Chapter 2156

Zheng Ren didn't know that so many things had happened in the Affiliated Hospital of imperial Medical University.

After having lunch with Yi, he returned to the chair by the window of the intervention department and sat down.

The afternoon was quiet and beautiful. The sun was very good. Sitting in the sun with the fifth edition of surgery on your legs, you went to the system library to read.

A quiet life is beautiful. If only it could be like this all the time.

Zheng Ren sat on the edge of the small pond in the system space, quietly looking at a magazine and putting his feet in the pond. When you see happiness, your feet move slightly and ripple a little.

"Boss, watch the film!" Su Yun's voice came from the outside. Zheng Ren regretfully gave up a moment of leisure and came out of the system space.

"What patient?"

"Just fooling around, Fang Lin received a patient with pneumothorax." Su yundao.

"What's good about pneumothorax?" Zheng Ren lost interest when Su Yun finished.

Whether traumatic or spontaneous, pneumothorax is pneumothorax. General anesthesia, single chamber ventilation, find the location of pulmonary bulla or lung breach, and just sew it.

Now endoscopic surgery is simpler. You can find the breach and put a titanium clip. The operation lasted no more than 1 hour, including anesthesia and anesthesia awake time.

The only thing to pay attention to is to repeatedly inflate the lungs to see if there is only one place where you are angry. If there are omissions, it may be necessary to open the chest twice, which is difficult to explain.

"Pneumothorax is strange. Fang Lin is not sure. Come and have a look at me." Su Yun smiled.

Zheng Ren saw that he looked different and moved in his heart.

As for the problem of mind and general chest, is Su Yun looking for himself? Once upon a time, there was an operation in Haicheng. There was no compression in the lung. In fact, the lung rupture was quite serious.

In this rare case, Su Yun only calls himself to carry the pot when he is not sure.

"What patient?" Zheng Ren asked.

"For recurrent pneumothorax, the last time was 20 days ago. I went to the local hospital. After surgical treatment, I still had gas and came to the imperial capital." Su yundao.

"Where's the film?"

"Fang Lin sent a picture in his mobile phone. It's nothing to look at. Go up and have a look." Su Yun took Zheng Ren and left.

"Recurrent? Spontaneous pneumothorax?" Zheng Ren wondered.

"Well, seven attacks in two years." Su Yun said, "boss, don't you think it's strange?"

"I think it's strange." Zheng Ren pondered.

Spontaneous pneumothorax refers to the rupture of lung tissue and visceral pleura due to lung diseases, or the spontaneous rupture of pulmonary bullae and fine emphysema bullae near the lung surface, so that the air in the lung and bronchus escapes into the pleural cavity.

Generally, young men aged 15-25 are prone to spontaneous pneumothorax.

When high school students returned to Haicheng a while ago, they met a mother who had to do appendectomy for her child. Su Yun frightened her with this example.

In fact, it's not a bluff, it's just telling the truth.

Young boy, pulmonary bullae burst. He had to open his chest and sew up pulmonary bullae before. Now endoscopic surgery, just two eyes.

The recurrent case at present means that the doctors who performed the operation did not remove all the pulmonary bullae.

It is not to say that all pulmonary bullae should be removed. The condition is always more complex than expected. The lungs of some patients are full of pulmonary bullae, at least a dozen or dozens. You can't cut off the whole lung lobe.

Moreover, the last operation was abnormal, and there was continuous gas extraction from the chest bottle after operation.

This problem is more serious.

Outside his chest, Fang Lin was watching a film. A man in his forties, medium build, but very fat, stood beside him.

"Boss Zheng, Brother Yun, give me a look." Seeing Zheng Ren and Su Yun coming in, Fang Lin immediately said, "this is my life-saving benefactor, boss Zheng. This is Brother Yun."

He introduced Zheng Renhe and Su Yun to the fat people around him.

Then, Fang Lin said, "this is Dr. Shao from L City."

Zheng Ren nodded and smiled kindly at the chubby mosaic, indicating that he knew.

"Eh? The hospital that asked you for surgery?" Su Yun asked with a smile.

"Isn't that earthquake relief? Our hospitals went to the front. I just went to Lao Shao's Hospital for an operation." Fang Lin explained with a smile.

Flying Daggers are usually people at the professor level who go out and run. Few people always come to the hospital. Fang Lin also has a high technical level. In addition, under special circumstances, he only ran once.

"Brother Yun, why did you bring boss Zheng here?" Fang Lin was a little embarrassed. "I just think the condition looks simple. There may be a problem. I asked you to give me a hand."

"Don't be so polite. It's no trouble." Zheng Ren said with a smile and went to the film reader.

The film is CT. It looks very simple. The left pneumothorax has a tube shadow of closed thoracic drainage, and the lung is compressed by about 10%.

There were abnormal images on the lung surface and costophrenic angle. Zheng Ren estimated that the intubation time was relatively long, resulting in irritating hyperplasia or pus moss caused by infection.

"What about the patient?"

"Zheng... Boss, Hello, I'm Shao Jinghe." The chubby doctor said hello honestly.

Zheng Ren felt funny. If he were a shrewd person, he should come up and shake hands after Fang Lin's introduction just now.

The man didn't know whether he was hit by a medical accident or whether he was such a person. He even said hello a few steps late.

"You're welcome, Dr. Shao. Tell me about the patient." Zheng Ren smiled.

"This is an old patient, 22 years old, female."

“……”

22-year-old patient, this kind of words is a little strange. But Zheng Ren knows what Shao Jinghe means - old patients, which means that they often deal with hospitals.

"Two years ago, the patient suddenly felt chest tightness and shortness of breath. He went to see a chest X-ray to report the right spontaneous pneumothorax. I made a thoracoscopy. He recovered well after the operation and was discharged home."

"Then during the past two years, the patient fell ill intermittently."

Shao Jinghe said, a little depressed.

"Lao Shao, did you have pulmonary bullae?" Su Yun looked at the film and asked.

"I check every operation carefully. There are no abnormalities." Shao Jinghe said with a sad face, "Brother Yun, I call you that too?"

"Whatever." Su Yun said with a smile. This old Shao is a little Winky. Please help him.

"Now I see that the patient wants to hide... My colleagues laugh at me and say whether I have done something to other girls and why I keep pestering me."

Zheng Ren glanced at Shao Jinghe's big belly and felt funny.

However, this mood is normal. Six or seven operations were performed in the previous two years. Although the adhesion of lung tissue in thoracic surgery is not as serious as that in the intestine, it is also a headache when opened.

This does not count. People who have worked in chest department know that it is rare to have two or three times of bullectomy. This is done seven times in two years. Who doesn't want to hide.