v3 Chapter 2660： Weird condition

Ok? Zheng Ren froze a bit.

"Uh ..." Quan Xiaocao lowered his head and whispered, "Boss Zheng, every time I practiced below, I think I did a good job."

Zheng Ren nodded, this time he had a more intuitive judgment on Quan Xiaocao.

"But I'm afraid every time I come to power." Xiao Cao said timidly.

"and after?"

"I asked Brother Yun once, and he said that you should give yourself a psychological hint, thinking that you are Boss Zheng." Quan Xiaocao said.

Zheng Ren couldn't laugh or cry. This psychological suggestion can only be built on a solid foundation. Quan Xiaocao's basic skills are solid, and he always works hard. It seems that the psychological suggestion is really good.

"I tried ..."

"Hehe." Zheng Ren looked at Quan Xiaocao and smiled happily. "Willn't it look like imitating after turning off the peritoneum and turning off the stage?"

"Uh ... I learned it subconsciously." Quan Xiaocao's voice was like a mosquito.

"That's good." Zheng Ren said, "It's okay to think about the operation in the future, I ask you something."

"Ah? What?" Quan Xiaocao panicked again.

"What do you think when you look at the spleen?" Zheng Ren asked.

"The obstruction of the internal splenic artery branches causes ischemia, hypoxia and necrosis of the spleen. No doubt about the diagnosis of splenic infarction."

"Continue." Zheng Ren said after seeing a little grass, right.

The child had to pump to leave, and Zheng now knew something about her. Unconsciously, I did not expect that I had affected so many people.

"Uh……"

"Xiao Cao, insert it now, and I listen to your judgment at that time." Zheng Ren said with a smile.

Lao He looked interesting. He whispered in Quan Xiaocao's ear and asked, "Boss Zheng, do you want to make the music louder?"

Quan Xiaocao knew that Lao He was joking. She finished the suture, then closed her eyes without sterilizing and covering the incision materials.

Zheng Ren was very interesting to see Quan Xiaocao's intent on his mind. Suddenly, he thought of what Su Yun looked like when he smoked.

Should we also study psychology?

But this idea is fleeting. Recently, there are many things. I'll talk about it after the little stone's condition improves.

"About half of the patients with spleen infarction can be asymptomatic." When Quan Xiaocao opened his eyes again, his voice calmed down, and his panic-like appearance disappeared.

"Several small-scale splenic infarctions may have symptoms such as low fever and leukocytosis without pain; large-scale acute splenic infarctions may occur with sudden upper left abdominal pain, or total abdominal pain may radiate to the left shoulder and back, exacerbate when bending down or deep breathing, Symptoms such as nausea, vomiting, or shortness of breath and high fever can persist for a week. "

"From the perspective of the patient's admission, the symptoms are not severe. The direct view of the small range of the splenic infarction further confirms this view."

"So I think the patient's spleen can be retained without having to undergo a splenectomy." Quan Xiaocao said with certainty.

"What if the embolism worsens after the operation?" Zheng Ren asked.

"Interventional angiography, catheterization and thrombolysis." Quan Xiaocao said without thinking, "the area of ​​damage itself is not large, you can ..."

It turned out that she knew even this. When Zheng Ren listened to Quan Xiaocao's remarks about the subsequent rare treatment process, she was slightly fascinated.

Little guy, he grew up so fast.

Thinking about it, Zheng Ren pressed the incision with sterile gauze, disinfected the periphery, and then covered the incision.

"Little grass, good!" Zheng Ren praised.

Quan Xiaocao heard Boss Zheng praise himself, and there was a flash of light in his eyes.

"Okay, take the patient back." Zheng Rendao, "The spleen infarction should not be a problem. If there is an accident, ask me to deal with it immediately."

"Um." Quan Xiaocao nodded hard.

Zheng Ren glanced at the grass and felt that Su Yun was not just making a fool. Xiao Cao belongs to the kind of doctor who has a very solid theoretical foundation and is not weak in practical skills.

To put it plainly, it is stage fright.

Letting her pretend to be herself is quite effective.

"Lao He, how is Feng Feng's side?" Zheng Ren turned to step down, tore off the aseptic garment and threw it into the big red sterile waste bucket, asking casually.

"Whole blood cell counts and myocardial enzymes and other laboratory tests, imaging examinations including skull CT and transthoracic echocardiography were all normal," Lao He said simply.

"What does a check-head CT do?"

"Yuner said that he had nausea, and he could not rule out complications in the head." Lao He said.

Zheng Ren nodded and walked out of the operating room.

"Blood pressure is 81 / 52mmHg, heart rate is 41 beats per minute, Yun Geer has given targeted treatment, intravenous norepinephrine, and an atropine."

"When I left to see the ECG monitoring, the atrioventricular block had changed from three degrees to two degrees."

"Does the heart rate change?" Zheng Ren asked.

"No significant increase."

Zheng Ren Shen Yin, atrioventricular block in adults is most common in patients with myocardial infarction. Unlike children, atrioventricular block often occurs for a variety of reasons. Feng Jianguo's electrocardiogram does not have a myocardial infarction, but the QRS waveform has narrowed. This point Zheng Ren has never wondered what it means.

He changed his clothes silently, and Lao He watched Boss Zheng's mind was serious, and followed him carefully.

There is a problem, somehow the atrioventricular block. Zheng Ren clearly remembered that Feng Jianguo's previous system panel was very healthy, and this time the symptoms of atrioventricular block were not typical. Dizziness can be said to be caused by insufficient blood supply.

So disgusting? Quan Xiaocao said Feng Jianguo's self-diagnosis was caused by acute gastrointestinal dysfunction. The self-diagnosis of a doctor, especially the diagnosis of his disease by a gastrointestinal surgeon, must be well-founded.

Nothing is targeted ... Zheng Ren is not convinced.

What diseases are mainly caused by gastrointestinal dysfunction ~ www.novelhall.com ~ and sudden AV block?

Zheng Ren thought of two remote diagnoses, but then dumb. The system panel has determined that there are no problems with the gastrointestinal tract, and I want to be biased.

In this case, Zheng Ren was helpless. The big pig's hoof is unclear, unclear, and the rest has to be guessed by itself.

He changed his clothes and slowly walked out of the dressing room in the operating room. Lao He was silent, wearing a white suit, wearing slippers and shoe covers, and followed Boss Zheng behind him.

Boss Zheng is thinking, Lao He is a little confused, Feng Jianguo is a typical atrioventricular block, does this still matter? What is Boss Zheng thinking about?

But he still didn't talk, just follow him honestly.

"Lao He."

"Eh."

"Help me ask the gastrointestinal always stay in hospital or rest at home."

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