Chapter 1597 A Big Worry

"Look here." Zheng Ren pointed at the film and said, "Typical manifestations of hepatic schistosomiasis. The imaging features of liver cirrhosis are incompletely divided liver cirrhosis. The liver surface is granular or nodular, and the nodule size is large. Different, the diameter is about 1 to 10mm.”

"A large number of worm eggs are deposited in the liver, especially in the small branches around the portal vein trunk, causing fibrosis around the portal vein trunk system, especially the 2nd, 3rd, and 4th grade branches, which is the so-called main line cirrhosis."

"The cut surface shows that there are white fibrous masses of different sizes around the stems and branches at all levels. Severe fibrosis can cause the occlusion of the stems and branches. The contraction of some masses can deform the liver. Not very clear."

"Yes, that's not exactly..." Su Yun said, suddenly stunned.

After 1.2 seconds, he suddenly said, "You mean the symptoms are too severe, like the portal vein is completely blocked, but the abdominal CT findings are different?"

Zheng Ren smiled.

It is easy to talk to smart people. He only mentioned a few points, but Su Yun can think of almost everything after that.

Don't talk nonsense at all.

"Yes, as you said, I think there is a heart problem." Zheng Ren then inserted the chest CT into the reader.

"There is a lot of fluid accumulation in both lungs, which makes it difficult to see in the pericardial cavity. But here, the density is wrong, and the heart shadow is also very large. Try to transform it, you can find that there is a problem in the right atrium." Zheng Ren clicked on the film, Said with some excitement.

Su Yun found that things were out of control.

He also found that the patient's heart shadow was very large, but his judgment was that the patient had heart failure, resulting in pericardial effusion and the expansion of the heart shadow.

The first diagnosis is definitely portal hypertension.

But Zheng Ren's diagnosis was completely contrary to his own diagnosis, but this was Su Yun's best field.

If you can't see it, it's too much.

Su Yun stared at the film, Zheng Ren said, "Bedside echocardiography."

After that, the operating room outside the ward was quiet.

Zheng Ren smiled and said it again in the local language. Only then did the doctors at the National Hospital understand that they were talking to themselves.

The patient vomits blood, what to do with echocardiography?

He had some different opinions, but just as he was about to say it, he immediately thought that this group of people were Gu Masters.

He didn't dare to put forward his own opinions and suggestions, and hurried to push the echocardiography machine.

Zheng Ren patted Su Yun and said, "Don't look at it, you'll understand with an echocardiogram."

Su Yun was a little distressed, and all he was thinking about was the image of Chu Nu Angsai's chest and abdomen.

Very typical upper gastrointestinal bleeding, portal hypertension, how can the boss judge whether it is a heart disease?

Could it be that he was blinded by the rumor that he was raising Gu insects with passion?

Su Yun pondered in his heart, and came to the ward with Zheng Ren.

A thin, dry patient sat on a bed, struggling to breathe oxygen from an oxygen mask.

Although the oxygen flow has been turned on very high, his lips are still blue and purple, and he is extremely depressed.

Seeing Zheng Ren walk in, the patient tried his best to take off his oxygen mask.

A young man beside him wanted to stop him, but he slapped him on the hand.

Although he was on the verge of death and had little strength, the young man quickly lowered his head in fear and kept admitting his mistakes.

"You are... Boss Zheng, right?" Chu Nuangsai asked with difficulty.

Zheng Ren nodded and said, "Is the symptoms of dyspnea serious?"

"Hello, Boss Zheng." Chu Nuangsai clasped his hands together and made a respectful gesture, "My junior brother was also impatient and used to being domineering, so please forgive me."

"Are you Chinese?" Zheng Ren asked curiously after listening to him.

"My ancestor is, I am of Chinese descent." Chu Nuangsai forced a grin, trying to express his kindness: "I originally wanted to invite you to come and see, Song En is too accustomed to me, but... Please forgive me. ."

After two consecutive excuses, Zheng Ren smiled.

"I'll check it for you, okay?" Zheng Ren asked.

"Please." Chu Nuang racetrack.

During the physical examination, Zheng Ren's procedure was simple and clean, like an operation, which was pleasing to the eye.

Soon, Zheng Ren completed the inspection, which confirmed his judgment.

The patient had orthopnea, obvious yellowing of the sclera, distended jugular veins, and hepatic neck reflux sign (+). Moist rales were heard in the right lower lung, abdominal distention, moving dullness (+), the xiphoid process and transverse fingers of the liver, and severe edema of both lower extremities.

The diagnosis given in the system panel, in addition to the typical portal hypertension, there is an incredible diagnosis - a foreign body in the heart!

Zheng Ren really didn't want to deal with these Gu Masters, and he didn't know what the benefit of getting their worship would be.

Insects, even if there is no intensive phobia, Zheng Ren feels a little afraid. Not to mention bugs, Zheng Ren was very careful even with the loach taken out by surgery in Haicheng.

But the Chu Nuangsai in front of him, in Zheng Ren's eyes, was not a master, but just a patient.

In the face of patients, even if you are afraid, you have to bite the bullet and see a doctor and treat it.

He took a deep breath and then asked, "Do you know your condition?"

"Boss Zheng, please take a seat." Chu Nuang Racetrack: "This is what I was about to tell you."

Zheng Ren nodded and sat on the chair by the bed.

The chairs are comfortable, and it seems that no matter which hospital you go to, they are a bit more high-end than the 912.

Zheng Ren also knew that this was incomparable.

"Boss Zheng, my ancestors are from Miaojiang." Chu Nuang Race Track: "It has been nearly a thousand years since I came to Nanyang."

"The ancestors inherited the secret method, because they have to use the blood of their hearts to nourish Gu, so they are often backlashed and become a big worry."

Saying that, he smiled reluctantly, "It's a big worry, it's really a big worry."

Maybe it was too excited, maybe it was involved somewhere, maybe it was because of the high oxygen consumption, and his breathing was deep immediately. Zheng Ren quickly put the oxygen mask on him, thinking about whether to put down a chest bottle first to drain the chest fluid. come out.

The National Hospital is also, how can it not deal with pleural effusion?

However, it could also be that the doctors on this side were afraid of Gu Masters. Chu Nuangsai wanted to see Boss Zheng for medical treatment, so they were too happy to ignore it.

After taking a few breaths of oxygen, Chu Nu Ansai felt better.

He took off his oxygen mask and said, "From my grandfather's generation, I began to think about how to improve it. After all, you also know that modern technology is advancing by leaps and bounds, and we have to keep up with the times."

Su Yun suddenly laughed.

Chu Nuang Sai smiled, raised his head and asked, "Brother, what's your name?"

"Su Yun." Su Yun smiled and said, "You are right. Traditional Chinese medicine, in the Republic of China, many concepts have not yet been proposed. Now, everyone thinks that it is passed down from old to old, but it is actually advancing with the times."

"Well, little brother is a sensible person." Chu Nuang said, "So, at the cost of three generations, I finally found the key to success."