Zheng Ren explained in detail. His words were not harsh. Even so, the gentle breeze and drizzle still made Xia Hua feel somewhat embarrassed.
"Generally speaking, the initial symptoms of the patient's illness are severe nausea and vomiting, followed by chest pain and upper abdominal pain.
Some patients will vomit blood or vomit bloody things.
The pain is tearing and unbearable. Large doses of analgesics are not easy to relieve. The pain is mostly in the upper abdomen, behind the sternum, ribs, and lower chest. Sometimes the pain radiates to the shoulder and back. In severe cases, there are obvious shortness of breath, dyspnea, cyanosis, and even shock. "
Zheng Ren looked at the radiographic films, found the position he wanted, and explained it to Xia Hua.
"I haven't seen the medical records and don't know the patient's condition, but why is there a high probability that it's a spontaneous esophageal rupture? Because there are typical radiographic findings. "
"Mediastinal emphysema and subcutaneous emphysema in the neck can be seen in the lateral X-ray. Sometimes, there is a triangular emphysema on the side of the posterior mediastinum.
This is a typical radiographic sign. It's shown here on the CT. "Zheng Ren used the mouse to outline an area.
"If you're worried, you can choose to use methylene blue to do upper gastrointestinal imaging. You can see that the thoracic drainage is drawn out by methylene blue.
"Also, the drainage fluid in the patient's chest bottle is cloudy. It doesn't conform to the characteristics of bronchopleural leakage.
"But there's no need to do any more tests. Just go on stage and perform the surgery by exploratory thoracotomy. If my judgment is correct, do a simple suture after the dissociation and put down the esophageal stent.
"If your judgment is correct, we'll repair the lobes of the lungs. What do you think?"
Xia Hua was dumbfounded by what he had just heard.
"Have you sent the puncture fluid for an amylase test?" Su Yun asked from behind, his tone full of disdain.
Although it was a question, one could feel that he was actually saying that there was no amylase test. What kind of bronchopleural leakage were you talking about?!
"No …" Xia Hua was stunned.
Was this the difference between the Provincial Capital and the Imperial Capital?
"There's no need. Just do an exploratory thoracotomy," Zheng Ren said with a smile. "The diagnosis is very clear. I'll take a look at the patient and send him directly to the operating theater."
"You still want to take a look at the patient?" Su Yun asked from behind.
"It's a rule to check on the patient before the surgery. You can't ignore this just because the time is short," Zheng Ren said.
Although the diagnosis was clear, Zheng Ren still used the System panel to refer to it.
However, the shock that this sentence brought to Gao Shaojie and Xia Hua was far beyond the simple explanation of the patient's condition.
A doctor must have a sense of responsibility.
However, everyone had been trapped in life for decades, and some of their original intentions had changed.
Flying over to perform surgeries and going back and forth for an entire day meant that the more surgeries they performed, the more income they earned.
The more he earned, the better his wife and children's lives would be.
This was a very simple calculation, and everyone knew how to do it.
Therefore, many professors were unwilling to see patients after watching the radiographic films transmitted on their mobile phones before coming.
Of course, it did not matter. After all, the local hospital was the first barrier. If the patient had a problem, he would definitely bring it up directly.
The professor could leave after the surgery, but the doctor in charge could not.
Besides, Boss Zheng had no profit from this surgery. He was purely selling his wrist to help with the surgery.
Gao Shaojie was a little embarrassed, but he didn't say anything.
Xia Hua immediately contacted the escort who had sent the patient for the examination and said that the patient was already on the way. The few of them went straight to the corridor to wait, so that they would not have to toss the patient to the hospital bed and then toss him down.
"Boss Zheng, is Old Liu okay over there?" Gao Shaojie asked when the patient returned.
"He's pretty good. It's just that he's too tired. I think …" Zheng Ren hesitated for a moment.
"His hair is getting thinner and thinner. He even said that he wanted a hair transplant. I think the hair on the back of his head is almost gone. Old Liu's hairline is really going to reach his waist, "Su Yun said with a smile.
"Is the level of improvement obvious?" Gao Shaojie pretended to ask casually.
"Fortunately, it can be improved by a level. Now that Old Liu is back to perform the TIPS surgery himself, there shouldn't be any mistakes, "Zheng Ren said casually as he looked at the door.
Gao Shaojie's heart felt as if it had been thrown into a pot of oil. It was boiling.
At that time, he had made a wrong decision …
However, the child had to take the college entrance examination. He really could not leave. Even if he had to do it all over again, Gao Shaojie would probably choose to stay at home.
As a parent, how could he leave his child behind in the last few months and create an unstable factor?
When the child at home was admitted to university, he had to wait for Old Liu to come back and go to the Imperial Capital.
If the child could get into a university in the Imperial Capital, that would be the best.
At that time, he would even accompany him to study … Gao Shaojie planned the future in his heart.
"Boss Zheng, when Old Liu comes back, my son will also have finished his college entrance examination. Can I study for half a year or a year?" Gao Shaojie asked.
"You're welcome." Zheng Ren smiled and said, "Old Gao, it would be best if you could go. Lil Fugui and Old Liu have both left. I haven't succeeded in performing the surgery. "
Gao Shaojie's heart was at ease.
As he spoke, the sound of a stretcher trolley rang out.
He had been away from the emergency department for some time, but when he heard the sound of the stretcher trolley wheels rolling over the marble floor, his heart would still race.
This problem would probably not be cured for the rest of his life.
He stopped the stretcher trolley and examined the patient.
The breathing sound on the left side was extremely weak. One could vaguely hear the sound of bubbles, but it was not obvious. This was not important. The key was that Zheng Ren checked the System panel. It was indeed a spontaneous esophageal rupture.
"Go on stage. We need a hybrid operating room," Zheng Ren said. "Doctor Xia, you can ask the in-service training doctor to do the preoperative briefing."
Xia Hua tossed his exhaustion to the back of his mind and began to rush about.
He explained the patient's condition to the family, told them about the emergency surgery, and even had to sign. Although the patient had a gastric tube, urinary catheter, and venous passage, and only needed to prepare the skin, he could not finish in half an hour.
More than ten minutes later, Xia Hua handed over the preoperative briefing and signing to the in-service training doctor. He brought the patient who had prepared the skin to the stage first.
"Boss, your temper is too gentle," Su Yun said with dissatisfaction. "I remember that you've been different since you went abroad. What's going on?"
"It's the same after I went abroad. There's no difference," Zheng Ren said.
"At the King's Hospital, I remember you kicked Gade into the wall."
"He wanted to do heart compressions. Look at that posture. After the compressions, there was no need to save him. That was killing people, not saving people. How could I not be anxious? "Zheng Ren said." As for you, you used forceps to hit Chief Sun of the First Affiliated Hospital of Provincial Capital Medical University. It's a very bad influence. "
"I don't like that guy," Su Yun said. "He's just here to nitpick. If he can't perform the surgery, just his mouth? He's really a dog at the beginning, and the surgery depends on his mouth. "
Gao Shaojie was dumbfounded.
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