Mao Chi wanted to say something, but when he thought of the big shelf that had been removed from the heart at the International Hospital a few days ago, his mouth seemed to be covered by an invisible hand, and he could not say a word.
Chief Zhang Lin did not say anything either.
A few days ago, when she arrived at Director Yan's surgery, two purplish-black blood clots were placed in front of her. She had already rushed over in a hurry. From the time she received the news to the time she entered the operating theater, it had not even been 20 minutes.
However, Boss Zheng had even finished the surgery.
It was not even considered that he had finished it. Boss Zheng did not even have the thought of sending Director Yan back to the ward!
He just waved his hand and left. It was as if he was treating Director Yan as an ordinary patient.
Although they were faced with an undiagnosed collective 'poisoning' incident at that time, if it was someone else, why wouldn't they send Director Yan back to the ward and say a few heartwarming words?
Why was he so confident?
It was all because of his high level of skill. Although she did not know why Boss Zheng was so arrogant and domineering this time, there must be a reason.
Chief Zhang Lin glanced at Sun Chao and felt that there was a high chance that this guy would die at 912.
She had interacted with Boss Zheng a few times. Boss Zheng's diagnosis was very good. This was an indisputable fact.
Chief Zhang Lin had always remembered the matter of ion channel disease that the family had given up.
Every time she thought about it, she would be surprised why Boss Zheng was so sure. There did not seem to be any hesitation.
This time, it should be the same.
Boss Zheng was definitely not the kind of person who did not know the severity of the situation. If he said that he wanted to open the chest, there was a reason for it.
Sun Chao glared at Zheng Ren, but Zheng Ren completely ignored the mosaic beside him. Who would compete with a mosaic?
Zheng Ren carefully looked at the CT films of the lungs and reconstructed the surgery in his mind.
Although there were no experimental subjects and it was only a virtual surgery, he would do it if he could. He had to hurry up. Zheng Ren had already accumulated a lot of surgical training time, but he was still very stingy and unwilling to use it carelessly.
Before going on stage, he had to do at least three to five more times of surgical training. Now, he could be a little more proficient.
Zheng Ren was also a little distressed. The System had never been willing to give him a peak-level skill book.
He had not found a way to climb to the peak of surgery, so he could only perform surgery at the Legend-level.
Just as he was thinking, the sound of hurried footsteps came from the corridor.
Lin Ge's heart skipped a beat and she looked up.
Principal Zhang walked in quickly. Lin Ge hurriedly went forward and stretched out his hands, saying, "Principal Zhang, you really came."
"How is it?" Principal Zhang asked hurriedly.
"The situation is very bad. We suspect that it's a pulmonary embolism," Lin Ge said. "Our opinion is emergency thoracotomy."
Principal Zhang was stunned. Emergency thoracotomy, and cardiac surgery at that …
This pressure was a little too great.
"Has Director Yan been discharged?" Principal Zhang asked.
"Discharged from the hospital and recuperated at home. You also know that Director Yan's … Deputy Director Yuan is currently in a meeting and is rushing back. " Lin Ge reported, "However, our judgment of the patient's condition is not optimistic. We need to hurry up with the surgery."
"You don't even have time to do a CTPA?" Sun Chao said angrily. "You guys are too irresponsible. This is a crime!"
Principal Zhang was really stunned this time.
He knew Director Sun Chao of the First Affiliated Hospital of Provincial Capital Medical University. Director Sun was short and fat. He was the kind of person who could not see his toes when he lowered his head.
It was difficult not to remember him.
But why was Director Sun Chao here?
"Director Sun? What do you mean? "Principal Zhang asked in surprise.
"Boss, the pictures of the echocardiogram." Su Yun squeezed into the crowd and handed a stack of printed paper to Zheng Ren.
"Okay, teachers who have questions, I'll now tell you why the condition is urgent. It's a pulmonary embolism," Zheng Ren said. "Su Yun, send the patient!"
Whether it was Lin Ge, Chief Shao, Chief Zhang Lin, or Chief Mao Chi, none of them said anything.
When Boss Zheng said the words "send the patient", his eyes narrowed and he scanned the crowd.
Those who had objections were also silenced by his sharp gaze.
"So hasty. It's simply disregarding human life!" Chief Sun Chao said angrily. "No one in the 912 cares?"
Mao Chi lowered his head and looked at the ground as if there were some images on it. Lin Ge smiled and said, "I believe in Boss Zheng's diagnosis. If anything happens, our medical administration division will bear the responsibility."
Sun Chao almost spat out a mouthful of blood.
MLGBD！ Was the 912's medical administration division crazy? Unconditionally supporting this young Boss Zheng?!
This was simply crazy.
"Principal Zhang, right? You can make the decision, right?" Zheng Ren asked Principal Zhang directly.
Principal Zhang nodded cautiously but did not say anything.
"Then I'll talk about the echocardiogram image. If any teacher has any questions, just ask them directly. If there are no questions, we'll start the stage directly after the lecture, "Zheng Ren said." There's no time. "
Hearing him say that there was no time, everyone's hearts trembled.
Although the pulmonary embolism was urgent, it was not like a myocardial infarction where people would die in a few minutes.
What did he mean by that?
"First of all, as the most specific echocardiogram characteristic, when the ratio of the anterior and posterior diameters of the right ventricle to the left ventricle is >
0.5; when the ratio of the transverse diameters of the right ventricle to the left ventricle is > 1.1, or when the left ventricle's end-systolic and end-diastolic diameters are both reduced, especially at the end-diastolic stage, it can be determined as thrombotic pulmonary embolism.
"This is very clear from the echocardiogram image. There is no doubt about it," Zheng Ren said in a clear voice. Zheng Ren said loudly. Although his voice was still very urgent, there was a sonorous sound of metal clashing with each other.
"Second, under normal circumstances, the amplitude of the anterior wall of the right ventricle should be > 5
Mm, and the amplitude of the free wall of the right ventricle will be > 8
Mm, but in patients with pulmonary embolism, the amplitude of the movement from the base of the right ventricle wall to the free part of the right ventricle will be reduced or even disappear. "
Zheng Ren held the echocardiogram image and said, "None of you have any questions, right?"
The image was printed out, and the surrounding people involuntarily gathered around to carefully look at the image.
Zheng Ren's words were reasonable and could not be refuted.
Even Sun Chao could not say a word to refute Zheng Ren's statement.
"Third, the normal diameter of the main pulmonary artery is 30
mm，RPA＞20
Mm; in patients with chronic thrombotic pulmonary hypertension, the MPA dilation is more obvious. "
"In the image, the RPA is 28mm, and the initial diagnosis is acute pulmonary embolism," Zheng Ren continued.
"Fourth, I don't know if any of you know the formula for the rate of inferior vena cava collapse."
As Zheng Ren spoke, he glanced at Principal Zhang.
He wanted to convince Principal Zhang. As for the angry Mosaic next to him, Zheng Ren had no impression of her at all.
Principal Zhang was already dumbfounded.
What the f * ck was this? With the standard thinking of a science guy, he had spilled everything out. What else could he say?!
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