Chapter 963： Lucky or unlucky

When a family member lifted his foot, the obstetrician responded quickly and sideways, but the hand holding the flat car had to be released.

"As long as I have been there, you have to be responsible for something!" The old lady screamed at the obstetrician's nose and said, "You are shirking responsibility! You can also save the wounded and dying, and the conscience is especially good for the dog to eat!" ”

"..." Zheng Ren was speechless.

"Don't send it away, now the laparotomy is still too late. The time you said is not at all!" The obstetrician did not tangled with the old lady, trying to catch the flat car, but was pushed away by another person.

Looking at the elevator, the flat car was pushed into the elevator, and the door of the operating room gradually calmed down.

Yes, this is just the beginning.

When the obstetrician saw that the dissuasion was invalid, he immediately called the director and the medical office to explain the situation and hurriedly went downstairs to change clothes.

Yes, this is just the beginning. More troublesome things are still behind.

The obstetrician and Zheng Ren took a face, Zheng Ren flashed a road, watching her hurriedly leave, very helpless.

Do not believe that the large top three hospitals say that they have to go to a private hospital or underground black clinic to deliver. The child has symptoms of fetal heart failure, and it will take several hours to regenerate...

It sounds ridiculous, but it is the truth.

Zheng Ren shook his head. Some things can be solved without medical technology and high standards.

However, Zheng Ren has a lot of pressure in his heart. This kind of thing is definitely not something that he can solve. He can only look at it.

He found the second-hand Su Yun said, opened the closed door and went inside.

"Boss, what's the matter outside?" Su Yun stood in the assistant's position, and a very old training doctor was pushed aside.

"What is the situation in the heart?" Zheng Ren did not answer Su Yun's words, but asked.

"Gas and liquid pericardium, rare." Su Yun said happily.

Zheng Ren’s heart is moving, is it a gas-filled heart? Why didn't the system give a diagnosis?

He glanced at the patient, the last item in the system panel, and the diagnosis of a gas-liquid pericardium.

this is……

The patient is so lucky! Zheng Ren thought.

Generally, pericardial effusion is more common, and the condition of traumatic nature is very dangerous. Zheng Ren has encountered several times in Haicheng. He is going to open the chest in an emergency.

The pericardium is not common. Traumatic pneumothorax combined with pericardial rupture, but did not damage the large blood vessels, which is a reasonable source of pericardial gas accumulation.

Then there is the side injury caused by anesthesia intubation and mechanical ventilation.

Zheng Ren knows that in the emergency department, there is no diagnosis of gas-liquid pericardium in the system panel, but it is on the operating table, which may be caused by mechanical ventilation.

"Don't you?" Zheng Ren asked.

"In repairing the diaphragm, the tension is particularly strong."

"Zheng boss, come." Fang Lin put down the needle holder in his hand and smiled back.

Zheng Ren did not talk to Fang Lin. He came over and took a look at the operation area.

The diaphragmatic atrophy is more obvious, and the judgment before it is still very accurate.

The right diaphragm has been sutured with the help of the patch. Look at the tension and there should be no problem.

Fang Lin's surgery is still good, the total hospitalization of 912 is higher than the director of Haicheng First Hospital.

"Exploring the big lungs, mediastinum, pericardium." Zheng Ren said.

"The lung bleb of the right lower lobe is closed when the chest is opened for the second time." Su Yundao.

"Check it out and see if you can't explain it." Zheng Rendao.

Su Yun hit the pericardium with a hemostatic forceps, hesitated, and said: "The pressure on the pericardium is bigger than just."

He said, he did not hesitate, picked up the knife and cut it directly.

If this happens during the stage or during transportation, the patient is faced with an extremely dangerous situation. But on the operating table, a pericardial cut and decompression is simple.

Fang Lin did not say anything to Zheng Renduo. He began to do pericardial fenestration. The reduced pericardium was sent for pathological examination, and a part of pericardial effusion was taken with a syringe to send relevant examinations.

The amount of pericardial effusion is about 700ml, the color is clear, and the possibility of **** pericardial effusion is ruled out.

Under normal circumstances, it is time to flush the chest and the operation is over.

However, when the chest was flushed, a small amount of gas was found to have overflowed.

Fang Lin and Su Yun were looking for a while on the stage, and finally found problems in the mediastinum.

A small sinus is formed between the trachea and the pericardium. The strange thing is that there is a passage in the small sinus that leads to the chest.

During the transfer process, the patient has a small amount of pneumothorax, which can be explained by this. Because the patient is weak and the lung ventilation is insufficient, there is no large amount of gas-liquid pericardium.

However, during general anesthesia, with mechanical ventilation, the patient's ventilation is increased, and a part of the gas enters the pericardial cavity, forming a gas-liquid pericardium.

There is nothing special about the condition, at least Zheng Ren seems to be like this. But this patient... has been undergoing two consecutive operations, as if facing the death of the **** of death who has not seen the trace.

Such a complicated suffocation eventually led to the emergence of a gas-liquid pericardium, and Zheng Ren said that it was the first time he saw it.

Even in the vast medical journals and papers, there are no mentions of related cases.

However, if you find the problem, the next operation is not difficult, but the sinus is removed to eliminate the hidden danger.

"Zheng boss, this patient is really big." Repeatedly flushing the chest, did not find any problems, when preparing to close the chest, Fang Lin said.

"Nothing is fine, take time to close the chest." Su Yun clamped the ribs on both sides with a closer, began to screw, and closed the closer.

Suture is the most basic, but Su Yun seems to have not done chest surgery for a long time, even this opportunity is not missed. The people who are studying next to me are helpless, but there is no way to say it.

Fortunately, there are a lot of 912 surgeries. If you want to do it, there is no shortage of surgery.

The biggest problem with coming here is that the body can't keep up. If every operation is done, everything can be done on the operating table except for eating and sleeping.

Exclude hidden dangers and the atmosphere is relaxed. Talking and laughing, the anesthesiologist told Su Yun and Fang Lin about the maternity.

Everyone agrees that has a high probability of something going wrong. This kind of thing, a corpse and two lives, that obstetrician will have a big trouble.

"When I was internship, I met a family member and said to the doctor, if the girl, by the way, the woman's right fallopian tube was ligated." Su Yun sneered.

"Hey... why?" Zheng Ren stunned.

On one side of the fallopian tube, is it closed?

"Because the male left female right." Su Yundao: "Close the right fallopian tube, the next time you can have a boy."

"..." Zheng Ren is speechless.

Although it has been clinical for so many years, when it comes to similar patients and cases, it still produces a very ridiculous idea.

......

......

He also had a gas-filled pericardium, a case report in New England magazine that was a patient in Argentina.