Live Surgical Broadcast

Chapter 1129 Afraid of Starving, Eating a Lot

"Mr. Zheng, what patient? Is it a car accident?" Feng Xuhui asked while driving back to the first hospital in the city.

"No, Mr. Wang said it was Crohn's disease, and suddenly he had abdominal pain. The abdominal pain was severe, and he suspected acute ischemic changes in the intestines. Let me go back and have a look. If I can't save it, I will have an emergency surgery to cut the intestines."

"Crohn's disease?" Liu Xiaojie was startled, this is a very difficult problem in gastrointestinal surgery. When she was an intern in school, her teacher told her that Crohn's disease is the most difficult disease in gastrointestinal surgery.

And the ranking is very high, the difficulty level is at least the top five.

"Is it Crohn's disease complicated by intestinal obstruction?" Liu Xiaojie asked.

She had seen similar cases, and when she spoke at this time, she wanted to make an impression on Mr. Zheng. Otherwise, after a night of soy sauce, Mr. Zheng won't even know who he is tomorrow.

"I don't think so." Zheng Ren said lightly: "If there is intestinal obstruction, President Wang will say it directly. Let's go and see, we can't speculate yet."

"Xiao Feng, have you brought the interventional consumables for blood vessels?"

"I brought it, I brought it." Feng Xuhui said quickly, "The full set of vascular interventional consumables is not many, and the box cannot fit, but the variety is definitely enough. But it will be better if Xiao Liu comes in, I will bring more tomorrow. The box could be much better."

"That's good." Zheng Ren smiled, "Thanks to you this time, if it weren't for you, I would have to cut the intestines with a knife."

"Look at what you said, I'm an errand runner, and I know what surgery you can do. I'm just afraid of this happening, so I've prepared a copy. The patient was saved, it was you who made the diagnosis, the surgery, and I It doesn't matter." Feng Xuhui quickly and politely refused Zheng Ren's praise.

Zheng Ren did not continue to speak, and the car quickly drove to the emergency building of Haicheng First Hospital. Zheng Ren greeted him, got off the car and rushed to the emergency ward.

"Mr. Wang, how is the patient?" Zheng Ren asked when he saw that Mr. Wang was watching a movie when he entered the office.

"Boss Zheng, you came back so fast!" Mr. Wang said, "The movie is here, take a look first."

Zheng Ren stood in front of the film reader, habitually placed his left hand under his right armpit, resting his cheek with his right hand, and looked at the film.

The film is an ordinary abdominal CT, and there is not much information that can be obtained from it. After Zheng Ren performed vascular reconstruction in his mind, he discovered that there was a thrombosis in the superior mesenteric vein.

The branch of the superior mesenteric vein thrombosis and the complete occlusion of the left and right portal veins, the small intestinal intestinal canal was markedly thickened by ischemia and portal vein thrombosis.

This... is a bit tricky.

But it's just tricky. As long as Feng Xuhui brings consumables, Zheng Ren can perform the operation. After all, the branch of interventional surgery just reached its peak a few days ago, and Zheng Ren is already a bird's-eye view of all interventional doctors in the world.

Even if interventional surgery is not possible, bowel resection can be performed.

"Boss Zheng, how do you judge?" President Wang asked.

"The initial consideration is superior mesenteric vein thrombosis complicated by portal vein thrombosis." Zheng Rendao.

President Wang was dumbfounded.

Was it diagnosed only by an ordinary CT of the abdomen? He knew that Boss Zheng had a high level of diagnosis, but he was still suspicious.

Doubt about everything is the most basic quality of a doctor.

"Take a look at the patient." Zheng Ren said.

President Wang nodded. Although he did not believe the diagnosis given by Zheng Ren, it was necessary to see the patient before the operation, and judging from the patient's condition, at least one laparotomy was indispensable.

A group of family members gathered around the door of the rescue room, walking around anxiously, and the uneasy aura could be felt from a distance.

Seeing Mr. Wang coming out, the patient's family members began to gather around him and anxiously asked about the situation.

"Mr. Wang, you are a professor of 912, do you think this disease can be cured?"

"Yeah, I must have surgery."

President Wang nodded. Is surgery necessary? Regardless of whether it is Boss Zheng's diagnosis or his own diagnosis; whether it is an interventional operation or an operation to open the bowel to remove the bowel, in short, it must be done.

"I knew it!" said a family member of the patient: "It's a shame to have an operation. The old man is very hungry. When he came, I even gave him something delicious. Otherwise, the operation will take a long time after the operation. …”

"What did you say?!" President Wang said almost in a roar.

"..." Zheng Ren was also speechless, just had dinner? I have to come to the hospital to eat woolen rice for the patient. This time, there are many things. The risk of anesthesia has increased exponentially. After surgery... In short, there are countless dangers because of this meal.

"Yeah." The family members didn't see Mr. Wang's grim expression at all, and he said a little proudly: "I've seen other people have surgery, and they can't eat or drink for two or three days after the operation. Mr. Wang, you said it well. If people can't eat for two or three days, they must not be starving. So, I gave the old man something to eat."

"What have you eaten?" President Wang asked fiercely with a slightly grim expression. I don't know if he has already greeted this relative in his heart, but the expression looks scary.

Zheng Ren shook his head and walked into the emergency room.

The voice of the patient's family members came from behind: "Two dumplings filled with fresh shrimp, a small bowl of wontons, seafood porridge..."

Zheng Ren was also very confused about at least seven or eight things. It is said that the superior mesenteric vein thrombosis, the problem of intestinal venous blood return, and the serious congestion and edema of the local tissue. The patient has severe abdominal pain, why can he eat so much?

Is it out of fear?

Who knows, anyway, there are many strange patients in the hospital, and many people can't use logic to analyze them.

Into the emergency room, the nurse is preparing skins.

Zheng Ren glanced at the patient system panel, and the diagnosis he gave was consistent with his own analysis - the diagnosis of superior mesenteric vein thrombosis, portal vein thrombosis, Crohn's disease and some other chronic diseases.

Zheng Ren began a physical examination, typical signs of peritonitis. He also admires the patient. The pain is so severe, how could he be able to eat so much? If you were a good person, you probably wouldn't be able to eat so much at night. (Note 1)

Weird.

"Hey, are you a student given by President Wang?" a family member asked sternly.

Zheng Ren knew that he looked young and was especially easy to be regarded as a little doctor, and thus contemptuous. But I'm used to it, and it doesn't matter.

"No." Zheng Ren replied lightly.

"What about your teacher? It's okay to press anything, you see, my dad hurts!" The patient's daughter just asked and answered herself, and didn't listen to Zheng Ren's answer at all.

"Mr. Wang explained his condition to others outside. Because the patient has eaten, surgery may encounter great risks." Zheng Ren said.

"What?!" The patient's daughter raised her eyebrows.

...

...

Note 1: There was a nurse who had appendicitis and ate a lot of food before the operation. When he came to power, the deceased old director had a dark face at that time, and he was probably scolding his mother in his heart.

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