"Huh?" Chief Chen was stunned.
Zheng Ren held the patient's CT scan in his hand, countless thoughts flying through his mind.
In the ruins of Nanchuan Town, the surgery between life and death had allowed him to touch the shackles of technology, and he had unintentionally broken these shackles.
Although it was only reflected in surgery for the time being, Zheng Ren knew that his ability to read radiographic films would definitely have a huge change.
When he performed surgery at Pengxi Village Hospital, every time he saw the patient's X-ray films, more relevant information would involuntarily appear in his mind.
If it were not for the fact that he was at the frontline and there were countless wounded waiting to be treated, Zheng Ren would have been unable to restrain his curiosity and thought about it.
At this moment, facing a patient with abdominal pain, the radiographic films Zheng Ren saw were different from the fragments that appeared in his mind.
The CT films were simplified and turned into data. Then, they were fused in his mind, becoming what Zheng Ren wanted.
Because Zheng Ren had seen the patient's diagnosis, the burden of completing all of this was not too great. He immediately found the abnormality in the radiographic films and found the problem.
Looking at the CT film in front of him, there was only a very vague abnormality. If he did not look carefully, this would be an ordinary CT film of a retroperitoneal hematoma. And that little bit of abnormality could be determined as a fat shadow or a false shadow.
However, when Zheng Ren looked at the CT scan now, it was a different picture.
Su Yun came over and asked with a frown, "Boss, I don't think there's anything wrong with this film."
Chief Chen also found it strange, but he did not say anything. His experience in Nanchuan Town made him realize how special this young doctor was. Otherwise, he would not have specially called Zheng Ren to come over.
"Su Yun, look …" As Zheng Ren spoke, he suddenly thought of something and immediately said, "Chief Chen, a micro-pump to reduce blood pressure and control the patient's blood pressure. The patient is in severe pain. Inject 5 mg of morphine first. "
Zheng Ren spoke very politely, but his confident expression and undeniable tone were the standard posture of a senior doctor.
Although Chief Chen was puzzled, he did not reject it. He immediately called the nurse. According to Zheng Ren's instructions, he first pushed 5 mg of morphine. Then, he installed a micropump and injected sodium nitroprusside intravenously to control blood pressure.
Now that the patient could not be moved, Zheng Ren could not do anything even if he was anxious.
Although the blood pressure on the ECG monitor was not high, there was still the possibility that the blood pressure would suddenly rise during the moving process and burst through the abdominal aorta.
He had to control his blood pressure first.
This was similar to the first time he went to the Imperial Capital and predicted Cui Heming's thoracic aortic dissection on the plane.
However, now that there were micropumps and various drugs, everything was much better than the conditions on the plane.
Seeing that the other side was busy and would not be performing surgery for a while, Su Yun did not give in. He grabbed Zheng Ren and asked, "How did you know? Anyway, the patient can't be moved for the time being. Let's hurry up and talk about it. "
Zheng Ren nodded and carried the scans to the doctor's office.
The radiographic film viewer was on, and there were two radiographic films inserted into it.
Zheng Ren tidied up the films inserted into the radiographic film viewer and found the bag according to the time and name on the upper right corner. Then, he inserted the abdominal CT scan of the patient with abdominal pain into the radiographic film viewer.
"Here, look carefully," Zheng Ren said. "It looks normal, like a normal blood vessel structure. But do you feel that the density is different from the surrounding blood vessels? "
He pointed at a point on the radiographic films and said with certainty.
Su Yun stared at Zheng Ren's finger with a strange expression on his face.
"Well, you arrange the pixels in a matrix of numbers, and you reverse it. Uh … It's indeed a little difficult. Can you imagine it? "
Su Yun glanced at Zheng Ren and said disdainfully, "Are you saying that the matrix of numbers goes through a digital converter and converts each number into pixels of different grayscale from black to white and arranges them according to the matrix?"
This was the basic principle of CT imaging. Of course, Su Yun understood it. But if it was the other way around … What did he get?
"If you know, then try it. Reverse it and get the most primitive data. Then, according to the 64-slice CT 3D image, transform it again."
"…" Su Yun was stunned.
This transformation was treating the human brain as a machine, and a high-frequency machine at that.
Was this something a human could do?
The arrogance in his eyes turned into countless doubts. He looked at the radiographic films inserted into the radiographic film viewer and was speechless for a long time.
After Chief Chen finished arranging the nurses' work, he also followed him over.
He was very curious about how Zheng Ren made the diagnosis.
As an old imaging worker, when Chief Chen was young, the hospital imported a machine. If it was broken, he had to repair it himself.
Therefore, he understood what Zheng Ren said more thoroughly than Su Yun.
However … Was this also possible?
"Doctor Zheng, did you build a 64-slice CT 3D image in your brain?" Chief Chen asked doubtfully.
"It's not that exaggerated." Zheng Ren smiled and said, "It's very difficult to reconstruct all the data. But if we only limit ourselves to this point, the data that we need to reconstruct will be much less, and it will be relatively simpler. "
Chief Chen thought to himself, 'Is he that amazing? In his opinion, it was absolutely impossible to do, but Doctor Zheng only said that it was very difficult, not completely impossible! '
"I understand!" Su Yun slammed the table in front of the radiographic film viewer and said loudly, "This is a vascular intima fault!"
"Yes," Zheng Ren said. "When the patient was injured, the blood pressure rose and the intima of the blood vessel ruptured. However, because of the large amount of bleeding, the blood pressure dropped. There was no major problem with the intima of this blood vessel. After the intervention, the bleeding blood vessels were all embolized. The patient's blood pressure gradually rose, causing the abdominal aorta intima to tear again. "
"Boss, I remember you knew it with a glance." Su Yun was a little puzzled. There was no problem with the diagnosis. He even thought that Zheng Ren was talking nonsense.
The key point was that Zheng Ren had restored the CT image to the original data and then reconstructed it. This speed was simply too fast!
Moreover, Su Yun's biggest doubt was not asked. That was — how did Zheng Ren determine that there was a problem at that point?
Zheng Ren pointed out the location. He had to calculate in his mind for a long time before he could restore and reconstruct it. And this guy, after taking the radiographic films, casually said that he wanted emergency surgery.
'What a freak,' Su Yun nagged in his heart.
"I've seen too many radiographic films. I have a feeling," Zheng Ren said perfunctorily.
Although Chief Chen knew, he was too old. His brain power was no longer able to do such complicated calculations like when he was young.
According to the normal procedure, he needed to bring the patient to the CT room for a blood vessel CTA examination before he could confirm the diagnosis. After the diagnosis was confirmed, the problem would be solved by placing a stent in the patient's abdominal aorta.
Before the interventional surgery, aortic dissection was a serious disease, a fatal disease. With interventional surgery, as long as it could be diagnosed, other than type 1 aortic dissection, it would be a small problem.
As long as the interventional radiography was done, the location of the aortic dissection could be seen on the image. There was no need to do three-dimensional reconstruction of the blood vessels.
However, this needed to be based on the correct diagnosis.
Chief Chen hesitated.
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