Chapter 2660 Strange Condition

"Huh?" Zheng Ren was taken aback.

"Uh..." Quan Xiaocao lowered her head and said in a low voice, "Boss Zheng, every time I practiced below, I thought I did a good job."

Zheng Ren nodded, this time he had a more intuitive judgment on Quan Xiaocao.

"But every time I go on stage, I'm afraid." Xiaocao said timidly.

"and after?"

"Once I asked Brother Yun, he said that you just give yourself a psychological hint and think that you are Boss Zheng." Quan Xiaocao said.

Zheng Ren didn't know whether to laugh or cry, this kind of psychological suggestion still needs to be built on a solid foundation. Quan Xiaocao's basic skills are solid, and she is always attentive. It seems that she is doing a good job in psychological hints.

"I tried..."

"Hehe." Zheng Ren looked at Quan Xiaocao, smiled happily, and said, "Then it's not so good to imitate even turning around and leaving the stage after closing the peritoneum."

"Uh... I learned this subconsciously." Quan Xiaocao's voice was already like a mosquito.

"Not bad, not bad." Zheng Ren said, "It's okay to think so in future operations that are sure. Let me ask you something."

"Ah? What?" Quan Xiaocao panicked again.

"When you looked at your spleen, what were you thinking about?" Zheng Ren asked.

"Obstruction of the branches of the internal splenic artery causes local tissue ischemia and hypoxia in the spleen and necrosis. There is no doubt about the diagnosis of splenic infarction."

"Continue." Seeing that Quan Xiaocao paused for a moment, Zheng Ren immediately said.

The child had to be smoked to go, and Zheng now had a certain understanding of her. Before I knew it, I didn't expect that I would influence so many people.

"Well……"

"Xiaocao, you can substitute it now, and I will listen to your judgment at that time." Zheng Ren said with a smile.

Lao He looked interesting, and asked in a low voice in Quan Xiaocao's ear, "Boss Zheng, can the music be louder?"

Quan Xiaocao knew that Lao He was joking, she finished the sutures, and then closed her eyes again instead of using final disinfection and covering materials for the incision.

Zheng Ren found it interesting to see Quan Xiaocao's concentration. He suddenly thought of Su Yun's appearance when he smoked.

Should I also study psychology?

But this idea is only fleeting. There are a lot of things going on recently, so it is better to wait for Xiao Shitou's condition to improve.

"About half of the patients with splenic infarction are asymptomatic." When Quan Xiaocao opened his eyes again, his voice became calmer, and the flustered appearance before was gone.

"A small number of small-scale splenic infarction may have symptoms such as low-grade fever and leukocytosis without pain; large-scale acute splenic infarction may cause sudden left upper quadrant pain, or full abdominal pain radiating to the left shoulder and back, which is aggravated when bending over or taking a deep breath. Nausea, vomiting, or dyspnea, high fever and other manifestations, symptoms can last for a week."

"Judging from the patient's performance when he was admitted to the hospital, the symptoms were not serious. Direct inspection showed that the scope of splenic infarction was not large, which further confirmed this point of view."

"So I think the patient's spleen can be preserved without splenectomy." Quan Xiaocao said with certainty.

"What if the embolism worsens after surgery?" Zheng Ren asked.

"Interventional angiography, catheter thrombolysis." Quan Xiaocao said without thinking, "The damaged area is not large, and it can be..."

It turned out that she even knew about this. When Zheng Ren listened to Quan Xiaocao's description of the extremely rare treatment process, Zheng Ren was slightly lost in thought.

The little guy has grown up so fast.

While thinking, Zheng Ren pressed sterile gauze on the incision, disinfected the surrounding area, and then covered the incision.

"Xiaocao, not bad!" Zheng Ren praised.

When Quan Xiaocao heard Boss Zheng praise herself, a flash of light flashed in her eyes.

"Okay, let's send the patient back." Zheng Ren said, "Spleen infarction shouldn't be a big problem. If something unexpected happens, please come to me immediately."

"En." Quan Xiaocao nodded vigorously.

Zheng Ren glanced at Xiaocao, and felt that Su Yun was not just messing around. Xiaocao belongs to the kind of doctor whose theoretical foundation is extremely solid, and his hands-on ability is not weak, but his shortcoming lies in psychological construction.

To put it bluntly, it is stage fright.

Letting her assume it was her was really effective.

"Old He, how is Brother Feng's side?" Zheng Ren turned and stepped off the stage, tore off the sterile clothes and threw them into the bright red sterile waste bucket, asking casually.

"Complete blood counts, myocardial enzymes and other laboratory tests, as well as imaging tests including head CT and transthoracic echocardiography, showed no abnormalities," Lao He said bluntly.

"What is the head CT scan for?"

"Brother Yun said that he has nausea symptoms, and head complications cannot be ruled out." Lao He said.

Zheng Ren nodded and walked out of the operating room.

"Blood pressure 81/52 mmHg, heart rate 41 beats per minute, Brother Yun has given targeted treatment, intravenous norepinephrine, and atropine."

"I watched the ECG monitoring when I left, and the atrioventricular block has changed from third degree to second degree."

"Has your heart rate changed?" Zheng Ren asked.

"Not significantly elevated."

Zheng Ren pondered, adult atrioventricular block is most common in patients with myocardial infarction. Unlike children, atrioventricular block often occurs for various reasons. However, Feng Jianguo's electrocardiogram showed no myocardial infarction, but a narrowing of the QRS waveform. Zheng Ren hadn't figured out what it meant.

He changed his clothes in silence, Lao He looked at Boss Zheng's preoccupied look, and carefully followed him aside.

There is a problem, inexplicable atrioventricular block. Zheng Ren clearly remembered that Feng Jianguo's previous system panel was very healthy, and the symptoms of atrioventricular block this time were not typical, and the dizziness could be said to be caused by insufficient blood supply.

So disgusting? Quan Xiaocao said that Feng Jianguo's self-diagnosis was caused by acute gastrointestinal dysfunction. Doctors' self-diagnosis, especially gastrointestinal surgery doctors' diagnosis of their own diseases, must have a basis.

Targeting things without a target...Zheng Ren doesn't really believe it.

What diseases are mainly gastrointestinal dysfunction, and sudden atrioventricular block?

Zheng Ren thought of two remote diagnoses, but then fell silent. The system panel has confirmed that there is no gastrointestinal problem, and I am biased.

Encountering this situation again, Zheng Ren was also very helpless. The big pig's trotters didn't speak clearly or clearly, and he had to guess the rest by himself.

He changed his clothes and slowly walked out of the dressing room in the operating room. Lao He was silent, and followed Boss Zheng in a white suit, slippers and shoe covers.

Boss Zheng was contemplating, and Lao He couldn't figure it out. Feng Jianguo is a typical atrioventricular block. Is it worth thinking about it? What is Boss Zheng thinking about?

But he still didn't speak, just followed along honestly.

"Old He."

"Eh."

"Help me ask the boss of the gastrointestinal tract whether he is hospitalized or resting at home."