Chapter 1964

Zheng Ren stood in front of the film reader, holding his cheek to watch the film.

"Boss Zheng, I don't think it's a tumor." Professor Feng said his judgment first.

"Well, I don't think so. There is only peripheral blood supply, and there should be fecal stones in the middle." Zheng Rendao.

"Suffering..." Quan Xiaocao wanted to speak, but he swallowed it back after only one word.

"Xiaocao, don't give advice. What do you say you're afraid of? If you're wrong, you can't eat you." Su Yun encouraged her.

Quan Xiaocao baked his hair today. There is a trace of green in his black hair. It looks more and more like a grass.

"HMM... HMM..." Quan Xiaocao lowered her head and looked at her toes. She seemed to regret why she had to speak just now.

"You're such a counsellor. What will you do in the future?" Su Yun seems to have a gentle attitude towards Quan Xiaocao. He encourages Quan Xiaocao.

"The patient's defecation and exhaust have always been normal." Quan Xiaocao expressed his views like a mosquito.

"This is really a problem." Zheng Ren said, "having defecation and exhaust means that intestinal peristalsis is normal."

"I heard bowel sounds, 4-5 times / minute." Feng Jianguo added.

Zheng Ren silently watched the film and had a relevant diagnosis in his mind.

"Huge space occupying lesions, no internal vascular images, regardless of active substances, there is a great possibility of fecal stones." Zheng Ren reiterated.

Quan Xiaocao is a little confused. Didn't he say that the patient's defecation is normal?

If there is such a large fecal stone, the intestinal obstruction must be very heavy, and the gas-liquid level... Although it is not a standing abdominal plain film, it will also be shown on CT.

During this time, Quan Xiaocao made up for her clinical knowledge. She felt that her level had improved a lot.

Just in the face of boss Zheng, but I couldn't help but counselled first, even if what boss Zheng said was nonsense.

She didn't have the courage to question boss Zheng and the identity of the Nobel Prize candidate. She was a dazzling "superior" doctor like the rising sun.

"How is the patient now?" Zheng Ren asked.

"Severe abdominal distention, accompanied by tear like pain, unable to eat, drink and lie flat." Seeing Quan Xiaocao looking at the ground, Feng Jianguo knew that her mind was blank, so he introduced the patient's current condition to boss Zheng.

Quan Xiaocao is diligent, kind, down-to-earth and willing to work. Everything is good, but it's a little too counseling. Feng Jianguo is also very helpless about it.

"Give me your opinions." Zheng Ren looked at the film and said softly.

Feng Jianguo was stunned. What does that mean?

Does boss Zheng want to test himself?

"Boss Zheng, I share your view. I don't think it's a tumor. But for fecal stones... I have to do a CT enhancement." Lin Yuan said directly.

Feng Jianguo glanced at Lin Yuan. When did boss Zheng have another female doctor around him?

It is not a common habit for domestic doctors to wear white clothes without buttons. Either some senior directors don't fasten buttons, or occasionally young doctors who don't know the greatness of heaven and earth play handsome.

"Lin Yuan, you didn't expect..." Su Yun just showed a skilled smile at the corner of his mouth. Then he paused, spoke gently and said: "think more, boss. My diagnosis is transverse colon and descending colon duplication."

Zheng Ren nodded.

"Brother Feng, emergency surgery." Zheng Rendao said, "I went to see the eye patient. Su Yun's diagnosis should be correct. The patient has colonic duplication. Fecal stones appear in the middle of the intestinal tract, compressing abdominal organs and diaphragm."

"..." seeing Zheng Ren going to see the patient, Feng Jianguo immediately said: "boss Zheng, I have also considered this rare disease, but generally speaking, gas images can be seen in the intestinal tract of repetitive malformations."

"At this point, we can temporarily consider that the patient has been ill for a long time, and the proliferative abnormal intestine is blocked by fecal stones." Zheng Ren smiled. "Give me the stethoscope."

When Quan Xiaocao heard Zheng Ren speak, he immediately took out a stethoscope from his pocket.

But when she looked up, she saw that the female doctor beside boss Zheng had handed the stethoscope to boss Zheng.

"Look at the patient." Zheng Ren said: "whether it is intestinal duplication or not, laparotomy should be performed. If so, it is more troublesome, more troublesome than cutting a tumor."

Feng Jianguo knows what boss Zheng means. Although the operation of repeated intestinal malformation is relatively simple, there are so many fecal stones in it. It is almost certain that the patient will have serious infection. It is very likely to open the intestinal tract and wait for phase II anastomosis.

It's a headache to think about these disposal.

Let's go to see the eye patient first. Feng Jianguo led the way to boss Zheng and went straight to the ward.

"The patient was collected today. His stomach is like pregnancy. It is estimated that the situation inside is very serious." Feng Jianguo briefed Zheng Ren.

Zheng Ren nodded.

Entering the ward, Zheng Ren saw a male patient rolling on the bed.

His stomach is high and swollen, just like what Feng Jianguo described, like a pregnant woman pregnant in October.

It is estimated that the abdominal pressure is very high. No matter how he lies down, he is very uncomfortable. It is difficult to find a way for him to lie comfortably for a while.

It is said that sick people are anxious and so uncomfortable. Who can speak safely?

Moreover, the patient has had abdominal distension for more than ten or twenty years. After a long time of torture, the whole life is like sinking into hell.

The system panel shows bright red. The diagnosis is the same as Zheng Ren's judgment. The duplication of transverse colon and descending colon. In addition, there are a lot of other diagnoses, but they are other complications that are not very urgent. Zheng Ren doesn't care.

He listened to the patient's bowel sounds, which was normal.

Asked about the medical history, the patient has not had a good meal for three or four days. Recently, there is almost no defecation, but the exhaust is normal.

For the overall treatment, Zheng Ren has a number in mind.

He gave the patient a physical examination, finally determined his judgment, and then left the ward.

"Brother Feng, make preoperative preparations for your next consultation." Zheng Rendao.

"It's all right. If you want to come up, you don't have to consult." Feng Jianguo smiled.

Boss Zheng, a doctor from general surgery, has long known that his hands itch when he sees rare diseases.

"No." Zheng Rendao, "preoperative enema, and then intraoperative lower recyclable intestinal stent."

"Ah?" Feng Jianguo was stunned.

Surgery combined with interventional surgery? There seems to be no such technique.

"Recyclable intestinal stent? Is it necessary to block the intestinal hyperplasia port to avoid fecal stone countercurrent and pollute the wound?" Lin Yuan frowned and asked.

"You deserve to be a doctor of Harvard. Your judgment is right!" Su Yun said on one side.

His eyebrows danced, where could he see a trace of bitterness.

Lin Yuan frowned more tightly. She looked at Su Yun cautiously, as if she were wary of a thief.