Chapter 2789 No Need for Surgery
After driving a car, Su Yun suddenly remembered something, he said to Fan Tianshui: "Old Fan, go and look at that machine."
"Okay." Fan Tianshui never asked why. Zheng Ren thought this habit was very good, but Su Yun felt very awkward. You have to explain a few words, or else your unconstrained ideas are not for the blind to see.
After getting into the car, Su Yun said, "Boss, do you know what I'm worried about?"
"Speak." Zheng Ren just wanted to go to the operating room of the system to take a look, but was called back by Su Yun. He was very upset and his tone was a bit harsh.
"Never underestimate their shamelessness. If no one is watching, they dare to take the juicer away. Believe it or not."
"I don't believe it." Zheng Ren said, "The oranges have already been sent for inspection, so it's clear at a glance if there is anything wrong."
Su Yun shrugged his shoulders, not agreeing with Zheng Ren's words.
After quieting down, Zheng Ren entered the system space, clicked to purchase surgery training time, and the system operating room rose from the ground, and he got in directly.
The test subject was lying on the operating table, had undergone closed chest drainage, and laparoscopic equipment was placed beside it.
According to Fang Lin's phone call, the patient was routinely sent for CT examination after getting off the chest bottle, and then came to the emergency department because of a ruptured spleen. At this time, when the CT image came back, it was found that there was torsion of the heart and great blood vessels, and the heart was still completely torsion.
It is estimated that Fang Lin thought it was dextrocardia at first, but after consultation on stage, it was considered that it was caused by trauma.
Zheng Ren first read the relevant inspection report, and then repeatedly confirmed that he was in the system space. He didn't try to have a splenectomy. This kind of "minor" operation is no longer a big deal for Zheng Ren.
It is only serious to dissect the experimental body to see the position and situation of the twist.
There are many papers on cardiac torsion, most of which are caused by the damage to the physiological structure of the heart when the lung cancer of the left or right lung undergoes pericardial resection.
The process is 6-12 hours after the operation, insufficient gas exchange occurs, and then the patient goes into shock, and the doctor can only find out after checking the echocardiogram.
At this time, if a bedside chest X-ray is done, it will indicate that the heart has herniated into the chest cavity, and pulmonary edema is complicated. If the thoracotomy is performed again, it can be confirmed that the apex of the heart has herniated into the chest cavity.
Postoperative cardiac torsion is difficult to detect in time, so most patients with this complication die of respiratory and circulatory failure soon.
After dissecting the test body, Zheng Ren discovered that the heart was displaced to the right chest cavity after a 90-degree twist.
This kind of situation is simply too rare. There are some reports of dextrocardia caused by surgical blows, but it is extremely rare caused by trauma.
Zheng Ren had never seen such a case. It was miraculous in that the patient's heart twisted and shifted so far, but the patient was still conscious and alive.
The repositioning operation was not difficult, and Zheng Ren quickly completed the operation, with a completion rate of 110%.
According to the anatomy, Zheng Ren began to speculate that the body of the injured in the car accident was violently twisted, which caused the heart to rotate and deviate.
This speculation seemed logical, but Zheng Ren soon became suspicious.
He thought of another possibility—such a strange change did not happen at the scene of the car accident, but it might have happened a few minutes or even an hour later. The positive pressure formed by the air filling the chest cavity might be the cause of the heart displacement. push hands.
A traumatic pneumothorax on the left creates positive pressure in the chest cavity, which "pushes" the heart to the right and twists the heart in the process.
Zheng Ren felt that this judgment was possible, because the position of the heart on the CT image was somewhat different from the position and angle he saw.
The time difference between the two is relatively short, and the difference in such a short time is because the gas in the left chest cavity is drawn out and the pressure changes cause this to happen.
A bold idea appeared in Zheng Ren's mind - what would happen if he left it alone? Zheng Ren felt that this idea was a bit bizarre and weird at first, but the more he thought about it, the more reasonable it became.
Zheng Ren was a little wary of buying surgery training time again this time, but now that he is rich and powerful, he doesn't seem to care about the time wasted.
He first intubated the patient and performed general anesthesia.
Because the heart was displaced, Zheng Ren took every step carefully, for fear that any step would cause complications such as cardiac arrest of the experimental subject.
But he obviously thought too much, the condition of the experimental subject was very good, and the general anesthesia went smoothly.
First, splenectomy was performed with laparoscopic equipment, and the abdominal cavity was explored. After seeing that there was no active bleeding, Zheng Ren ended the abdominal operation.
It's just that he didn't choose to leave the system operating room after the operation, but "wasted" a lot of surgical training time squatting in the system operating room to observe the patient's state with echocardiography.
After waking up from general anesthesia, no ventilator was used to assist breathing. Zheng Ren monitored the echocardiogram every 0.5 hours.
Sure enough, as expected, the patient's heart slowly returned to its normal physiological and anatomical position without external force intervention. However, the vital signs of the experimental subjects were stable throughout the whole process, and the ECG monitoring did not even give an alarm.
After monitoring for a full 28.2 hours, the heart returned to its original position smoothly, and Zheng Ren let out a sigh of relief.
This means that I have more money now, and I can "waste" a certain amount of surgical training time to do this kind of experimental observation.
Weighing the pros and cons of the two, each has its own ideas. Now that Zheng Ren is at the peak level, he will naturally want to try some newer treatment methods. If you can do it without surgery, you will not have surgery. After all, no matter how small the operation is, it will be a blow to the patient.
Zheng Renye is no longer the same as the rookie who spent an hour or two on surgical training when he had a big pig's hoof a year ago.
After leaving the operating room of the system, Zheng Ren glanced at his energy level, it was full! The big pig's hoof is quite good, as long as it is in the system space, the energy value will recover very quickly.
It's just that I can't bear the consumption of the Eye of Reality, which is a bit regrettable.
What Zheng Ren can't forget is the Eye of Truth. At the beginning, he didn't expect that this skill would become the thing that he was most entangled in and loved and hated.
The car was cruising in the car river in the imperial capital, and when they returned to 912, the two of them took the fire escape and rushed to the operating room.
After changing clothes and entering the operating room, the faces of the people who came and went were solemn, and their walking voices were much lower.
Zheng Ren guessed that Director Xu should be in consultation, otherwise these medical staff would not be so quiet. Quiet means oppression, and working long hours in an oppressive atmosphere can drive you crazy.
Asking about the operating room, Zheng Ren and Su Yun strode in.
There were more than a dozen people standing inside, some were watching a movie, some were whispering. The patient was lying on the operating table with a pale face and blood pressure of 80/50mmHg. He was obviously a little scared when he saw more and more people in the operating room, and his eyes were full of fear and helplessness.