Chapter 1558： Skillful? unfortunately!

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"Zheng Zong, I haven't seen it for a while, is the emperor's face still okay?" The doctor in the ct room chatted with Zheng Ren, and the hand was not slow, and he took time to check.

The doctor in the emergency department personally sends the patient to do the examination, which means that the condition is very serious. This is not to mention the doctor in the ct room.

The patient who is light, who has the spare time to accompany the examination.

The machine made a roar, Zheng Ren did not chat with him, but left hand on the right side of the armpit, right hand care, looking at the computer screen.

The atmosphere is a bit dignified.

The ct room doctor did not dare to neglect, did not chat, and looked at the screen seriously.

After 1 minute, the image appears on the screen.

Several people are stunned.

On the left clavicle end, an image of a needle appears and is inserted obliquely into the mediastinum. The pericardium is filled with heavy, and the lungs are covered with large shadows.

Pulmonary changes can be ignored, the most important is the image of the needle, it should look like a Kirschner wire to fix the clavicle fracture!

It comes out halfway from the clavicle end and the tip of the needle is on the edge of the aorta.

It turned out that Zheng Ren was surprised and realized.

"I am going to..." The doctor in the ct room also saw this image for the first time. He was surprised to point at the image of the Kirschner wire and could not say a word.

Zheng Ren took the time to reconstruct the ct image in his mind. The diagnosis given by the big pig's hoof was aortic adventitial ulcer. After image reconstruction, it was determined that the middle and intima were involved, the surrounding tissue was edematous, and there was no local secretion.

This is the aorta must be broken at any time! Zheng Ren’s back was suddenly erected.

"Call Mr. Wang, emergency hybrid operation room, prepare aortic stent." Zheng Rendao.

Su Yun nodded and took the phone to start contacting the operating room.

"Zheng Zong, the film is for you, the report will wait for tomorrow." The doctor in the ct room knew that the situation was urgent, so I printed the film directly and handed it to Zheng Ren.

"Thank you." Zheng Ren took the film, and the accompanying examination, the patient's family carried the patient to the flat car, ran all the way to the emergency operating room.

d, how can the distal end of the Kirschner wire be released? Zheng Ren also wants to understand this.

It may be that the orthopedic surgeon has problems when he is cutting the needle in the middle, and it may also be a problem when the patient resumes training after the operation.

Now, instead of asking why, but taking time to do surgery.

The aortic adventitia is damaged and has been involved in the media and intima. Once the blood pressure is elevated, the patient may rupture and die at any time.

On the way, Su Yun chased it up.

"Good luck, there is also an aortic stent. Next time you return to Haicheng, you must pull Xiao Feng." Su Yundao.

Zheng Ren realized that Haicheng should not undergo interventional surgery when he was not there.

Feng Xuhui does not follow, even if there is no aortic stent.

Last time, it was the various supplies that Wang Qiang from the Second Hospital sent. This time, I can leave the same point. It is estimated that Wang Qiang has recently undergone surgery, or has been left behind.

No matter what, I can deal with this kind of front, Zheng Ren thought. The patient was lucky and met himself.

"You go to the patient's family to explain, I go to the bracket." Zheng Rendao "family signature, you call me, then brush the hand."

The family members of the patient heard the communication between the two and suddenly became confused.

Emergency surgery? What is this scenario? !

And look at the two doctors' expressions are very serious, more scary than the doctor of the emergency department of internal medicine.

Not afraid of how serious it is, those are rare accidents. The most feared is that the doctor is sullen, ran all the way, and there is no time to tell himself in detail.

The family of the patient was an understanding person and was frightened by Zheng Ren and Su Yun.

Pushing the patient into the operating room, Wang Zonggang underwent surgery. He saw Zheng Ren rushing to push a patient in. He asked strangely, "What is the situation?"

"The distal end of the Kirschner wire is free, the aortic adventitia, the middle membrane is broken, and the pericardium is stuffed." Zheng Ren said quickly.

"..." Wang always stunned.

"You send the patient back, then come up and take the handle." Zheng Ren said unceremoniously.

At this time, with Wang Zong said to take the handle, it is really a handle.

In 912, he will be polite with Professor Wei and Professor Feng. But here is Haicheng, and I am facing Wang Zong. There is absolutely no need to be polite.

"Good." Wang always knew that the situation was urgent, and immediately sent the patient to the assistant.

"Zheng Zong, I said that you are busy, and you have to go back to the night surgery when you come back." One of Chu Yu helped Zheng Ren to carry the patient to the hybrid operating table and said.

"Oh, just happened to meet." Zheng Ren is also speechless.

If you are not there, you may not be so busy.

But in the Department of Gastroenterology, I am afraid that within a day or two, there will be a patient who will suddenly die, and the death will be inexplicable and silent.

Perhaps such things happen every day.

With the assistance of the big pig's hoof, Zheng Ren's early detection, diagnosis and treatment have avoided repeated tragedies.

"Will you prepare to do a few tonight?" Chu Yuzhi continued to squat.

"I don't want to do it either." Zheng Ren said helplessly It will be fine for a while, the director will drop it, send him home, let us go out to eat late at night. ”

"The Iraqi people said that they have ordered a meal, but Zheng is hard to get a generous once. You have earned a lot in the emperor. You guys who are so stingy know that they have dinner?" asked Chu Yuzhi.

It is annoying and time-consuming to be unwilling to eat. It is not stingy. Zheng Ren’s heart is abdomen, but he did not explain it, but directly said “general anesthesia, first the aortic stent, then open the chest.”

"What is the diagnosis?" Chu asked.

"Aortic adventitial ulcer, pericardial tamponade, free of Kirschner wire distal." Zheng Rendao.

"Wow, Kirschner?!" Chu Yuzhi stunned.

"Hurry to anesthesia." Chu Yuran is busy, some disgusted to say "the ulcer is not heavy, Zheng Zong?"

"Heavily, considering that it is caused by scratching of Kirschner wire, it has already affected the middle and intima, and it may break at any time." Zheng Ren saw that Xiaoyi was busy preparing for surgery, and he went to brush his hand.

The level of emergency first aid in Haicheng is not the same as that of God. Although the technical level of Chu sisters is good, there is still a certain gap with Laohe.

However, Zheng Ren feels okay, as long as there is no situation in Xilin Town, everything is fine.

The last time I was rescued in Xilin Town, there was really a psychological shadow.

Brushing out, anesthesia is over, Su Yun’s phone is also up, saying that the patient’s family has signed the word before the operation and directly started.

The film was taken down by Su Yun to the patient's family to explain the condition. Zheng Ren disinfected the patient while recalling the image in his mind.

Aortic stent, no difficulty, as long as it is not broken, it is enough to put the shelf down first.

"Stunned, pay attention to sucking." Zheng Renxi.

"Know." Chu Yuran said, "just listened, a lot of wet rales in the lungs, rest assured that Zheng Zong."

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