Chapter 1558

"Zheng Zong, I haven't seen you for a few days. Is the emperor capital okay?" The doctor in the CT room chatted with Zheng Ren. His hands were not slow. He took the time to check.

Doctors in the emergency department send patients for examination in person, which means that they have a heavy judgment on the condition, which goes without saying that doctors in the CT room know.

The lighter patient, who has the spare time to accompany to do the examination.

The machine roared. Zheng Ren didn't chat with him. Instead, he put his left hand under his right armpit, held his cheek with his right hand, and looked at the computer screen.

The atmosphere is a little dignified.

CT room doctors dare not neglect, do not chat, and look at the screen carefully.

After 1 minute, the image appears on the screen.

Several people were stunned.

At the left clavicular end, the image of a needle appears, obliquely inserted in the mediastinum. The pericardium is moderately or severely filled, and both lungs are covered with large shadows.

Lung changes can be ignored. The most important thing is the image of that needle. It seems that it should be a Kirschner wire for fixing clavicular fracture!

It is half detached from the clavicular end, and the tip of the needle is at the edge of the aorta.

It turned out to be so. Zheng Ren was surprised and suddenly realized.

"I'll go..." the doctor in CT room saw this image for the first time. He was surprised and pointed to the image of Kirschner wire. He couldn't say a word.

Zheng Ren took the time to reconstruct the CT image in his mind. The diagnosis given by the pig hoof was aortic adventitia ulcer. After image reconstruction, it was determined that the middle and intima had been involved, the surrounding tissues were edema, and there were no local secretions.

This is an aorta that will break at any time! Zheng Ren's back bristled.

"Call president Wang to the emergency hybrid operating room to prepare the aortic stent." Zheng Rendao.

Su Yun nodded, took his mobile phone and began to contact the operating room.

"Mr. Zheng, here is the film. The report will wait for tomorrow." The doctor in the CT room knew that the situation was urgent, so he directly printed out the film and gave it to Zheng Ren.

"Thanks." Zheng Ren took the film, carried the patient to the flat car with the accompanying examiner and the patient's family members, and ran all the way to the emergency operating room.

MD, how can the distal end of the Kirschner wire be free? Zheng Ren also doesn't understand this.

It may be a problem when the orthopedic doctor chisels the needle in, or it may be a problem when the patient resumes training after operation.

Now, it's not time to ask why, but to hurry up for surgery.

The adventitia of aorta is damaged, which has involved the media and intima. Once the blood pressure rises, the patient may die of aortic rupture at any time.

On the way, Su Yun caught up.

"Good luck, and an aortic stent. The next time you go back to Haicheng, you must take Xiao Feng." Su yundao.

Zheng Ren realized that Haicheng should not have interventional surgery when he was away.

If Feng Xuhui doesn't follow, he may not even have an aortic stent.

Last time, Wang Qiang from the second hospital sent various consumables. It is estimated that Wang Qiang has had an operation recently, or it is left over from the past.

Anyway, it's OK to be able to cope with the current pass, Zheng Ren thought. The patient was lucky to meet himself.

"You go and explain to the patient's family, and I'll get the stent." Zheng Ren said: "the family members sign, you call me, and then brush your hands on the stage."

The patient's family members were flustered when they heard the communication between them.

Emergency surgery? What is this?!

And look at the expressions of the two doctors are very serious, which is more frightening than the death of the doctor in the emergency department.

Not afraid to say how serious, those are rare accidents. What I fear most is that the doctor runs all the way with a gloomy face. He doesn't have time to tell himself in detail.

The patient's family members are understanding people and are frightened by Zheng Renhe and Su Yun.

Push the patient into the operating room. President Wang just had the operation. He saw Zheng Ren hurriedly push a patient in and asked in surprise, "what's the situation?"

"The distal end of the Kirschner wire is free, the adventitia and media of the aorta are damaged, and the pericardium is stuffed." Zheng Ren said hastily.

"..." Mr. Wang was stunned.

"You take the patient back and come up to help." Zheng Ren said impolitely.

At this time, I told Mr. Wang to give me a hand. That's really a hand.

In 912, I will be polite to Director Wei and Professor Feng. But this is Haicheng. I'm facing president Wang. There's no need to be polite.

"OK." President Wang knew that the situation was urgent and immediately sent the patient down with his assistant.

"Zheng Zong, just say you are busy. You have to operate overnight whenever you come back." Chu Yan said while helping Zheng Ren lift the patient onto the hybrid operating table.

"Hey, just in time." Zheng Ren is also very speechless.

If I were not here, I might not be so busy.

But in the Department of Gastroenterology, I'm afraid that within a day or two, a patient will die suddenly, inexplicably and silently.

Perhaps, such things happen every day.

With the help of big pig hoof, Zheng Ren found, diagnosed and treated as soon as possible, so as to avoid the occurrence of tragedies again and again.

"How many are you going to make tonight?" Chu Yanzhi continued to nag.

"I don't want to." Zheng Ren said reluctantly, "it'll be all right for a while. The director finished the drip and sent him home. Let's go out for a snack."

"Yi said he ordered a meal, but Mr. Zheng is rare to be generous. You earn a lot in DIDU. Are you so stingy? Everyone knows to treat?" Chu Yanzhi asked.

If you don't want to eat, it's annoying and a waste of time, not stingy. Zheng Ren felt abdominal pain in his heart, but he did not explain, but directly said: "general anesthesia, first remove the aortic stent, and then open the chest."

"Diagnose what?" Chu Yanran asked.

"Aortic adventitia ulcer, pericardial tamponade, distal free Kirschner wire." Zheng Rendao.

"Wow, Kirschner wire?!" Chu Yanzhi jumped.

"Seize the time to anesthetize." Chu Yanran was busy and said, "is the ulcer serious, President Zheng?"

"Heavy, it is considered that it is caused by the scratch of Kirschner wire, which has involved the mesomembrane and intima, and may be broken at any time." Zheng Ren saw that Xiaoyi was busy preparing things for surgery, so he went to brush his hands.

The level of emergency treatment in Haicheng can not catch up with that in the imperial capital. Although the technical level of the Chu sisters is good, there is still a certain gap with old Hebi.

However, Zheng Ren feels fine. As long as there is no situation in Xilin Town, everything will be fine.

Last time I was rescued in Xilin Town, I really had a psychological shadow.

When the anesthesia was over, Su Yun called and said that the patient's family had signed the preoperative consent and opened the stage directly.

Su Yun took the film down to explain the patient's condition to his family. Zheng Ren disinfected the patient and recalled the images in his mind.

Aortic stent, no difficulty, as long as it doesn't break, it's enough to put the shelf in first.

"Sweet, pay attention to sputum suction." Zheng Ren told me.

"I know." Chu Yan Ran said, "just heard a lot of wet rales in both lungs. Don't worry, President Zheng."