Zheng Ren communicated with the previous patient with acute appendicitis and the patient's family. When they saw that it was a child who was less than a year old who was sick, they generously gave the surgery to the child.
Then, Zheng Ren asked director sun to find the director of the anesthesiology department to anesthetize the child.
After all, Chu Yanran and Chu Yanzhi were not experienced enough. The anesthesia for children, especially for children under the age of three, was completely different from that for adults.
After preparing everything, Zheng Ren brought director sun to the operating theater.
Director Kong had long heard the chaos in the corridor and the sound of the child crying.
He was very curious. There were usually very few doctors outside of pediatrics. Only in places like the Provincial Capital would there be pediatrics.
Sea City? It was impossible.
He did not expect Zheng Ren to perform pediatric surgery … That was also possible.
Director sun changed his clothes and carried the child directly to the operating room. Seeing that director sun had left, director Kong asked, "Boss Zheng, you're very involved. You can also do pediatric surgery?"
"It's not about pediatric surgery." Zheng Ren frowned and was also a little embarrassed.
"Huh?" Director Kong was stunned for a moment.
"The patient's air enema failed. It's considered to be caused by intestinal pinworms," Zheng Ren said.
"…"
Although he was not a general surgeon, director Kong knew that intestinal parasites were not easy to diagnose. Zheng Ren did not even have a CT scan. How could he diagnose encephalopathy?
Intussusception was the most common cause of intestinal obstruction in children. In most cases, viral infection (often from the upper respiratory tract) caused the intestinal lymphatic tissue to swell, producing a starting point, causing the proximal part of the distal intestine to 'contract', causing intussusception.
If the air enema could not be opened, they could only make an operation and perform manual reduction.
This disease had nothing to do with parasites at all.
Looking at director Kong's hesitant expression, Zheng Ren took out the X-ray film that director sun had left behind.
It was already dark, so he could not look at the window. Zheng Ren could only raise his neck and look at the film under the light. "Here, in the ileocecal region, you can see the image of the network. We can consider that this is an artifact or overlapping image that appears under the X-ray, but we can't rule out the possibility of intestinal parasites. "
Seeing the radiographic films, director Kong regained some confidence.
After all, he had been dealing with images all his life. Without the radiographic films, director Kong felt as if all his martial arts had been crippled.
At this moment, when he saw the radiographic films, director Kong's eyes narrowed.
He saw the location that Zheng Ren had mentioned. It was indeed suspicious, but if not for Zheng Ren's reminder, with Department Chief Kong's clinical experience, there was a high probability that he would not have determined that it was a parasitic disease.
Pushing forward was difficult, but pushing backward was much easier.
After confirming that Zheng Ren was right, Department Chief Kong thought in reverse and immediately found a theoretical basis.
"Here, the density on the image isn't right." Department Chief Kong immediately said, "I think you're right."
"Not only here, but also here." Zheng Ren pointed to another location and said, "The patient is probably infected with pinworms. The eggs he ingested hatch in the small intestine, and the adult worms live in the appendix area …"
"Chief Zheng, Chief Zheng, are you done changing?" As he spoke, Chief Sun ran in as if his butt was on fire.
He was stunned when he saw Zheng Ren and another person studying the radiographic films.
What was there to study about that X-ray? However, out of a doctor's instinct, Department Director Sun subconsciously clicked on an X-ray film after the air enema failed.
He had also seen the radiographic films. It was just a simple intussusception.
"Let me introduce you." Zheng Ren smiled and said, "This is Department Chief Sun from the Second Department of General Surgery of our hospital."
Department Chief Sun reached out his hand in confusion. He did not expect Department Chief Kong to just nod his head, indicating that he understood.
"This is Department Chief Kong of the Imperial Capital Hospital's Department of Intervention."
Department Chief Sun shuddered.
The Imperial Capital Hospital was the top military hospital in the country. It was also the top Class Three Grade A hospital in the country.
The slight displeasure from before dissipated like smoke. Even if there was, he did not have the time to care about it now.
His little grandson was under anesthesia and was about to be operated on. He did not have the time to care about other people's attitude towards him.
"Department Chief Sun, Department Chief Kong and I both suspect that it's an intestinal parasitic disease. After the surgery, take a look and find the Department Chief of Pathology to take a look. If it's a parasite, you need to take the corresponding insecticide after the surgery, "Zheng Ren said.
Department Chief Sun was a little puzzled and at a loss.
However, since Zheng Ren had said so, no matter what he was asked to do, he would definitely agree.
"Chief Zheng, your diagnosis level has left me far behind." Department Chief Kong smiled. He was not jealous or envious. He was just stating a fact.
Zheng Ren shook his head, changed his clothes, and went to the operating room with the two chief physicians.
Department Chief Sun wanted to scrub his hands and go on stage, but his hands were slightly trembling. It was obvious that he could not perform the surgery.
Zheng Ren pressed down on Department Chief Sun's shoulder and said, "Department Chief Sun, you can watch the stage."
After saying that, he shouted, "Su Yun!"
"What are you doing!" Su Yun's voice came from the lounge inside.
This guy had been slacking off after the heart surgery because he had drunk some alcohol at noon. Anyway, with Cao Guozhen watching over there, there would not be a problem.
"Scrub your hands and go on stage!" Zheng Ren saw that the Department Chief of Anesthesiology had already given Department Chief Sun's little grandson general anesthesia, so he went straight to scrub his hands.
Scrub his hands, disinfect them, and lay out the sheet.
Zheng Ren and Su Yun worked together and quickly prepared for the surgery. Then, they disinfected their hands, put on their clothes, and put on sterile gloves.
The light of the shadowless lamp was very bright and a little dazzling.
"Boss, what kind of surgery?" Su Yun asked.
"Exploratory laparotomy."
Su Yun's eyebrows furrowed slightly, but he did not say anything.
The incision beside the rectus abdominis muscle on the right lower abdomen was 5cm.
For an adult, 5cm was a small incision. However, for an 11-month-old infant, this incision was already very large.
At the same time, the Xinglin Garden live broadcast room was opened.
[Nowadays, surgeons are becoming less and less attentive. The number of live broadcasts is so low.]
[You make it sound like you broadcast appendicitis surgery every day.]
[Don't say, today's surgery is really appendicitis. Wait, why is there intussusception and intestinal parasites?]
The doctors who came in immediately released their hand speed and chatted through the bullet screen while looking at the patient's medical history.
After that, everyone's interest was piqued.
Infant, 11-month-old, intussusception, air enema were ineffective, and intestinal parasites were diagnosed.
Such a complicated disease, and such a young child, the difficulty of the surgery increased exponentially.
[That's strange, how did the surgeon see intestinal parasites?]
[Isn't there a dot film after the enema in the information? I think the diagnosis was based on the imaging data.]
[That can't be, that dot film … I'm in the field of imaging, let me take a closer look.]
In the live broadcast room, the surgeon raised his hand and the scalpel fell. A small amount of blood was dipped, and an electric cautery stopped bleeding. Blunt dissection was performed. The surgeon, assistant, and scrub nurse cooperated smoothly.
。 m.
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