Chapter 751： Solution

See Zheng Ren still watching the film, Dr. Shen smiled.

Zheng Boss is really a technical dog. The ability of interpersonal communication is simply weak.

At this time, you shouldn’t say hello to Director Luo’s politeness. Who is looking for you to see the film?

Zheng Ren did not speak, and Dr. Shen had no choice but to slap the top of his head.

"Director Luo, isn't it..." Dr. Shen waved his hand and said: "I came with Zheng boss."

"..." Director Luo snorted.

Zheng boss? Whose?

Director Luo took a look at Zheng Ren, the boss? Is it this little guy with a bruised face? It is the boss of doing business. It is estimated to be a rich second generation.

The old hole is too inconspicuous, and the doctor who brought the doctor does not have a rich second generation of four or six to do what he is doing here? Simply... He was a little displeased and glanced at Dr. Shen.

Dr. Shen felt the emotion in Director Luo’s eyes. He knew that he could not solve this problem himself. He then used Zheng Ren’s sleeves to scream at him.

“Ah?” Zheng Ren rebuilt the film and compared it with the countless magazines and journals seen in the system library.

"Zheng boss, you talk." Dr. Shen whispered.

Hey... Zheng Ren realized that what happened, he smacked himself in his heart, there is really no fate.

Ben came to the Department of Gastroenterology to come to the dock, stupidly standing here to swear, this is the rhythm of showing your face but showing your ass.

"Director Luo, I am sorry, watching the film look into the gods." Zheng Renyi, trying to show a smile, said.

With the advancement of the technical level, Zheng Ren’s temperament has also leapt.

With the eyes of a mature superior doctor to examine the medical-related matters, even the director of the 912 Department of Gastroenterology, Zheng Ren's attitude is not the prudence of the little doctor, but with a sub-hidden implied confidence.

"Oh?" Director Luo felt that this little guy was a bit interesting.

I want to do my own thing, although I am talking, but there is no humble and fear in the tone.

If there is no fear of ignorance, there are other things.

"Oh? What did you see?" Director Luo did not take the film off and gave it to the patient's family to let them leave. He looked at Zheng Ren and asked leisurely.

"There is a problem from the 17th frame to the 19th frame." Zheng Rendao.

Director Luo’s brow slightly wrinkled, and the little doctor with a bruised face was right. The problem was indeed a few frames.

The image is not obvious, it is difficult to see that the patient's prefecture-level hospital did not give a correct diagnosis.

Is he blind?

"You continue." Director Luo felt that things were getting more and more fun, he said softly.

"Director Luo's diagnosis is no problem, I add two sentences." Zheng Ren stared at the film and said: "Is the patient ever had Crohn's disease?"

The family members of the patient looked at each other and shook their heads.

One of them was tired of watching Zheng Ren. It seems that if he is in the office of Director Luo, he must point to Zheng Ren’s nose.

Even the diagnosis is wrong, what big tail wolf is installed? !

Zheng Renzhen saw the expression of the patient's family and immediately knew what was going on.

"Oh, Crohn's disease, also known as Crohn's disease, was called Crohn's disease in the previous surgical book. It is used to it. Is it treated with mesalazine for a while, and then stopped?" Zheng Ren does not think there is What, say.

Upon hearing of mesalazine, the patient’s family was stunned.

"How did you see the oral mesalazine?" Director Luo suddenly felt that this little green-skinned doctor was very interesting and asked.

"There are traces left after the ulcer has healed." Zheng Ren looked at this difficult film, opened the two-line mode, and replied while thinking: "After oral prednisone and mesalazine, Crohn's disease was controlled. But there will be iterations after stopping the drug."

Director Luo looked at Zheng Ren curiously. The level of the young man watching the film is really good. There are indeed traces of the cords formed after the ulceration of Crohn's disease has healed, but it is particularly atypical. The level of reading is high to notice this.

“Why is oral prednisone?” Director Luo gave a question.

"Pelvic CT can see a part of the femoral head and has symptoms of early ischemic necrosis. Cross-reference with other conditions, consider the patient is treated with long-term oral hormone therapy when treating Crohn's disease. General and mesalazine The combination of drugs is prednisone." Zheng Renyi talked, it is well-founded and well-founded.

Director Luo nodded and said: "Continue."

"The images given in this film are considered to be non-polypoid colorectal tumors. Unlike polypoid colorectal tumors, this type of classification usually does not protrude into the intestinal lumen, and the shape is flat or slightly elevated. The blood vessels are blurred and can be observed. To uneven erythema and irregular nodules."

This sentence directly points to the problem, and Director Luo’s cognition of Zheng Ren has immediately made another revision.

In general, in addition to watching a very professional doctor, few people can judge the vascular morphology and uneven erythema and irregular nodules through a CT film.

In other words, abdominal CT generally only looks at the vital organs, and most of them go through the gastrointestinal mirror when looking at the intestines.

The local doctor gave the patient a CT scan of the abdomen, which is estimated to see if there is a tumor. A cursory glance, did not see a large tumor, it was skipped.

Just did not expect such a simple film, in 912 by the director Luo and Zheng Ren to see flowers ~ www.novelhall.com ~ Director Luo is also very curious, I can see it, of course. This is 912. It is one of the most powerful top three hospitals in the country. It is strange if you can't see it.

But this little guy with a bruised face can also see it. There is also a well-founded analysis. It is not Yimeng, and there is a saying.

"What do you think should be done?" Director Luo asked, and the speed at which the fingers hit the back of the hand was a little faster.

"There are three solutions, one is more reserved for the intestines. After the operation, we should regularly perform colonoscopy to check whether there is new tumor growth in the colon. The second is to make rectal fistula, but it will affect the quality of life of patients. I recommend The third, total colectomy and ileal-rectal anastomosis, in this case, as long as the **** is regularly checked after surgery."

From the perspective of a general surgeon, Zheng Ren gives the family members three choices and gives the best solution for their own consideration.

There are a few words, Zheng Ren said that the patient is relatively simple, the patient's family can not understand, but Director Luo knows what Zheng Ren is saying - surgical removal of the diseased intestinal tract and postoperative follow-up observation.

He indulged a bit and said: "The third option can be considered, but it is better to take the colonoscopy first to take the pathology evaluation area, a book friend asked Crohn's disease, I found a case , write it out. I won’t rule...