Chapter 2289

"Zheng Zong." Chang Yue led the little girl and stood in front of Zheng Ren.

Seeing that the little girl didn't resist thousands of miles of indifference and fear, but had a little more expression of trust, Zheng Ren was also very convinced of Chang Yue. As long as she wants, it seems that anyone can become friends.

Whether it is the young "mature" little girl in front of us, or many patients and their families in Haicheng that year, it is the same.

In addition to his own medical team leader.

It was not unreasonable that she was sent to the medical office.

"Nothing." Zheng Ren thought in his heart and said, "the consideration is to avoid - restrictive feeding disorder. Just correct it."

"What should I do?" Chang Yue asked very seriously.

"Now she only drinks porridge every day and gradually becomes food mud, such as yogurt, applesauce and pudding."

"After a few days, it becomes coarse food mud, such as oatmeal porridge and mashed potatoes. Then you can eat soft solid foods, such as rice, noodles, bread and potatoes."

"So simple?" Chang Yue looked at Zheng Ren in surprise.

"Where simple." Zheng Ren smiled and wanted to touch the little girl's head, but he saw her have a slight avoidance action, but he immediately reacted and stopped.

The stop was very stiff. Zheng Ren took his hand back and didn't want to stimulate her.

"When her grandfather comes back and signs the agreement, the old man will be able to pull out the tube and go home soon after the operation." Zheng Ren took back his hand and said with a smile, "seeing the patient getting better, her problems can be solved quickly. What I just said is a small thing, mainly in the operation."

Although Chang Yue thought what Zheng Ren said was too simple, for so long, she still had a considerable degree of trust in her boss's diagnosis and treatment of the disease.

President Zheng said, then it's done.

Zhou Litao is busy. I don't know why tonight. The emergency department is like a pot. The patients with minor injuries and illnesses are constantly, and there is no time to entertain Zheng Ren at all.

Zheng Ren is not in the mood to stay in the emergency department.

Fang Lin has some special patients. If he has an operation tomorrow afternoon, he will have to do more training in the system operating room.

The operation completion rate of this patient is less than 95%, and Zheng Ren dare not operate directly. He had a headache at the thought of so many postoperative complications.

Chang Yue said she wanted to stay with the little girl and watch her eat.

I was speechless all night.

The next day was a normal ward round and operation. After lunch, Zheng Ren sat in his old place and read in the system library.

At more than 1 p.m., Su Yun told Zheng Ren that the patient's son was back.

They went up to see the situation and saw that the lawyer of xinglinyuan was talking about relevant legal procedures with the patient's son.

He is about 50 years old. His face is deeply wrinkled, not only dust and mud, but also concrete debris.

What the lawyer said, he responded very meekly. It seems that he is still a little afraid of the lawyer in suit and shoes in his heart.

"Prepare for the operation." Zheng Renjian had no problem, so he talked to Su Yun.

Su Yun saw some differences between the patient's son's appearance and imagination, and said nothing else. After going through the legal procedures, Fang Lin explained before the operation and was about to take the stage.

Lao he had already prepared matters related to anesthesia. Propofol and analgesic drugs were ineffective during the operation, and all preparations for intubation were complete.

Whether boss Zheng can successfully complete the operation every time or not, Lao he's preparation is based on the major events, cautious and walking on thin ice.

Zheng Ren was very satisfied with Lao he's attitude.

After 1 hour and 22 minutes, Fang Lin sent the patient to the operating room.

Under mask anesthesia, Zheng Ren understands that the biggest purpose of interventional surgery is to preserve the patient's lung function. He took a deep breath, calmed his mood, then waited for the anesthesia to take effect, and began to explore with a fiberoptic bronchoscope.

When the mirror went in, Zheng Ren found that the main fistula was in the left superior lamina propria, and there were small fistula in the apical posterior segment and anterior segment.

After sealing the left upper lobe proper with a balloon, he began to observe the chest bottle.

There were few bubbles in the closed thoracic drainage bottle, but they could not disappear completely. Zheng Ren suspected that there might be a communicating branch at the fistula of the left superior lamina propria.

Then continue to send the bronchoscope inside.

On the one hand, try to explore, and on the other hand, try to avoid excessive stimulation to the patient's airway.

Zheng Ren thought it was too difficult.

This kind of operation, even if he is at the peak of intervention level, also feels a little headache.

With careful assistance, Su Yun soon found that the previously expected scope of the communication branches of air leakage was the upper tongue lobe and lower tongue lobe of the left upper lobe, the dorsal segment of the left lower lobe, and the anterior basal segment of the left lower lobe.

The scope is too wide. If it is bolted, the patient's respiratory function can not be guaranteed.

Su Yun stared at the pressure waveform of charitis system, and his eyebrows were frowned.

"Boss, what's next?" Su Yun asked.

"There may be a false positive possibility in the pressure waveform of charitis system. The pressure waveform of the posterior and anterior segments of the left upper lobe tip in the patient is significantly wider than that of the other sub segments. There is no doubt about the main fistula. For the confirmation of the traffic branch, it needs to be combined with other positioning methods." Zheng Ren said faintly, and then began to do the test.

Su Yun concentrated and cooperated.

He saw his boss use a balloon to block the left upper lamina propria, use a gelatin sponge to block the left lingual lobe and the dorsal segment of the left lower lobe, and then look down at the closed thoracic drainage bottle.

The blisters in the bottle disappeared. Su Yun immediately explained this to Zheng Ren and ruled out the ventilation of the lateral branches in the basal segment of the left lower lobe.

Zheng Ren then slowly removed the gelatin sponge in the dorsal segment of the left lower lobe, and the blisters in the thoracic despise drainage bottle still did not appear, suggesting that the lateral branch ventilation in the dorsal segment of the left lower lobe had little effect.

The operation was done slowly and carefully, and the observation time was longer than the operation time.

Zheng Ren blocked the left upper lamina propria with one-way valve and the left tongue with gelatin sponge. The bubbles in the closed thoracic drainage bottle disappeared completely.

After about half an hour, slowly reduce the pressure, take out the gelatin sponge from the left tongue leaf, and no bubbles appear in the closed thoracic drainage bottle.

Finally, Zheng Ren only implanted a unidirectional valve in the left superior lamina propria, and the communicating branch of the left lingual lobe has not been further treated.

Although only one unidirectional valve was left, the meticulous degree of operation and exploration during the operation was appalling.

The whole operation lasted nearly 3 hours. Fang Lin lamented the stability and patience of boss Zheng.

At the end of the operation, as at the beginning, boss Zheng's hands were stable, as if they had never changed.

"Yes?" Seeing boss Zheng withdraw the tube and Lao he give the medicine, Fang Lin whispered.

"Well, it's probably no problem." Zheng Ren looked at the system and said softly that the operation success rate was 98%.

Fang Lin saw that the water column in the chest closed drainage bottle fluctuated well, but no bubbles came out, and he also breathed in his heart.