Chapter 2136

"Boss Zheng, the performance of lipiodol on CT images is not like that." Lin Yuan asked after him.

"Not what?" Zheng Ren asked casually.

"It looks like a stone. I always think what you said is wrong." Lin Yuan asked, "boss Zheng, don't be angry. I just don't understand."

Zheng Ren glanced at Lin Yuan. The child's talent was good, but he was much worse than Su Yun.

Lin Yuan was stunned and subconsciously wanted to raise his hand.

"CT, have you operated?" Zheng Ren asked, staring at the styloid process of Lin Yuan's left radius.

Lin Yuan felt as if an invisible hemostatic forceps had knocked on the styloid process of the radius. He was "slapped" by boss Zheng, and his heart trembled.

"Ask you something." Zheng Ren stopped looking at him and called director Luo.

"Yes, boss Zheng, what do you mean..."

"Director Luo, there is a patient here who wants to have an emergency gastroscope."

"Uh huh, it's an emergency, a hemorrhagic shock. It should be a hepatitis B patient. I'll go with my medical record, and I'll talk about it later."

"Yes, it is suspected that liver cancer is ruptured and bleeding. There is no way to diagnose this side."

"No, no, I suspect that it flows back to the pancreas and gallbladder along the bile duct. If so, there may be bleeding in the descending duodenum."

"Yes, well, meet and talk."

With that, Zheng Ren hung up the phone.

"What are you talking about?" Zheng Ren asked.

"I said duodenum... Er, I've done CT. Boss Zheng, what questions do you want to ask?" Lin Yuan asked.

"Head CT, window frame and window position. How did you give them?" Zheng Ren asked casually.

"The general window width of the head is 100 and the window level is 37."

"What about the abdomen?"

"The window frame is 400 and the window level is 40." Lin Yuan answered like a stream.

Well, the basic skills are quite solid, Zheng Ren thought. If domestic clinicians change, few know the concept of CT window frame window level.

However, it can also be imagined that this is a doctor of Harvard Medical School, and there is nothing to compare with ordinary undergraduates in China. Not Xueba, nor can I go to the world's top medical colleges.

"Why do you give different window frames and windows?"

"Because of the visual contrast..." Lin Yuan was stunned. She immediately shook her head and said excitedly, "well, I know!"

Zheng Ren ignored her and strode forward.

"Boss Zheng, wait a minute!" Lin Yuan chases after him. Although he is tall and has long legs, he is a girl after all. It is normal that he can't catch up with boss Zheng.

"It's because lipiodol is gathered together in the liver, so it looks particularly bright. And flowing back into the gallbladder along the blood flow is a little bit of sediment like high-density shadow." Lin Yuan said excitedly.

"That's right."

Lin Yuan kept asking. Zheng Ren just nodded faintly and didn't say a word.

"Wow, what do you think so far!" Lin Yuan asked in surprise.

"I thought of it along with various complications." Zheng Rendao.

When he came to the mirror room, director Luo was changing his clothes.

"Director Luo, please. Just say hello. Why did you come in person?" Zheng Ren said with a smile.

"Look at boss Zheng, your craft is not." Director Luo said with a smile, "the liver transplantation operation was very beautiful two days ago."

"We still have to have su Yun. The patient's state is too bad and his heart stops. If he hadn't done cardiac compression, the operation wouldn't have come down." Zheng Ren smiled foolishly.

Director Luo smiled at Zheng Ren. Boss Zheng is really modest.

The emergency liver transplantation in poor condition is still so calm and quite good.

"Is it your patient?" Director Luo asked, "didn't you say you flew to London for intrauterine intervention and didn't rest just after you came back. There are still things in the ward, but it's busy enough."

"Oh, my patient is nothing. It's Professor Zhao's patient."

Director Luo was slightly stunned and felt a little strange. But he didn't ask, just smiled, changed his clothes and followed Zheng Ren to the mirror room.

They don't talk about their condition. It's meaningless to say more at this time. They just chat about the operation two days ago.

Lin Yuan also changed her clothes and followed in. She wanted to ask boss Zheng several times, but with Director Luo, she couldn't interrupt, so she had to resist.

More than 20 minutes later, Zhao Wenhua brought the patient up.

If Su Yun were here, he must have covered his face. But Zheng Ren knows that this is because there are still various preoperative explanations to do, not Zhao Wenhua's carelessness.

If you don't pay attention, if there is a problem, find a consultation, and then treat it step by step.

Finally, when the patient's state is getting worse and worse, he will consult the whole hospital or send him to ICU.

According to the standard process, you don't have to deal with things at all.

It's a good person to think about the film carefully. Although timid and unwilling to take responsibility, he found excuses and trouble in his own treatment group.

Zheng Ren keeps these things in mind. He doesn't have to think about them. He won't forget them at all.

The little black book of boss Zheng's Revenge has long been full of things about Zhao Wenhua.

But,

Today is different from the past.

The level is different, the realm is different, and the things you think are naturally different.

Within a few months, Zhao Wenhua had become a little doctor in Haicheng and posed no threat to himself. And he has eyes and hides himself. Zheng Ren is also lazy to turn over the old accounts.

Moreover, this is a case of misdiagnosis and mistreatment. We can't see it as not. We stood aside and looked at jokes coldly. Finally, we took the case to hit Zhao Wenhua in the face.

A human life costs too much. Zhao Wenhua is not worth it.

"Boss Zheng, sorry to be late." Zhao Wenhua sent the patient in and repeatedly bent down to apologize.

"It's all right. Go change your clothes and I'll start doing it." Zheng Ren pushed the patient in, and Lin Yuan pointed the direction in front.

Zhao Wenhua looked at the figure of boss Zheng and felt mixed.

Zheng Ren takes the patient to the emergency endoscopy room, carries him to bed, and the anesthesiologist gives him inhalation anesthesia.

Director Luo didn't speak and didn't care who made the endoscope.

If an ordinary doctor, or even the director of a department, director Luo would not allow him to do it himself in his mirror room.

But boss Zheng is different.

In a few minutes, when Zhao Wenhua changed his clothes and hurried in, the gastroscope had passed through the pylorus and entered the descending part of the duodenum.

The descending part has a longitudinal fold, and the lower end is a circular bulge, which is usually called the large r head of duodenum, which is the common opening of common bile duct and pancreatic duct.

On the screen, the position of the large r head of the duodenum continued to show blood in one tube and another, and the gastroscope was quite clear.

Zhao Wenhua felt a burst of happiness.

Fortunately, I didn't refuse boss Zheng's help in order to save face, so I bled. Tonight, the patient's hemorrhagic shock is bound to worsen. If he is sent to ICU and treated like this, he will die.

……

……

Note: the cases in the previous days were patients after radiofrequency ablation. Xiaodi, I have seen such a patient with bleeding after more than 100 cases of radiofrequency ablation. In fact, an accident occurred 7 days after the operation when the patient was ready to leave the hospital.

All departments consulted and the diagnosis was also very clear - gallstones and acute pancreatitis. Later, our director overcame all opinions and made a gastroscopy diagnosis.

Objective inspection is sometimes unreliable~~~