Chapter 1533

Feng Jianguo thought he had heard wrong, looked at Zheng Ren strangely and asked, "boss Zheng, what did you say?"

"Considering that the patient is myasthenia gravis, go to thymus CT or Mr immediately. If there is thymoma, you can make a preliminary diagnosis temporarily." Zheng Rendao.

Feng Jianguo saw Zheng Ren's eyes slightly narrowed and had been watching the film. He was a little confused.

He glanced and saw that Zheng Ren was not looking at abdominal CT, but lung CT.

This film can only show a small amount of inflammation in both lungs, nothing special.

How can you see a thymoma?

But Feng Jianguo belongs to the kind of person who has a clear mind.

Imaging. It's OK to look at the abdominal films. If you really want to look at the chest images carefully, the level is much worse.

"Boss Zheng, what's wrong with the thymus?" Feng Jianguo asked carefully.

"Flat sweep, can't see clearly." Zheng Ren said, "but in terms of imaging, the density here is wrong."

Zheng Ren ordered a film and continued, "if there is intestinal obstruction, the patient's signs are wrong. The abdominal tenderness is too light and doesn't feel like it."

Feng Jianguo hesitated, but he didn't question Zheng Ren's statement. Instead, he picked up his mobile phone and dialed Director Wei.

In case of major events, it's most normal to find the director to carry the pot.

Feng Jianguo finished the phone call and looked at the patient lying on the operating table. He felt a little difficult.

Do you want to throw the patient here and wait for the director?

He has never done such a thing.

Can you force the operation? I don't think I can beat boss Zheng.

It is said that a doctor in Xiangjiang Heyang hospital was slapped on the wall by boss Zheng. Later, he was expelled and raised. Now he doesn't know where he is.

But even if boss Zheng doesn't beat himself, he opens his stomach and sees that there's no big deal in his intestines. What should he do?

Direct wax!

When Feng Jianguo was in a dilemma, Zheng Ren said, "how long has Xinsi's Ming been given?"

"8 minutes." The anesthesiologist had detailed records and said immediately.

"We have to wait." Su Yun said: "but I think the patient's dyspnea has begun to ease. It's not as heavy as when he first came in."

Zheng Ren glanced back at the patient and nodded slightly.

Feng Jianguo knows that the positive neostigmine test is a common means to diagnose myasthenia gravis.

But after stopping the emergency operation and doing the neostigmine test on the operating table, boss Zheng is really confident.

Diagnosis and treatment is OK, as long as the patient is not still lying in the operating room.

"Boss, open your chest directly." Su Yun couldn't wait to say, "find Fang Lin to do thymectomy under mediastinoscopy and finish it in half an hour."

"Don't worry." Zheng Ren said calmly: "it's just a guess. Without thymus CT and MR, it's impossible to determine whether it's a thymoma or not."

"It must be here!" Su Yun pointed his finger on the film reader and banged.

These times seemed to knock on Feng Jianguo's heart. He immediately felt the symptoms of slight arrhythmia.

But Zheng rengen didn't care what Su Yun said and didn't watch the film. Instead, he turned around and held his arm to observe the patient's state.

After 5 ′ 12 ", Director Wei hurried up.

Just after the operation, he had to run up for urgent consultation. Director Wei didn't even have time to wear silk stockings.

"What's going on?" Director Wei asked directly after he came in.

Zheng Rengang wanted to say that when Feng Jianguo began to introduce his condition, he kept silent and continued to observe the patient's state.

Feng Jianguo briefly explained that the patient's condition was relatively clear. Director Wei glanced at Zheng Ren and felt a little strange.

The patients were sent to the operating table and shouted to stop directly. What's the difference between this and shouting to leave people under the knife in the Dharma field?

A doctor in the interventional Department stops gastrointestinal surgery in such a domineering way... Even if he has a good relationship at ordinary times, he has to consider his feelings.

However, Director Wei thought that if something happened to the patient, what would he feel.

Maybe boss Zheng is more confident about the diagnosis.

He carefully found the abdominal CT film and inserted it into the film reader.

Typical intestinal obstruction! Director Wei was puzzled.

Another look at the film of gastrointestinal radiography confirmed this point.

"Boss Zheng." Director Wei said in a deep voice, "are you sure?"

"Can you hear me? Open your eyes again and open them hard!" Zheng Ren said.

Director Wei was slightly angry. He was too familiar with boss Zheng. On the operating table, he even asked himself to open his eyes and watch the film!

incorrect!

The anger was extinguished by Director Wei as soon as it appeared in his chest.

This is not a provocation, but a strange experiment - upper eyelid fatigue test!

The upper eyelid fatigue test is not the physical examination of gastrointestinal surgery. Director Wei listened to the teacher when he was at school.

Today, boss Zheng was diagnosed with myasthenia gravis after listening to Feng Jianguo. He vaguely recalled what the teacher taught in class.

This disease has nothing to do with gastrointestinal surgery. There is no case in many years, and the memory has been covered with dust.

It was just because of the instant anger that the upper eyelid fatigue test, which seemed to have been forgotten, was remembered.

Director Wei turned around and whispered that it was dangerous.

If you had changed your temper just now, I'm afraid it would have erupted on the spot.

If this happens, look back and see boss Zheng do upper eyelid fatigue test for the patient, can't he be laughed at?

Next to him stood an anesthesiologist with a pen and paper in his hand. He seemed to want to record his gaffe at that moment.

"Boss Zheng, what's the result of upper eyelid fatigue test?" Director Wei asked softly.

Zheng Ren carefully observed the patient. The anesthesiologist took a look at Director Wei and replied, "it needs to be recorded 6 times. There have been 4 recorded values. It should be positive."

Immediately, the anesthesiologist smiled and said, "Director Wei is powerful. You can remember the physical examination that has nothing to do with your department."

"Who said there was no connection? Isn't there a connection?" Director Wei Qiang calmed himself, smiled and said, "if the upper eyelid fatigue test is positive, send it to a thymus CT. Mr takes too long."

Zheng Ren said a numerical value and the anesthesiologist recorded it. After the fifth test physical examination, Zheng Rencai turned around and said with an apologetic face, "excuse me, Director Wei, I was just doing physical examination. What do you think?"

Director Wei thinks he's a dog.

Look at the film, it must be intestinal obstruction, or the kind in a hurry. I have to have an operation.

But boss Zheng did the upper eyelid fatigue test directly, and the test result was still very positive.

There was a brief confrontation between his many years of clinical experience and his trust in boss Zheng, but soon, a mind quickly gained the upper hand.

"I think myasthenia gravis is more likely. At least the patient's diagnosis is not clear. Let's do a thymus CT." Director Wei said.

"Do another upper eyelid fatigue test, and then the result is positive, go... It seems not to be necessary." Zheng Ren suddenly remembered something and said, "the average value must be positive. Go straight to CT."