Chapter 1130

"Zheng Zong, what patient? Car accident?" Feng Xuhui asked while driving back to the first municipal hospital.

"No, Mr. Wang said it was Crohn's disease. He suddenly had abdominal pain. The abdominal pain was very severe and I suspected that there were acute ischemic changes in the intestinal tract. Let me go back and have a look. If I can't keep it, I'll have an emergency operation to cut the intestinal tract."

"Crohn's disease?" Liu Xiaojie was stunned. This is a very difficult problem in gastrointestinal surgery. During her internship at school, her teacher told her that the most difficult disease in gastrointestinal surgery was Crohn's disease.

And the ranking is very high, and the degree of difficulty is at least the top five.

"Is Crohn's disease complicated with intestinal obstruction?" Liu Xiaojie asked.

She has seen similar cases, and when she speaks at this time, she also wants to leave an impression on President Zheng. Otherwise, after playing soy sauce all night, don't forget that President Zheng doesn't know who he is tomorrow.

"Consider not." Zheng Ren said lightly, "if you have intestinal obstruction, President Wang will say it directly. Go and have a look. You can't speculate now."

"Xiao Feng, do you have the vascular intervention supplies?"

"Yes, yes." Feng Xuhui hurriedly said, "the complete set of vascular intervention consumables is not large in quantity, and the box can't fit, but the variety is definitely enough. However, it's much better for Xiao Liu to add in. It's much better to bring more boxes tomorrow."

"That's good." Zheng Ren smiled, "thanks to you this time. If it weren't for you, you would have to cut your intestines."

"You see what you said, I'm an errand runner. I know what surgery you can do. I'm afraid of this situation, so I've prepared one. If the patient is saved, it's your diagnosis and surgery. It has nothing to do with me." Feng Xuhui quickly politely refused Zheng Ren's praise.

Zheng Ren didn't continue to talk. The car soon drove to the emergency building of Haicheng first hospital. Zheng Ren said hello, got off and rushed directly to the emergency ward.

"Mr. Wang, how is the patient?" Entering the office, Zheng Renjian asked President Wang when he saw the film.

"Boss Zheng, you're back so soon!" President Wang said, "here is the film. Take a look first."

Zheng Ren stands in front of the film reader, habitually puts his left hand under his right armpit, holds his cheek with his right hand, and watches the film.

The film is an ordinary abdominal CT, and not much information can be obtained from it. Zheng Ren found the existence of superior mesenteric vein thrombosis after vascular reconstruction in his mind.

The patient had branch thrombosis of superior mesenteric vein, complete occlusion of left and right portal vein, obvious ischemic thickening of small intestine and portal vein thrombosis.

This... Is a little tricky.

But it's just tricky. As long as Feng Xuhui brings consumables, Zheng Ren can have surgery. After all, the branch of interventional surgery just reached its peak a few days ago. Zheng Ren has a bird's-eye view of the existence of all interventional doctors around the world.

Even if interventional surgery can't be done, intestinal resection can be done.

"Boss Zheng, how to judge?" Mr. Wang asked.

"The preliminary consideration is superior mesenteric vein thrombosis complicated with portal vein thrombosis." Zheng Rendao.

Mr. Wang was dumbfounded.

Is it diagnosed only by an ordinary CT of the abdomen? He knows that boss Zheng has a high level of diagnosis, but he still has doubts.

Doubting everything is the most basic characteristic of a doctor.

"Go and see the patient." Zheng Rendao.

President Wang nodded. Although he did not believe Zheng Ren's diagnosis, it was necessary to see the patient before the operation, and at least one exploratory laparotomy was indispensable from the state of the patient.

A group of family members gathered around the door of the rescue room and walked anxiously. The uneasy breath could be felt from a distance.

Seeing president Wang coming out, the patient's family members began to gather around him and asked anxiously about the situation.

"Mr. Wang, you are a professor of 912. Can you tell me if this disease can be cured?"

"Yes, you must have an operation."

President Wang nodded. Surgery is necessary. Whether boss Zheng's diagnosis or his own diagnosis; Whether it is interventional surgery or open intestinal resection, we must do it.

"I knew it!" A patient's family member said: "the operation can suffer. The old man is very hungry. I gave him some delicious food when he came. Otherwise, the operation will take a long time..."

"What are you talking about?!" Mr. Wang almost yelled.

"..." Zheng Ren is also very speechless. Did he have dinner? We're all coming to the hospital. Give the patients a woolen meal. Now there are many things. The risk of anesthesia has doubled. After surgery... In short, there are countless dangers because of this meal.

"Yes." The family members didn't see Wang's ferocious expression at all. He said slightly proudly, "I've seen others have surgery and can't eat or drink water for two or three days after surgery. President Wang, if you say that good people can't eat for two or three days, you can't be hungry. So I fed the old man something to eat."

"What did you eat?" President Wang's expression was slightly ferocious and asked fiercely. I don't know if he has greeted this relative in his heart for a long time. In short, his expression looks scary.

Zheng Ren shook his head and walked into the emergency room.

Behind him came the voice of the patient's family: "two dumplings filled with fresh shrimp, a small bowl of wonton, seafood porridge..."

At least seven or eight things, Zheng Ren is also very confused. It is said that there are problems with superior mesenteric vein embolism, intestinal venous blood reflux, and local tissue congestion and edema. Patients with severe abdominal pain, why can you eat so many things?

Is it fear?

Who knows, there are many strange patients in the hospital, and many people can't use logic to analyze them.

Entering the emergency room, the nurse was preparing the skin.

Zheng Ren glanced at the patient system panel and gave the diagnosis consistent with his own analysis - the diagnosis of superior mesenteric vein embolism, portal vein embolism, Crohn's disease and other chronic diseases.

Zheng Ren began physical examination and found typical signs of peritonitis. He also admired the patients. They all hurt so much. How could they eat so much? A good man can't eat so much at night. (Note 1)

strange happenings.

"Hello, you are a student from President Wang." A family member asked.

Zheng Ren knew that he looked young and was easily regarded as a little doctor, so he despised him. But I'm used to it, and it's nothing.

"No." Zheng Ren lightly replied.

"Where's your teacher? What's wrong? Look at my father's pain!" The patient's daughter just asked and answered herself, and didn't listen to Zheng Ren's answer at all.

"President Wang explained his condition to others outside. Because the patient ate, surgery may encounter great risks." Zheng Ren said.

"What?!" The patient's daughter raised her eyebrows.

……

……

Note 1: once a little nurse had appendicitis and ate a lot of things before operation. When he was on stage, the old director who had died had a black face and was probably scolding his mother in his heart.