Chapter 1742： Angry mosaic

What Mao wanted to say, but when he thought of the intervention in the international hospital in the past few days to get rid of the big shelf in the heart, the mouth was like being caught by an invisible big hand, and he couldn’t say a word.

Director Zhang Lin did not speak.

A few days ago, Yan Dean was operating. When she arrived, two purple and black blood clots were placed in front of me. I have already rushed over 100,000, and from the news to the operating room, even 20 minutes are useless.

Can the boss of Zheng, even the surgery is done.

Not finished, Zheng boss did not even send the president to return to the ward!

It’s a slap in the face of a normal patient.

Although faced with an unidentified collective "poisoning" incident at that time, another person could be exchanged. Why can't I send Yan Yuan to the ward and say a few warm words?

Why are people so emboldened?

Not because of the high level of technology. Although I don’t know why Zheng’s boss is so arrogant and overbearing this time, it certainly makes sense.

Director Zhang Lin glanced at Sun Chao, and felt that the probability of this cargo was to die at 912.

She and Zheng boss have dealt with several times, and Zheng’s diagnosis is very powerful. This is an indisputable fact.

Ion channel disease, the family member gave up the matter, Director Zhang Lin always remembered.

Every time she thinks, she will be surprised at why Zheng boss is so sure, there seems to be no hesitation.

This time, it should be.

Zheng Bo is definitely not the kind of person who does not know how to be serious. He said that if you want to open your chest, you have the reason to open your chest.

Sun Chao glared at Zheng Ren, and Zheng Ren completely ignored the mosaic around him. Who will compete with the mosaic?

Zheng Ren carefully looked at the CT film of the lungs and reconstructed the operation in his mind.

Although there is no experimental body, it is just a virtual operation, but it can be done and hurry. Zheng Ren has accumulated a lot of surgery training time, but he is still very unwilling to use it.

At least three or five more surgical exercises before going to the stage, now you can be a little more proficient.

Zheng Ren is also somewhat distressed, and the big pig hoof is never willing to give a skill book at the peak level.

I have not found a way to climb to the peak level of surgery, and I can only operate at the level of a master.

Just thinking, there was a rush of footsteps in the corridor.

Ringer’s heart moved and looked up.

President Zhang walked in quickly, and Linger quickly greeted him and extended his hands. He said: "President Zhang, you are really coming."

"How?" President Zhang hurriedly asked.

"The situation is very bad, and now it is suspected to be pulmonary embolism." Ling Ge said: "Our opinion is emergency thoracotomy."

President Zhang stunned, emergency thoracotomy, or heart surgery...

This pressure is a bit big.

"Is the Yan Dean discharged from the hospital?" President Zhang asked.

"Don't leave the hospital, recuperate at home. You also know that Yan Yuan's director... Vice President Yuan is meeting in the ministry and is going back." Linggehui reported, "But the patient's condition, our judgment is not optimistic. Need to hurry for time surgery."

"Don't even have a CTPA time?" Sun Chao angered. "You are too irresponsible. This is a crime!"

President Zhang is really stunned this time.

He met Sun Chaosun, director of the Affiliated Hospital of the Medical University, and Sun was short and chunky, and he looked down on the toes.

It’s hard to remember him.

Just why Director Sun Chao will appear here?

"Director Sun? What do you mean by this?" President Zhang asked.

"The boss, the picture of the echocardiogram." Su Yun squeezed into the crowd at this time and handed a piece of paper to Zheng Ren.

"Well, the teachers who have doubts, I am going to talk about why the condition is urgent, and the judgment is pulmonary embolism." Zheng Rendao: "Su Yun, send the patient!"

Neither Lin Ge nor Shao Zong, or Director Zhang Lin or Director Mao, did not speak.

When Zheng said that he had sent the patient three words, his eyes picked up and swept the crowd.

Those who have opinions are also blocked by sharp eyes.

"It’s so sloppy, it’s just a grasshopper!" Director Sun Chao said with anger, "Are you 912 no one?"

Mao held his head and looked at the ground like any image on it. And Linger smiled a little and said: "I believe that Zheng’s diagnosis is a problem, and our medical office bears it."

Sun Chao’s old blood almost didn’t spurt out.

Is the medical office crazy? Unconditionally support this young Zheng boss? !

This is simply crazy.

"Mr. Zhang, you can be the master, isn't it?" Zheng Ren confronted President Zhang and asked.

Principal Zhang nodded cautiously but did not speak.

"Then I will talk about the image of the echocardiogram. Which teacher has questions and put it directly. If there is no doubt, I will start the program directly after the lecture." Zheng Rendao: "There is no time."

Hearing that he had no time for these words, everyone was in the heart.

Although the pulmonary embolism is urgent, it may not be like a heart attack, and it will die in a few minutes.

What does he mean by saying this?

“First, as the most specific echocardiographic feature, when the ratio of right ventricular and left ventricular anterior-posterior diameters is > 0.5; right ventricular and left ventricular transverse diameter ratios > 1.1 or left ventricular end-systolic and end-diastolic diameters are reduced, especially Thrombotic pulmonary embolism can be determined at the end of diastole."

"This point, the judgment on the echocardiographic image is very clear, no doubt." Zheng Renlang said Although the sound is still very urgent, but with a piece of gold and iron sympathy .

"The second point, under normal circumstances, the right anterior wall motion amplitude should be > 5 mm, the right ventricular free wall motion amplitude will be > 8 mm, but for patients with pulmonary embolism, the right ventricular wall to the free part of the movement is reduced, even disappear."

Zheng Ren took the echocardiographic image and said: "The teachers have no doubts."

The image is printed, and the people around it are involuntarily surrounded and look at the image carefully.

Zheng Ren said that it is well-founded and cannot be refuted.

Even Sun Chao can't say a word to deny Zheng Ren's statement.

"The third point is that the normal main pulmonary artery diameter is <30 mm, the right pulmonary artery is <20 mm; and the mm in patients with thromboembolic pulmonary hypertension; the MPA expansion in patients with chronic thromboembolic pulmonary hypertension is more pronounced."

"In the image, the initial judgment is acute pulmonary embolism." Zheng Ren continued.

"The fourth point, I don't know if you know the formula for calculating the collapse rate of the inferior vena cava."

Zheng Ren said, looked at Zhang’s principal.

He wants to convince the principal of Zhang. As for the mosaic that is very angry around him, Zheng Ren has no impression at all.

President Zhang has been forced.

What is this special? The standard science man's thinking, said one two three four four, what can he say? !

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