Chapter 1742

Mao Chi wanted to say something, but when he thought of the big shelf that had been removed from his heart in the international hospital a few days ago, his mouth was like being covered by an invisible big hand, and he couldn't say a word.

Director Zhang Lin didn't speak.

A few days ago, Dean Yan had an operation. When she arrived, two purple and black blood clots were placed in front of her. I have run here in a hurry. From getting the news to entering the operating room, I didn't even use 20 minutes.

But boss Zheng has even finished the operation.

It doesn't count. Boss Zheng doesn't even have the idea of sending Dean Yan back to the ward!

It's really an act of taking Dean Yan as an ordinary patient.

Although we were faced with the collective "poisoning" incident with unknown diagnosis at that time, how could another person not send president Yan back to the ward and say a few warm words?

Why are people so confident?

Not because of the high level of technology. Although I don't know why boss Zheng is so arrogant and overbearing this time, it must be reasonable.

Director Zhang Lin glanced at Sun Chao and felt that the goods were likely to die at 912

It is an indisputable fact that she has dealt with boss Zheng several times. Boss Zheng has a very strong diagnosis.

Director Zhang Lin always kept in mind that ion channel disease was abandoned by his family.

Every time she thought about it, she would be surprised why boss Zheng was so sure. There seemed to be no hesitation.

This time, it should be the same.

Boss Zheng is definitely not the kind of person who doesn't know the importance. He said that if he wants to open his chest, he has the reason to open his chest.

Sun Chao glared at Zheng Ren, who completely ignored the mosaic around him. Who will compete with mosaic?

Zheng Ren carefully studied the CT film of the lung and reconstructed the operation in his mind.

Although there is no experimental body, it is only a virtual operation, but you can do it and hurry up. Zheng Ren has accumulated a lot of operation training time, but he is still very stingy and unwilling to use it indiscriminately.

Before going on stage, I have to do at least three or five more surgical training. Now I can be more proficient.

Zheng Ren is also a little distressed. Big pig hoof has never given top-level skill books.

I didn't find a way to climb to the peak level of surgery, so I can only operate at the master level.

Just thinking, there was a rush of footsteps in the corridor.

Ringer's heart moved and looked up.

Headmaster Zhang came in quickly. Linge hurriedly met him, stretched out his hands and said, "headmaster Zhang, you're really here."

"How's it going?" Principal Zhang asked in a hurry.

"The situation is very bad. It is now suspected of pulmonary embolism." "Our opinion is emergency thoracotomy," ringer said

President Zhang was stunned. Emergency thoracotomy or heart surgery

This pressure, some big.

"Did Dean Yan leave the hospital?" Asked principal Zhang.

"I was discharged from the hospital and recuperated at home. As you know, President Yan's... Vice president yuan is in a meeting at the Ministry and is on his way back." "However, our judgment is not optimistic about the patient's condition and we need to hurry up for surgery," Lin Gehui reported

"Don't even have time to be a CTPA?" Sun Chao said angrily, "you are too irresponsible. This is a crime!"

Principal Zhang was really stunned this time.

He knew sun chaosun, director of the Affiliated Hospital of Medical University. Director Sun was a pudgy man who could not see his toes with his head down.

It's hard not to remember him.

But why is director Sun Chao here?

"Director Sun? What do you mean?" Principal Zhang asked in amazement.

"Boss, echocardiographic pictures." Su Yun then squeezed into the crowd and handed a stack of printed paper to Zheng Ren.

"OK, teachers in doubt, I'll talk about why the condition is urgent and judge it as pulmonary embolism." Zheng Ren said, "Su Yun, send the patient!"

Neither Mr. Lin Ge nor Mr. Shao, nor director Zhang Lin nor Director Mao Chi spoke.

Boss Zheng narrowed his eyes and swept the crowd when he finished sending the patient.

Those who have opinions are also blocked by sharp eyes.

"So hasty, it's simply careless about human life!" Director Sun Chao said angrily, "you 912 don't care?"

Mao held his head down and looked at the ground as if there were some images on it. Lin Ge smiled and said, "I believe boss Zheng's diagnosis. If something goes wrong, our medical office will bear it."

Sun Chao's old blood almost didn't come out.

MLGBD！ Is the medical department in 912 crazy? Unconditionally support the young boss Zheng?!

This is crazy.

"Headmaster Zhang, you can decide, can't you?" Zheng Ren faced headmaster Zhang and asked.

Principal Zhang nodded cautiously, but didn't speak.

"Let me talk about the echocardiographic images. If any teacher has any questions, he can ask them directly. If there are no questions, he can start the stage directly after the lecture." Zheng Ren said, "there's no time."

Hearing him say that there was no time, everyone was awestruck.

Although pulmonary embolism is urgent, it is not like myocardial infarction. It will die in a few minutes.

What does he mean by that?

"First of all, as the most specific echocardiographic feature, thromboembolism can be determined when the ratio of anterior and posterior diameter of right ventricle and left ventricle & amp; gt; 0.5; the ratio of transverse diameter of right ventricle and left ventricle & amp; gt; 1.1 or the end systolic and end diastolic diameters of left ventricle are reduced, especially the end diastolic diameter."

"This point is clearly judged on the echocardiographic image, there is no doubt." Zheng renlang said loudly. Although his voice was still very urgent, it had a sonorous sound of gold and iron.

"Second, under normal circumstances, the motion amplitude of the anterior wall of the right ventricle should be > 5 mm, and the motion amplitude of the free wall of the right ventricle will be > 8 mm. However, in patients with pulmonary embolism, the motion amplitude from the bottom of the right ventricular wall base to the free part decreases or even disappears."

Zheng Ren took the echocardiographic image and said, "your teachers have no doubt."

The image is printed out. People around can't help but surround and look at the image carefully.

What Zheng Ren said is justified and cannot be refuted.

Even Sun Chao could not say a word to deny Zheng Ren's statement.

"Third, the diameter of the normal main pulmonary artery is less than 30 mm, and the right pulmonary artery is less than 20 mm; the MPa of patients with thromboembolic pulmonary hypertension is more than 30 mm, and the RPA is more than 20 mm; the MPA expansion of patients with chronic thromboembolic pulmonary hypertension is more obvious."

"In the image, the RPA is 28mm, which is preliminarily judged to be acute pulmonary embolism." Zheng Ren continued.

"Fourth, I don't know if you know the formula for calculating the collapse rate of inferior vena cava."

Zheng Ren said and glanced at principal Zhang.

What he wants to persuade is president Zhang. Zheng Ren has no impression of the angry mosaic around him.

Principal Zhang has been muddled.

What is this special? Standard science men's thinking, one, two, three, four, five, what else can they say?!