There was a mass in the duodenal bulb, but that was an image taken more than ten days ago.
"Mr. Jiang, did you have a CT scan?" Zheng Ren asked.
"My chest and abdomen were all done."
"Let me take a look." Zheng Ren said.
Mr. Jiang called the traveling nurse and brought the film to the operating table. Zheng Ren glanced at the light.
The passive ability of Reconstruction shows its advantages at this moment.
Before going to the earthquake relief work, Zheng Ren watched the movie and after careful analysis, he was able to draw an approximate vague conclusion.
But now I take a glance at it and reconstruct the film in my mind. The location of the tumor and its relationship with the surrounding tissue all come to mind.
This child's illness... Zheng Ren sighed with emotion, not knowing whether his life was good or bad.
If she hadn't bothered so much, she wouldn't have discovered a space-occupying lesion in the duodenal bulb. But if she kept going through so much trouble, her immunity would be reduced, causing the tumor to grow explosively. There was no telling what would happen after the surgery.
Seeing Zheng Ren's hesitation, Mr. Jiang asked: "Boss Zheng, would you like to rinse your abdomen?"
The emergency surgery ended here, and only the duodenum was left to be sutured.
As long as the patient is sutured, rinsed and the abdomen is closed, this emergency surgery is perfect.
But Zheng Ren remained silent. After nearly a minute, Zheng Ren said, "Mr. Jiang, I'll go talk to the family."
"Uh... what's wrong?" Mr. Jiang asked.
"It looks like on the film that the patient has carcinoma in situ, but whether he needs emergency surgery or not depends on the opinion of the patient's family," Zheng Rendao said.
"Tumor? Where is it?" Mr. Jiang was startled.
"There is a flat space less than 1cm in the duodenal bulb. It is not an image of the intestine, but a tumor. I am worried about the patient's physical condition after resection here. But if not, he will die in a month or two. I don’t know what’s going on.” Zheng Ren said as he walked off the stage.
He picked up the pathology specimen basin covered with cotton pads and said, "Please open the door for me."
The circulating nurse understood that Boss Zheng wanted to explain to the patient's family that opening the door was not the airtight door of the operating room, but the door outside.
Wear sterile gloves with blood stains on them to avoid contaminating the door handle of the operating room.
All the way out of the operating room, Zheng Ren shouted: "Sister Lin!"
Lin Jiaojiao ran over immediately, followed by a group of people.
Zheng Ren took a look and saw that the woman who was crying so hard was not there. She was probably the patient's mother. She was crying and was sent back to rest.
A man with a gloomy and serious face was next to Lin Jiaojiao, looking at Zheng Ren.
Lin Jiaojiao said: "Boss Zheng, this is Mengzi's father, Mr. Zhou Zhen."
"Yes." Zheng Ren nodded and said, "Get out of the way a little, so as not to get hurt."
Hearing what Zheng Ren said, everyone looked strange. What is this taken out
Zheng Ren gently opened the cotton pad, and the black metal ball appeared in everyone's eyes.
"ah… "
Countless suppressed cries sounded.
"Mr. Sun, I don't know what this is. It was taken out from the patient's stomach." Zheng Ren said.
There was a trace of surprise on Zhou Zhen's face, but all the surprise immediately turned into anger.
"Is this an iron pellet for hunting?"
"It looks similar, but it's more advanced than what I've seen before."
"How did you eat this thing?"
Behind, several people were talking quietly.
Older people, people from out of town or people who love hunting will know about this kind of thing.
As Zheng Ren guessed, these iron balls were wrapped in meat and transformed into honey poison pills. They were eaten by large animals and then stirred up in their stomachs, causing massive bleeding.
This girl named Moeko is really cruel. She wants to commit suicide, but she chose such an incredible way.
"Boss Zheng, thank you." Zhou Zhen controlled his emotions and whispered.
"It's okay." Zheng Ren said: "We are facing several problems now. The patient's injury has been controlled, but ercp was done before, and it was confirmed that there are ulcers and carcinoma in situ in the duodenal bulb."
Zhou Zhen nodded. He could still think, and his thinking was not disrupted by unexpected events.
"The current situation is rupture of the liver, rupture of the spleen, rupture of the stomach, rupture of the duodenal bulb, and hemorrhagic shock." Zheng Ren covered the cotton pad again. He was really afraid that the metal ball would do something strange. come out.
In Zheng Ren's mind, this was just a drop of blood, the kind that would seal one's throat with blood.
"Now the patient's bleeding part has been sutured, and his physical condition is relatively poor." Zheng Ren said sternly: "The family members need to give their opinion on whether to perform surgery on the duodenal bulb or not."
"Zheng...Boss, what's your opinion?" Zhou Zhen heard what Zheng Ren meant and said hesitantly.
"I have no objection." Zheng Ren said truthfully, "The patient's condition is very poor, but if he undergoes surgery, he will need a combined pancreaticoduodenectomy, and his stomach will also need to be rerouted and reconstructed."
"Is the operation likely to be successful?" Zhou Zhen asked.
"The operation itself is fine, but the patient suffers from hemorrhagic shock because of this thing. Every minute the operation time is extended, there will be many unpredictable situations." Zheng Rendao.
Zhou Zhen's expression darkened.
"Look..." Zheng Ren looked into Zhou Zhen's eyes and asked.
"Alas." Zhou Zhen sighed, and two lines of tears flowed down unknowingly, "Then let's pass each level one by one."
"The people from the general surgery department will come out to sign in a while. Sister Lin, please help me greet you here." Zheng Ren said, "Then I will go back and be inpatient. I will take out the ICU after the operation. If there are no major complications, it will be transferred out in three to five days." .”
Zheng Ren still wanted to persuade him, but after a slight hesitation, he turned and left.
This little patient has psychological problems. I don’t know if it’s because my family conditions are too pampering, or because of other reasons.
Zheng Ren has no intention of gossiping. Several diseases are mixed together. If a combined pancreaticoduodenectomy is performed in a state of hemorrhagic shock, the young patient's body will definitely not be able to support it.
That's all I can do, I'm not a god.
Feeling a little strange, Zheng Ren returned to the operating room with the pathology basin.
Mr. Jiang asked: "Boss Zheng, how are you doing?"
"The family refuses to perform combined pancreaticoduodenectomy. Let's go out and find the family members to sign. I am familiar with Sister Lin Jiaojiao outside, so go find her and listen." Zheng Ren said.
"Okay." Mr. Jiang then asked his junior doctor to go out and find the patient's family members to sign.
Zheng Ren washed his hands, changed his clothes, and took the stage again.
All the trauma has been done, all kinds of wounds have been treated and there is no more bleeding.
Zheng Ren looked at the patient's duodenal bulb and sighed. If there were no such problems, the patient should be fine with surgical removal.
What a pity for being so young.
Using such a weird method to commit suicide... What is this child thinking in his heart? Isn't it good to live