doctors fell silent.
Zheng Ren performed percussion to determine the ascites and the extent of the liver area. Then he started looking at the patient's feet.
A pair of purple feet appeared in front of everyone.
Ischemia, but not to the point of necrosis. But even this is still very heavy.
Zheng Ren asked a few more questions about the medical history before taking everyone out of the ward and back to the office.
"Typical spider body signs, the boots in both lower limbs caused by venous return problems are also very clear." Zheng Ren returned to the movie, clicked on it, and said: "So, the patient is diagnosed with Budd-Chiari syndrome. confirmed."
Cheng Lixue blushed as if she was about to bleed.
"Director Cheng, I remember you went to the First City Hospital a few days ago and said you wanted to learn tips surgery." Zheng Ren said.
Silence, silence.
"It doesn't matter if you can't understand MRI diffusion. It's also difficult to use MRI diffusion to judge the relationship between the portal vein and hepatic veins in the late stage of cirrhosis." Zheng Ren looked at the film and said in a calm tone, "But as a doctor, as a doctor Director, if you don’t watch the film or see the patient before the operation, this is too much!”
Cheng Lixue was speechless. He lowered his head and took a few steps back.
"Teacher Zheng, do you think this patient can be operated on?" Dean Zhang asked.
"Manager Feng, do you have any vascular consumables?" Zheng Ren asked.
"Thrombolysis? I brought it with me to prepare you for thrombolysis." Feng Xuhui said happily.
"It doesn't require thrombolysis. An ordinary guidewire can do it." Zheng Rendao.
Cheng Lixue suddenly raised his head, his eyes were bloodshot, and his lips moved, as if he wanted to say something.
Professor Rudolf Wagner glared at him and said, "What are you looking at!"