Chapter 1849

CT showed that the scanning location was like bronchial truncation in the upper lobe of the right lung. The upper lobe of the right lung showed wedge-shaped high-density shadow with uneven internal density. Circular low-density shadow and dot calcification shadow could be seen. Mediastinal lymphadenopathy is mostly calcified. The left bronchus is unobstructed.

"Lung torsion, prepare for emergency surgery." Su Yun said with certainty.

"Brother Yun, I think it's also pulmonary torsion. I'm going to report to the second-line professor." Fang Lin said with a smile.

But when he saw Zheng Ren still watching the film, he was a little confused.

"Boss Zheng? What do you think?" Fang Lin asked.

"There is a high possibility of lung torsion." Zheng Ren definitely said, "but it is difficult to distinguish between differential diagnosis and localized pleural effusion, atelectasis, intrapulmonary hematoma and coagulative hemothorax."

"It's not all the same. You tell me, what kind of situation doesn't need to go on stage?" Su Yun said disdainfully.

"Don't you mean diagnosis? If you say surgery, you can prepare to do it directly." Zheng Ren still watched the film and ignored Su Yun's provocation.

"You are too cautious." Su Yun said: "standing and lying, it is obvious that there is movement in the high-density area. This is the most definite diagnosis."

"Localized pleural effusion can also." Zheng Ren holds his cheek to watch the film.

"There is a difference."

"I know." Zheng Ren said, "Fang Lin, does the patient's family say the condition is urgent?"

"It should be OK. There is no vascular obstruction for the time being, which leads to venous reflux obstruction and signs of venous infarction or gangrene after congestion of pulmonary parenchyma. However, Cui Lao in the emergency department was very worried and asked President Zhou to bring the patient's family directly, saying that he should hurry up for surgery." Fanglin road.

"Then do a chest dynamic fluoroscopy, make a clear diagnosis and start the stage immediately." Zheng Rendao.

Su Yun also knows that chest artery fluoroscopy is the best means to diagnose pulmonary torsion, but the patient's image is not too standard, although spontaneous pulmonary torsion is rare. But anyway, there should be nothing wrong with direct surgery.

Is it really necessary to be so cautious?

But I did what my boss said. It seems that I still owe him a convincing answer just now. If this guy remembers to take this sentence against himself

Su Yun didn't dare to think about it.

"Fang Lin, we are here to see patients with double esophageal malformations. When can patients with pulmonary torsion be hospitalized?"

"If there is no traffic jam, it will take about an hour." Fanglin road.

"Well, tell me on stage that I'll have a look." Zheng Rendao.

"OK."

It's just grandstand surgery. Fang Lin has no reason to refuse.

After looking at the patient with double esophageal malformation, he stroked all the medical records and test sheets, and Zheng Ren compared them with the system panel.

I'm sure I'll have an operation tomorrow before I leave thoracic surgery.

Back in the Department, Liu zewei's head was shining and was correcting the case. Chang Yue went to communicate with the patient's family, while the professor was sorting out the data of tips surgery.

Because more and more doctors learn new tips surgery, the volume of surgery has soared. Professor Rudolph Wagner has devoted almost all his energy to sorting out relevant data in addition to surgery.

"Boss, will there be thrombus metastasis when the patient with pulmonary torsion who has just seen the torsion is relieved?"

"It's possible. Be very careful when doing the operation." Zheng Ren said, "you can't do it with a mirror. The degree of detail is still a little poor."

"In other words, your laparoscopic level is good. How can you be so confident in endoscopic surgery?" Su Yun asked.

"Not without confidence, but more confidence in their own hands." Zheng Ren said, "did you notice what Dr. Charles said later?"

"As soon as you touch your hand, you know what strength to sew with?"

"Well, that's it." Zheng Ren said: "Although endoscopic surgery has little damage, there is no comparability between endoscopic forceps and hands. If you can use this from the benefits of Chu Nu ang Sai, maybe endoscopic technology can be further improved."

"Stop talking nonsense." Su Yun said, "there are certainly not many people who can master this. I have just touched the threshold. It doesn't have to be long before I step over. Do you expect others?"

"Yes, it's always good. Not to mention surgery, but only interventional surgery. Hand feeling is a very important point." Zheng Rendao.

"No wonder you can realize this because the interventional operation is well done?" Su Yun seems to have found something important.

"It should be." Zheng Ren said, "interventional surgery depends on hand feeling, especially after reaching a certain level. If you do more, you unknowingly use the surgical side."

"It seems that Dr. Charles is more talented than you. He won't do interventional surgery, but he also touched the threshold of hand feeling." Su Yun also understands the truth.

"Sure." Zheng Rendao: "I belong to analogy, because I can understand this only when I have the strongest interventional surgery to pave the way."

Su Yun wanted to retort immediately after hearing Zheng Ren say the strongest intervention operation. But when the words came to his mouth, they stopped again.

Is this sentence wrong?

you 're right!

He is the strongest interventional surgeon, and he can't even find a similar example.

"Feel..."

"For example, if you touch the intestines, you can know what strength to peel off, so as not to cause complications such as intestinal rupture and intestinal perforation." Zheng Ren described his experience.

Su Yun was silent and nodded.

This is a new field. Su Yun can only vaguely understand what Zheng Ren is talking about, but he still has a long way to go to realize this and use it in surgery.

Thinking, Su Yun was a little confused.

Recently, I have never been more attentive and worked harder than before, but how do I feel that I am getting farther and farther away from my boss?

"You're back." When Chang Yue came back from the ward and saw Zheng Ren and Su Yun chatting, he said, "Yi seems a little unhappy. Zheng, be careful."

"..." Zheng Ren felt a thunder falling from the sky.

"Huh?" Su Yun glanced at Chang Yue and asked, "why?"

"If you don't eat at noon, it will disappear as soon as lunch time comes." Chang Yue was busy when she sat down.

"Isn't this the emergency department?" Su Yun didn't care.

"Don't send messages back. You don't know how big it is for girls?" Chang Yue turns back, holds his glasses and looks at Zheng Ren with schadenfreude.

"...." Zheng Ren remembered that after stepping down, he went to the emergency department. First, he listened attentively to Su Yun's lecture to Zhou Litao, and then made the differential diagnosis of amoeba protozoa. Unexpectedly, he forgot to look at his mobile phone!

Although Zheng Ren's EQ is not high, or he is too lazy to think about it. But he made a big mistake not to return his girlfriend's information!

Zheng Ren felt that his back was cold and his whole body was frozen.