Chapter 2791

"Boss Zheng, here you are." Director Xu said calmly.

"Director Xu, have you done echocardiography? Let me have a look." Zheng Ren simply said hello and went straight to the theme.

Lao he immediately handed the echocardiography report to boss Zheng.

The patient's situation is not unexpected, which is similar to that seen in the system operating room. Zheng Ren is more sure.

"Do another echocardiography." Zheng Rendao.

"Huh?" Director Xu doesn't understand. One similar inspection is enough. What's the point of doing it twice?

Instead of asking questions, he looked at Zheng Ren.

"Director Xu, that's right." Zheng Ren came to the film reader with the echocardiographic list, pointed to the image on the film reader and said, "there is a difference of nearly 20 minutes between the front and back. From CT, we can see that the heart is in the right chest, and the farthest distance is about 6.7cm from the sternal handle."

Director Xu and a group of anesthesiologists gathered around. The hospitalization of hepatobiliary surgery was always squeezed out. Only director Li of hepatobiliary surgery stood next to boss Zheng and watched together.

"It can be seen from the echocardiography that the heart has moved to the left by about 0.3cm."

“……”

Everyone was dumbfounded.

0.3cm, can you see it? Such a small gap, I'm afraid the test error caused by a heart beat is enough.

"On my way back, I thought that the patient's heart may be twisted due to the extrusion of a large amount of gas in the left chest. As long as the gas is led out by the closed drainage of the lower chest and the negative pressure is restored in the left chest, the heart should be able to return." Zheng Rendao.

"Boss Zheng, traumatic pneumothorax is very common, but cardiac torsion is rare." Director Xu said in a deep voice.

If it had been replaced by a small doctor and inpatient general manager, director Xu, even the professor with the group, would have begun to scold.

What bullshit opinions, waiting for the heart to return without doing anything? I'm kidding. If you don't have to do anything, what do you have to do. Like director Xu, there are professors of cardiothoracic surgery. They just know that boss Zheng has a bad temper and stands behind without questioning.

The same statement, but for boss Zheng, all this has become another concept.

Boss Zheng is not the kind of person who dares not operate because the operation is not good. People do cardiothoracic surgery. There should be no more operations such as secondary valve replacement, open the chest, open the heart and take out 12cm large thrombus.

As long as the heart is restored, there is a little risk in the process, but director Xu doesn't think there is much risk.

But boss Zheng needs conservative treatment

"Well, generally speaking, when lung cancer surgery is performed through pericardium sleeve resection, there is a very small possibility of heart torsion. But the relevant case reports have one thing in common - patients will have symptoms of respiratory and circulatory failure."

The operating room was quiet, and everyone was listening to boss Zheng's statement. Zheng Ren's voice is not big, and it's hard for people behind him to hear.

After all, the patient has not been anesthetized. If he hears about death and failure, he may have complications.

"When I came in, I saw the patient look at me, indicating that I was conscious. The value of ECG monitoring was relatively stable, and there were no complications of respiratory and circulatory failure, so I estimated that if I didn't take care of it, the heart would reset itself."

"If you do this, the damage to the patient is minimal. You can try it. If not, I can be responsible for thoracotomy." Zheng Ren said calmly.

As soon as boss Zheng said he could be responsible for thoracotomy rescue, the atmosphere in the operating room suddenly eased a lot.

"No problem with anesthesia?" Director Xu asked.

"Anesthesia, let's watch here. If there is a problem, we'll give emergency treatment." Zheng Rendao.

Su Yun sighed. He didn't feel the change in his boss's mentality, but it has changed a lot when he talks and works.

No, let's Watch Here! At the bottom of my heart, I have subconsciously put myself and director Xu on the same platform.

Normally, Nobel laureates are qualified, but even Su Yun is not used to this way of speaking and doing things.

After winning the Nobel Prize, he repeatedly told himself that he must be a man with his tail between his legs, at least not to go to heaven. But my boss has... Tut, I don't bother to talk about him.

Lao he pushes the echocardiography machine in, while Zheng Ren is ready to do echocardiography.

"What's your name?"

"Zhu Hong." The patient whispered, "doctor, I just have chest pain and panting. It's much better. Is it all right?"

"Nothing." Zheng Ren squeezed the couplant on his chest wall and then began echocardiography.

"Small problem, don't worry. Do a small operation. If it goes well, you can go home and recuperate yourself in five days." Zheng Ren continued.

"Er... What are you talking about? I've heard that it's okay for doctors to talk and laugh in the operating room. If an old doctor comes in later and another old doctor comes in later, there will be a problem." The patient asked suspiciously.

"Discuss whether you can go home in five days. If not, you have to lie in the ICU for ten days." Zheng Ren said with a smile. Then he pointed to the echocardiography screen and director Xu and director Li of liver and gallbladder and said, "here, we can see that there is a greater difference from CT images. The reduction distance is nearly 1cm."

Echocardiography needs deep professional skills to understand. Neither director Xu nor director Li can understand it. Only Zhao Yunlong and Su Yun stand behind Zheng Ren and look at it silently.

Although they also see the difference, is boss Zheng's choice too risky?

If you follow Zhao Yunlong's idea, it's better to split the sternum aggressively than to be conservative.

"If there's no problem, start anesthesia?" Zheng Renxun asked.

"Lao he, anesthesia." Director Xu directly arranged Lao he to take the stage.

Although Lao he is not nominally in boss Zheng's medical group, he is the exclusive anesthesiologist of boss Zheng, which is not only 912, but now almost the top directors of anesthesia in China know.

A while ago, the question of who is Lao he swept the anesthesia profession like a strong wind. It seemed that it took only one night for Lao he to become a hot anesthesia star from an unknown place.

Lao he glanced at boss Zheng. He didn't answer director Xu directly.

Our boss and boss Zheng are standing here at the same time. It's hard to choose who to listen to, but Lao he knows.

Even if you offend director Xu, you can't offend boss Zheng.

"Do it, I'll watch in the back." Zheng Ren smiled and said.

"OK." Lao he immediately took out the USB flash disk from his pocket, ran to the computer and began to play good luck.