Chapter 508 A Balloon in Your Stomach?

"It should be possible to try." Zheng Ren was sure about the operation and was full of confidence.

"Okay, then I'll remove the urinary catheter." Professor Rudolf Wagner cheered up. "Boss, if everything goes well, I plan to go back to Heidelberg soon to perform dozens of similar operations."

"Um."

"If there is a problem, can you fly to Heidelberg?" The professor asked anxiously.

"Fly over..." Zheng Ren hesitated, Heidelberg is so far away.

"Boss!" Professor Rudolf Wagner's eyes twinkled with little stars, with a pleading look on his face, "I'm working hard for our scientific research."

"Unless it is necessary, I will fly over. In general, we should consult online." Zheng Ren did not completely refuse, leaving the professor with a glimmer of life.

It is estimated that the professor can understand what Zheng Ren is thinking.

Hearing Zheng Ren's words, Professor Rudolf Wagner jumped up, "It's really great, I heard the angel's hymn, ringing for you."

"Don't talk nonsense, hurry up and get busy." Zheng Ren waved his hand and drove the professor away.

Zheng Ren glanced at the office, seeing that there was nothing wrong, he went to the ICU to see the two postoperative patients.

Su Yun was very energetic, and he didn't look like he hadn't slept all night.

Seeing him like this, Zheng Ren was relieved.

This means that the patient is in stable condition.

"Boss, why did you come here?" Su Yun breathed out, his black hair fluttering on his forehead.

"I met a patient with an advanced tumor and was preparing for surgery, so I explained a few more words." Zheng Ren said, "How is the situation?"

"Extubation, with me here, it must have been extubated." Su Yun said with a smile, it can be seen that he is also very happy.

"Oh?" Zheng Ren glanced at the boy who had been pierced by the steel bars and took off the ventilator. His face was pale and he was lying on the hospital bed, looking around with his big eyes wide open, and his eyes were full of fear.

And Du Chunfang also took off the ventilator, pulled out the endotracheal intubation, and inhaled oxygen. The blood oxygen saturation on the monitor was maintained at about 95%.

It's really immediate, Zheng Ren smiled. Originally thought that Du Chunfang would have to wait another day, but under the care of Su Yun, the machine was turned off directly 12 hours after the operation.

handsome!

Zheng Ren just glanced at the vital signs and other indicators from a distance, and then used the system panel to refer to them, and did not stand at the patient's bedside to point fingers.

One is that it is not needed, and the patient has been extubated and withdrawn from the machine, which proves that the condition is stable, and there is nothing to beep about.

The second is that this is not an emergency ward, and the second is the ICU. I am not Su Yun myself, the more beeping here, the more disgusted Director Qian will be. Maybe Director Qian won't have an attack, but it's always bad.

Just as Zheng Ren was about to ask Su Yun if he wanted to go with him, the phone rang.

Taking out his phone, he saw that it was the emergency department, and Zheng Ren's heart rate suddenly soared.

"Hi, I'm Zheng Ren."

"Huh? What did you find?"

"Okay, I'll go down and have a look."

After finishing speaking, Zheng Ren hung up the phone, turned and left.

"Boss, what's the matter?" Su Yun was curious and asked after catching up.

"A 70-year-old man was admitted to the emergency department, and a huge air bubble could be seen above the pubic symphysis. The physician said that it was like a balloon in the abdominal cavity, and he had never seen it before." Zheng Ren said.

"Could it be that you're playing too hard?" Su Yun's mind turned and he thought of other things.

"It shouldn't be, I'm already 70, so I can't play like this." Zheng Ren said: "Go and take a look, I have a hunch that surgery may be needed."

It's just a hunch, just a guess, it doesn't make any sense to say too much.

The two were silent, and rushed all the way to the emergency department.

In the morning, there were not too many patients in the emergency department, and an old man was sitting on the bed of the emergency internal medicine department, with a hale and hearty face and a red face.

"Mr. Zheng, come and take a look." Seeing Zheng Ren rushing in, the doctor in the emergency department immediately spoke to the patient in front of him, took an X-ray film at hand, and inserted it into the viewer.

On the film, above the pubic symphysis, there is indeed an 8×6cm image, like a balloon, with a hollow shadow inside.

"The patient complained that he had lower abdominal pain without obvious cause 1 day ago, which was tolerable. Accompanied by frequent urination and urgency, no fever, no nausea and vomiting, slight abdominal distension, and normal stool." The emergency physician introduced the condition.

"I had a physical examination to check whether it was intestinal obstruction, so I prescribed a chest X-ray. The radiologist called and asked me to order plain X-rays, saying that there was a problem with the examination."

Well, seeing this kind of image, the radiologist will definitely ask the emergency doctor to leave the image data.

"Later, I gave the patient a plain CT scan of the abdomen, and the opinion of the CT room was an abscess around the colon."

Although Zheng Ren learned about the patient's diagnosis through the system panel at the top right of his field of vision, even though his trust in the big pig's hooves has increased now, he still refuses to believe it.

After watching the film carefully, Zheng Ren hesitated.

Because there are a lot of patients in the emergency department, we can't stay here for too long, so Zheng Ren took the film and took the patients and their families directly to the emergency ward.

The family members of the patients were a little worried. During the consultation process, they changed doctors and examinations one after another, and they had a bad feeling.

A family member fell behind and kept making phone calls.

Haicheng is not a big place, so if you find three or five people, you can get to know most of them.

When he came to the ward, Zheng Ren went directly into the office, inserted the abdominal plain film and abdominal CT film into the film reader, and looked carefully with his chin resting.

"Doctor, are you okay?" A family member of a female patient asked worriedly.

"It's a small problem, but it won't be a big deal." Zheng Ren said.

Although that is the case, such uncertain words cannot calm the anxiety of the patient's family members at all.

"Boss, it should be an abscess. Let's puncture and drain under the guidance of B-ultrasound." Su Yun watched the film for a while and said.

Zheng Ren shook his head slightly. He had already denied the possibility of an abscess. Now his judgment of the condition was similar to the diagnosis given by Big Pig's Trotter, which should be a huge colonic diverticulum.

But there are some difficulties in judging. Zheng Ren is thinking about how to make a differential diagnosis.

"Xiao Zheng, how about watching a movie?" Director Xia from the Department of Gastroenterology walked into the office while he was deep in thought.

"Director Xia, hello, I am Brother Liu's buddy, and the patient is my father." The man who fell behind on the phone hurried forward and said politely.

"Well, it's enough to have Mr. Zheng here. Let me take a look, and I can't see the flowers." Director Xia said directly.

The family members of the patient thought that Director Xia wanted a red envelope, so they just dealt with it casually. No one would believe anything if Mr. Zheng was around.

Isn't it obvious at a glance who has more experience, a young doctor or an old doctor?

When he walked to the film reader, Director Xia only glanced at the film and became interested.

"Director Xia, it's just that you give me a palm." Zheng Ren said.

"Don't really say that." Director Xia said with a smile: "Your level doesn't need me to take a look at it."