Chapter 1792

Su Yun felt hostility. He went to Zheng Ren and faced Professor Zhang directly.

Eyes like knives.

"Well, Professor Zhang." Zheng Ren inserted all the films into the reader and began to say. His voice was very gentle, like he didn't recognize the irony in Professor Zhang's words.

"There are several main problems for patients." Zheng Ren took a tube of ballpoint pen and gently clicked on the film reader, making a banging sound.

"First, the occult onset in the patient's medical history. I think it is caused by myocardial insufficiency and secondary transient cerebral ischemia."

"..." Professor Zhang was stunned.

"It's a typical moyamoya disease with infarction." Zheng Ren ordered the messy blood vessels on the MRI again.

"Second, because of the hidden medical history, I consider that the patient's moyamoya disease is very serious. Here, there are micro hemangiomas. Here, there are at least 5-6 similar micro hemangiomas. Because the image is not clear enough, so..."

Professor Zhang took off his glasses, rubbed his eyes and looked at the MRI carefully.

A mess of blood vessels, boss Zheng said there was a small hemangioma? Is this a high level of technology or nonsense?

Anyway, Professor Zhang looked for a long time and was not sure whether there was a hemangioma.

It's not surprising that Professor Zhang is a professor of cardiothoracic surgery after all. It's normal not to understand neurosurgical films.

"I read the operation records, coronary artery bypass grafting under cardiac arrest and cardiopulmonary bypass." "Systemic heparinization is likely to lead to rupture and bleeding of micro hemangioma," Zheng said

Professor Zhang's heart sank. Does this mean that he didn't do a good operation? The spearhead is directed at bypass surgery with cardiac arrest.

"Fortunately, it's all right. Now, depending on the patient's state, there should be no intracranial hemorrhage. But in the process of de heparinization, there may be bleeding at any time. I can't guarantee when."

"What the hell are you talking about?" Professor Zhang asked unhappily.

"You can also see the patient's situation. Under the maintenance of IABP, the heart load is still large. I suggest upper body adventitia lung!" Zheng Rendao, "but the upper body adventitia lung will lead to the continuous increase of heparin level, and the patient has a great risk of intracerebral hemorrhage."

"..." Professor Zhang was stunned. Boss Zheng didn't... he didn't have to do neurosurgery.

It's not an ordinary operation, but a rare disease like moyamoya disease.

Young man, I'm so confident. Professor Zhang was frightened by his own speculation.

Diagnosis does have its own self consistent logic, but neurosurgery... I'm afraid no one dares to do surgery.

What are the patients like now? Is it worth doing neurosurgery again?

"Su Yun, call Xiao Feng, Xiao Hu and Lao he and ask Yi Ren to come over." Zheng Ren suddenly said, "let the legal department of Xinglin garden come right away."

Although Su Yun doesn't understand what his boss wants to do, since the boss says so, just do it.

For emergency rescue, one voice is enough. It's useless to say too much.

"Boss Zheng, the patient is in bad condition. I think neurosurgery won't do surgery." Professor Zhang pondered for a moment and persuaded.

"Look at the life indicators now. In this case, if there is a slight disturbance, a person with ventricular fibrillation will disappear." Professor Zhang advised painstakingly, "I know you want to save people, but in this case, it's all life or death."

"Professor Zhang, patients can actually try to rescue." Zheng Ren is also painstakingly persuading Professor Zhang, "neurosurgical surgery can solve the hidden dangers of moyamoya disease and intracerebral hemorrhage, and extracorporeal membrane lung can let patients endure this most dangerous time."

"You..." Professor Zhang's face didn't listen to the old man and suffered a loss in front of him. He looked at Zheng Ren, silent for a few seconds, and finally sighed.

"Boss Zheng, your operation is really good, which can't be denied." Professor Zhang's tone was much colder, "but when it comes to the large-scale emergency rescue involving the cooperation of various departments, I think I'd better let the medical department take advice."

"Well, director Lin should..." Zheng Ren said and asked Su Yun, "did director Lin call?"

"Yes." Su Yun is staring at the operation panel of the monitor and IABP, adjusting some parameters from time to time.

The machine is not put there. Just turn it on and run it. Countless parameters are arranged and combined, and there are countless processing methods.

It requires profound clinical experience and theoretical basis to temporarily decide how to adjust parameters according to the situation of patients.

Su Yun is a boy. He has been in medicine for more than ten years. Coupled with his unique talent, Zheng Ren is very relieved when he stands there.

Try to convince everyone. You can't have an operation on your own.

When the moon is full, it will lose. When it is hard, it will break. Zheng Ren knows these principles. Under Su Yun's care, the patient's state should last for some time.

It's time to explain to the patient's family. Zheng Ren thought. Professor Zhang said: "the patient's family has agreed to sign and give up continuing treatment. Boss Zheng, I think as medical workers, we should respect the views of the patient's family while treating the patient and saving the patient."

"I'll do the family work." Zheng Ren said firmly.

Professor Zhang frowned.

How many people in the world are really worried that their troubles are not enough?

idiot!

Just now Professor Zhang and the patient's family members explained their condition, observed their words and expressions, and found that the patient's husband had no idea of rescue at all.

Although the patient's daughter has this idea, she has no financial source, or insufficient financial source to support a major rescue.

Now I want to turn around the idea of the patient's family members. I'm afraid there will be a medical accident.

Many patients' families are like this. On the surface, they have a positive attitude towards rescue. In fact, they want the patient to die early.

A sick person is actually a drag. Whether it's financial or need someone to accompany. It's been a long time... What's the old saying? There is no filial son before a long illness.

That's basically what I mean.

This is true for all biological sons, not to mention a late wife.

This is also human nature. It's not easy for anyone to live.

Knowing that there is a bottomless pit ahead, he spent all his money in it. In the end, people may not be able to save him.

You can imagine how to choose.

Professor Zhang felt that boss Zheng didn't have enough clinical experience and didn't realize this.

He grabbed Zheng Ren and sincerely persuaded him: "boss Zheng, the patient's family has decided to give up. At this time, you tell them there is still a glimmer of life and can be saved. People don't think of you. Once there is a problem after the operation, all their anger will..."

"Professor Zhang, thank you." Zheng Ren said seriously, "I'll try my best to see if it works. It depends on the opinions of the patient's family. How to treat it... I can't watch the patients who can be treated die."