Chapter 1709： Liver foreign body without history of trauma

"Boss, what did you find?" ICU asked, Su Yun asked.

"I suspect that the ventilator is wrongly inserted, and there are too many gases in the stomach through the ventilator, and finally a series of reactions." Zheng Rendao.

"It's a bit reasonable, but it can be explained, but the case is too small, there is no statistical significance." Su Yunyi thought, I shrugged and said.

Zheng Ren smiled and laughed. He didn't have time. If he studied his knowledge, he could publish a paper in a few days.

But the paper does not make sense to himself. He is a tenured professor at the Massachusetts General Hospital and has published a paper on wool.

That is what the right grass should do.

As for yourself, the mission progress bar of the world is important.

"Why are you going in the afternoon?" Su Yun asked.

"I don't know." Zheng Rendao: "May be sitting and reading a book, maybe going to the emergency department for a stroll."

"Boss, tell you a secret." Su Yun's eyes narrowed.

"..." Zheng Ren's heart trembled, although he did not look at Su Yun, but what he wanted to say, his heart was clear.

This tone, dog day must say that Ning Shu will return soon.

All of Zheng Ren’s good moods have vanished.

[They said to write a love song soon...]

Su Yun hasn't spoken yet, and Zheng Ren's cell phone rings.

"Hey, Director Luo."

"I am at ICU, just coming out."

"Okay, go see the situation right away." Zheng Ren finished, hung up the phone.

"What's wrong? Emergency?"

"No, it is said that patients who have received a liver abscess are particularly strange." Zheng Rendao.

"What is the good look of liver abscess?" Su Yundao, "Anti-inflammatory symptomatic treatment, no puncture drainage under B-positioning, there is always a suitable."

"You said that Director Luo can not know? He said that there is a problem with doubt, it must be something else." Zheng Ren said, the pace is getting faster.

The two quickly walked to the Department of Gastroenterology, and Zheng Ren glanced at it. When Director Luo was not in the doctor's office, he went straight to the director's office.

Knocking on the door, inside the voice of Director Luo, Zheng Ren pushed the door in.

"Zheng boss, come see this film." Director Luo glanced at Zheng Ren, then his eyes returned to the film on the reader.

Zheng Ren walked over and took a look. A 7 × 3 m abscess can be seen in the right lobe of the liver, which is slender and protrudes from the liver surface.

Hey... What is this ghost thing?

If there is a traumatic patient, Zheng Ren will not hesitate. However, the film seen in the Department of Gastroenterology, according to the truth, should be a medical system disease.

But the essence of high density, what is this? Liver stones? Can be too big, too thin, not looking like.

"Zheng boss? What do you think is this?" asked Luo.

“Does the patient have a history of trauma?” Zheng Ren asked directly.

"No, it’s strange to be here." Director Luo said: "There is no history of trauma and no history of surgery.

The patient was a 41-year-old man with a fever of unknown cause 1 month ago. He began to think that he had a cold, had a fever, and went to a local clinic. After two weeks of antibiotics, I didn’t see any improvement, so I went to the county. When I took a chest radiograph, I found a liver abscess and I did this CT scan. ”

"Is the medical history so simple?" Zheng Ren squinted at the liver CT film, he has confirmed that it is a foreign body.

However, the patient has no history of surgery, no history of trauma, foreign objects are teleported into it? Or are high-dimensional creatures directly put in?

This is simply too strange.

"How do I see how it feels to be a foreign object." Director Luo stared at the film and watched. "I went out of the clinic today. I saw the patient's film and I always thought about it. I am not sure, I will find Zheng boss to look at it."

"Director Luo, I dare not dare." Zheng Ren repeatedly politely said: "I also think it is a foreign body, or a relatively sharp foreign body. But it is strange that there is no history of trauma, can you be sure?"

When discussing the condition, Zheng Ren gave up his implicitness and asked very directly.

"In order to confirm this, I saw the skin of the patient's chest and abdomen, no damage, no surgical scars. I also saw around the navel, and did not do a single-hole laparoscope." Director Luo said.

Zheng Ren began to hesitate.

Director Luo’s experience is indeed rich, he can think of it, he thought of it.

Even in order to rule out that the patient is unclear, or forgot some medical history, he directly ruled out these possibilities when checking the body.

It is too strange to have no trauma but foreign objects.

A plain CT scan of the abdomen did not explain the problem. Zheng Ren began to frown and meditate and started a three-dimensional reconstruction.

However, the result of the three-dimensional reconstruction is affirmative. From the internal density of the abscess, it is a sharp and slightly sharp hard object.

The density is not as high as iron, not even a bullet.

Is it really the growth of the liver itself?

Zheng Ren began searching for information such as liver stones.

Clinically, liver stones are so-called intrahepatic stones, which means that there are stones in the bile ducts in the liver, and may also be simple primary intrahepatic stones.

But the most common possibility is caused by the accumulation of common bile duct stones upstream.

But this does not make sense, liver stones... Stones will not be so sharp and slender, like stone forest-like intrahepatic stones?

Puncture the bile duct, pierce the surface of the liver, and finally cause a serious abscess?

Zheng Ren believes that this possibility is almost non-existent.

I have never seen any of the papers, journals, and magazines that I have seen for so long. The silted stones in the intrahepatic bile ducts form sharp, sharp needles that pierce the liver.

"Is there any idea, Zheng boss?" asked Luo.

"There is no idea at all, but it is necessary to analyze the patient's condition. I think it is necessary to carry out the exploration operation." Zheng Ren held the film and watched the film, which is quite sure.

"Well, looking for you, this is the purpose ~ www.novelhall.com ~ Director Luo is not concealed, directly said: "Exploring what the foreign body is, the grasp of surgery is not big? ”

"The operation is a minor operation, but it is necessary to cut it or take out the foreign body under the laparoscope to know what it is." Zheng Rendao.

Director Luo smiled.

What Zheng Ren answered and asked himself was two different things.

The question of his own surgery is not big, and all of Zheng’s attention is on what the foreign body in the patient is.

Whether the surgery will fail, Zheng boss should not have considered it.

Perhaps for Zheng boss, the success of this kind of difficult surgery is normal. Failure is a very accidental situation.

Even, for the time being, it is not considered.

It’s a young and confident young man! Director Luo looked at Zheng Ren and smiled: "I sent you the patient's phone number. I don't care about the rest. If you want to have surgery or live broadcast, let me know in advance, I will go and see."