CT showed that the bronchus in the upper lobe of the right lung was amputated. The upper lobe of the right lung was a wedge-shaped high-density shadow with uneven internal density. There were circular low-density shadow and punctate calcification shadow. Most of the mediastinal lymph nodes were calcified. The left bronchus was unobstructed.
"Lung torsion. Prepare for emergency surgery," Su Yun said with certainty.
"Brother Yun, I think it's also pulmonary torsion. I was just about to report it to the second-rate professor," Fang Lin said with a smile.
However, he was a little puzzled when he saw that Zheng Ren was still looking at the radiographic films.
"Boss Zheng? What do you think? "Fang Lin asked.
"The possibility of pulmonary torsion is high." "However, it's difficult to distinguish the differential diagnosis from localized pleural effusion, atelectasis, pulmonary hematoma, and coagulated hemothorax."
"Isn't it all the same? Tell me, what kind of situation doesn't require me to go on stage?" Su Yun said disdainfully.
"Didn't you say you were going to diagnose? If you're talking about surgery, you can prepare to do it directly. "Zheng Ren was still looking at the radiographic films, ignoring Su Yun's provocation.
"You, you're too cautious." Su Yun said, "Standing and lying, it's obvious that there's movement in the high-density area. This point is the clearest diagnosis. "
"Localized pleural effusion is also possible." Zheng Ren rested his chin on his hand as he looked at the radiographic films.
"There's a difference."
"I know," Zheng Ren said, "Fang Lin, did the patient's family say it was urgent?"
"He should be fine. For the time being, there are no signs of blood vessel obstruction, leading to venous flow obstruction, or pulmonary congestion leading to venous infarction or gangrene. However, Cui Lao from the emergency department is quite anxious. He asked Chief Zhou to bring the patient's family members here directly. He said that the surgery should be carried out as soon as possible, "Fang Lin said.
"Then do a dynamic fluoroscopy of the chest. If the diagnosis is clear, we'll start the surgery immediately," Zheng Ren said.
Su Yun also knew that the chest artery fluoroscopy was the best way to diagnose pulmonary torsion, but the patient's image was too standard, although spontaneous pulmonary torsion was rare. But no matter what, there shouldn't be anything wrong with making an incision directly.
Was there really a need to be so cautious?
However, he still did as his boss said. Just now, he seemed to owe him a sincere acceptance. If this guy really remembered to use this against him …
Su Yun did not dare to continue thinking about it.
"Fang Lin, we're here to see a patient with double esophagus malformation. When can patients with pulmonary torsion be admitted to the hospital? "
"If there's no traffic jam, it'll take about an hour," Fang Lin said.
"Well, tell me when you get on stage. I'll go take a look," Zheng Ren said.
"Alright."
However, Fang Lin had no reason to refuse to watch the surgery.
He glanced at the patient with the double esophagus malformation and went through the medical records and laboratory reports before comparing them with the System panel.
After confirming that the surgery would be tomorrow, he left the Department of Thoracic Surgery.
Back in the department, Liu Zewei was so busy that his head was shining. He was correcting cases. Chang Yue went to communicate with the patient's family while the professor sorted out the data from the TIPS surgery.
As more and more doctors learned the new TIPS surgery, the number of surgeries skyrocketed. Other than surgery, Professor Rudolf Wagner spent almost all of his energy on organizing relevant information.
"Boss, will there be blood clot metastasis in the patients with pulmonary torsion that we saw just now when the torsion is lifted?"
"It's possible. You have to be very careful during the surgery," Zheng Ren said. "You can't use a laparoscope. The degree of detail is still slightly lacking."
"Speaking of which, I see that your laparoscopic skills are quite good. Why are you so unconfident in laparoscopic surgery?" Su Yun asked.
"It's not that I don't have confidence, but I have more confidence in my hands," Zheng Ren said. "Did you notice what Dr. Charles said later?"
"You know how to suture with just a touch of your hands?"
"Yes, that's it," Zheng Ren said. "Laparoscopic surgery may cause less damage, but laparoscopic forceps and hands can't be compared. If you can use this from the benefits you got from Chunu Ancel, you might be able to improve your laparoscopic skills. "
"Don't talk nonsense," Su Yun said. "There are definitely not many people who can master this. I've just touched the threshold, and I don't know how long it will take to cross it. Are you counting on someone else? "
"Yes, it's always good. Let's not talk about surgery. When it comes to interventional surgery, hand sensitivity is very important, "Zheng Ren said.
"No wonder you can understand this. Is it because interventional surgery is good?" Su Yun seemed to have found an important point.
"I think so," Zheng Ren said. "Interventional surgery is very reliant on touch, especially after reaching a certain level. After doing it a lot, you'll unknowingly use it in surgery. "
"Looks like Dr. Charles is more talented than you. He doesn't know how to do interventional surgery, but he has touched the threshold of hand sensitivity." Su Yun understood the logic behind it.
"Definitely." Zheng Ren said, "I belong to the category of comprehending by analogy. It's because I have the strongest interventional surgery as a foundation that I can understand this point."
Su Yun wanted to retort when he heard Zheng Ren mention the most powerful interventional surgery. But just as the words were about to leave his mouth, he stopped himself.
Was there anything wrong with that?
That's right!
He was the best interventional surgeon, but he could not even find a similar example.
"The feeling …"
"For example, if you touch the intestines, you'll know what kind of strength to use to remove it so that it won't cause complications such as intestinal rupture or perforation," Zheng Ren shared his experience.
Su Yun was silent, and nodded.
This was a brand new field. Su Yun could only vaguely understand what Zheng Ren was talking about, but he still had a long way to go to understand it and apply it to surgery.
As he thought about it, Su Yun felt a little lost.
Recently, he had been unprecedentedly focused and worked harder than before, but why did he feel that the gap between him and his boss was getting farther and farther?
"You're back." Chang Yue came back from the ward and saw Zheng Ren and Su Yun chatting, so she greeted them. "Yiren seems a little unhappy. Chief Zheng, be careful."
"…" Zheng Ren felt like a bolt of lightning had fallen from the sky.
"Huh?" Su Yun glanced at Chang Yue and asked, "Why?"
"She doesn't have lunch at noon. Once it's lunchtime, she disappears without a trace," Chang Yue said as she sat down.
"Isn't the emergency department busy?" Su Yun did not care.
"Don't you know how serious it is for a girl to not reply to her messages?" Chang Yue turned around, adjusted her glasses, and looked at Zheng Ren with a gloating look.
"…" Only then did Zheng Ren remember that when he went to the emergency department, he had been so focused on Su Yun's lecture to Zhou Litao and then on the amoeba diagnosis that he had forgotten to look at his phone!
Although Zheng Ren's EQ was not high, or perhaps he was too lazy to think about it. However, he knew that not replying to his girlfriend's messages was a huge mistake!
Zheng Ren felt a chill run down his spine, and his whole body froze.
Remember the mobile version of the website:
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
