v3 Chapter 2839： Unlucky

[They say write quickly ...]

Yun Su Yun was playing with a mobile phone, Zheng Ren was reading a book in the system library.

喂 "Hello?" Zheng Ren answered the phone.

呃 "Uh ... I'm still outside."

"it is good!"

After speaking, Zheng Ren suddenly stood up.

"What's wrong?" Su Yun was a little confused.

"There is a desk inside for ERCP and EST, the guide wire is broken, and there is no way to study it in the operating room for 2 hours. I want to ask us to take a look." Zheng Ren whispered.

The voice of his speech is very low. There are many eyes outside. Who knows that the patient's family members are at home can't give people trouble. This is the most basic.

"ERCP take the stone?" Su Yun hesitated, then said scornfully, "It must be too reckless."

Zheng Ren shrugged, then watched the door open, and Professor Wu beckoned with a probe.

The two walked in, Professor Wu said embarrassedly, "Boss Zheng, the gastroscope is done."

He didn't mention the broken wire, let's talk about gastroscope first, Zheng Ren knew what it meant.

"The results show a hiatal hernia, chronic gastritis, and erosion. Monitoring results of esophageal impedance: reflux occurs mostly in the upright position, and the reflux is mainly gas. Esophageal manometry results show that the lower esophageal sphincter pressure is reduced." Professor Wu He whispered, "Boss Zheng, your diagnostic level is amazing!"

"You're welcome." Zheng Ren waited for his next paragraph. The ones I just said are all seen on the system panel. Why is the guide wire broken?

Zhou Zhouyong was busy taking patients out of office, and a fellow doctor was helping.

Professor Wu let Zheng Ren and Su Yun into the locker room, glanced left and right, and whispered when no one was seeing, "Our doctor is doing ERCP, the guide wire is broken inside. Usually the relationship is good, boss Zheng give you a glance ? "

"It's okay, I'll go and see, it may not be able to take it out." Zheng Ren said lightly.

Professor Wu heard Zheng Ren say this, his waist bent down, his expression was even humbler, and he said politely, "Boss Zheng, this is really troublesome for you. My friend has been ... unfortunately unfortunately recently, and there have been many accidents. "

"What?" Su Yun asked with a pique.

谁 "Who knows, he dare not even do gastroscopy now, because the gastroscopy just a few days ago just happened to catch the patient's acute duodenal perforation, this probability ... I don't know what to say." Professor Wu sighed and said.

急性 Duodenal acute perforation? Zheng Ren froze a bit. Generally speaking, this disease is an absolute contraindication for gastroscopy.

"Is abdominal pain, emergency gastroscopy?" Zheng Ren asked.

"No, no. It was scheduled for a slow consultation, and the perforation was not considered at the beginning. After taking the stage, the patient may be too nervous. Before the gastroscope was inserted, he suddenly said that he began to have severe abdominal pain." Professor Wu said, "Later, no gastroscopy was performed. Without moving, there was still a medical dispute. "

仁 Zheng Ren nodded. If this is the case, this doctor is really unlucky.

"I just told him not to do anything. I have been out of luck recently, so I'll take a break." Professor Wu said, "I have bought all the tickets, and I'm ready to go out and relax. But there is someone who knows him today and found him. In the past, ERCP stone removal will be performed. "

Professor Wu Wu said something a bit chaotic, but Zheng Ren and Su Yun understood what he meant. The unlucky professor has asked for leave and is going to take a break. The plane tickets have been bought and he will go out to play, catching up with an acquaintance to find him for ERCP stone surgery.

This kind of surgery is regarded as advanced technology in the First Affiliated Hospital of Haicheng, but in the Affiliated Hospital of the Royal Capital Medical University, it is like appendicitis, which is nothing at all.

I guess he thinks so too, just do what I do, it's not a big deal.

But I didn't expect to have an ERCP stone removal operation, and the guide wire broke, so I couldn't come down directly.

This is really bad luck.

"What happened to the patient?" Zheng Ren asked.

"A female patient, 55 years old. Admitted to the clinic with intermittent epigastric pain for six months. Abdominal ultrasound prompts: after cholecystectomy; common bile duct stones and widening. MRCP prompts: lower bile duct stones, 1.0 cm × 0.9 cm."

The medical history was brief, and then Professor Wu said, "I do n’t know how to do the operation. Boss Zheng asked you to give me a hand. I also just saw this after the gastroscope. Otherwise, they are going to cut the RT muscle and let it break. The guide wire comes out by itself. "

"That's OK," Su Yundao said, "cutting is a conventional method."

"Isn't this just in time to catch up with the two?" Professor Wu continued to accompany the laughter. "It is best to have no traumatic treatment. Regardless of whether the patient knows or not, the small point of injury is also accountable after the operation."

He said, he bent sincerely.

"Professor Wu, don't be so polite, let's take a look." Zheng Ren changed his clothes and brought a hat and mask.

Wu Suyun still wore three layers of masks. Professor Wu looked a little embarrassed. I don't know why this person wears so many masks.

But this is a trivial matter, as long as it can solve the problem, it doesn't matter if people wear 100 masks.

I met Zhou Chunyong and pulled out the flat car. He was puzzled to see Zheng Ren and Su Yun changed clothes and got in. He knew that something must be wrong and asked with his eyes.

"Director Zhou, let's take a look and see you in the emergency observation room." Su Yun said with a wave of his hand.

"Oh, okay. You two are busy first ~ www.novelhall.com ~ I will send Aunt Liu out." Zhou Chunyong glanced and saw the boss Zheng and Su Yun taking the patient out when they were busy.

Professor Wu Wu led in front, and the three came to an operating room. No accident, the atmosphere was dignified. Zheng Ren walked in and heard a weeping sound next to him, a thin young man standing in the corner wiping his tears.

Huh ... why are you crying? Zheng Ren first thought of Gu Xiaoran's goods.

It's just that Gu Xiaoran won't cry in the operating room. The appearance of Ma Baonan, but his heart is very large. These two opposite temperament highlights Gu Xiaoran's weirdness.

"Old Liu, this is Boss Zheng," Professor Wu introduced.

Professor Liu was wearing sterile gloves, so he didn't reach out. He bowed politely, "Boss Zheng, give me a hand."

"How does ERCP stone removal surgery work?" Zheng Ren asked.

"Using OlympusTJF-260V duodenoscopy, after entering the descending duodenum, intubation was performed with guide wire guidance." Professor Liu began to tell about the operation. He said while standing with his eyes staring. Little doctor wiping tears in the corner.

"The guide wire used is Boston's disposable plastic-insulated insulated guide wire. The guide wire is 450 cm in length and 0.91 mm in diameter. It is seen under perspective that the guide wire enters the main pancreatic duct and a small alpha helix is ​​formed at the front end."

"The assistant used too much force when the guide wire was withdrawn, causing the α-helix end to break inside." Then, Professor Liu stared at the doctor standing in the corner. .

Zheng Ren frowned, and Su Yun glanced at Professor Liu unhappyly.

Is there something wrong with the operation, throwing the pan to the assistant? This person really has nothing to do.