Chapter 2193 Massive Hemoptysis

In the following days, Zheng Ren was busy flying.

Ranko arranged for a weekly batch of doctors to receive training. Regarding the training in this area, Su Yun brought Linge in by the way, so that the 912 Science and Education Department could follow suit.

Although the truth of the matter is known to everyone, it is really grand to tell this kind of thing. Not to mention 912, this kind of situation has never happened even in major tertiary hospitals across the country.

Groups of doctors from all over the world came to 912 for training, and those who didn't know were shocked, thinking that the technical level of 912 had reached the interstellar level.

Zheng Ren also had a lot of surgeries on this side. After a period of fermentation, the number of live-streamed surgical procedures such as Gaucher's disease and surgical resection after interventional embolization of liver cancer began to increase.

I don't have time to read in the afternoon, and I have to do live surgery.

Zheng Ren didn't think much about this, the surgery was routine, and he just went to the operating room of the system to see if there were any rare cases before the surgery.

This is just in case, although "wasting" some surgical training time, Zheng Ren believes that this must be done.

Day by day, the weather is getting hotter.

As the weekend approached, the group was already buzzing, and there were hundreds or thousands of messages about going out every day.

Zheng Ren didn't even bother to look at it, he just waited to notify himself.

As the team leader of the medical team, Zheng Ren knew that he had absolutely no say in this kind of issue.

After the TIPS operation in the morning, Zheng Ren was a little relieved.

Lin Yuan's talent is still good, and the polishing of dozens of operations has taken shape very quickly.

After finishing the last operation, Zheng Ren didn't explain the details of the operation to Fu Guier and Lin Yuan, and stood up directly to change clothes.

More than ten minutes ago, Su Yun received a call from Fang Lin, saying that there was a patient with hemoptysis who needed consultation.

Because the operation was not over, Su Yun went first.

"Boss Zheng, where are you going?" Lin Yuan asked in a hurry after handing the patient to Gu Xiaoran.

"Consultation." After Zheng Ren finished speaking, he went straight into the locker room to change.

Knowing Boss Zheng's speed, Lin Yuan couldn't catch up with him at all, so he stared angrily at his back and got angry.

You can't just break into the men's locker room, right?

Zheng Ren changed his clothes and strode towards the Department of Respiratory Medicine.

Fang Lin took a look and was a little uncertain, so he asked Su Yun for help. This kind of model of not finding a second-line professor in the hospital is actually very rare, and strictly speaking, it does not conform to the diagnosis and treatment procedures.

But it doesn't matter, it's just a hotline for relatives and friends, if Boss Zheng and Su Yun can't solve it, then go through the normal procedure. But if that's the case, I'm afraid it will be a big problem. At least Fang Lin didn't believe that there were still cases that neither Boss Zheng nor Brother Yun could solve.

When he came to the Department of Respiratory Medicine, Zheng Ren called Su Yun.

Su Yun poked his head out of the doctor's office and waved.

"What patient?" Zheng Ren asked.

"Hemoptysis." Su Yun's expression was a bit solemn, "It happened twice before, 5 years ago and 3 years ago, with pleural effusion. He was treated for inflammation at the local hospital, and was discharged after improving."

"This time was 3 days ago, because of sudden chest pain and tightness after exertion. I went to the local hospital for treatment, and the local doctor gave a comprehensive examination, suggesting pneumonia. 9 hours ago, this patient suddenly developed massive hemoptysis. He coughed up bright red blood for about 350 days. Milliliters."

"A referral?" Zheng Ren walked into the office and glanced at the person in front of the film reader, where Fang Lin was watching a film.

"Well, the patient didn't pay attention to it the previous two times. This time he had a lot of hemoptysis, which frightened him. The local doctor used 120 and sent him directly to the Department of Respiratory Medicine of our hospital."

Zheng Ren walked to the film reader and began to read the films.

A large area of ​​shadow in the right lung, a typical manifestation of inflammation. If it is a simple cough, sputum, and fever, it can be diagnosed as pneumonia, which looks like lobar pneumonia, which is relatively rare now.

With the improvement of the level of antibiotics and the improvement of medical level and health care awareness, the typical lobar pneumonia in textbooks has rarely appeared clinically.

Moreover, it is extremely rare for lobar pneumonia to cause hemoptysis.

"Boss Zheng, here we come." Fang Lin moved to the side to get out of the way. He has watched the film many times, and he has doubts and preliminary diagnosis.

It's just that neither Fang Lin nor the hospitalization in the Department of Respiratory Medicine can give a reasonable and definite diagnosis.

Zheng Ren was not polite either, standing in front of the film reader with his arm resting on his cheek, watching the film seriously.

Inflammation looks severe, and increased density can be seen next to the bronchus in the right lower lung.

The first thought was pneumonia, but Zheng Ren immediately denied the diagnosis.

This film is indeed very weird. Zheng Ren watched it for nearly five minutes, but in the end he didn't give any accurate answer.

"Boss Zheng, what do you think?" Fang Lin asked.

Zheng Ren didn't speak, but just shook his head.

Su Yun said, "Hemoptysis, possible diagnoses include bronchiectasis, tuberculosis, pulmonary embolism, and tumors. Pneumonia also has a small amount of hemoptysis, but it is rare to cough up hundreds of milliliters at a time."

What he said is the same as if he didn't say it. In fact, Su Yun didn't understand it at the first time, but was brainstorming.

He spoke casually, without distraction at all.

The basic theoretical support is as solid as his appearance.

"It may be bronchial stones, but there are problems with the shape and density of the stones." Zheng Ren shook his head, and then said cautiously, "Is there any other examination?"

"It's being done." Fang Lin said, "I think it's more likely to be bronchial stones. I suggest a thoracotomy. If no problem can be found, I can only cut the lower right lung."

Zheng Ren thought about it carefully, and shook his head again. He didn't agree with Fang Lin's statement.

Cutting the lung lobes should not be done unless it is absolutely necessary.

The operation is simple, not to mention himself, if Fang Lin does it, the anesthesia time and anesthesia recovery time are almost 2 hours.

But that is traumatic treatment, simple and brutal, and the cost is that the patient will lose a lung lobe forever.

"Boss, the initial judgment should be a foreign body in the trachea." Su Yun said while watching the film.

"Well, Fang Lin also considered the foreign body in the trachea that has been around for a long time. But the density and length of the foreign body are very strange, and there is thick juice and bleeding around it. Use a bronchoscope...Fang Lin, you are afraid that using a bronchoscope will cause serious problems. lead to more problems."

"Yeah." Fang Lin nodded.

Internal hemorrhage in the lungs, only part of it can be coughed up. More will remain in the patient's lungs, just as a drowning man sucks water into his lungs.

Take a look with a bronchoscope. In case of heavy bleeding at that time, the mirror is inside, resulting in increased pressure or poor outflow, and more problems may occur.

Therefore, Fang Lin is going to choose the treatment method of thoracotomy and lung resection.