Chapter 2790

After dropping a car, Su Yun suddenly remembered something. He and fan Tianshui said, "old fan, go and watch the machine."

"OK." Fan Tianshui never asks why. Zheng Ren thinks this habit is very good, while Su Yun feels very uncomfortable. Always explain a few words, or you won't show your wild ideas to the blind.

After getting on the bus, Su Yun said, "boss, do you know what I'm worried about?"

"Say." Zheng Rengang wanted to go to the system operating room for a look, but Su Yun called him back. He was very upset and his tone was a little hard.

"Never underestimate their shamelessness. If no one looks at them, they dare to take the juicer away. Believe it or not."

"I don't believe it." Zheng Ren said, "the oranges have been sent for inspection. It's all right at a glance."

Su Yun shrugged his shoulders and didn't recognize Zheng Ren's words.

Calm down, Zheng Ren enters the system space and clicks to buy the operation training time. The system operating room rises from the ground, and he directly drills in.

The experimental body was lying on the operating table and had closed thoracic drainage, with laparoscopic equipment next to it.

According to Fang Lin's telephone, the patient was routinely sent for CT examination after taking off the chest bottle, and then went to the emergency stage because of spleen rupture. At this time, when the CT image came back, it was found that there was torsion of the heart and large blood vessels, and the heart was still in full torsion.

It is estimated that Fang Lin thought it was dextrocardia at first, but after on-stage consultation, it was considered to be caused by trauma.

Zheng Renxian read the relevant inspection report, and then repeatedly determined that he was in the system space. He didn't try to do splenectomy. This kind of "small" operation is no longer a problem for Zheng Renlai.

Dissect the experimental body and see the position and condition of torsion.

There are many papers on cardiac torsion, most of which are caused by the destruction of the physiological structure of the heart when the lung cancer of the left or right lung is removed through the pericardium.

The process is 6-12 hours after operation, there is insufficient gas exchange, and then the patient is in shock. The doctor will check the echocardiography to find it.

At this time, if a bedside chest film is made, it will suggest that the heart is herniated into the chest and complicated with pulmonary edema. If the chest is opened again, the apical hernia can be confirmed into the chest.

Postoperative heart torsion is difficult to find in time, so most patients with this complication die of respiratory and circulatory failure soon.

After dissecting the experimental body, Zheng Ren found that the heart shifted to the right thoracic cavity after 90 degree torsion.

This situation is very rare. There are still some reports of right heart caused by surgical blow, but it is very rare caused by trauma.

Zheng Ren has never seen such a case. Its magic is that the patient's heart twists and deviates so far, but the patient is still conscious and alive.

The operation of reduction was not difficult. Zheng Ren soon finished the operation, with a completion rate of 110%.

According to the anatomy, Zheng Ren began to speculate that the injured person's body was severely distorted in the car accident, resulting in the rotation and deviation of his heart.

This speculation seemed logical, but Zheng Ren soon began to wonder.

He thought of another possibility - such a strange change did not happen on the spot of the car accident, but may not happen until a few minutes or even an hour later. The positive pressure formed by the air filled in the chest may be the push hand of the heart displacement.

The left traumatic pneumothorax forms a positive pressure in the chest, pushes the heart to the right, and forms a heart torsion in the process of pushing.

Zheng Ren thinks this judgment is possible because the position of the heart on the CT image is somewhat different from the position and angle he sees.

The time difference between the two is relatively short. The difference in such a short time is because the gas in the left thoracic cavity is introduced out, which is caused by the pressure change.

A bold idea appeared in Zheng Ren's mind - what would happen if he didn't take care of it? Zheng Ren began to think that this idea was strange and strange, but the more he thought about it, the more reasonable it was.

Zheng Ren was a little careful about the pain when he bought the operation training time again, but now he is rich and doesn't seem to care about the consumption of this time.

He first gave the patient endotracheal intubation and general anesthesia.

Because of the heart displacement, Zheng Ren was careful at every step, even if any step caused complications such as cardiac arrest.

However, he obviously thought too much. The experimental body was in good condition and the general anesthesia was smooth.

First, he performed splenectomy with endoscopic equipment, explored the abdominal cavity, and found no active bleeding. Zheng Ren ended the abdominal operation.

Only after the operation, he did not choose to leave the system operating room, but "wasted" a lot of operation training time, squatting in the system operating room and observing the patient's state with echocardiography.

General anesthesia woke up and did not give ventilator assisted breathing. Zheng Ren monitored echocardiography every 0.5 hours.

Sure enough, as expected, the patient's heart slowly returned to the position of normal physiological and anatomical structure without external force intervention. The vital signs of the experimental body were stable in the whole process, and the ECG monitoring did not even give an alarm.

After monitoring for 28.2 hours, the heart returned smoothly, and Zheng Renchang breathed a sigh.

This means that I have plenty of money and can "waste" a certain operation training time to do this experimental observation.

The pros and cons of the two have their own ideas. Zheng Ren is now at the peak level and naturally wants to try some newer treatments. Can not do surgery, do not do surgery, after all, no matter how small surgery is a blow to patients.

Zheng Ren is also different from the rookie who picked up an hour or two of surgical training when he had a big pig's hoof a year ago.

Out of the system operating room, Zheng Ren glanced at his energy value, full of space! The big pig hoof is quite good. As long as the energy value recovers very quickly in the system space.

It's just that I can't bear the consumption of the real eye, which is a little pity.

Zheng Ren never forgets the real eye. At the beginning, he didn't expect that this skill would become his most tangled thing with love and hate.

The car cruised in the car river of the imperial capital. Back to 912, they took the fire passage directly and ran to the operating room.

I changed my clothes and entered the operating room. I saw the dignified expression of the people who came and went, and the sound of walking was much lower.

Zheng Ren guessed that director Xu should be consulting, otherwise these medical staff would not be so quiet. Quiet means depression. Working for a long time in a depressed atmosphere will drive people crazy.

Asked about the operating room, Zheng Ren and Su Yun strode in.

There stood a dozen people, some watching movies and some whispering. The patient was lying on the operating table with pale face and blood pressure of 80 / 50mmhg. When he saw more and more people in the operating room, he was obviously afraid, and his eyes were full of fear and helplessness.