Chapter 1548

The next morning, he came to the hospital.

"Boss Zheng, someone came to you early in the morning." The doctor on duty told Zheng Ren.

"Where are the people?" Zheng Ren asked.

"Say it's your hometown. I told you to wait in the office."

After changing clothes, Zheng Ren came to the office.

Liu zewei arrived early. Today he is going to discharge and collect patients. He is busy.

And this group of patients are very likely to go to the community hospital after one day of observation.

So he came early to welcome a bright future and witnessed a great leap in boss Zheng's career.

Although there are countless things to do, he is chatting with an ordinary middle-aged man. The man was carrying a thick film bag in his hand. At a glance, he knew that it was the man mentioned by director Pan.

"Hello, you are the patient's family member mentioned by the director." Zheng Ren came in and asked directly.

"This is boss Zheng." Liu zewei introduced.

Middle aged men, whether they look or dress, are very ordinary and honest.

Although he was surprised that Zheng Ren was so young, he bowed honestly to show his respect for boss Zheng.

According to the introduction, when they came to the imperial capital to see a doctor, they were basically worried about seeking medical treatment. This is a door-to-door request. The first thing is to have a correct attitude.

Zheng Ren smiled and asked, "is the patient your lover? Tell me about the situation."

As he spoke, he took the film in the hands of the patient's family.

"Zheng Zong, the patient is my wife, 42 years old. A month ago, she said it was pain around the navel. The pain was relieved immediately after the beginning. She thought it was diarrhea or something, so she didn't care." Said the middle-aged man.

Zheng Ren nodded, indicating that he knew and began to watch the time on the film.

According to the chronological order, we can have a better understanding and cognition of the patient's condition from the beginning.

"The first attack didn't last long, so I didn't take it seriously. But two or three days later, I had another stomachache. The frequency of pain became higher and higher. I was worried about something big, so I died and lived. Take her to the hospital."

Zheng Ren found the film 23 days ago and took it out and inserted it into the reader.

The time is not 1 month, but it is normal for the patient's family members to describe things with a slight deviation.

It is a standing abdominal plain film, and there is no free gas shadow under the two diaphragms; There is slight gas accumulation in the left colon, and two "irregular" small vapor-liquid planes can be seen in the right lower abdomen; No other significant special changes were seen.

This "small" gas-liquid level in the right lower abdomen has a high possibility of incomplete intestinal obstruction. There is no problem with the diagnosis of Haicheng first hospital.

"I checked it at that time..." the middle-aged man began to look at the film bag and said after the control time: "this is the film. The diagnosis is incomplete intestinal obstruction. It is suggested that we go back and observe."

There are many predisposing factors for incomplete intestinal obstruction, which can be observed in hospital or at home.

Zheng Ren considered that the doctors in Haicheng emergency department did not find any inducing factors after consultation, so he had this suggestion.

It's enough to use some Kaiselu at most.

He was familiar with the doctors in Haicheng emergency department.

Although there are small problems, there is no special treatment, and it is difficult for patients and their families to accept hospitalization.

"And then?" Zheng Ren began to look through the test sheet at that time and asked casually.

"After going home, it will be better after the pain. Later, it will hurt for a while almost every day, just for about 20 minutes." The middle-aged man said, "when it doesn't hurt, it's like a good man, so my wife and I don't care."

"Three days ago, I had another abdominal pain. This time it was not good. The cold sweat of the pain came down." The middle-aged man said, "there was no choice but to call a 120 ambulance and take her to the hospital."

"The diagnosis of the emergency department was' acute abdomen ', which said it was to be observed in the emergency department. I didn't think it was the case, so I entrusted director Sun to be hospitalized in the second Department of general surgery."

Zheng Ren smiled, picked up the inspection at that time and looked at it carefully.

Imaging examination did show incomplete intestinal obstruction, but the symptoms were much more serious than last time.

This can also be judged when the patient's family members describe their medical history.

Blood tests and other examinations are the same, which is in line with the judgment of imaging.

Leukocytes and neutrophils were slightly higher in blood routine. Low hemoglobin, middle-aged women, anemia is not a rare thing.

Zheng Ren pondered and read the test sheets one by one.

Liver function... Transaminase is a little high? It doesn't seem to be a big problem. Bilirubin is normal, and others are not enough to make diagnostic changes.

After admission, the second Department of general surgery was given symptomatic support treatment such as fasting, gastrointestinal decompression, defecation, rehydration, somatostatin inhibition of intestinal fluid secretion and anti infection.

The diagnosis was clear and the treatment was fairly standard, which was in line with director Sun's style. Steady, steady mess.

However, the patient's abdominal pain was still not relieved after treatment. Later, he underwent a transoral enteroscopy, which returned: duodenal descending diverticulum, non atrophic gastritis with bile reflux.

Gastroscopy also diagnosed atrophic gastritis.

This is not very common. Atrophic gastritis at the age of 42?

But it's not a big deal. It's just rare. It's not even rare.

Zheng Ren made his own judgment in his mind while looking at the test sheet.

Looking through the test sheet, I found that there were many problems, but none of them was a major event. I couldn't give a clear diagnosis at all. In other words, director Sun's diagnosis is right, and Zheng Ren has no opinion on it for the time being.

Zheng Ren inserted the abdominal CT into the film reader, held his cheek with his right hand and read the film carefully.

"Boss, there seems to be a problem here. It's obvious intestinal obstruction. Why is it bad?" Su Yun stood and pointed to the obstruction position on the film.

Zheng Ren nodded and continued to read the film.

After reconstruction, the whole image looks more wrong.

The renal tubules are atrophic. It doesn't look like a 42 year old middle-aged woman, but more like the imaging findings of people in their 70s.

Excessive aging?

Zheng Ren recalled some clinical case reports, and the diagnosis was directly denied by him.

"What medicine does your lover usually take? Is there anything else uncomfortable besides stomachache?" Zheng Ren asked while watching the film.

"This is not after 40, menopause, a little grumpy." The middle-aged man thought for a moment and said, "I always say that I have nothing to do in my life and can't earn money. I used to cook for me, but I haven't cooked in recent years. I just complain every day. Otherwise, I'll dress up and go out to the classmate party."

"..." Zheng Ren quickly stopped talking about middle-aged men.

If this goes on, it may become a family ethics play.

Seven years... Eight years... More than ten years of itching, left hand holding right hand, began to pay attention to dress up, and then went out to find the classmate meeting.

"What I asked was if there was any discomfort and what medicine I took." Zheng Ren asked again.