Zheng Ren did not know that so many things had happened in the First Affiliated Hospital of Imperial Capital Medical University.
He had lunch with Yiren at noon and returned to the chair by the window in the intervention department.
The afternoon was beautiful and the sun was shining brightly. Sitting in the sun with the fifth edition of surgery on his lap, he leisurely went to the System library to read.
A quiet life was very beautiful. It would be great if it could always be like this.
Zheng Ren sat by the small pond in the System space and quietly read a magazine with his feet in the pond. When he saw Happy, his feet moved slightly, causing some ripples.
"Boss, come and look at the radiographic films!" Su Yun's voice came from outside. Zheng Ren gave up his moment of leisure with some regret and came out of the System space.
"What patient?"
"I was wandering around just now. Fang Lin received a patient with pneumothorax," Su Yun said.
"What's so good about pneumothorax?" Zheng Ren lost interest after hearing Su Yun's words.
Whether it was traumatic or spontaneous, pneumothorax was pneumothorax. General anesthesia, single-lumen ventilation, find the bullae or the location of the lung rupture, and suture it.
Now, laparoscopic surgery was even simpler. Find the place where the rupture was and put a titanium clip. The procedure did not take more than an hour, including the anesthesia and anesthesia recovery time.
The only thing to pay attention to was the repeated expansion of the lungs to see if there was only one place where the air was coming out. If there were any omissions, they might have to open the chest a second time. That would be difficult to explain.
"There's something strange about pneumothorax. Fang Lin wasn't sure, so he asked me to take a look," Su Yun said with a smile.
Zheng Ren saw that his expression was strange and his heart skipped a beat.
Did Su Yun need to look for him for the problem of the chest? There was a surgery in Sea City in the past. There was no compression of the lungs on the radiographic films. In fact, the lung rupture was already quite serious.
In this kind of rare case, Su Yun would only ask him to take the blame when he was not sure.
"What patient?" Zheng Ren asked.
"Recurrent pneumothorax. The last time was 20 days ago. He was treated locally. After the surgery, he was still breathing, so he came to Imperial Capital," Su Yun said.
"Where's the radiographic films?"
"Fang Lin sent one on his phone. There's nothing to see. Let's just go up and take a look." Su Yun pulled Zheng Ren away.
"Recurrent? Spontaneous pneumothorax? "Zheng Ren was puzzled.
"Yes, in two years, it happened seven times," Su Yun said. "Boss, don't you think it's strange?"
"I think it's very strange." Zheng Ren pondered.
Spontaneous pneumothorax refers to the rupture of lung tissue and visceral pleura due to lung disease, or the spontaneous rupture of pulmonary bullae and microemphysema close to the lung surface, allowing air in the lung and bronchus to escape into the pleural cavity.
Under normal circumstances, young men between the ages of 15 and 25 were prone to spontaneous pneumothorax.
This was especially true for high school students. A while ago, when he returned to Sea City, he met a mother who insisted on performing an appendectomy on her child. Su Yun used this as an example to scare her.
Actually, he wasn't trying to scare them. He was just telling the truth.
A young boy with a ruptured bulla of the lung required a thoracotomy to suture the bulla. Now, laparoscopic surgery only required two laparoscopy.
This recurrent case meant that the doctors who performed the surgery in the past did not remove all the bullae.
Some patients' lungs were covered with bullae. There were at least a dozen or dozens of them. It was impossible to cut off the entire lobe of the lung.
Moreover, there was an abnormality in the last surgery. After the surgery, the chest flask continued to draw out air.
This problem was more serious.
When they came to the chest, Fang Lin was looking at the radiographic films. A man in his forties with a medium build but very fat stood beside him.
"Boss Zheng, Brother Yun, please give me a hand." When Fang Lin saw Zheng Ren and Su Yun come in, he immediately greeted them. "This is my savior, Boss Zheng. This is Brother Yun."
He introduced Zheng Ren and Su Yun to the fat man beside him.
Then, Fang Lin said, "This is Doctor Shao from L City."
Zheng Ren nodded and smiled kindly at the plump mosaic, indicating that he understood.
"Huh? Is it the hospital that asked you to do the surgery? "Su Yun asked with a smile.
"Isn't that earthquake relief? Our hospital has gone to the frontline. I only went to Old Shao's hospital for one surgery," Fang Lin explained with a smile.
Freelance surgeries were usually performed by professors. Very few people looked for the chief resident. Fang Lin's skill level was also high. In addition to the special circumstances, he only went once.
"Brother Yun, why did you pull Boss Zheng over?" Fang Lin was a little embarrassed. "I just thought that the condition looked simple, but there might be a problem. That's why I asked you to help me take a look."
"Don't be so polite. It's not a problem," Zheng Ren said with a smile as he walked to the radiographic film viewer.
The radiographic films were CT scans. They looked very simple. There was a pneumothorax on the left with a closed thoracic drainage tube. The lungs were compressed by about 10%.
There were abnormal images on the surface of the lungs and the costal diaphragm angle. Zheng Ren estimated that the catheter had been intubated for a long time, forming stimulating hyperplasia or abscesses caused by infection.
"What's the patient's condition?"
"Hello, Boss Zheng. I'm Shao Jinghe," the chubby doctor greeted him very honestly.
Zheng Ren found it funny. If he was a smarter person, he would have come up to shake hands after Fang Lin's introduction and tried to get close to him.
He did not know if this person was shocked by the medical accident or if he was such a person to begin with. He was even a few steps late to greet him.
"Doctor Shao, you're welcome. Tell me about the patient's condition," Zheng Ren said with a smile.
"This is an old patient. She's 22 years old and female."
"…"
It was a little strange for a 22-year-old patient to say such a thing. However, Zheng Ren and the others knew what Shao Jinghe meant — an old patient meant that he had frequent contact with the hospital.
"Two years ago, the patient suddenly felt chest tightness and shortness of breath. A chest radiographic examination reported spontaneous pneumothorax on the right side, so I performed a thoracoscopy on her. She recovered well after the surgery and was discharged.
"Then, the patient had intermittent relapses in the past two years."
Shao Jinghe was a little depressed as he spoke.
"Old Shao, did you get a bulla?" Su Yun asked while looking at the radiographic films.
"I check every surgery carefully and there are no abnormalities," Shao Jinghe said with a sad face. "Brother Yun, can I call you that too?"
"Anything is fine," Su Yun said with a smile. This Old Shao was a little tactful and would help him out.
"Now, I want to hide when I see this patient … My colleagues laugh at me, asking if I did something to the girl. Why is she pestering me?"
Zheng Ren glanced at Shao Jinghe's big belly and found it funny.
However, this kind of emotion was normal. He had performed six to seven surgeries in the past two years. Although the adhesion of the lung tissue during thoracic surgery was not as serious as that of the intestines, it was still enough to cause a headache.
That was not all. Anyone who had worked in the thoracic department knew that it was rare to have a patient who could perform two or three bullaectomies. This kind of surgery had been performed seven times in two years. Anyone would want to hide from it.
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