Chapter 1849： Made a big mistake

CT showed that the scanning location was like the bronchial truncation of the right upper lobe, and the upper right lobe showed a wedge-shaped high-density shadow. The density of the upper lung was uneven, and the circular low-density shadow and the punctate calcification were visible. Most mediastinal lymph nodes are calcified. The left bronchus is unobstructed.

"Pulmonary torsion, prepare for emergency surgery." Su Yun said with certainty.

"Cloud brother, I think it is also a lung twist, is preparing to report with the second-line professor." Fang Lin said with a smile.

However, he saw Zheng Ren still watching the film, some doubts.

"Zheng Boss? How do you think about it?" Fang Lin asked.

"The possibility of lung torsion is great." Zheng Ren said with certainty: "But differential diagnosis and limited pleural effusion, atelectasis, intrapulmonary hematoma, and coagulative hemothorax are difficult to distinguish."

"Not all the same, you told me, which situation does not need to go on stage?" Su Yun said disdainfully.

"Isn't that a diagnosis? If you say surgery, you can be prepared to do it directly." Zheng Ren still looked at the film, ignoring Su Yun's provocation.

"You, too cautious." Su Yundao: "Standing and lying position, it is obvious that there is movement in the high-density area. This is the most clear diagnosis."

"The limited type of pleural effusion can also be." Zheng Ren Tuo looked at the film.

"There is a difference."

"I know." Zheng Rendao: "Fang Lin, the patient's family said that the condition is urgent?"

"It should be okay, there is no vascular obstruction for the time being, leading to venous return disorder and signs of venous infarction or gangrene after congestion of the lung parenchyma. However, the emergency department Cui Lao is very anxious, let Zhou Zong bring the patient's family directly, saying that it is time to hurry. Surgery." Fang Lindao.

"Then do a dynamic perspective of the chest, the diagnosis is clear, and immediately start." Zheng Rendao.

Su Yun also knows that chest artery fluoroscopy is the best means of diagnosing lung torsion, but the patient's image is not too standard, although spontaneous lung torsion is rare. But no matter what, direct surgery, there should be no mistakes.

Is it really necessary to be so cautious?

But what the owner said, it is still done. It seems that I still owe him a convincing orally. If this product thinks of it, take this sentence and blame yourself...

Su Yun did not dare to continue thinking about it.

“Fang Lin, we are looking at patients with double esophageal malformations. When can patients with lung torso be hospitalized?”

"If there is no traffic jam, it is estimated to be about 1 hour." Fang Lindao.

"Well, I told me on the stage, I will take a look." Zheng Rendao.

"Well."

Just the grandstand surgery, Fang Lin has no reason to refuse.

After taking a look at the patients with double esophageal malformations, all the medical records and laboratory tests were smashed again. Zheng Ren used the system panel to compare them.

There is a bottom in my heart to determine tomorrow's surgery, and this leaves the thoracic surgery.

Back to the department, Liu Zewei’s busy head was bright and he was correcting the case. Chang Yue went to communicate with the patient's family, and the professor was sorting out the data of TIPS surgery.

Because of the increasing number of doctors who have learned new TIPS surgeries, the amount of surgery has skyrocketed. In addition to surgery, Professor Rudolf Wagner has devoted almost all his energy to collating relevant information.

"Boss, the patient who had just seen the lungs twisted, will there be a thrombus transfer when the twist is removed?"

"It is possible to be very careful when doing surgery." Zheng Rendao: "You can't do it with a mirror, and the level of detail is a little bit worse."

"If you look at your laparoscopic level, how can you have no confidence in laparoscopic surgery?" Su Yun asked.

"It's not without confidence, but with more confidence in your hands." Zheng Rendao: "What did you notice after Dr. Charles said?"

“When you touch your hand, you know what strength to use for sewing?”

"Well, this is the sentence." Zheng Rendao: "Although the laparoscopic surgery is small, the laparoscopic pliers are not comparable to the hand. If you can find this from the benefits of the search for the face of the anger, you can take this. In use, perhaps the mirror technique can be further improved."

"Don't swear." Su Yundao: "There are not many people who can master this. I just touched the threshold. It doesn't have to be long before you go. Are you counting on other people?"

"Yes, always good. Not to mention surgery, single intervention surgery, feel is very important." Zheng Rendao.

"No wonder you can appreciate this because the interventional surgery is done well?" Su Yun seems to find something.

"It should be." Zheng Ren does not let it go. "Interventional surgery relies heavily on the feel, especially after reaching a certain level. It is much more done, and I will use the surgical side without knowing it."

"It seems that Dr. Charles is more genius than you, he will not do interventional surgery, but also touched the threshold of the hand." Su Yun also understand the truth.

"Yes." Zheng Rendao: "I belong to the analogy, because I have the strongest interventional surgery to make this happen."

After Su Yun heard that Zheng Ren said the strongest interventional surgery, he immediately wanted to rebel. But when it comes to the mouth, it stops again.

Is this sentence wrong?

That's right!

It is the strongest interventional surgeon in itself, and even find a similar example.

"Feeling..."

"For example, if you touch the intestines, you can know what kind of strength to use to peel off, so as not to cause complications such as intestinal rupture and intestinal perforation." Zheng Ren tells his own experience.

Su Yun was silent and nodded.

This is a brand new field. Su Yun is only vaguely able to understand what Zheng Ren is saying, but he still has a long way to go to realize this and use it in surgery.

Thinking about it, Su Yun is a little confused.

I have recently concentrated more than ever before, but how do I feel that I am getting farther away from my boss?

"You are back." Chang Yue came back from the ward and saw Zheng Ren and Su Yun chatting. He greeted him. "Iran people seem a little unhappy, Zheng Zheng, please be careful."

"..." Zheng Ren feels that a thunder is falling from the sky eh? Su Yun took a look at Chang Yue and asked: "Why? ”

"If you don't eat at noon, you will disappear without a trace of lunch time." Chang Yue was busy when he sat down.

"Is this not something in the emergency department?" Su Yun did not care.

"I don't want to send back the information. You don't know how big this is for the girl?" Chang Yue turned back and helped the glasses, and looked at Zheng Ren with gloating.

"..." Zheng Ren remembered this. After he stepped down, he went to the emergency department. He first listened to Su Yun to give lectures to Zhou Litao, and then did the differential diagnosis of the amoeba. He even forgot to watch the mobile phone!

Although Zheng Ren's emotional intelligence is not high, or too lazy to ponder. But he knows that he doesn't return to his girlfriend's message. This mistake is too big!

Zheng Ren felt that the back spine was cold and the whole body was frozen.