Department Chief Wei was dissatisfied with Zheng Ren's vague answer.
He knew the patient's parents. Especially when he saw the patient's mother sitting limply like mud, he felt a sense of urgency in his heart. He wanted to cure the patient.
At this time, he really hoped that Boss Zheng could say that it was a small matter. No problem.
However, he said that he wanted surgery and exploratory laparotomy, which was exactly what he had in mind.
No one could do that.
However, there was no preoperative examination. It would be a little difficult for Boss Zheng to give a clear answer.
Director Wei sighed and put his hands on his waist. Two deep squats had done a lot of damage to the lumbar disc. It seemed like he couldn't do this anymore, he thought to himself.
Ten minutes later, the preoperative preparations were completed.
Venous channels, gastric tubes, urinary tubes, and skin preparation in the surgical area. The overall quality of the 912 was quite high, especially when facing emergency treatment. This quality was even more vividly reflected.
"Boss Zheng, my old waist …" Chief Wei smiled bitterly. "Please bring it up and open it first. I'll explain it to the patient's family and sign it."
Zheng Ren nodded and rushed straight to the operating theater with the child.
Although the diagnosis was clear, Zheng Ren still raced against time to send the child to the stage.
Time was of the essence. Although it looked stable, if they were delayed for half an hour, the child might not be able to be saved.
When he rushed to the operating room, Quan Xiaocao happened to be sending the patient with gastric stones off the operating table.
Zheng Ren handed the child to Lao He, who had come out to welcome him. Zheng Ren seized the time to change his clothes.
"Boss, what illness?" Su Yun asked.
"I ate the bottle cap, it's stuck.
In the diverticulum, "Zheng Ren said.
"F * ck …" Su Yun sighed. Then, he looked at Zheng Ren and asked, "Are you going?"
"Chief Wei has squatted twice. His lumbar disc can't hold up anymore," Zheng Ren said. "Hurry up and solve it. Sick child
There's bleeding in the diverticulum, but it shouldn't be a big problem. "
"How did you diagnose it?" Su Yun's eyes narrowed. Because he was wearing a sterile cap, the black hair on his forehead wanted to flutter dishonestly under the cap, but it was pressed down tightly.
"The patient's mother is in the intraoperative briefing room. Go and get the radiographic films. I'll tell you while you're under anesthesia, "Zheng Ren said calmly.
Su Yun was too smart. He seemed to have some doubts.
In that case, he would let his professional knowledge tell him why so that he would not have any thoughts in his heart and keep staring at him.
The feeling of being stared at, especially by Su Yun, was extremely bad.
After that, he changed his clothes and strode into the operating theater.
Su Yun looked at him suspiciously.
Diverticulum? It seemed very difficult to diagnose.
However, he did not say anything. He went out and entered the intraoperative briefing room. A professor from the Department of Gastroenterology was looking at the middle-aged woman while looking at the scans.
It's just an abdominal X-ray. Boss, that guy, used this to make a diagnosis?
Su Yun politely asked the professor for the radiographic films and said that he needed surgery. When the leading professor heard that
When he was in the diverticulum, he also had some doubts.
While he was deep in thought, Su Yun quickly returned to the operating theater with the radiographic films.
"Boss, there are only three X-rays. How did you diagnose it? Come, teach me. "This was the first time Su Yun used the word" teach ".
However, it was obvious that there was a strong sense of mockery in it.
Lao He was anaesthetized nervously.
The child's anesthesia required more effort. In front of Boss Zheng, Lao He did not dare to be careless at all.
It was such a coincidence that his emergency shift had two gastrointestinal emergency surgeries in a row today.
Why didn't they say that opportunities were always given to those who were prepared? Large gastric stones. He informed Boss Zheng as soon as possible and knew that he would be interested.
As for the other side who was reading the radiographic films, Lao He took a few glances while he was busy.
There was only an abdominal X-ray … What did Boss Zheng diagnose?
Diverticulum? F * ck! He used the radiographic films to diagnose it?
Awesome!
Lao He was not like Su Yun. He had successfully brainwashed himself. As long as Boss Zheng's diagnosis was correct!
This was what a qualified anesthesiologist in the medical team should do.
If the surgeon's diagnosis was not believed, the medical team could be disbanded.
Zheng Ren did not tell him the whole process of the disease. He directly inserted the last X-ray radiographic films into the radiographic film viewer and asked, "X-ray radiographic films, provide data information, and convert it into abdominal CT. Can you do it?"
"Yes," Su Yun said with certainty. His eyes had unknowingly narrowed. The corners of his eyes were raised, and it was unknown how many times the circulating nurse turned her head.
However,
In the operating theater,
In front of the radiographic film viewer,
No one paid attention to a few straight men.
"Here." Zheng Ren's finger pointed at a spot on the child's lower right abdomen. "The density is not right. Convert it into a CT image."
Quan Xiaocao went to send the patient off the stage. Feng Jianguo knew that there was the next surgery, but he took off the sterile clothes and did not go down. He stayed in the operating room.
He stood at the back, his eyes looking at the X-ray radiographic films, and his ears hearing the conversation between Zheng Ren and Su Yun.
F * ck, the raw data of the radiographic films were converted into abdominal CT …
Was this something that a human could do? If only Boss Zheng could do it, it would be normal.
However, Su Yun said that it was fine. The conversation between the two of them was very calm. It seemed that they had done this before.
Feng Jianguo felt a sense of powerlessness.
This kind of genius was the most annoying. It had been like this since he was in school.
They did not need to do anything. They just needed to look at it once and they would get full marks on the exam.
They played all day and did not read at all. In the end, their results were better than his hard work.
Just as he was thinking, Feng Jianguo heard Zheng Ren say, "The diverticulum is a developmental remnant formed by the incomplete degeneration of the yolk tube and umbilical mesenteric tube connecting the midgut and yolk sac in the early embryo. The diverticulum can be inflamed, and the clinical manifestation is acute abdomen. "
"On the CT image, the inflamed Meckel diverticulum appears as blind pockets of different sizes, thickened walls, and inflammation of the surrounding mesentery," Zheng Ren continued. "On the plain film, there is a slight change in the density. It is precisely this small anomaly in the raw data that makes me feel that something is wrong."
"After the intestinal wall here is converted to the CT image, you can see that it is thickened. The inflammation of the surrounding mesentery is very heavy, stimulating the peritoneum of the child, and showing signs of a plate-like abdomen."
"The inflamed Meckel diverticulum is similar to the inflamed appendix." Su Yun frowned and asked, "How did you determine this?"
"The differential diagnosis of the two diseases is actually not difficult." Zheng Ren was full of confidence as his finger pointed at the abdominal X-ray.
"Here is the location of the Meckel diverticulum," Zheng Ren said. "The inflammatory structure is attached to the distal ileum, not the cecum. Moreover, it can usually be identified as a normal appendix that is separated from the lesion."
Su Yun frowned and pondered.
Zheng Ren spoke a little quickly. He felt that his brain was working at high speed, but it could not go up.
The sterile cap had successfully blocked the heat dissipation, which made Su Yun feel a little distressed.
"Many times, on the CT image, the Meckel diverticulum at the front of the midline may be suspected to be an urachal cyst infection."
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