One of the family members raised her leg and kicked. The obstetrician reacted quickly and dodged to the side. However, she had no choice but to let go of the stretcher trolley.
"As long as I've been here, you're responsible for anything that happens!" The old lady pointed at the obstetrician's nose and said, "You're shirking your responsibility! Saving the dying and helping the injured? Your conscience has been eaten by a dog! "
"…" Zheng Ren was speechless.
"Don't send him away. It's not too late to cut him open now. The time you mentioned isn't good enough! " The obstetrician did not argue with the old lady. He tried to grab the scalpel but was pushed away by another person.
When the elevator arrived and the stretcher trolley was pushed into the elevator, the noise at the entrance of the operating theater gradually quieted down.
However, this was only the beginning.
Seeing that the dissuasion was ineffective, the obstetrician immediately called the director and the medical administration division. While explaining the situation, he hurried downstairs to change his clothes.
Yes, this was just the beginning. More troublesome things were yet to come.
The obstetrician and Zheng Ren walked face to face. Zheng Ren stepped aside and watched helplessly as she left in a hurry.
If they didn't believe the words of a Class Three Grade A Hospital, they had to go to a private hospital or an underground clinic to deliver the baby. The baby's heart was already showing signs of instability, and it would take a few more hours for the baby to be born …
It sounds ridiculous, but it's the truth.
Zheng Ren shook his head. Some things could not be solved by medical technology and high standards.
However, Zheng Ren knew that this kind of thing was definitely not something he could solve, so he could only watch.
He found the second-hand room that Su Yun mentioned, opened the sealed door, and walked in.
"Boss, what's going on outside?" Su Yun stood in the assistant's position. An elderly doctor was pushed aside by him.
"What's wrong with the pericardium?" Zheng Ren asked instead of answering Su Yun's question.
"A liquefied pericardium. It's rare, right?" Su Yun said with a smile.
Zheng Ren's heart skipped a beat. Liquid qi pericardium? Why didn't the System give a diagnosis?
He glanced at the patient. The last item on the System panel showed the diagnosis of gas-liquid pericardium.
This is …
The patient was so lucky! Zheng Ren thought.
Generally speaking, pericardial effusion was more common, and the traumatic nature of the condition was very dangerous. Zheng Ren had encountered it a few times in Sea City. It was an emergency thoracotomy to open the pericardium under direct vision to decompress.
Pericardial effusion was not common. Traumatic pneumothorax combined with pericardial rupture without damaging the large blood vessels was a reasonable source of pneumothorax.
Then there were the side effects of anesthesia intubation and mechanical ventilation.
He knew that in the emergency department, there was no diagnosis of gas-liquid pericardium in the System panel, but it was on the operating table. It might have been caused by mechanical ventilation.
"Have you done it?" Zheng Ren asked.
"I'm repairing the diaphragm, so the tension is very high."
"Boss Zheng, you're here." Fang Lin put down the needle holder in his hand and turned around with a smile.
Zheng Ren did not speak to Fang Lin. He came over and took a look at the operating area.
The atrophy of the diaphragm was more obvious. His previous judgment was still very accurate.
The right diaphragm had been sutured with the help of the patch. Looking at the tension, there should be no problem.
Fang Lin's surgery was quite good. The chief resident of the 912 was slightly higher than the chief physician of Sea City General Hospital.
"Explore the alveoli, mediastinum, and pericardium," Zheng Ren said in a deep voice.
"The large alveoli in the lower lobe of the right lung had already closed during the second thoracotomy," Su Yun said.
"Let's check it out. Otherwise, there's no way to explain the pneumopericardium," Zheng Ren said.
Su Yun touched the pericardium with the hemostatic forceps and hesitated for a moment before saying, "The pressure on the pericardium is greater than before."
Without hesitation, he picked up the knife and cut open the pericardium.
If this were to happen off-stage or during transport, the patient would be in grave danger. However, on the operating table, a pericardiotomy to reduce the pressure could not be simpler.
Fang Lin did not say much to Zheng Ren. He began to perform a pericardial fenestration. The reduced pericardium was sent for pathological examination. A portion of the pericardial effusion was extracted with a syringe and sent for the relevant examination.
The volume of pericardial effusion was about 700ml, and the color was clear. The possibility of bloody pericardial effusion was ruled out.
Under normal circumstances, the chest cavity should be irrigated now. The surgery was about to end.
But when he flushed the chest cavity, he found a small amount of gas leaking out.
Fang Lin and Su Yun searched the stage for a while and finally found the problem in the mediastinum.
A small sinus was formed between the trachea and the pericardium. The strange thing was that there was a passage in the small sinus that led to the chest.
During the transport process, the patient had a small amount of pneumothorax, which could be explained by this. Because the patient's body was weak and his lung ventilation was insufficient, there was no large amount of gas-liquid pericardium.
However, during anesthesia, accompanied by mechanical ventilation, the patient's ventilation increased, and a portion of the gas entered the pericardial cavity, forming a gas-liquid pericardium.
There was nothing special about the condition, at least in Zheng Ren's opinion. But this patient … One surgery after another was like facing the God of Death who had disappeared without a trace.
It was the first time Zheng Ren had seen such a complicated hernia that led to the appearance of a gas-liquid pericardium.
Even in the vast number of medical magazines and papers, there was no mention of related cases.
However, it was good that the problem had been found. The following surgery was not difficult. It was just to remove the sinus and eliminate the hidden dangers.
"Boss Zheng, this patient is really lucky." Fang Lin sighed when he was about to close the chest after repeatedly washing the chest cavity and finding no problems.
"It's good that he's fine. Hurry up and close the chest." Su Yun used the closure device to clamp the ribs on both sides and began to screw the screws to close the closure device.
Suturing was the most basic. However, Su Yun seemed to have not performed thoracic surgery for a long time. He did not even let go of this small opportunity for surgery. The people who were studying at the side looked helpless, but they could not say anything.
Fortunately, there were a lot of surgeries in 912. If they had the heart to do it, there was no shortage of surgeries.
The biggest problem here was that their bodies could not keep up. If he performed every surgery, he could spend all his time on the operating table except for eating and sleeping.
After eliminating the hidden dangers, the atmosphere relaxed. As they chatted and laughed, the anesthesiologist told Su Yun and Fang Lin about the pregnant woman who was about to give birth.
Everyone unanimously judged that there was a high probability that something would happen. This kind of thing, two lives in one body, that obstetrician would be in big trouble.
"When I was interning, I met a family member who told the doctor that if it was a girl, he would also ligate the right fallopian tube of the pregnant woman," Su Yun said with a cold smile.
"Uh … Why?" Zheng Ren was stunned.
Could one side of the fallopian tube be closed just like that?
"Because the male is left and the female is right," Su Yun said. "If the right fallopian tube is closed, the next time she will be able to give birth to a boy."
"…" Zheng Ren was speechless.
Although he had been in the clinic for so many years, when he encountered similar patients and cases, he would still have a very absurd thought.
..
..
Diaphragmatic hernia complicated with gas-liquid pericardium. The New England Journal had mentioned a case report. It was a patient in Argentina.
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