Chief Zheng, I haven't seen you for a while. How's the Imperial Capital? "The doctor in the CT room chatted with Zheng Ren. He did not slow down and took the time to check.
The fact that a doctor from the emergency department personally sent the patient for examination meant that the patient's condition was very serious. Needless to say, the doctor in the CT room also knew this.
Who would have the time to accompany a patient with a lighter condition for an examination?
The machine roared. Zheng Ren did not chat with him. Instead, he placed his left hand under his right armpit and rested his chin on his right hand as he stared at the computer screen.
The atmosphere was a little heavy.
The doctor in the CT room did not dare to be negligent. He stopped chatting and looked at the screen seriously.
One minute later, the video appeared on the screen.
Everyone was dumbfounded.
On the left side of the clavicle, the image of a needle appeared, inserted diagonally into the mediastinum. The pericardium was severely tamponade, and both lungs were covered with large shadows.
The changes in the lungs could be ignored. The most important thing was the image of the needle. It seemed to be the Kirschner wire used to fix the clavicle fracture!
It protruded halfway from the clavicle, and the tip of the needle was at the edge of the aorta.
'So that's how it is,' Zheng Ren thought to himself.
"Holy sh * t …" It was also the first time the doctor in the CT room had seen this kind of image. He pointed at the image of the Kirschner needle in surprise and was speechless.
Zheng Ren seized the time to reconstruct the CT image in his mind. The diagnosis given by the System was an epigastric ulcer. After the reconstruction of the image, it was confirmed that it had involved the middle layer and the intima. The surrounding tissue was edematous, and there was no local secretion.
The aorta could rupture at any moment! The hair on his back stood on end.
"Call Chief Wang and ask him to prepare an aortic stent in the emergency hybrid operating room," Zheng Ren said.
Su Yun nodded and took out his phone to contact the operating theater.
"Chief Zheng, here are the scans. The report will have to wait until tomorrow." The doctor in the CT room knew that the situation was urgent, so he printed out the scans and handed them to Zheng Ren.
"Thanks." Zheng Ren took the scans and carried the patient onto a stretcher trolley with the accompanying staff and the patient's family members. Then, they ran all the way to the emergency operating theater.
Damn, how could the distal end of the Kirschner needle come out? Zheng Ren could not figure it out either.
It could be that there was a problem when the orthopedist inserted the needle, or it could be that there was a problem when the patient resumed his training after the surgery.
Now was not the time to ask why, but to seize the time to perform the surgery.
The epithelium of the aorta had been damaged, and the intima and media had been affected. Once the blood pressure rose, the patient could die from the rupture of the aorta at any time.
On the way, Su Yun caught up to him.
"You're lucky. There's still an aortic stent. The next time I return to Sea City, I must bring Little Feng along. "Su Yun said.
Zheng Ren realized that Sea City would not perform interventional surgery while he was away.
If Feng Xuhui did not follow them, they might not even have an aortic stent.
Last time, it was Wang Qiang from the Secondary Hospital who came to deliver various medical supplies. This time, it was the same. It was probably because Wang Qiang had recently come for surgery, or it was left behind in the past.
'Forget it, it's fine as long as I can deal with the current situation,' Zheng Ren thought. The patient was lucky to have met him.
"Go and explain to the patient's family. I'll go and get the stent removed," Zheng Ren said. "After the family signs, call me, then scrub in."
The patient's family members panicked when they heard their conversation.
Emergency surgery? What was going on?!
Moreover, the expressions of the two doctors were very serious. It was even scarier than the doctors in the emergency department.
I'm not afraid to make it sound too serious. Those are all rare accidents. What he was most afraid of was that the doctor would rush all the way with a gloomy face and not have time to explain in detail.
The patient's family members were sensible people. They were frightened by Zheng Ren and Su Yun.
They pushed the patient into the operating theater. Chief Wang had just finished the surgery. He saw Zheng Ren push a patient in in a hurry and asked in surprise, "What's the situation?"
"The distal end of the Kirschner needle is free. The epineurium and tunica media of the aorta are damaged. The pericardial tamponade is damaged," Zheng Ren said hurriedly.
"…" Chief Wang was stunned.
"Send the patient back and then come up to help," Zheng Ren said without any hesitation.
At this moment, when he said that he would help Chief Wang, he would really help.
At the 912, he would still be polite to Chief Wei and Professor Feng. However, this was Sea City and he was facing Chief Wang. There was no need to be polite at all.
"Okay." Chief Wang knew that the situation was urgent and immediately sent the patient down with his assistant.
"Chief Zheng, just say that you're busy. Every time you come back, you have to perform overnight surgeries," Chu Yanzhi said as she helped Zheng Ren carry the patient onto the hybrid operating table.
"Heh, I just happened to run into it." Zheng Ren was also very speechless.
If he was not around, perhaps he would not be so busy.
However, in the Department of Digestive Medicine, within a day or two, a patient would suddenly die. They would die inexplicably and silently.
Perhaps, this kind of thing happened every day.
With the help of the System, Zheng Ren discovered, diagnosed, and treated it early to avoid tragedies again and again.
"How many are you going to do tonight?" Chu Yanzhi continued to nag.
"I don't want to do it either," Zheng Ren said helplessly. "I'll be fine in a while. After Chief Wei is done with the drip, send him home. Let's go out for supper."
"Yiren said that she has ordered a meal. However, it's rare for Chief Zheng to be generous. You guys earn quite a lot in the Imperial Capital. You're such a stingy guy. You know how to treat others to a meal? "Chu Yanzhi asked.
He did not want to eat because he found it annoying and a waste of time. It was not stingy. Zheng Ren cursed in his heart, but he did not explain. Instead, he said directly, "General anesthesia. First, the aortic stent, then the chest."
"What's the diagnosis?" Chu Yanran asked.
"Aortic epineurium ulcer, pericardial tamponade, distal Kirschner needle free," Zheng Ren said.
"Wow, Kirschner needle?!" Chu Yanzhi jumped.
"Hurry up and anesthetize." Chu Yanran was busy. She said with some disdain, "Is the ulcer serious, Chief Zheng?"
"It's serious. I think it was caused by a scratch from the Kirschner needle. It has already involved the tunica media and intima. It could break at any time." Zheng Ren saw that Little Yiren was busy preparing the things for the surgery, so he went to wash his hands.
The level of emergency treatment in Sea City was not as good as that in the Imperial Capital. Although the Chu sisters' technical level was not bad, there was still a certain gap between them and Old He.
However, Zheng Ren felt that it was fine. As long as the situation in Xilin Town did not happen, everything would be fine.
The last time he was rescued in Xilin Town, he really had a psychological shadow.
After washing his hands and the anesthesia was over, Su Yun's call came up. He said that the patient's family had already signed the preoperative consent and the surgery was directly started.
Su Yun took the radiographic films down to explain the patient's condition to the family. Zheng Ren disinfected the patient while recalling the images in his mind.
The aortic stent was not difficult. As long as it did not break, it would be enough to put the shelf in first.
"Yanran, pay attention to the phlegm sucking," Zheng Ren reminded her.
"I know," Chu Yanran said. "I just listened. My lungs are wet. Don't worry, Chief Zheng."
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