Chapter 1294 Dilemma

The red color of the system panel was so dazzling that several diagnoses appeared in front of Zheng Ren.

Septic shock, intestinal rupture, congenital muscle abnormalities in the right waist, subcutaneous gas...

Zheng Ren looked at the diagnosis and was a little dazed.

Congenital muscle abnormalities of the right lumbar region, a rare diagnosis. Mainly because the muscle tissue is relatively thin, it is easy to form a hernia.

However, the system does not give a diagnosis of lumbar hernia, then it is during liposuction, because of abnormal abdominal muscle tissue, negative pressure causes intestinal rupture.

How else can this be... Zheng Ren was particularly speechless.

There are various clinical operations and complications. Zheng Ren could only guess from a high probability before, but he never expected that there would be a possibility of intestinal rupture.

The flat car roared, and the doctors and nurses in the emergency department were windy, pushing the patient and running out. Zheng Ren quickly gave way and watched the patient leave.

However, the diagnosis is good. Although septic shock is serious, it is always better than fat embolism, which cannot be treated at all.

After finding Dr. Liang, Zheng Ren sat in the office of the CT room. Dr. Liang took the time to upload the film, and Zheng Ren quickly saw the CT image of the patient's abdomen.

CT showed extensive subcutaneous gas accumulation in the abdominal wall under the xiphoid process. Zheng Ren looked at the film and seemed to feel that he was holding snow. Free gas pockets and inflammatory changes also exist around the ascending colon, which are typical imaging changes of bowel rupture.

Zheng Ren watched the film and reconstructed in his mind.

Intra-abdominal infection is particularly serious, and Zheng Ren estimates that there are many locations of intestinal rupture and perforation.

"Boss Zheng, it's rare to come here recently." Dr. Liang saw Zheng Ren reading the film, and approached him.

As Boss Zheng flew higher and higher, Dr. Liang felt that he could no longer reach it. But it's good to take the opportunity to say a few words and get close.

"I've been busy recently." Zheng Ren smiled and said, "How are you doing? You're quite busy."

All his thoughts were on the CT scans, and when talking to Dr. Liang, he didn't mind at all.

"That's it, nothing special. Watching movies and writing reports every day is boring." Dr. Liang said with a smile, "Boss Zheng, do you know this patient?"

"My friend asked me to take a look."

"The patient has a severe ruptured bowel. Was he beaten or was in a car accident? No, not a car accident. If it hits like this, there must be a fracture." Dr. Liang said to himself: "Is it domestic violence? Boss Zheng, if this is the case Domestic violence is a big deal.”

"No." Zheng Ren sighed, "It's a complication of liposuction surgery."

"Uh..." Dr. Liang was stunned for a moment. What is the complication of liposuction surgery?

"Here." Zheng Ren pointed at the computer screen with his finger, "The muscle tissue of the abdominal wall is a little thin. It is estimated that the negative pressure stayed in this position for a long time during liposuction, which caused intestinal perforation."

Generally, if you look at CT, who will look at muscle tissue if you have nothing to do. Even if you see it, it will pass by, and you won't care. Dr. Liang was stunned for a moment, and then he looked over according to Zheng Ren's guidance.

But if you have liposuction, a thin abdominal wall can be deadly.

"There are still such serious complications in liposuction." Dr. Liang was very emotional.

"As long as it is an operation, there will be complications." Zheng Ren also felt the same way, medical treatment is not easy.

If there are too many preoperative examinations, the patient will be unhappy. Over the years there has been a word called over-medication, which is exactly what it says.

But if there are fewer examinations, the patient in front of you is an example. Although this patient underwent liposuction at Xiaohei Clinic, the principle is the same.

It's really a dilemma.

Doing clinical work, bad luck will not last long. In an accident, it will be smashed into the sand.

Xiaohei Clinic was unlucky this time and met a rare patient.

"It's going to cost a lot of money this time." Dr. Shen sighed.

The infection in the intestine is so obvious that even if the operation is successful, it is still a question whether the septic shock can be rescued.

Spending money is only one aspect. There is also the possibility that a lot of money is spent and no one can keep it.

"I'll take a look at the Gastrointestinal Surgery Department. You'll be busy first." Zheng Ren stood up, greeted Dr. Liang, and turned to leave.

As he walked, he pondered the matter.

The diagnosis of the patient is no problem, but how to treat it is a big story.

If she didn't intervene, Lin Jiaojiao looked like she was going to contribute money and effort. But she has never known her before, why should she contribute money?

Will the patient's family feel guilty? Do you think that the medical beauty clinic has something to do with Lin Jiaojiao? Got bitten at the end?

How far things will develop in the end is hard to say.

Thinking about it, Zheng Ren took out his mobile phone, hesitated a little, and called Feng Jianguo.

"Brother Feng, a patient has just been sent to your department, who picked it up?" Zheng Ren asked.

"The hospital manager and Xiaocao went to see it." Feng Jianguo said on the phone: "I was watching the film, my intestines were ruptured, and I was going to have an operation."

"The patient's family, did you see that?"

"I took a look. Isn't this a rush to watch the movie? The family members of the patient seem to have conflicts and are quarreling." Feng Jianguo said carelessly.

Conflicts among patients' families are rarely mixed by doctors and nurses.

As long as you are responsible for treating the disease, it's fine. What's the point of mixing in other people's housework? It is difficult for honest officials to cut off housework, let alone doctors and nurses.

If you forcibly participate, you might end up in one.

"Brother Feng, I'll take a look." Zheng Ren said as he walked.

"Huh? Do you know this patient?"

"I don't know. It's very complicated to say." Zheng Ren was also very helpless. "It's a patient after liposuction, complicated by intestinal rupture."

"After liposuction?" Feng Jianguo was a little surprised.

Although he has been in gastrointestinal surgery for decades, it was the first time he had seen a ruptured bowel caused by liposuction. He had just picked up the patient on his side, and before he had time to ask about his medical history, the patient's family members quarreled.

"Let's meet and talk." After Zheng Ren finished speaking, he hung up the phone.

Zheng Ren didn't bother to predict what to do. He saw the patient and the patient's family first, and then he was ready to adapt. Besides, there are still conflicts between the patient's family members, and it is useless to think too much.

Soon, came to gastrointestinal surgery.

A weathered, dark-skinned peasant woman stood in the corridor, wiping her tears while clutching at the clothes of a young man.

The young man looked at 22 or 3 years old, and he was airy and had an ear stud on his left ear. He was impatient and disgusted.

The corridor was in a mess. The patient's family members, doctors and nurses were busy, and Zheng Ren couldn't hear their conversation clearly.

After walking a few steps closer, Zheng Ren heard the peasant woman begging: "Child, I don't have any money here, but we have to save our lives."

"What's the matter with me!" The young man flipped his sleeves and said, "I tell you, don't touch porcelain with me, it has nothing to do with me!"