Huh? "Zheng Ren was stunned.
"Uh …" Quan Xiaocao lowered her head and whispered, "Boss Zheng, in the past, every time I practiced downstairs, I think I did a good job."
Zheng Ren nodded. This time, he had a more intuitive judgment of Quan Xiaocao.
"But I get scared every time I go on stage," Xiaocao said timidly.
"And then?"
"Once, I asked Brother Yun, and he said that you should just give yourself a psychological suggestion and think that you are Boss Zheng," Quan Xiaocao said.
Zheng Ren did not know whether to laugh or cry. This kind of psychological suggestion had to be built on a solid foundation. Quan Xiaocao's basic skills were solid and she was usually very attentive. It seemed like her psychological suggestion skills were quite good.
"I tried …"
"Hehe." Zheng Ren looked at Quan Xiaocao and smiled happily. "But you can't even imitate her so well after closing the peritoneum and turning around to leave the stage."
"Uh … I subconsciously learned it that way." Quan Xiaocao's voice was already as quiet as a mosquito's.
"Not bad, not bad," Zheng Ren said. "In the future, you can think that way when you're confident in your surgery. Let me ask you something."
"Ah? What? "Quan Xiaocao started to panic again.
"What were you thinking when you looked at the spleen?" Zheng Ren asked.
"The blockage of the arterial branches in the spleen causes the spleen to undergo necrosis due to ischemia and hypoxia. The diagnosis is splenic infarction. There is no doubt about it. "
"Continue," Zheng Ren said immediately when he saw Quan Xiaocao pause.
Zheng now had a certain level of understanding towards this child that had to be whipped before she could walk. Unknowingly, he did not expect that he had influenced so many people.
"Uh …"
"Xiaocao, put yourself in my shoes now. I want to hear your judgment at the time," Zheng Ren said with a smile.
Lao He watched with interest and whispered into Quan Xiaocao's ear, "Boss Zheng, should I make the music louder?"
Quan Xiaocao knew that Lao He was joking. After she finished the suture, she didn't use the final disinfection and cover the incision. Instead, she closed her eyes again.
Zheng Ren looked at Quan Xiaocao's focused expression and found it interesting. Suddenly, his heart skipped a beat and he thought of Su Yun when he smoked.
Should I study psychology too?
However, this thought only flashed in her mind for a moment. There were a lot of things that needed to be done recently, so it was better to wait until Little Shitou's condition improved before talking about it.
"About half of patients with splenic infarction are asymptomatic." When Quan Xiaocao opened her eyes again, her voice had become calm and steady. Her previous panic had disappeared without a trace.
"Small-scale splenic infarction may have symptoms such as low fever and leukocytosis but no pain. Large-scale splenic infarction may have sudden pain in the upper left abdomen, or the abdominal pain may radiate to the left shoulder and back, aggravated when you bend over or take deep breaths, accompanied by nausea, vomiting, dyspnea, high fever, and other symptoms. The symptoms may last for a week."
"Based on the patient's performance when he was admitted to the hospital, his symptoms were not serious. Direct examination showed that the size of the splenic infarction was not large, further confirming this view. "
"So, I think the patient's spleen can be preserved. There's no need for a splenectomy," Quan Xiaocao said with certainty.
"What if the embolism worsens after surgery?" he asked.
"Interventional radiography and catheter thrombolysis," Quan Xiaocao said without hesitation, "The area of injury is not large, so we can …"
It turned out that she even knew about this. Zheng Ren was slightly lost in thought as he listened to Quan Xiaocao describe the treatment process that was rarely seen.
The little guy had actually grown so fast.
As he thought about it, he pressed a sterile gauze over the incision to disinfect the surrounding area before covering the incision.
"Xiaocao, not bad!" Zheng Ren praised.
Quan Xiaocao's eyes flashed when she heard Boss Zheng praise her.
"Alright, send the patient back," Zheng Ren said. "The splenic infarction shouldn't be a big problem. If anything unexpected happens, look for me immediately to deal with it."
"Mhm." Quan Xiaocao nodded her head vigorously.
Zheng Ren glanced at Xiaocao and felt that Su Yun was not just messing around. Xiaocao belonged to the kind of doctor who had an extremely solid theoretical foundation and was not weak in practical skills. Her weakness was in her psychological construction.
To put it bluntly, she had stage fright.
It was quite effective to let her assume that it was him.
"Lao He, how's Brother Feng's side?" Zheng Ren turned around and left the stage. He tore off his sterile clothes and threw them into the red sterile waste bucket.
"Laboratory tests such as complete blood cell count and myocardial enzymes. Imaging tests include head CT and transthoracic echocardiography. There are no abnormalities," Lao He said straightforwardly.
"Why did you check the head CT for?"
"Brother Yun said that there are nausea symptoms. We can't rule out the possibility of head complications," Lao He said.
Zheng Ren nodded and walked out of the operating theater.
"Blood pressure 81/52
MmHg, heart rate 41 beats per minute. Brother Yun has already given targeted treatment. Norepinephrine was given intravenously and atropine was given.
"When I left, I looked at the ECG monitor. The atrioventricular block has changed from third degree to second degree.
"Is there any change in heart rate?" Zheng Ren asked.
"There's no obvious increase."
Zheng Ren muttered to himself. Atrioventricular block in adults was most commonly seen in patients with myocardial infarction. It was not like children, who often had atrioventricular block due to various reasons. Feng Jianguo's electrocardiogram did not have myocardial infarction, but the QRS waveform was narrowed. Zheng Ren had never understood what this meant.
He changed his clothes in silence. Lao He looked at Boss Zheng's troubled expression and carefully followed him.
There was a problem. An inexplicable atrioventricular block. Zheng Ren clearly remembered that Feng Jianguo's System panel was very healthy in the past. Moreover, the symptoms of atrioventricular block this time were not typical. The dizziness could be said to be caused by insufficient blood supply.
What about nausea? Quan Xiaocao said that Feng Jianguo's self-diagnosis was caused by acute gastrointestinal dysfunction. A doctor's self-diagnosis, especially a doctor from the gastrointestinal surgery department's diagnosis of his own disease, must have a basis.
Such a thing without a target … Zheng Ren did not really believe it.
What kind of disease would have gastrointestinal dysfunction and sudden atrioventricular block?
Zheng Ren thought of two remote diagnoses, but he was immediately speechless. The System panel had already confirmed that there was no gastrointestinal problem. He had misunderstood.
Encountering such a situation again, Zheng Ren was also very helpless. The System's words were unclear and unclear, so he had to guess the rest by himself.
He changed his clothes and slowly walked out of the operating theater's changing room. Lao He was silent. He wore a white coat and slippers as he followed behind Boss Zheng.
Boss Zheng was deep in thought. Lao He could not understand. Feng Jianguo was a typical atrioventricular block. Was there a need to think about it? What was Boss Zheng thinking about?
However, he still did not say anything. He just followed obediently.
"Lao He."
"Yes."
"Help me ask the boss of the gastrointestinal department if he is hospitalized or resting at home."
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