Chapter 1506： Why worry, only surgery

Plus, I heard that the end of the cavity, Liu Zewei is also more interested.

Although it is not a surgical person, I still know something when I drink and eat and listen to people.

The kind of appendix surgery that belongs to the level of flying fairy, Zheng boss actually saved the success.

"To touch, there is no mass in the ileocecal department, but they have all been turned over. I will ask Director Luo to go on stage to do colonoscopy."

"..." Liu Zewei stunned.

Zheng boss, you are cheating.

It’s really fascinating to cut out the tail with a knife, you...

However, Zheng’s boss seems to be a long-term solution.

Later, I encountered a similar situation in which I could not find the appendix. I pushed the colonoscopy machine up to see if it was a cavity.

This kind of operation is not at all arrogant, not cool at all, but it is very practical.

"boring." Su Yun replied: "Are you already counting?"

"Almost." Zheng Ren smiled and said: "I have thought about it, it is not good. If the endoscope is invisible, I will use gastrointestinal angiography. Anyway, there are some methods."

"Where did you find it later?"

"The position around 12cm above the blundering department, Director Wei almost touched it. But I guess I touched it, I am not sure, even the knife will be very cautious."

"Unfortunately, next time, remember to bring the entire treatment group." Su Yun once again said, "No matter where I am, I will fly in 10 minutes."

"Don't be nonsense, are you really ready to fly back on the street with your pants?"

"If there is a cavity inside the tail, this is also an option."

Just joking, come to the mirror room. Changed clothes and the three walked in.

"Zheng boss, today, what is the situation? I heard that it is a pregnancy spit?" Liu Zewei asked.

"Well, spit is too powerful, pregnant women do not agree to do induction of labor, that can only try this way." Zheng Rendao: "But it is very troublesome, the surgery process will not say, after the jejunal nutrition tube is blocked, change the tube Every day, go through the jejunal nutrition tube to calm the nutrient solution. It is very troublesome to check all kinds of things regularly."

"But after all, there is a way."

"Well, it's just tentative. There aren't many global related operations, but there are some successful cases." Zheng Rendao.

Is that the case? Liu Zewei outlined the technique that Zheng Ren wanted to do. Although it is not difficult, it is worthy of praise for this idea.

Sometimes, a whispering idea eventually becomes a common clinical practice, saving countless people.

The patient has been sent, the director of the Department of Gynecology followed, and Director Luo is also there.

The directors of the 912 are very concerned about a relatively new type of surgery and want to see it for themselves.

Zheng Ren suddenly remembered that this new style of work did not report to Director Kong, he would not be angry.

Ugh.

It’s hard to do surgery,

Difficult to do difficult surgery,

It is even harder to do difficult surgery that others have not done.

I have encountered a case of intracavitary appendix, no other person, and has been "seriously" warned by Xiaoyi people.

Although he did not carry a rolling pin and did not lick his own ear, Zheng Ren could feel the murderousness.

This is to die, Zheng Ren knows.

Next time, you must call and notify everyone.

With the entire medical team to save the station, will it be too eye-catching and hateful? Zheng Ren is a bit bitter.

Imagine that Director Wei wants to save the Taiwan himself, and enters the door, seven or eight people. Don't care whether it is an operator or an assistant, a device nurse or even an anesthesiologist.

Tai Te is arrogant.

The arrogance is arrogant, can't do the surgery, is it reasonable?

Forget it, don't think about these annoying things, or do surgery first.

"Zheng boss, you wrote the pre-operative account, too detailed." Director Du said with a smile: "I told the family members of the patient and scared myself."

"A lot is a particularly rare complication, no way." Zheng Rendao: "In order to avoid the disputes later, this should still be done."

"You come, I open my eyes." Director Du smiled: "I have considered giving the patient a lower ileal feeding tube through the esophagus. What surgery are you going to choose?"

"What you said, the trauma is small, but there are pipes through the oropharynx, and the patient's stimulation is very large. The patient's vomiting, the specific pathogenesis has not been studied, but the way of the oropharyngeal tube is not suitable. ""

Zheng Ren began to seriously explain why he chose the surgery, and the previous troubles were swept away.

Why worry, only surgery.

"There are two kinds of the remaining ones. The first one is the domestic surgery for the placement of the nutrition tube for the percutaneous puncture of the frozen person; the second is the procedure for penetrating the jejunum from the inside out and leaving the nutrition tube."

"There are various advantages. The first advantage is that the side effects that may be triggered during surgery are relatively small, and bleeding and the like can be avoided as much as possible. However, the disadvantage is that pregnant women may respond to the jejunal feeding tube through the pylorus. This is Very scratching my head."

"The second advantage is that there is no pyloric stimulation. But the tube directly enters the jejunum, puncture from the inside out, can not be worn under the guidance of CT, I am worried that there will be problems in the operation. Then there may be infection after surgery, and other A series of troublesome things."

Director Du did not think of this "simple" surgery, Zheng Ren can say one two three four five.

"What surgery are you going to choose?"

Zheng Renwei smiled and smiled did not speak, but came to the surgery.

The gastroscope is ready, and Director Luo is ready to operate it himself.

Zheng Ren came to the patient, faked the physical examination, directly entered the system space, and ordered the purchase of surgical training time.

......

"I want to choose a percutaneous endoscopic gastric puncture, and the gastroscope guides the jejunal feeding tube into the jejunum through the pylorus." Zheng Ren finally made a decision.

Disinfect, lay a sterile single, and start the operation.

This surgery is special, it is the operation of the double surgeon.

One surgeon is Zheng Ren, and the other surgeon is Director Luo.

Su Yun, who is on the table, is only an assistant to the guide wire, and is completely ignored.

The gastroscope gently enters the stomach of the pregnant woman because of local anesthesia, side effects, but slightly lighter.

Before the operation, Director Du personally talked with the pregnant woman. This should be the only chance to keep the child.

Although it is difficult to accept, the pregnant woman is tearful and tolerant, try not to bring any trouble to the surgery.

The balloon is opened and the stomach is lifted up.

The pregnant woman began to have severe vomiting, although she could not spit it out.

This is a kind of nerve reflex, it can't be tolerated if you want to endure it.

Zheng Ren also did not wait for pregnant women to stop vomiting, struggling, direct puncture, under the direct view of the gastroscope, the puncture kit abdomen, stomach wall umbrella open, fixed puncture needle.

"Director Luo, let it go." This step was completed and Zheng Ren was relieved.

The rest is to send the empty bowel.

Director Luo nodded, but his hand was caught by a pale, sweaty hand.

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