"Chief Zheng, how did you come to this conclusion?" the professor asked curiously.
"Slow intestinal strangulation should be caused by food hoarding. Fecalith may cause intestinal stricture, but the process should be very fast, definitely not slow. " Based on the patient's diet last night, we can conclude that he ate some hard food and did not chew enough, resulting in intussusception. "
"Tsk tsk." Su Yun wanted to scold Zheng Ren but could not find any words to say.
"If the patient had agreed to do an abdominal CT scan this morning, the surgery might have been avoided," Zheng Ren said.
Su Yun asked curiously, "What can be done to avoid intussusception?"
"Drink coke," Zheng Ren said. "Gulp it down and use carbon dioxide to expand the intestines. This surgery could have been avoided. Unfortunately, the patient was fine in the morning and refused the abdominal CT scan. "
Su Yun was silent.
The professor was confused.
Zheng Ren took out more than twenty almonds and stroked the intestines to make sure there were no foreign bodies. After correcting the intussusception, he asked for a warm saline gauze.
This patient's intussusception was fundamentally different from that of children's intussusception.
The strangulation and necrosis were not serious, so Zheng Ren estimated that the intestines could be preserved.
As for the fact that drinking coke could solve the intussusception problem in the morning, Zheng Ren had read about it in a medical report.
Whether it worked or not, Zheng Ren did not know.
In any case, he had proven himself right. In Su Yun's words, it was a slap in the face.
Zheng Ren did not care if Professor Rudolph's face hurt.
Ten minutes later, Zheng Ren removed the gauze.
The intestines were ruddy and the blood supply was good.
After suturing the intestines and rinsing the abdominal cavity, Zheng Ren and Su Yun began to close the abdomen.
The surgery did not take long. Even the System did not issue a mission, so it was probably not difficult.
Zheng Ren guessed that if the patient came to the hospital with intestinal necrosis, the System would issue a mission.
However … it was better this way. The patient would be discharged soon after surgery.
"How's Yang Lili?" Zheng Ren asked as he closed the abdomen.
"Normal," Su Yun replied. "She's showing signs of DIC and is receiving symptomatic treatment."
"What about urine?" Zheng Ren asked.
Usually, the kidneys and brain were severely damaged during severe ischemia and reperfusion.
If the kidneys were severely damaged, the patient would go from anuria to oliguria but not polyuria. Dialysis would be needed to solve some of the problems.
If this continued for a long time … the patient would not be able to make it.
Clinically, the patient would not be able to urinate.
"He's still in the low urine phase. He probably has about ten liters of urine per hour," Su Yun said.
"That's good.
"It's normal. We'll have to observe the situation tomorrow." Su Yun was not optimistic at all.
"It's been hard on you all this time."
"It's my pleasure."
Five to six minutes later, the abdominal cavity was closed. After the last stitch was sutured, the patient showed signs of agitation.
Zheng Ren, Su Yun, and the others carried the patient onto the stretcher trolley. Su Yun and the professor sent the patient back to the ward while Zheng Ren took the pathology basin to show the family members.
The family members Yang Su Zhou. When they arrived outside, the patient Tang, they.
. She. Su... Su.. Care, Zhou.. She.. She.
When they saw the basin with more than 20 almonds, the whole family was stunned.
I. Su Ren God … to to to to.. When. when, they, Ren, they on..............
... Yang. Ren.. on. Yang.............. She was singing and eating at the same time, so I didn't notice that she ate so many almonds. "The patient's husband felt a little helpless.
. If he had known the consequences, he would be traumatized. "
Zheng Ren looked at the family members. Karaoke would be traumatized for the rest of his life.
While they were chatting, Su Yun pushed the patient out.
Zheng Ren and Chu Yanran sent the patient back to the ward. Su Yun went straight to the ICU. His battle was still ongoing.
Running out to perform this surgery was considered a form of respite.
Back in the ward, the patient was monitored. Her vital signs were stable. She woke up quickly from anesthesia and was able to communicate.
The patient was fine. He was treated in time. Zheng Ren knew it in his heart.
After writing the surgery record, Zheng Ren left the rest to Chang Yue.
In terms of communicating with the patient's family, Chang Yue's skills were even better than Zheng Ren's.
Zheng Ren thought it was amazing.
The professor left the hospital. He wanted to slap Zheng Ren in the face, but he was slapped in the face by reality. Zheng Ren would have a deeper understanding of the term.
Zheng Ren looked around the ward. He sent a WeChat message to Xie Yiren.
The moment the message was sent, Xie Yiren's message also came in.
Are you done? Garage, Area D.
Zheng Ren felt a sweetness in his heart. The feeling of being as busy as a dog and being ignored after he was done with it, the familiar feeling that was ingrained in his bones disappeared.
He greeted Chang Yue and went downstairs to the underground garage to find Xie Yiren, humming a tune.
It was late at night, but the garage was still full of cars.
The winter in the northeast was cold. Many employees did not have a garage at home, so they used the hospital's garage as a warm storage car.
Zheng Ren looked around …
Don't expect anything from a patient with late-stage face blindness. He could not even find a car.
Area D … Red … Zheng Ren kept repeating these two keywords in his heart. There were not many red cars, and Area D was not big.
However, no matter how hard he searched, he could not find the Volvo XC60, which had a curvy front and a sleek back.
Strange, where was the car?
Zheng Ren picked up his phone and sent a message.
I can't find it.
Look up. I'm looking at you.
Xie Yiren's reply came in an instant.
The underground parking lot was quiet. Although there were cars everywhere, there was no sign of life in the cold machines.
Zheng Ren was already a little scared when he saw the WeChat message.
He looked up and saw Xie Yiren smiling like a flower. She was in the car less than five meters in front of him, blinking her big eyes at him.
"…" Zheng Ren was speechless.
She was so close. What was he looking for?
Face blindness was a disease. It seemed like he would never be able to cure it.
Zheng Ren turned off his phone and quickly walked to the car. He opened the door and got in.
"What were you looking for?" Xie Yiren asked.
"I didn't see anything." Zheng Ren was helpless.
"Are you hungry? Do you want something to eat?" Xie Yiren asked.
In the afternoon, he went to Jiu Xiao to save Yang Lili. After the surgery, he went to the traffic police station and returned for another surgery.
A busy and fulfilling day passed without him realizing it.
It was not until Xie Yiren asked that Zheng Ren realized that he was indeed hungry.
。
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