"Chief Zheng, what patient is it? A car accident? "Feng Xuhui asked as he drove back to Sea City General Hospital.
"No, Chief Wang said it's Crohn's disease. He suddenly had abdominal pain. The abdominal pain was very severe, and he suspected acute ischemic changes in the intestines. Let me go back and take a look. If it can't be saved, we'll have an emergency surgery to remove the intestines. "
"Crohn's disease?" Liu Xiaojie was stunned. This was a very difficult problem in gastrointestinal surgery. When she was doing her internship, her teacher had told her that the most difficult disease in gastrointestinal surgery was Crohn's disease.
Moreover, it was ranked very high, at least in the top five in terms of difficulty.
"Is it Crohn's disease complicated with intestinal obstruction?" Liu Xiaojie asked.
She had seen similar cases before. Moreover, she wanted to leave a good impression on Chief Zheng. Otherwise, Chief Zheng might not even know who he was the next day after he had spent the whole night playing soy sauce.
"I'm not considering it," Zheng Ren said lightly. "If it's intestinal obstruction, Chief Wang will just say it. Go take a look. We can't speculate yet. "
"Little Feng, did you bring the vascular interventional supplies?"
"Yes, I did," Feng Xuhui said quickly. "A full set of vascular interventional supplies. There aren't many, and the box can't fit them, but the variety is definitely enough. However, it'll be much better if Little Liu is included. It'll be much better if I bring another box tomorrow. "
"That's good." Zheng Ren smiled. "It's all thanks to you this time. If it weren't for you, we would have to cut the intestines."
"Look at what you're saying. I'm just an errand boy. I know what kind of surgery you can do. I was afraid that this would happen, so I prepared a copy. The patient was saved because of your diagnosis and surgery. It has nothing to do with me. "Feng Xuhui quickly rejected Zheng Ren's praise politely.
Zheng Ren did not continue to speak. The car soon arrived at the emergency building of Sea City General Hospital. Zheng Ren greeted them, got out of the car and went straight to the emergency ward.
"Chief Wang, how is the patient?" Zheng Ren asked when he entered the office and saw Chief Wang looking at the radiographic films.
"Chief Zheng, you're back so quickly!" Chief Wang said. "The radiographic films are here. Take a look first."
Zheng Ren stood in front of the radiographic film viewer and habitually placed his left hand under his right armpit. His right hand rested on his cheek as he looked at the radiographic films.
The radiographic films were ordinary abdominal CT, so not much information could be obtained from them. After reconstructing the blood vessels in his mind, he discovered the presence of superior mesenteric venous thrombosis.
The patient had superior mesenteric vein branch thrombosis, complete occlusion of the left and right portal veins, obvious ischemic thickening of the small intestine, and portal vein thrombosis.
This … is a little tricky.
As long as Feng Xuhui brought the necessary medical supplies, Zheng Ren would be able to perform the surgery. After all, the branch of interventional surgery had just reached its peak a few days ago. Zheng Ren already had a bird's eye view of all interventional surgeons in the world.
Even if he could not perform interventional surgery, he could perform intestinal resection.
"Boss Zheng, what do you think?" President Wang asked.
"Initial suspicion is superior mesenteric venous thrombosis complicated by portal vein thrombosis," Zheng Ren said.
President Wang was speechless.
Just based on an ordinary abdominal CT scan to make a diagnosis? He knew that Boss Zheng's diagnosis level was high, but he still had doubts.
Doubting everything was the most basic trait of a doctor.
"Let's go take a look at the patient," Zheng Ren said.
Chief Wang nodded. Although he did not believe Zheng Ren's diagnosis, it was necessary to see the patient before the surgery. Judging from the patient's condition, an exploratory laparotomy was inevitable.
A group of family members surrounded the door of the resuscitation room, pacing back and forth anxiously. The uneasiness could be felt from afar.
When they saw President Wang walk out, the patient's family members began to gather around him and anxiously asked about the situation.
"President Wang, you're a professor at 912. Do you think this disease can still be treated?"
"Yes, we must have surgery."
President Wang nodded. Surgery was a must. Whether it was Boss Zheng's diagnosis or his own, whether it was interventional surgery or laparotomy surgery, it had to be done.
"I knew it!" One of the patient's family members said, "Surgery is a pain. The old man is very hungry. Before he came, I even gave him some delicious food. Otherwise, after the surgery, it would take a long time … "
"What did you say?!" President Wang almost roared.
"…" Zheng Ren was also very speechless. They had just eaten? They were already coming to the hospital. Why would they give the patient a meal? This time, there were many things to do. The risk of anesthesia had increased exponentially. After the surgery … In short, there were countless dangers just because of this meal.
"Yes." The family members did not see President Wang's somewhat ferocious expression at all. He said with a little pride, "I've seen people who can't eat or drink for two or three days after surgery. President Wang, if a normal person can't eat for two or three days, wouldn't he be starving? So, I fed the old man some food. "
"What did you eat?" President Wang's expression was slightly ferocious as he asked fiercely. It was unknown if he had already cursed this family member in his heart. In short, his expression was scary.
Zheng Ren shook his head and walked into the resuscitation room.
The voice of the patient's family came from behind him. "Two fresh shrimp dumplings, a small bowl of wonton, seafood porridge …"
There were at least seven or eight things. Zheng Ren was also very confused. Logically speaking, there was a problem with the blood flow of the intestinal veins due to the superior mesenteric vein embolism. The local tissues should have been severely hyperemia and edema. The patient had severe abdominal pain. Why could he eat so much?
Was it because of fear?
Who knew? In any case, there were all kinds of strange patients in the hospital. Many people could not be analyzed with logic.
He walked into the resuscitation room and the nurse was preparing the skin.
Zheng Ren glanced at the patient's System panel. The diagnosis given was consistent with his analysis — superior mesenteric vein embolism, portal vein embolism, Crohn's disease, and some other chronic diseases.
Zheng Ren began a physical examination. There were classic signs of peritonitis. He was also very impressed with the patient. How could he eat so much when the pain was so severe? If it were a good person, he would probably not be able to eat so much at night. (Note 1)
Strange.
"Hey, you're President Wang's student, right?" one of the family members asked impatiently.
Zheng Ren knew that because of his young age, it was easy for people to treat him as a junior doctor and despise him. However, he was already used to it and did not take it seriously.
"No," Zheng Ren replied calmly.
"Where's your teacher? Why is he pressing on my dad for no reason? Look at how much pain he's in! "The patient's daughter only asked and answered her own question, not listening to Zheng Ren's reply at all.
"President Wang is outside explaining the patient's condition to the others. Because the patient has eaten, the surgery may be very risky," Zheng Ren said.
"What?!" The patient's daughter's eyebrows raised.
…
…
Note 1: There was once a young nurse who did appendicitis and ate a lot of food before the surgery. When she was about to go on stage, the deceased old chief's face was dark, probably cursing in his heart.
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