Chapter 1229

"The patient now has black stool, the return comes out, and the occult blood is positive." Zhu Liangchen added after "reporting" the medical history.

This is the result reported by his deputy director just now. There is nothing to hesitate. The diagnosis is very clear. The patient has lower gastrointestinal bleeding.

Postoperative occult blood is positive, there are countless considerations. However, after interventional surgery, it is not liver interventional surgery. The patient has the problems of splenomegaly, liver cirrhosis and gastric varices. It is too rare to have positive occult blood.

If he can't find the problem, Zhu Liangchen feels he can't sleep.

Zheng Ren was not as polite as when he entered the house. While listening to Zhu Liangchen's treatment, he stared at the film.

Habitually, Zheng Ren's right hand held his cheek, his left hand under his right armpit, and his eyes narrowed.

After reporting the medical history, Zhu Liangchen also watched the film.

This is not the latest film. Will boss Zheng directly say no and make a film later? But what kind of examination should I do to find out? Gastrointestinal endoscopy?

Zhu Liangchen thought of countless possibilities. Fortunately, he reported to him at home. The patient was in a stable state and the blood in his stool was not aggravated, so he was a little relieved.

After ten minutes, Zheng Rencai said, "CT is not very clear."

Zhu Liangchen's heart is half cold. This is Taiji Kung Fu. It's a drag. Experienced doctors can do it.

Boss Zheng doesn't know, or is he perfunctory?

But as soon as the idea in his heart began, Zheng Ren continued.

"But the ulcer surface at the pylorus has been shown."

"..." Zhu Liangchen and director Kong frowned.

CT can't see hollow organs, such as gastrointestinal tract. If there is a huge solid tumor, CT can also be seen, but the patient is not a tumor.

"Director Zhu, I don't know if you noticed that the patient's stomach wall expanded." Zheng Ren continued.

"I noticed. I think it was caused by embolization of some arteries, insufficient blood supply and slow gastric emptying." Zhu Liangchen said immediately.

Zheng Ren shook his head and said, "the problem really lies in the slow gastric emptying. Give me the medicine after the operation and the doctor's advice."

Zhu Liangchen did not refute this, but took out his mobile phone and transferred the doctor's orders for taking photos.

It is necessary to have a begging attitude. Moreover, just after Dr. meihar came to see the film, Zhu Liangchen was completely shocked by the scene of a row of foreign experts standing against the wall.

He had no other ideas and knelt thoroughly.

After reading Zheng Ren, he had a comprehensive treatment plan in his heart. He paused and said, "director Zhu, go back and check a gastroscope and remember to take a biopsy."

"Biopsy?" Zhu Liangchen was stunned. Did he encounter a rare malignant tumor? No, I haven't seen the film so many times.

Zheng Ren just said to himself that the pace was slightly slow. Unexpectedly, Zhu Liangchen thought so many things at this moment.

"Biopsy tissue for bacterial culture." Zheng Rendao.

"Bacterial culture? What do you suspect?" Zhu Liangchen wants to ask, Helicobacter pylori? That's bullshit.

"Are you familiar with the laboratory?" Zheng Ren suddenly asked.

Even Su Yun felt that his boss was haunted. Did he expand into outer space after communicating with Dr. mehar?

"OK."

"When sending samples, director Zhu, you should personally greet the acquaintances of the laboratory department. It's not an ordinary bacterial culture. It depends on whether there is gastric octococcus." Zheng Rendao.

"..." Zhu Liangchen was speechless.

"...." director Kong was speechless.

Only Su Yun's eyebrows were light and seemed to think of something.

"Boss Zheng, what's that?" Zhu Liangchen really doesn't know whether boss Zheng is making trouble for himself or really what. He came here today to apologize. Boss Zheng greeted him with a smile. It's a special face. So he can only ask in a low voice and dare not say anything else.

"Gastric octococcus is often stacked regularly with eight bacteria in a cube. It is a micro oxygen resistant bacterium, which is easy to be isolated from the soil. In addition, it can also be found in the gastric contents of patients with gastric diseases."

Zheng Ren pointed to a section of the film with uneven density and said, "here, I think it's pyloric ulcer. The area of the ulcer surface is not small."

"The growth of gastric octococcus in human stomach leads to some pathological changes, such as pyloric ulcer and pyloric stenosis, resulting in the slow flow of food to the intestinal tract. Under this abnormal condition, the stomach is in acidic conditions, and the carbohydrates and other nutrients contained in the food promote the rapid proliferation of gastric octococcus."

Zhu Liangchen was stunned and asked in a trance, "then?"

Zheng Ren was also surprised. He looked at Zhu Liangchen sideways, as if he saw something difficult to understand.

"Boss, all the doctors involved are from imaging." Su Yun whispered a reminder.

"Oh, oh." Zheng Ren suddenly.

Director Kong and Zhu Liangchen felt as if they had been slapped in the face. They really wanted to beat Su Yun on the ground.

Isn't he a doctor?

"Professor goodsir first found gastric octococcus in the patient's stomach in 1842. Professor Ferrier also found its presence in the patient's blood in 1872 and believed that its presence in the blood was related to the delay of gastric emptying." Zheng Ren then explained.

"Director Zhu doesn't know that it's normal. The most common Department of clinical octococcus is general surgery, not even gastroenterology."

"General surgery? Why?" Director Kong asked.

"Because of the previous gastric banding operation, in general, the possibility of postoperative gastric octococcus is quite large." Zheng Ren smiled, "so I say that the paper of Johns Hopkins Hospital is debatable. That's why."

"That paper did not mention how to prevent and treat gastric octadecoccus after operation, nor did it mention any complications, but said that the long-term effect was better."

"I still want to wait for Dr. mehar to go and think about it, but director Zhu started first." Zheng Ren said very seriously. Anyway, there was no mockery in his tone. Zhu Liangchen was upset.

I really want to have an attack. I feel suffocated if I don't have an attack. In particular, seeing Zheng Ren's simple and honest face made him helpless. Zheng Ren is not deliberately mocking himself, which Zhu Liangchen knows.

But the more so, the more it seems that what he has done before is extremely stupid.

Director Kong smiled bitterly. It turned out to be a common complication after gastric banding surgery. No wonder that guy Su Yun would remind boss Zheng that he was involved in imaging.

I haven't done gastric banding surgery. Who knows what shit gastric octococcus.

Thinking, director Kong couldn't stop scolding his mother.

This is an insult to the intervention doctor, but... Others are right. What can I do?

Director Kong sighed.