Chapter 1881

Zheng Ren said carefully, and his words were not harsh. But even the gentle wind and rain made Xia Hua a little embarrassed.

"Generally speaking, the initial symptoms of patients are severe nausea and vomiting, followed by chest pain and epigastric pain.

Some patients have hematemesis or bloody vomit.

The pain is tearing and unbearable, and it is not easy to relieve with high-dose analgesics. Most of the pain locations were upper abdomen, posterior sternum, two ribs and lower chest. Sometimes the pain radiates to the shoulder and back. When the symptoms are serious, there are obvious shortness of breath, dyspnea, cyanosis and even shock. "

Zheng Ren looked at the film, found the position he wanted and explained it to Xia Hua.

"I haven't seen the medical record, and I don't know the patient's condition, but why can I be sure that it is spontaneous rupture of esophagus with a high probability? Because there are typical imaging findings."

"Mediastinal emphysema and subcutaneous emphysema shadow of the neck can be seen in the lateral position of the X-ray chest film. Sometimes the emphysema shadow on the side of the posterior lower mediastinum can be seen in the posterior anterior position, which is triangular."

"This is a typical imaging sign, which is displayed on CT here." Zheng Ren then outlined an area with the mouse.

"If you are worried, you can choose to use Meilan for upper gastrointestinal radiography. You can see that Meilan leads out of the thoracic drainage."

"One more thing, the drainage fluid in the patient's chest bottle is turbid, which is not in line with the drainage fluid characteristics of bronchopleural leakage."

"But no more examinations are necessary. Go straight to the stage and perform the operation in the form of open chest exploration. If I'm right, do a simple suture after dissociation and remove the esophageal stent."

"If you're right, let's repair the lung lobes. Do you think it's ok?"

These words confused Xia Hua directly.

"Did you send the puncture fluid for amylase?" Su Yun asked behind him, his tone full of contempt.

Although his words are a question, I can feel that he is actually saying that there is no test for amylase. You pull a wool and leak the bronchus and pleura!

"No..." Xia Hua was stunned.

Is this the difference between the provincial capital and the imperial capital?

"It's not necessary. Just cut the chest and explore it directly." Zheng Ren said with a smile: "the diagnosis is very clear. When I see the eye patient, I will send it directly to the operating room."

"Do you want to see eye patients?" Su Yun said behind his back.

"It's a rule to see patients before surgery. You can't ignore this because of the short time." Zheng Rendao.

Although the diagnosis is clear, Zheng Ren still needs to use the system panel for reference. He is used to it.

However, this sentence shocked Gao Shaojie and Xia Hua much more than just explaining the patient's condition.

A doctor must have a sense of responsibility.

But everyone has been living for decades, and some of their original hearts have changed.

Fly over for surgery and toss around for a day. The more surgery you do per unit time, the more income you earn.

The more income, the better the life of wife and children.

This is a very simple account. Everyone can calculate it.

Therefore, many professors have seen films transmitted by mobile phones before coming, and they are unwilling to see patients again.

Of course, it doesn't matter. After all, there are local hospitals to check the first pass. If a patient has a problem, he will definitely raise it directly.

The professor can finish the operation and leave, but the bed doctor can't.

Besides, boss Zheng has no profit from this operation. He purely sells his wrists to help with the operation.

Gao Shaojie was a little embarrassed, but he didn't say anything.

Xia Hua immediately contacted the escort who sent the patient for examination and said that the patient was already on the way. Several people went directly to the corridor to wait, so as to save the patient from tossing on the hospital bed and tossing down again.

"Boss Zheng, is Lao Liu okay on that side?" When the patient came back, Gao Shaojie asked.

"Very good, just too tired, I think..." Zheng Ren hesitated.

"His hair is getting less and less. He also said he wanted to have a hair transplant. I guess the hair on the back of his head is almost gone. Lao Liu's hairline is really reaching his waist." Su Yun said with a smile.

"Is the level improved significantly?" Gao Shaojie pretended not to ask.

"Fortunately, it can be upgraded to a higher level. Now Lao Liu comes back and does tips surgery himself. There should be no mistakes." Zheng Ren looked at the gate and said casually.

Gao Shaojie's heart seemed to be thrown into an oil pot, rolling zizila.

At that time, I thought about it

But children really can't do without the college entrance examination. Even if it is to do it again, Gao Shaojie estimates that he will choose to stay at home.

How can parents leave their children behind in the last few months and have unstable factors?

When the family's little boy is admitted to college, he has to wait for Lao Liu to come back and go to the imperial capital.

It would be great if children could go to God's University.

At that time, I will even accompany you to study Gao Shaojie plans the future in his heart.

"Boss Zheng, when Lao Liu comes back, my son's college entrance examination is over. Can I study for half a year?" Gao Shaojie asked.

"Welcome." Zheng Ren said with a smile, "Lao Gao, it's best if you can go. Fuguier and Lao Liu are gone, and I don't have a hand in surgery."

Gao Shaojie's heart has a bottom.

Say, flat car sound.

It's been a while away from the emergency department, but Zheng Ren's heart rate still accelerates when he hears the sound of flat car wheels rolling on the marble floor.

I guess I'll never get over it.

Stop the flat car and Zheng Ren check the patient.

The breathing sound on the left side is very weak, and the blister sound can be vaguely heard, but it is not obvious. This is not important. The key is that Zheng Ren checked the system panel. It is indeed a spontaneous rupture of the esophagus.

"Come on stage. We need a hybrid operating room." Zheng Ren said, "Dr. Xia, you may ask the advanced medical practitioner to explain before operation."

Xia Hua forgot his tiredness and began to run quickly.

Explain the condition to the patient's family members, say about emergency surgery, and sign. Although the patient retained the gastric tube, urinary tube and venous channel, as long as the skin was prepared, he was busy in less than half an hour.

More than 10 minutes later, Xia Hua handed over the preoperative explanation and signature to the advanced medical practitioner. He took the patient who had prepared the skin to the stage first.

"Boss, you are just too gentle." Su Yun said dissatisfied, "I remember you were different after you went abroad. What's the matter?"

"It's the same after going abroad. It's no different." Zheng Rendao.

"At King's Hospital, I remember you kicked GAD against the wall."

"He wants to do heart compression. Look at that posture. After pressing it, there is no need to rescue. It's killing, not saving people. Can you be in a hurry?" Zheng Ren said, "it's you who smashed director Sun of the Affiliated Hospital of Medical University with pliers. The impact is very bad."

"Look at that guy." Su Yun said, "I just came here to pick and pick. I can't rely on one mouth for the operation? It's really a dog at the beginning. The operation depends on the mouth."

Gao Shaojie was stunned.