Chapter 1741

"Boss Zheng?"

"Boss Zheng!"

In the office, after a few calls, the atmosphere changed.

Wearing casual clothes, Zheng Ren seemed to stride in with the gloomy and cold energy of the autopsy.

Director Sun Chao was stunned. Boss Zheng is really overbearing! The patient didn't ask about his condition and didn't see it. He just said on stage?

"Director Lin, director." Zheng Ren simply said hello and said, "this is the patient's film?"

Shao Yongxiang nodded quickly.

Boss Zheng has quickly become a legend. In the face of the legendary boss Zheng, no one can feel the pressure among many doctors in 912.

The directors who really have no pressure are those who come with Director Mao.

They don't know who boss Zheng is, so they think the same as Sun Chao.

I saw a young doctor stride in and directly denied doing CTPA.

Why is 912 so unruly?

Looking at his age, he is less than 30. It is estimated that he has not even graduated from graduate school. He is a great doctor. Dare you deny the statements of the senior directors?

Sun Chao narrowed his eyes and asked, "boss Zheng, there is a clear diagnosis of CTPA before operation. Is there anything wrong?"

Zheng Ren didn't know who was talking to him. He held his arm and watched the film. Sure enough, it was the same as the image data seen in the system operating room.

Zheng Ren failed this operation many times.

Because the pulmonary embolism was too long, Zheng Ren saw a full 12cm after dissection!

The interventional department takes out the thrombus, even if it is in other positions, and those with high level can be taken out directly. But pulmonary embolism is different.

From the inferior vena cava into the guide wire, through the heart, right atrium, right ventricle, to the pulmonary artery segment.

Because there are valves, it is equivalent to walking through various gates, and the thrombus can not be completely removed. It needs to be mashed. Take it out a little.

The operation takes a long time and there is a risk of re embolism.

12cm thrombus, even Zheng Ren's operation, takes at least 2 hours!

The experimental body can't last so long and dies of cardiopulmonary failure.

Therefore, the only way out now is to make angiography and determination, and then open the chest and remove the thrombus by surgical means.

The risk is great, but this is the only feasible way.

Zheng Renxin's skill tree of thoracic surgery is only at the master level... Well, "just" the master level. He failed 15 times before he found the possibility of success.

On the way, he has called Lao he, Professor Rudolph Wagner, Liu zewei and Xie to join the hybrid operating room and prepare for emergency surgery!

But now, he wants to convince everyone.

After all, preoperative diagnosis, CTPA should be done. But for Zheng Renlai, this is not difficult.

Originally, the film reading level is one geometric order of magnitude higher than others. Coupled with reverse push, you can see it more clearly.

Sun Chao spoke the voice of others present. The office was very quiet. Even Su Yun looked at the film and wondered why his boss didn't choose intervention.

Is it because of my hobby that I have to open my chest, dissect my heart and carry out surgical treatment?

If so

Impossible, how can the goods give up interventional surgery because of their hobbies and adopt higher risk surgical methods!

Su Yun stared at the film and was lost in thought.

"Here!" Zheng Ren's fingers lit the film reader, and the translucent glass made a bang, like a war drum.

"Although the artifact is very heavy and the internal structure of the heart is not very clear, combined with echocardiography, we can guess that the patient's thrombus is relatively long."

"Guess?" Sun Chao sneered and said.

Ringer looked at him with some doubt. Are you here to smash the field? The two directors, Mao Chi and Zhang Lin, did not speak. Who did he think he was?

"Who are you?" Asked ringer.

"This is sun chaosun, director of vascular surgery of the Affiliated Hospital of Medical University. He came to the annual meeting and looked at it when he heard of an emergency." Mao Chi's cold sweat came out and quickly explained.

"The patient is a young woman. It is said that she has no physical problems." Zheng Ren was not angry, but explained.

Only this time, he spoke very fast and seemed a little anxious.

"Su Yun, echocardiography, look for it." Zheng Rendao.

Su Yun quickly communicated with president Shao.

"Sudden shock means that the disease is urgent and serious! In addition, there is a large amount of pleural effusion after discovery, which means that the degree of right pulmonary artery embolism is very high, which can not be solved by simple thrombolysis."

"In imaging, we have given a vague judgment. More specifically, we need to find the answer from the echocardiographic images." Zheng Ren talked with assurance. Although his voice was urgent, it was not chaotic. It showed a sense of maturity and steadiness.

"Boss Zheng, do you mean that you can see the severity of pulmonary embolism from this CT?" Director Sun Chao finally found a flaw and made a direct challenge.

This is bullshit!

After working for so many years, how can I judge pulmonary embolism? The gold standard of clinical diagnosis is pulmonary arteriography, and the second gold standard is CTPA!

Can you see it with a CT? Or a large amount of pleural effusion on the right side, a piece of white flower.

This is simply irresponsible to the patient!

Sun Chao is a little angry. How can 912 make a young doctor so arrogant?

Er... Although he can do echocardiographic reconstruction, although he can intervene to take bullets and embolism.

But this is too much!

Do you want clinical diagnosis and treatment standards? In a word, he denied the gold standard of diagnosis. Who does he think he is? Is there a bully in imaging?

This school bully is absolutely different from the school bully.

The school bully only has good grades and dominates in the exam. Sun Chao thought that Xueba was Newton's.

You can suppress whoever you say.

Is brainitz awesome? Newton said pressure is pressure, and all formulas should start with Newton.

912 is this to cultivate a learning bully?

Sun Chao is a little angry. Even Xueba can't joke about the life of a young student!

He looked at Zheng Ren angrily.

Zheng Ren didn't speak. He saw Su Yun on the phone. It is estimated that we need to upload more image data from echocardiography, which is exactly what we need.

"Boss Zheng?" Ringer whispered.

"The diagnosis is very definite. I'll upload the echocardiography later and I'll explain it to you."

When Zheng Ren said this, Sun Chao was even more furious.

Take yourself as a medical student? Also explain! Talk about wool!

"Is the patient's family here? Can you sign?"

"President Zhang of Medical University is estimated to be coming soon. His parents must not be here. President Zhang is fully responsible." Director Lin said.

"OK." Zheng Rendao, "prepare for the operation. After principal Zhang comes, I can do it after I explain it and sign."

"..." the crowd was stunned.

This... Too confident, too overbearing!