Chapter 1475 Then I Will Teach You

Director Wei was a little dissatisfied when he heard Zheng Ren's vague answer.

He knew the patient's parents, especially when he saw the patient's mother slumped as soft as mud, he felt an urgency in his heart to cure the child.

At this time, I hope that Boss Zheng can say a small thing, no problem.

But he said he wanted an operation and an exploratory laparotomy, just as he thought.

Who can't do this.

However, there was no preoperative examination, so it was a bit difficult for Boss Zheng to give a clear answer.

Director Wei sighed, leaning on his waist with his hands. The two squats caused great damage to the lumbar disc. It seems that he can't do this kind of action again in the future, he thought to himself.

Ten minutes later, the preoperative preparation is complete.

Intravenous access, gastric tube, urinary catheter, and skin preparation in the operation area, the overall quality of 912 is quite high, especially in the face of emergency rescue, this quality is more vividly reflected.

"Boss Zheng, my old waist..." Director Wei smiled bitterly, "Please take it with you, open it first, and I will explain and sign with the patient's family below."

Zheng Ren nodded and took the patient straight to the operating room.

Although the diagnosis was clear, Zheng Ren raced against time to send the child to the stage.

Time is life. It looks stable. It may be delayed for half an hour below, and the patient will not be able to save it.

When I arrived at the operating room, it happened that Quan Xiaocao sent the patient with gastric stones to step down.

Zheng Ren handed the sick child to Lao He, who came out, and Zheng Ren took the time to change clothes.

"Boss, what's wrong?" Su Yun asked.

"I ate the bottle cap and got stuck in Meckel's diverticulum." Zheng Ren said.

"I'm going..." Su Yun sighed, then looked at Zheng Ren and asked, "Are you going?"

"Director Wei squatted twice, and the lumbar disc may not be able to hold." Zheng Ren said, "Hurry up and solve it quickly. The child has bleeding from Meckel's diverticulum, but it is not a big problem."

"How was it diagnosed?" Su Yun's eyes narrowed, because he was wearing a sterile cap, and the black hair on his forehead was dishonestly wanting to flutter in the cap, but was crushed.

"The child's mother is in the explanation room during the operation. You go and ask for the film. I will tell you when you go in and take advantage of the anesthesia time." Zheng Ren said calmly.

This guy Su Yun is too smart. He seems to have doubts about a few things recently.

Then let the professional knowledge tell him why, so as not to have thoughts in his mind and always stare at himself.

Being stared at, especially by Su Yun, felt extremely bad.

After Zheng Ren finished speaking, he changed his clothes and strode into the operating room.

Su Yun looked at Zheng Ren suspiciously, is Meckel's diverticulum? It seems difficult to diagnose.

But he didn't say anything, and went out into the intraoperative account room. I saw a professor of gastroenterology watching a middle-aged woman while holding a film.

It's just a plain X-ray of the abdomen. That's what the boss used to diagnose?

Su Yun politely asked the professor for a film, saying that it was going to be an operation. When the professor with the group heard that it was Meckel's diverticulum, he was also a little puzzled.

While he was thinking, Su Yun quickly returned to the operating room with the film.

"Boss, there are only three X-rays, how did you diagnose it? Come, teach me." Su Yun used the word "teaching" for the first time.

But obviously, there is a strong sense of sarcasm in it.

Lao He was under intense anesthesia.

The child's anesthesia requires more effort, and in front of Boss Zheng, Lao He did not dare to take it lightly.

This time it was really a coincidence. Today, I have an emergency class, and I have two gastrointestinal emergency operations.

Or how about opportunities are always reserved for those who are prepared? Large-scale stomach stones, I notified Boss Zheng the first time, and knew that he would be interested.

As for the other side reading the film, Lao He took a break from his busy schedule and took a few glances.

Only plain abdominal X-rays... What did Boss Zheng diagnose?

Meckel's diverticulum? I go! Did he diagnose it with a plain film?

Awesome!

Lao He is not like Su Yun, he has successfully brainwashed himself, as long as Boss Zheng's diagnosis is correct!

That's what a qualified anesthesiologist in the medical team should do.

If the surgeon's diagnosis is not believed, the medical team can be disbanded.

Zheng Ren didn't talk about the whole process of the disease, but directly inserted the X-ray plain film of the last chapter into the reader, and asked: "X-ray plain film, provide data information, and convert it into abdominal CT, you can do it."

"Yes." Su Yun said with certainty, his eyes squinted unconsciously, the corners of his eyes raised, and he did not know how many times the visiting nurses looked back.

only,

in the operating room,

before the reader,

A few straight men and rough men were ignored.

"Here." Zheng Ren pointed to a position on the right lower abdomen of the patient, "The density is wrong, and it is converted into a CT image."

Quan Xiaocao went to escort the patient off the stage. Feng Jianguo knew that the next operation was going to be performed, but he took off the sterile gown, but did not go down and stayed in the operating room.

He stood in the back, looking at the X-rays, and heard the conversation between Zheng Ren and Su Yun in his ears.

Nima, raw data from plain radiographs converted to abdominal CT...

Is this what people do? If only Boss Zheng could do it, it would be normal.

But Su Yun said it was okay, the conversation between the two was also very bland, and it seemed that they had done this before.

Feng Jianguo felt a sense of powerlessness.

The most annoying thing is this kind of genius, it has been like this since I was in school.

They don't have to do anything, just read it once, and the exam is full score.

People play all day long and don't read books at all, but the final result in the test is better than that of their own hard work.

Just thinking about it, Feng Jianguo listened to Zheng Ren: "Diverticula come from the developmental remnants formed by the incomplete degeneration of the vitelline duct and umbilical mesenteric duct that connect the midgut and the yolk sac in the early embryo. Diverticula can be inflamed and clinically manifest as acute abdomen. "

"On CT images, the inflamed Meckel diverticulum manifests as blind pockets of different sizes, wall thickening and inflammation of the surrounding mesentery." Zheng Ren continued: "On plain film, there is a slight change in density, which is the original data. A small anomaly, I feel something is wrong."

"The intestinal wall here, after being transformed into CT images, can be seen thickened, and the surrounding mesentery is heavily inflamed, irritating the peritoneum of the child, and there are signs of a plate-like abdomen."

"An inflamed Meckel's diverticulum is similar to an inflamed appendix." Su Yun frowned and asked, "How do you judge this?"

"The differential diagnosis of the two diseases is actually not difficult." Zheng Ren was full of confidence and pointed his fingers on the X-ray of his abdomen.

"Here, this is the site of Meckel's diverticulitis," Zheng Ren said. "The inflammatory structure is attached to the distal ileum, not the cecum, and a normal appendix separate from the lesion is usually identified."

Su Yun frowned in thought.

Zheng Ren spoke a little too fast, he felt that his brain was running at a high speed, but the speed was never going up.

The sterile cap has successfully blocked the heat dissipation, which made Su Yun feel a little distressed.

"Many times, Meckel's diverticulitis in the anterior midline may be suspected of urachal cyst infection on CT images."