Chapter 1848 Made a Big Mistake (Monthly Ticket 34500 Plus More × 69)

CT shows: The scanning location resembles a bronchus truncation in the upper lobe of the right lung, and the upper lobe of the right lung presents a wedge-shaped high-density shadow with uneven inner density, round low-density shadow and punctate calcification. Mediastinal lymph node enlargement with calcification. The left bronchus was patent.

"Lung torsion, prepare for emergency surgery." Su Yun said with certainty.

"Brother Yun, I think it's also lung torsion, and I'm about to report to the second-line professor." Fang Lin said with a smile.

But seeing Zheng Ren still watching the film, he was a little puzzled.

"Boss Zheng? What do you think?" Fang Lin asked.

"Lung torsion is very likely." Zheng Ren said with certainty, "But the differential diagnosis is difficult to differentiate from localized pleural effusion, atelectasis, intrapulmonary hematoma, and coagulated hemothorax."

"It's not all the same, tell me, which situation does not need to go on stage?" Su Yun said disdainfully.

"Isn't it about diagnosis? If it's about surgery, it can be done directly." Zheng Ren still watched the film, ignoring Su Yun's provocation.

"You are too cautious." Su Yun said: "Standing up and lying down, it is obvious that there is movement in the high-density area. This is the most definite diagnosis."

"Limited pleural effusion is fine too." Zheng Ren watched the film with his chin resting on his hands.

"There is a difference."

"I know." Zheng Ren said, "Fang Lin, is the patient's family saying that the condition is urgent?"

"It should be fine. There is no vascular blockage for the time being, leading to venous return obstruction and pulmonary parenchymal congestion followed by signs of venous infarction or gangrene. However, Mr. Cui from the emergency department was very anxious and asked Mr. Zhou to bring the patient's family directly, saying that he was hurrying up." Surgery." Fang Lin said.

"Then do a chest dynamic X-ray, the diagnosis is clear, and the stage will be opened immediately." Zheng Ren said.

Su Yun also knew that thoracic artery fluoroscopy is the best way to diagnose pulmonary torsion, but the images of patients should not be too standard, although spontaneous pulmonary torsion is rare. But no matter how you say it, there should be nothing wrong with going straight to the knife.

Is it really necessary to be so cautious?

But as my boss said, I still did it. It seemed that I owed him a convincing just now, if this guy thinks about it and uses this sentence to beat himself...

Su Yun didn't dare to continue thinking about it.

"Fang Lin, we are here to see a patient with a double esophagus. When can a patient with lung torsion be hospitalized?"

"If there is no traffic jam, it will take about an hour." Fang Lin said.

"Well, come on stage and tell me, I'll take a look." Zheng Ren said.

"Okay."

It was just a stand operation, Fang Lin had no reason to refuse.

After taking a look at the patient with double esophageal deformity, he went through all the medical records and test sheets, and Zheng Ren used the system panel to compare again.

With confidence in my heart, I decided to have surgery tomorrow, so I left the thoracic surgery department.

Back in the department, Liu Zewei was busy correcting the case with a bright plate on his head. Chang Yue went to communicate with the patient's family, while the professor was sorting out the data of the TIPS operation.

Because more and more doctors have learned the new TIPS operation, the number of operations has skyrocketed. Apart from operations, Professor Rudolf Wagner has devoted almost all his energy to sorting out relevant materials.

"Boss, the patient with lung torsion seen just now, will there be thrombus transfer when the torsion is released?"

"It's possible. You have to be very careful when performing surgery." Zheng Ren said, "It can't be done with a laparoscope, and the level of detail is still a bit poor."

"By the way, your laparoscopic skills are good, so why are you so unconfident about laparoscopic surgery?" Su Yun asked.

"It's not that I don't have confidence, but that I have more confidence in my hands." Zheng Ren said, "Did you notice what Dr. Charles said later?"

"As soon as you touch it with your hand, you know what strength to use to suture?"

"Well, that's the sentence." Zheng Ren said: "Although the damage of laparoscopic surgery is small, laparoscopic pliers are not comparable to hands after all. If you can take this into account from the benefits you have collected from Chu Nuang Sai If it is used, perhaps the laparoscopic technology can be further improved.”

"Stop talking nonsense." Su Yun said: "There must not be many people who can grasp this point. I have just touched the threshold, and it may not take long to get over it. Do you expect others?"

"Yes, it's always good. Don't talk about surgery, just talk about interventional surgery. The touch is very important." Zheng Ren said.

"No wonder you can realize this because the interventional surgery was done well?" Su Yun seemed to have found something.

"It should be." Zheng Ren insisted, "Interventional surgery is very dependent on the touch, especially after reaching a certain level. If you do too much, you will use the surgical side before you know it."

"It seems that Dr. Charles is more talented than you. He doesn't know how to do interventional surgery, but he has also touched the threshold of hand feeling." Su Yun also understood the reason.

"Definitely." Zheng Ren said: "I belong to analogy, because I have the strongest interventional surgery as a foreshadowing, so I can understand this."

After Su Yun heard that Zheng Ren said the strongest interventional operation, he immediately wanted to retort. But when the words came to his lips, they stopped abruptly.

Is this sentence wrong?

That's right!

He is the strongest interventional surgeon himself, and he can't even find a similar example.

"Feel..."

"For example, if you touch the intestine, you can know how hard to peel it off, so as not to cause complications such as intestinal rupture and intestinal perforation." Zheng Ren talked about his experience.

Su Yun was silent and nodded.

This is a brand new field, and Su Yun can only vaguely understand what Zheng Ren is talking about, but he still has a long way to go before realizing this and using it in surgery.

Thinking about it, Su Yun was a little confused.

Recently, I have been concentrating like never before and working harder than before, but why do I feel that the distance between myself and my boss is getting farther and farther?

"You guys are back." Chang Yue came back from the ward and greeted Zheng Ren and Su Yun chatting, "Yi Ren seems to be a little upset, Mr. Zheng, be careful."

"..." Zheng Ren felt a thunder falling from the sky.

"Huh?" Su Yun glanced at Chang Yue and asked, "Why?"

"If you don't eat at noon, you will disappear without a trace when it's lunch time." Chang Yue was busy when she sat down.

"Isn't there something wrong with the emergency department?" Su Yun didn't care.

"You don't reply to text messages, don't you know how big a deal this is to a girl?" Chang Yue turned her head, adjusted her glasses, and gloated at Zheng Ren.

"..." Zheng Ren just remembered. After stepping down from the stage, he went to the emergency department. He listened intently to Su Yun's lecture to Zhou Litao, and then he did the differential diagnosis of amoebas. He even forgot to look at his phone!

Although Zheng Ren's emotional intelligence is not high, or he is too lazy to think about it. But he knew that he would not reply to his girlfriend's message, this mistake was too big!

Zheng Ren felt a chill go down his spine, and his whole body was frozen.