Chapter 1721

"Are you questioning my executive ability?" Su Yun asked contemptuously.

"Just do it. Step down and ask if there is a sea of fire." Zheng Ren ignored Su Yun's provocation and said casually.

"What do you suspect?" Su Yun was stunned.

"Thyroid crisis." Zheng Ren replied.

"OK, I'll ask when I step down." This time, Su Yun didn't say anything else, but responded very seriously.

Director Luo pondered, is the patient in Massachusetts General Hospital a thyroid crisis?

The cause of thyroid crisis may be related to the increase of circulating thyroid hormone level, which mostly occurs in patients with severe hyperthyroidism who have not been treated or treated adequately.

The common inducements include infection, surgery, mental stimulation, etc. the clinical manifestations are high fever, sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting and diarrhea. Serious patients can have heart failure, shock and coma.

The diagnosis mainly depends on the comprehensive judgment of clinical manifestations. Patients with high clinical suspicion of this disease and crisis precursors should be treated as this disease, and the mortality is more than 20%.

The clinical manifestations are very similar to the symptoms of the patient, including nausea, vomiting and abdominal pain. It's just that the incidence of thyroid crisis is too low. The patient also has an obvious history of inhalation of smoke from electrical fire. He didn't think of this for the time being.

Professor Zhang saw the end of the operation and didn't listen to anything like thyroid crisis. He recalled the process of seeing the operation in his mind.

The operation was good, stable and fast, but Professor Zhang still couldn't understand some operations.

After all, he is not a cardiothoracic surgeon. He can understand more than half of them, even if he is a doctor with solid basic knowledge.

As for all understanding, this kind of thing doesn't exist at all. If we can do this, we don't need Zheng Ren to save Taiwan.

"Boss Zheng, what's the use of hemp rope cuff and double lumen air bag urinary catheter in inferior vena cava?" Professor Zhang asked.

Su Yun was very disdainful and said, "I ask you, why did you give a lot of low molecular weight heparin before operation?"

"Because it prevents thrombosis." Professor Zhang replied.

"Yes, I haven't opened my heart yet. Who knows how much blood clots." Su Yun's tone was filled with disdain, and everyone present was ashamed of Professor Zhang. "The inferior vena cava was controlled by coarse hemp rope and double lumen air bag urinary catheter to reduce bleeding and prevent the thrombus attached to the wall of the stent from falling off when the stent was removed."

Then he paused.

"Can't you think more? You have to ask such a simple question?" The disdain in Su Yun's tone is so exaggerated.

"..." Professor Zhang never thought that he would be publicly damaged by a small doctor like a grandson.

Under the sterile mask, he opened his mouth and wanted to refute.

But... Retort? what did you say? The operation itself is at a loss and ignorant. It's good to write down the operation process.

He also retorted that he was afraid that his mouth would be sprayed directly to the airtight lead door of the operating room by the sour doctor.

Forget it, skills are inferior to people. There's nothing to say.

Lao he knew Professor Zhang. When he resigned, the hospital really caused a sensation for a while.

The private hospital reached out to 912. Instead of the general level doctor, it took a group of professors.

I didn't expect Professor Zhang to be hurt by Su Yun today. It's really interesting to think about it.

Too arrogant! But Lao he likes it.

Just like in the Affiliated Hospital of Medical University, no matter how much dissatisfaction Director Tian has and how to damage him, doesn't the goods have to bite the back teeth and hold it?

Boss Zheng's surgery is equivalent to saving them from fire and water. Even if they fart, these people have to go on. It's a little ugly, but it's true. As long as the operation is successful, everything else is nothing!

Can you be arrogant yourself?

Lao he thought of this and smiled at himself. The shadow of Director Mao's previous incident still lingered in his heart and could not dissipate for a while and a half.

I'd better be honest. I'm as arrogant as Brother Yun, but I don't have this ability.

When he was a graduate student, he was called the future star of DIDU cardiothoracic surgery. He worked for 20 years after his doctor's graduation and is still working in a small class.

Lao he still has a clear understanding of himself. He takes the USB flash disk with him just for the good luck that boss Zheng doesn't know whether he likes it or not.

Unfortunately, boss Zheng is usually invulnerable and has no hobbies. Lao he glanced at Zheng Ren and felt helpless.

Others are fond of wine, gambling and lust. The so-called wine, lust and wealth are always unavoidable. Boss Zheng is very nice. He seldom eats and doesn't drink. Girlfriend, bring it yourself, even the surgical instruments.

A dog bites a hedgehog and can't bite it.

We should observe carefully. Only when boss Zheng is comfortable can he be more comfortable. Lao he thought to himself.

After sewing the skin, Zheng Ren turned to step down and tore off the sterile clothes.

"Boss Zheng, hard work." Mao said with a smile.

"It's all right, Director Mao. The operation is not big, but the equipment is not in hand." Zheng Ren smiled.

The operation is not big

Well, they have successfully completed the operation, whatever they like.

"Mr. Zhang, there are several points to pay attention to after operation." Zheng Ren then looked at Professor Zhang and said.

"Ah? Oh, you say you say." Professor Zhang hurried.

"There is no obvious thrombus on the removed stent. It is considered that heparin anticoagulation can play a certain role before operation.

Your patient's stent is embedded in a special position, and atrial septal wear is seen during operation. In order to prevent myocardial edema, hormone therapy should be actively given after operation.

During the operation, 500 mg of methylprednisolone and 500000 units of ulinastatin were given during cardiopulmonary bypass. After returning to the ward, 40 mg of methylprednisolone was given every day for 3 days, supplemented by appropriate diuretics. "

Professor Zhang's mind is still stuck in the contradiction between the joy of successful surgery and how to communicate with the patient's family. Zheng Rendu said, confused him directly.

He tried to remember, but his mind was so messy that he couldn't remember anything.

"Zheng... Boss Zheng, please speak slowly." Professor Zhang said shamefully.

"Do you want to make you a cup of coffee? Sit down and let's talk slowly? The coffee of the medical adjustment Commission is said to be good." Su Yun removed the sterile sheet from the patient and said contemptuously.

“……”

"Find a pen and paper, write it down and send the patient to ICU. If your ICU technical force is not strong, go 912 to find someone." Zheng Ren said in warm words.

Professor Zhang blushed, turned and ran to the operation room and took an A4 paper and pen. Zheng Ren said his postoperative doctor's advice again. After Professor Zhang wrote it down, he carefully put it in the pocket of the isolation suit.

"Boss Zheng, change your clothes." Mao said with a smile, "please don't leave for a while. It's my treat."

"Director Mao, you're welcome." Zheng Ren smiled.

"Yes, don't go." Director Mao stared and pretended to be cruel. In fact, he was expressing his determination to treat.