Chapter 1709

"Boss, what did you find?" Out of the ICU, Su Yun asked.

"I suspect that the ventilator was inserted incorrectly and there was too much gas in the stomach through the ventilator, resulting in a series of reactions." Zheng Rendao.

"It makes sense and can be explained, but there are too few cases and there is no statistical significance." Su Yun understood as soon as he thought about it, shrugged and said.

Zheng Ren smiled. He just didn't have time. If he sank down to study knowledge, he could produce a paper in a few days.

But the paper is meaningless to me. I'm a tenured professor at Massachusetts General Hospital and published a paper on wool.

That's what Quan Xiaocao should do.

As for yourself, the task progress bar that is famous all over the world is important.

"What are you doing this afternoon?" Su Yun asked.

"I don't know." Zheng Ren said, "maybe sit and read the book, maybe go for a walk in the emergency department."

"Boss, tell you a secret." Su Yun's eyes narrowed.

"...." Zheng Ren trembled in his heart. Although he didn't look at Su Yun, he knew what he wanted to say.

In this tone, the dog day must say that uncle Ning will be back soon.

All Zheng Ren's good mood dissipated.

[they said write a love song soon...]

Before Su Yun spoke, Zheng Ren's cell phone rang.

"Hello, director Luo."

"I'm in the ICU. I just came out."

"OK, go and see the situation right away." Zheng Ren finished and hung up.

"What's the matter? Emergency?"

"No, I said I received a patient with liver abscess. It looks very strange." Zheng Rendao.

"What does liver abscess have to look good?" Su Yun said, "anti inflammatory and symptomatic treatment. If not, puncture and drainage under the positioning of B-ultrasound is always suitable."

"Did director Luo know what you said? He said there was a problem. It must be something else." Zheng Ren said, and his steps were fast.

They hurried to the gastroenterology department. Zheng Ren glanced and saw that director Luo was not in the doctor's office, so he ran directly to the director's office.

Knocking on the door, director Luo's voice came out, and Zheng Ren pushed the door in.

"Boss Zheng, come and see this film." Director Luo took a look at Zheng Ren, and then his eyes returned to the film on the film reader.

Zheng Ren walked over and took a look. A 7 is visible in the right lobe of the liver × 3cm abscess, slender in shape, protruding from the liver surface.

Uh... What the hell is this?

If he is a trauma patient, Zheng Ren has no hesitation. However, the film seen in the Department of Gastroenterology should be a disease of the internal medicine system.

But the essence of high density, what is this? Liver stones? But it's too big and too thin. It doesn't look like it.

"Boss Zheng? What do you think this is?" Director Luo asked.

"Does the patient have a history of trauma?" Zheng Ren asked directly.

"No, it's strange here." Director Luo said: "there is no history of trauma and no history of surgery.

The patient was a 41 year old male with fever of unknown cause one month ago. He began to think it was a cold and fever and went to the local clinic. After being quiet for two weeks, the antibiotics didn't get better, so I went to the county. When I took a chest film, I found a liver abscess, so I did this plain CT scan. "

"History is so simple?" Zheng Ren squints at the CT film of the liver. He has determined that it is a foreign body.

But the patient has no history of surgery, no history of trauma, and the foreign body transits in? Or do high-dimensional creatures put it directly?

This is so weird.

"What do I think? It's a foreign object." Director Luo stared at the film and said, "when I was out of the clinic today, I saw the patient's film and always thought so. I'm not sure. I'll look for boss Zheng."

"Director Luo, I dare not." Zheng Ren said politely, "I also think it's a foreign body, or a sharp foreign body. But it's strange that there is no history of trauma. Are you sure?"

When discussing his illness, Zheng Ren gave up his implication and asked directly.

"To determine this, I looked at the skin of the patient's chest and abdomen. There was no damage or surgical scar. I also looked around the navel and never had a single hole laparoscopy." Director Luo said.

Zheng Ren began to hesitate.

Director Luo is really experienced. He thought of everything he could think of.

Even in order to rule out that the patient could not describe clearly or forgot some medical history, he directly ruled out these possibilities during physical examination.

It's strange that there are foreign bodies without trauma.

A plain CT scan of the abdomen could not explain the problem. Zheng Ren began to frown and meditate and started three-dimensional reconstruction.

However, the result of three-dimensional reconstruction is positive. From the internal density of the abscess, it is a sharp and slightly sharp hard object.

It's not as dense as iron, and it's not like bullets.

Does it really grow on the liver?

Zheng Ren began to search for information such as liver stones.

Clinically, liver stone is the so-called intrahepatic stone, which means that there are stones in the bile duct in the liver, or it may be a simple primary intrahepatic stone.

But the most common possibility is the accumulation of common bile duct stones upstream.

But it doesn't make sense. Liver stones... Stones won't be so sharp and slender, like stones in the liver like a stone forest?

Pierce the bile duct, pierce the surface of the liver, and finally cause a serious abscess?

Zheng Ren believes that this possibility hardly exists.

I've read papers, periodicals and magazines for so long, but I've never seen any case. The stones accumulated in the bile ducts in the liver form a sharp and sharp needle shape and pierce the liver.

"Any ideas, boss Zheng?" Director Luo asked.

"There is no idea at all, but to analyze the patient's condition, I think it is necessary to carry out exploratory surgery." Zheng Ren looked at the film with his arms in his arms and said with certainty.

"Well, that's why I came to you." Director Luo did not hide it and directly said, "what is the exploration of foreign bodies? Is the operation sure?"

"The operation is a small operation, but you have to cut it or take out the foreign body under laparoscopy to know what it is." Zheng Rendao.

Director Luo smiled.

Zheng Ren's answer and his own question are two different things.

I asked him whether he was sure of the operation, and boss Zheng focused all his attention on what the foreign body in the patient was.

Boss Zheng should not have considered whether the operation will fail.

Perhaps for boss Zheng, the success of this difficult operation is normal. Failure is a very accidental situation.

Even, it is not under consideration for the time being.

What a vibrant and confident young man! Director Luo looked at Zheng Ren and said with a smile, "I'll send you the patient's phone. I don't care about the rest. If you want to have an operation or live broadcast, tell me in advance and I'll go up and have a look."