Chapter 1598

"Look here." Zheng Ren nodded the film and said, "typical manifestations of hepatic schistosomiasis. The imaging characteristics of liver cirrhosis are incompletely separated cirrhosis. The liver surface is granular or nodular, with different sizes and diameters of about 1 ~ 10mm."

"A large number of insect eggs are deposited in the liver, especially in the small branches around the main branches of the portal vein, causing fibrosis in the main branches of the portal vein, especially around the second, third and fourth branches, that is, the so-called trunk type cirrhosis."

"The section shows that there are white fiber masses of different sizes around the main branches at all levels. Severe fibrosis can cause the occlusion of the main branches. The contraction of some masses can deform the liver. The liver surface shows the characteristic block pattern groove of the disease. The appearance is uneven and the boundary is not very clear."

"Yes, that's right..." Su Yun said, suddenly stunned.

After 1.2 seconds, he suddenly said, "you mean the symptoms are too serious, like complete blockage of the portal vein, but the abdominal CT findings are different?"

Zheng Ren smiled.

Talking to smart people is easy. He only mentioned a few points, but Su Yun can think of almost everything in the future.

Don't talk nonsense at all.

"Yes, as you said, I think I have a heart problem." Zheng Ren then inserted the chest CT into the film reader.

"There is a lot of effusion in both lungs, which makes it difficult to see clearly in the pericardial cavity. But here, the density is wrong, and the heart shadow is also very large. Try to transform it, and you can find that there is a problem in the right atrium." Zheng Ren ordered the film and said excitedly.

Su Yun found that things were out of control.

He also found that the patient's heart shadow was very large, but his judgment was that the patient had heart failure, resulting in pericardial effusion and heart shadow expansion.

The first diagnosis must be portal hypertension.

However, Zheng Ren's diagnosis is completely contrary to his own diagnosis, which is what Su Yun is best at.

If you can't see it, it's too much.

Su Yun stared at the film and Zheng Ren said, "the bedside ultrasonic heart motive."

With that, the operation room outside the ward was quiet.

Zheng Ren smiled and said it again in the local language. The doctors at the National Hospital realized that they were talking to themselves.

Patients vomit blood. What do you want to do with echocardiography?

He had some different opinions. Just about to say it, he immediately thought that these people were Gu masters.

He did not dare to put forward his own opinions and suggestions, and hurried to push the echocardiography machine.

Zheng Ren patted Su Yun and said, "don't look. You'll understand by echocardiography."

Su Yun is a little depressed. All he thinks about is the chest and abdomen images of Chu Nu ang Sai.

Very typical upper gastrointestinal bleeding, portal hypertension, how can the boss judge that it will be a heart disease?

Could it be said that he was hoodwinked by the rumor that he was eager to raise poisonous insects?

Su Yun thought and came to the ward with Zheng Ren.

A thin and dry patient sat on the bed, trying to breathe the oxygen in the oxygen mask.

Although the oxygen flow has been opened to a large extent, his lips are still blue and purple, and he is suffocated to the extreme.

When Zheng Ren came in, the patient tried to take off his oxygen mask.

A young man wanted to stop him and was slapped in the hand.

Although he was on the verge of death and had little strength, the young man quickly lowered his head and kept admitting his mistakes.

"You are... Boss Zheng." Chu Nu ang asked with difficulty.

Zheng Ren nodded and said, "is the symptom of dyspnea very serious?"

"Hello, boss Zheng." Chu Nu ang put his hands together and made a respectful gesture, "my younger martial brother is also in a hurry. He is used to being domineering. Please forgive me."

"Are you Chinese?" Zheng Ren listened to him and asked curiously.

"My ancestors are. I'm Chinese." Chu Nu ang Sai reluctantly grinned and tried to express his kindness: "I wanted to invite you to have a look. Song En is too spoiled by me. Please forgive me."

Zheng Ren smiled with two forgiveness.

"May I examine you?" Zheng Ren asked.

"Please." Chu NUANG track.

Physical examination showed that Zheng Ren's work was simple and clean, like surgery. It was pleasing to the eyes.

Soon, Zheng Ren finished the inspection and confirmed his judgment.

The patient sat and breathed, the sclera was obviously yellow, the jugular vein was dilated, and the hepatocervical reflux sign (+). Wet rales, abdominal distension, mobile dullness (+), xiphoid process and transverse finger of liver, and severe edema of both lower limbs can be heard in the right lower lung.

In addition to the typical portal hypertension, the diagnosis given in the system panel also has an incredible diagnosis - foreign body in the heart!

Zheng Renzhen doesn't want to deal with these Gu masters, and he doesn't know what good it can be to get their worship.

Insects? Even if there is no dense phobia, Zheng Ren feels a little afraid. Not to mention insects, even the loach taken out by surgery in Haicheng, Zheng Ren is very careful.

But in Zheng Ren's eyes, Chu nu'ang is not a master, but just a patient.

In the face of patients, even if they are afraid, they should harden their scalp to see and treat patients.

He took a deep breath and then asked, "do you know your condition?"

"Boss Zheng, please sit down." Chu NUANG: "that's what I was about to tell you."

Zheng Ren nodded and sat on the chair at the head of the bed.

The chair is very comfortable. It seems that no matter which hospital you go to, it is more high-end than 912.

Zheng Ren also knows that this cannot be compared.

"Boss Zheng, my ancestor, is from miaojiang." Chu NUANG racetrack: "it has been nearly a thousand years since I came to Nanyang."

"The ancestors inherited the secret method. Because they had to raise Gu with their heart and blood, they were often eaten back and became a big trouble."

He smiled reluctantly. "It's a big trouble in my heart. It's really a big trouble in my heart."

Maybe he was too excited, maybe he was involved somewhere, maybe the oxygen consumption was high, and his breathing was deep. Zheng Ren quickly buttoned up the oxygen mask for him, wondering whether to put down a chest bottle first and lead out the chest water.

So is the National Hospital. How can we not deal with pleural effusion?

However, it may also be that the doctor himself is afraid of the Gu master. Chu nu'ang Sai wants to see boss Zheng, so they are happy to ignore it.

After taking a few breaths of oxygen, Chu nu'ang felt better.

He took off his oxygen mask and said, "from my grandfather's generation, we began to think about how to improve. After all, you know, with the rapid progress of modern science and technology, we also have to keep up with the times."

Su Yun suddenly laughed.

Chu Nu ang Sai smiled, looked up and asked, "brother, what's your name?"

"Su Yun." Su Yun said with a smile, "you're right. During the period of the Republic of China, many concepts of traditional Chinese medicine have not been put forward. Now when you say it, everyone thinks it's old. In fact, it keeps pace with the times."

"Well, little brother is a sensible man." Chu NUANG: "so, at the cost of three generations, I finally found the key to success."