Chapter 2284

Tang Xiu is smart and capable with light makeup.

She received an important task - to interview Lao pan, director of the emergency department of the first hospital of Haicheng City. First, we will collect all the information about Dr. Zheng from our home, and then go to DIDU to squat outside the 912 hospital a few months in advance, waiting for the news of the Nobel Prize in October.

More than four months in advance, Tang Xiu didn't think it was a big deal. For the Nobel Prize, it can't be overemphasized.

In Tang Xiu's view, this is a long-term main task. If you do a good job, you must be the candidate for the next chief editor of Haicheng Metropolis Daily.

In order to compete for this place, Tang Xiu made great efforts.

Finally, the interview with Dr. Zheng played a decisive role. She had the experience of contacting Dr. Zheng and made relevant topics.

With the support of the old editor in chief, Tang Xiu got the biggest project of Haicheng Metropolis Daily this year.

Be sure to do a good job! Tang Xiu cheered himself up.

Although she also knows that it is absolutely impossible to have results this year. Before and after receiving the task, Tang Xiu searched a lot of data. Finally, she came to a conclusion that it will take at least 10 years for Dr. Zheng to win the Nobel Prize.

But who cares?

It's best to get it. If you can't get it, just a Nobel nomination is enough to shock Haicheng. After all, this is the first time that Haicheng is so close to the Nobel Prize.

She carefully planned and ground director Pan for several days. Only then did she squeeze toothpaste and ask a lot of relevant things.

But what surprised Tang Xiu was that she got more information about Dr. Zheng renzheng in the mouth of several inpatient managers supported by 912.

At the weekend, Dr. Zheng came back but missed it, which made Tang xiuhao regret.

When interviewing president Wang and several other doctors who came to support, their tone made Tang Xiu realize that what President Zheng did in DIDU was far beyond his imagination.

So she made the plan in advance and applied. Without waiting to go through the process, she took several capable generals directly to the capital.

About to collide with the major newspapers and TV stations in the imperial capital, Tang Xiu has no confidence. What she can rely on is the friendship she has dealt with in the past.

But at the thought of this, Tang Xiu scolded Wei Feng for the N + 1 time.

However, these are indifferent emotions. Tang Xiu came to the imperial capital as soon as possible and was ready to squat for a long time.

……

……

At this time, Zheng Ren stood in the doctor's office of thoracic surgery and looked at the film in front of him.

The red stethoscope on Fang Lin's shoulder is so coquettish and eye-catching.

This consultation is a difficult patient.

Male, 72 years old, poor nutritional status; The main complaint was recurrent cough, phlegm and asthma for 30 years. Pulmonary function test showed severe obstructive ventilation dysfunction. Inhalants have been used for many years.

The patient had sudden chest tightness, chest pain and dyspnea after exercise 1 week ago.

Lung CT was done in the local hospital, which showed that there was scattered inflammation in the left pneumothorax and the lower lobe of the left lung.

The symptoms improved after emergency left thoracic closed drainage, and then continued negative pressure suction drainage.

Because the patient's own physical condition is relatively poor, the local hospital did not consider the possibility of surgery at all.

The patient is asthmatic after walking a few steps and can't climb a floor, which is a relative contraindication for thoracic surgery.

If not, the ventilator may not be able to take off after operation. At that time, the patients suffered, the expenses at home were huge, and the doctors had headaches every day.

When I went to the operation, I was barely alive, but after the operation, I had to enter the ICU and hang myself by machine. No doctor would like to encounter such a thing.

Excluding surgery, the local doctor decided to perform closed thoracic drainage first, and then observe the treatment.

However, in the drainage state, the lungs have completely expanded, but there is still a large amount of gas out. This means that the breach on the surface of the lung is very large, which is difficult to grow according to the patient's own state.

After a whole hospital consultation, the local hospital ruled out the possibility of surgery again and gave 50% glucose 50ml thoracic injection for pleural fixation.

But afterwards, the patient still had chest tightness and shortness of breath.

Re examination of chest film showed that pneumothorax was repeated and chest separation was found. The thoracic drainage tube was adjusted and reset for many times.

Most of the time, local doctors drain three drainage tubes on the patient's left chest wall at the same time. However, everything is useless, the closed thoracic drainage bottle still continues to bubble, and pneumothorax cannot heal.

There's no way. Transfer to a higher hospital. The biggest dependence of local hospitals is the superior hospital. Can't you recognize counseling when you can't cure it? Our level is poor and can't be cured. Please go to the superior hospital.

So the patient received Fang Lin's emergency.

The inpatient is always responsible for emergency treatment. It's just a simple pneumothorax. Although Fang Lin feels difficult, he is embarrassed to find a superior doctor.

If I had received such a difficult patient a year ago, I would still be looking for it. But now Fang Lin has a magic weapon, the ultimate magic skill - Summoning boss Zheng.

Zheng Ren looked at the film in front of him and kept a fixed position for 30 minutes.

It's hard... Zheng Ren sighed while watching the film.

The basic condition of the patient is too poor. It's very sad to go to the operating table just for anesthesia. In the system operating room, I did 10 surgical training. Although the operation can be completed, the degree of completion of the operation is not high.

The highest one was only 59%, and the lowest one was only 43%.

With such a low degree of surgical completion, it's better not to do it. Can't pull out the tube after operation? Have you been living by ventilator? In that case, you might as well keep the breast bottle in.

Zheng Ren ruled out surgery and has been wondering what to do.

The patient's condition is really difficult to deal with. After admission, blood gas analysis: pH: 7.47, pCO2: 51 mmHg, PO2 74 mmHg, actual bicarbonate: 37.1 mmol / L, standard bicarbonate: 33.9 mmol / L, alkali residue: 13.4.

Chest CT showed: after left pneumothorax drainage, left pneumothorax, partially wrapped, subcutaneous gas accumulation on the left chest wall, emphysema with pulmonary bullae in both lungs, and pneumonia in both lungs.

These indicators give almost every doctor a headache.

Not only Zheng Ren, Su Yun watched the film for a few times, but also Lin manquan. While playing, he said he was weak. How did he accept such a heavy patient.

For Su Yun, the future star of cardiothoracic surgery, such a heavy patient is also quite difficult to deal with.

Similar to advanced dilated cardiomyopathy, patients with COPD are very serious. From a certain point of view, the patients are old.

Lung transplantation is a good way, but the problem is still the old problem, the cost is huge and there is no lung source.

Excluding the "impractical" way of transplantation, Zheng Ren continued to think about other treatment methods.