Chapter 544 What a Complicated Intussusception

Zheng Ren communicated with the previous acute appendicitis patient and the family members of the patient. Seeing that a child less than one year old was ill, they all generously gave up the operation to the child.

Later, Zheng Ren asked Director Sun to find the chief director of the anesthesiology department to anesthetize the child.

After all, Chu Yanran and Chu Yanzhi are not experienced enough, and the anesthesia for children, especially for children under three years old, is completely different from the anesthesia for adults.

After getting everything ready, Zheng Ren took Director Sun to the operating room.

Director Kong had already heard the mess in the corridor, as well as the sound of children crying.

He was very curious. Generally, there are few doctors in children's surgery, and only places like provincial capitals have children's surgery.

Haicheng? There is no way.

Unexpectedly, Zheng Ren even had surgery... that's okay too.

Director Sun changed his clothes and went directly to the operating room with the child in his arms. Seeing that Director Sun was gone, Director Kong asked: "Boss Zheng, you have a wide range of research, and you can also do it outside of children?"

"It's nothing special." Zheng Ren frowned, feeling a little embarrassed.

"Huh?" Director Kong was taken aback.

"The patient's air enema failed. It is considered to be caused by intestinal pinworms." Zheng Ren said.

"..."

Although he is not specialized in general surgery, Director Kong knows that intestinal parasites are not easy to diagnose. Zheng Ren didn't even have a CT scan, so how did he diagnose encephalopathy?

Intussusception is the most common cause of intestinal obstruction in children. In most cases, viral infection (often from the upper respiratory tract) causes swelling of the lymphatic tissue in the gut, creating an initiation point that causes the proximal portion of the distal bowel to "twist and stretch," causing intussusception.

If the air enema can't be given, the only option is to have surgery and manual reset.

This disease has nothing to do with parasites at all.

Seeing Director Kong's hesitant expression, Zheng Ren took out the X-ray spot left by Director Sun.

It was already dark at this time, and there was no way to look at the window. Zheng Ren could only look up at the film with his neck up, and said, "Here, in the ileocele, you can see the silky images. We can consider that this is an artifact or overlapping image that appears under perspective. But the imaging of intestinal parasites cannot be ruled out."

Seeing the film, Director Kong regained some confidence.

After all, he has been dealing with images all his life. Without the images, Director Kong feels as if his martial arts has been crippled.

Seeing the film now, Director Kong's eyes narrowed.

He saw the location Zheng Ren said. It was indeed doubtful, but if it wasn't for Zheng Ren's reminder, based on Director Kong's clinical experience, there is a high probability that it would not be judged to be a parasitic disease.

It is difficult to push forward, but it is much easier to push backward.

After confirming that what Zheng Ren said was correct, Director Kong thought in reverse and immediately found a theoretical basis.

"Here, the density on the image is wrong." Director Kong said immediately: "I think you are right."

"Not only here, but also here." Zheng Ren pointed to another location, and said, "It is estimated that the patient was infected with pinworms. The eggs they ingested hatched in the small intestine, and the adult worms lived in the appendix area..."

"Mr. Zheng, Mr. Zheng, have you finished changing your clothes?" Just as he was speaking, Director Sun ran in as if his butt was on fire.

Seeing that Zheng Ren and another person were studying the film, he was taken aback.

What's so good about that film? It was just out of a doctor's instinct that Director Sun subconsciously ordered an X-ray film after the air enema failed.

He also watched this film, but it was just a simple intussusception.

"Let me introduce you." Zheng Ren smiled and said, "This is Director Sun from the Second Department of General Surgery of our hospital."

Director Sun stretched out his hand in confusion, but Director Kong just nodded to indicate that he knew.

"This one is the Director of the Intervention Department of the Imperial City 912 Hospital."

Director Sun was shocked.

912 Hospital, the top military hospital in the country, is also the top large tertiary hospital in the country.

The slight displeasure before was like a cloud of smoke, even if there was, there is no time to care about it now.

My little grandson is under anesthesia and needs to be operated on, so I don't have time to care about other people's attitudes towards me.

"Director Sun, Director Kong and I both suspect that it is an intestinal parasite. After the operation, you can see the director of the pathology department to take a look. If it is a parasite, you need to take the corresponding insecticide after the operation." Zheng Zheng benevolence.

Director Sun was a little puzzled and at a loss.

But since Zheng Ren said so, no matter what he is asked to do, he will definitely only agree

"Boss Zheng, your level of diagnosis leaves me, an old fellow, far behind." Director Kong smiled, not jealous or envious, just stating a fact.

Zheng Ren shook his head, changed his clothes, and came to the operating room with the two directors.

Director Sun wanted to brush his hands to go on stage, but his hands trembled slightly, and he couldn't perform the operation at first glance.

Zheng Ren pressed Director Sun's shoulders and said, "Director Sun, watch the stage."

After finishing speaking, he roared, "Su Yun!"

"What are you doing!" Su Yun's voice came from the lounge inside.

This guy has been slacking off after the heart surgery because he had a drink at noon. Anyway, with Cao Guozhen watching over there, there will be no problem.

"Brush your hands, get on stage!" Seeing that the director of the anesthesiology department had given Director Sun's little grandson general anesthesia, Zheng Ren went straight to brush his hands.

Brush hands, disinfect, spread sheets.

Zheng Ren and Su Yun worked together to quickly prepare for the operation. Then disinfect your hands, put on your clothes, and wear sterile gloves.

The light of the shadowless lamp is very bright, a little dazzling.

"Boss, what technique?" Su Yun asked.

"A laparotomy."

Su Yun frowned slightly, but did not speak.

Right lower quadrant, pararectus abdominis incision, 5cm.

For adults, 5cm is a small incision. But for an 11-month-old baby, the incision is already too big.

At the same time, the live broadcast room of Xinglinyuan was opened.

[Now the surgeons are getting less and less concerned, and the number of live broadcasts is very low. 】

[It’s the same as the live broadcast of appendicitis surgery every day, and you will look like it. 】

[Don't tell me, today's operation was really appendicitis. No, how come there are intussusceptions and intestinal parasites? 】

The doctors who came in at the first time released their hand speed and chatted with the barrage while looking at the patient's medical history.

Then, everyone's interest came.

Infant, 11 months old, intussusception air enema ineffective, intestinal parasites also diagnosed.

With such a complicated disease and such a young child, the difficulty of surgery increases exponentially.

【Strange, how did the surgeon see the intestinal parasites. 】

[Isn’t there a post-enema tablet in the data? I guess it was diagnosed based on imaging data. 】

[No, that dot film... I'm an image maker, so I'll take a closer look. 】

In the screen of the live broadcast room, the operator raises his hand, the knife falls, a small amount of blood is dipped off, the bleeding is stopped by electric heating, and blunt separation is performed. The cooperation between the operator, assistants, and equipment nurses is smooth.