Chapter 2660

"Huh?" Zheng renleng.

"Er..." Quan Xiaocao lowered his head and whispered, "boss Zheng, I think I did well every time I practiced below."

Zheng Ren nodded. This time he had a more intuitive judgment on Quan Xiaocao.

"But I'm afraid every time I go on stage." The grass said timidly.

"And then?"

"Once I asked Brother Yun, and he said you just give yourself psychological hints and think you're boss Zheng." Quan Xiaocao said.

Zheng Ren can't laugh or cry. This psychological hint should be built on a solid foundation. Quan Xiaocao has solid basic skills and works hard at ordinary times. It seems that his psychological hint is really good.

"I tried..."

"Ha ha." Zheng Ren looked at Quan Xiaocao, smiled happily and said, "it's not as if he imitated after closing the peritoneal cavity and stepping down."

"Er... I learned it subconsciously." Quan Xiaocao's voice is like a mosquito.

"Good, good." Zheng Ren said, "it's OK to think so about a certain operation in the future. Let me ask you something."

"Ah? What?" Quan Xiaocao panicked again.

"What do you think when you look at your spleen?" Zheng Ren asked.

"The obstruction of the branches of the internal splenic artery leads to the necrosis of the local spleen tissue due to ischemia and hypoxia. There is no doubt about the diagnosis of splenic infarction."

"Continue." Zheng Ren saw Quan Xiaocao pause and said immediately.

The child had to smoke before he could go. Zheng now knows her to a certain extent. Unconsciously, I didn't expect that I had influenced so many people.

"Er..."

"Xiaocao, you can substitute it now. I'll listen to your judgment at that time." Zheng Ren said with a smile.

Lao he looked interesting. He whispered in Quan Xiaocao's ear and asked, "boss Zheng, do you want to make the music louder?"

Quan Xiaocao knew that Lao he was joking. She finished the suture, and then closed her eyes instead of using the final disinfection and covering the incision accessories.

Zheng Ren thought it was interesting to see Quan Xiaocao's concentration. Suddenly, he thought of Su Yun's appearance when he smoked.

Do you want to study psychology, too?

But the idea is just fleeting. There are many things recently. It's better to wait until Xiaoshi's condition improves.

"About half of patients with splenic infarction can be asymptomatic." When Quan Xiaocao opened his eyes again, his voice became calm, and his previous panic disappeared.

"A few small-scale splenic infarction can have symptoms such as low fever, leukocytosis without pain; a large-scale acute splenic infarction can have sudden left upper abdominal pain, or total abdominal pain radiating to the left shoulder and back, aggravating when bending over or deep breathing, accompanied by nausea, vomiting, or dyspnea, high fever, etc. the symptoms can last for one week."

"According to the patient's performance at admission, the symptoms are not serious. Seeing directly that the scope of splenic infarction is not large further confirms this view."

"So I think the patient's spleen can be preserved without splenectomy." Quan Xiaocao said with certainty.

"What if embolism worsens after operation?" Zheng Ren asked.

"Interventional angiography, catheterization and thrombolysis." Quan Xiaocao said without thinking, "the damaged area itself is not large, and it can be..."

It turned out that she even knew this. Zheng Ren was slightly distracted when Quan Xiaocao talked about the subsequent rare treatment process.

Little guy, he grew up so fast.

While thinking, Zheng Ren pressed sterile gauze on the incision, disinfected the periphery, and then covered the incision.

"Grass, good!" Zheng Ren praised.

Quan Xiaocao heard boss Zheng praise himself, and there was a flash of light in his eyes.

"All right, send the patient back." Zheng Ren said, "splenic infarction should not be a problem. If there is an accident, find me to deal with it immediately."

"Yes." Quan Xiaocao nodded hard.

Zheng Ren glanced at the grass and felt that Su Yun was not just fooling around. Xiaocao belongs to that kind of doctor with extremely solid theoretical foundation and strong practical ability. The disadvantage lies in his psychological construction.

Frankly, it's stage fright.

It's really effective for her to assume that she is herself.

"Lao he, how about brother Feng?" Zheng Ren turned to step down, tore off the sterile clothes, threw them into the bright red sterile waste bucket, and asked casually.

"There were no abnormalities in laboratory tests such as whole blood cell count and myocardial enzymes, and imaging examinations, including cranial CT and transthoracic echocardiography." Lao he said simply.

"What do you do with head CT?"

"Yun Ge'er said that he had nausea symptoms, so he didn't rule out head complications." Lao he said.

Zheng Ren nodded and walked out of the operating room.

"The blood pressure is 81 / 52 mmHg and the heart rate is 41 beats / min. yunge'er has given targeted treatment, intravenous norepinephrine and atropine."

"When I left, I watched ECG monitoring. Atrioventricular block has changed from three degrees to two degrees."

"Has the heart rate changed?" Zheng Ren asked.

"No significant increase."

Zheng Ren ponders that atrioventricular block in adults is most common in patients with myocardial infarction. Unlike children, atrioventricular block often occurs for various reasons. Feng Jianguo's ECG has no myocardial infarction, but the QRS waveform has narrowed, which Zheng Ren has never wondered what it means.

He silently changed his clothes. Lao he looked at boss Zheng's worried appearance and carefully followed him aside.

There's a problem, inexplicable atrioventricular block. Zheng Ren clearly remembers that Feng Jianguo's previous system panel was very healthy, and this time the symptoms of atrioventricular block were not typical. Dizziness can be said to be caused by insufficient blood supply.

What about nausea? Quan Xiaocao said that Feng Jianguo's self diagnosis was caused by acute gastrointestinal dysfunction. Doctors' self diagnosis, especially the diagnosis of their own diseases by gastrointestinal surgeons, must be based on.

This kind of thing... Zheng Ren doesn't believe it very much.

What disease will be mainly gastrointestinal dysfunction, and sudden atrioventricular block?

Zheng Ren thought of two remote diagnoses, but then he was dumb. The system panel has confirmed that there are no gastrointestinal problems, and I think I'm biased.

In this situation again, Zheng Ren is also very helpless. The pig's hoof doesn't speak clearly and clearly, and the rest has to be guessed by himself.

He changed his clothes and walked slowly out of the dressing room in the operating room. Lao he was silent, dressed in a white suit, wearing slippers and shoe covers, followed boss Zheng.

Boss Zheng is meditating. Lao he doesn't understand. Feng Jianguo is a typical atrioventricular block. Do you still need to think about it? What is boss Zheng thinking about?

But he still didn't speak and just followed.

"Lao he."

"Ah."

"Help me ask the general manager of gastrointestinal tract whether he is in hospital or resting at home."