Chapter 545 The Miraculous Doctor of Village Perspective
Protecting the peritoneum, Zheng Ren opened the peritoneum of the little patient.
A writhing mass of intestines appeared in view. Pale and ischemic signs have appeared in the tighter parts.
Originally, Director Sun was still behind Zheng Ren, looking at it from the perspective of a practitioner.
When he saw the signs of intestinal ischemia, his brain suddenly became dizzy, and his body swayed twice.
"Yan Ran, help Director Sun." Su Yun looked around and noticed Director Sun's pale face.
"Give him 20ml of high sugar." Su Yun rarely opened his mouth to spray, but asked the roving nurse to give Director Sun some energy.
Zheng Ren patted the sharp knife in his hand to the side of the patient's leg, and then began to stroke the intestines with both hands.
His movements were careful and gentle.
Intussusception-type intestinal obstruction itself is not a multiple disease, and the manual reduction is particularly simple. Unlike patients after multiple abdominal operations, the intestinal adhesions in the abdominal cavity are in a mess, and it takes extremely high-level techniques to dissociate and decompose.
That kind of difficult Zheng Ren is more than capable, let alone the one in front of him.
In less than a minute, the intussusception was released.
As soon as Zheng Ren stretched out his hand, a large gauze pad soaked in water and half dried covered the intestine.
"Wait a minute, let the intestinal blood supply resume." Zheng Ren said.
"Boss, what disease do you suspect? Why do you still have a laparotomy?" Su Yun asked curiously.
"Intestinal parasites probably reproduce in the cecum." Zheng Ren said.
"The little village widow and the see-through genius doctor have told you that you don't read such online novels. If you read too much, your IQ will drop." Su Yun scorned.
"Director Kong and I both think so."
"..." Su Yun was itching with hatred.
Zheng Ren is digging a hole and waiting for himself to jump down.
You can criticize Zheng Ren, but the chief directors of the imperial capital are all of the same generation as Su Yun's teacher, so he doesn't want to offend him casually.
In case when the meeting is held, the teacher leads him to the front, only to find that the opposite director has been sprayed...
Su Yun still has a sense of propriety in doing things, but there is no one in Haicheng who can keep a sense of propriety except Zheng Ren.
Of course, except Director Pan.
And Zheng Ren... always feels uncomfortable if he doesn't spit on him.
Director Kong stood aside and smiled, "If Boss Zheng hadn't reminded me, I wouldn't have noticed the possibility of intestinal parasites."
Su Yun was speechless, just looked down at the large gauze pad with warm salt water, as if it was embroidered with flowers.
In the live broadcast room of Xinglinyuan, barrages flew randomly.
The intermission period of this kind of operation happens to be the time when the doctors communicate.
[How did the operator judge, why didn't I see it? 】
[That can only prove that your level is low. I just sent the spot image to Mr. Lin at the Imperial Hospital. Unfortunately, there is no download available here, and the pixels are a little bit problematic. 】
[The University of Kansas Medical Center and the Columbia University Medical Center reported two cases three years ago and five years ago, both of which were cases of parasites found in the cecum after an infant’s laparotomy after a failed air enema. 】
【Huh? What article, I will search the database. 】
[The Journal of Pediatrics, time...you find the keywords yourself. 】
Those who can go to Xinglin Garden are a group of doctors who are energetic, studious and willing to study.
Across the country, there are not many of these doctors, and at most, there are only a few thousand. And most of them are gathered in the top tertiary hospitals such as the imperial capital and the magical capital.
After all, a small hospital like Haicheng No. 1 Hospital has learned so much, and there is no room for it to be used. Local tertiary hospitals still focus on the diagnosis and treatment of common diseases.
This is determined by the nature of the hospital, and it is related to the genes of the hospital.
For example, Xiehe, with its huge database, is an existence that makes all doctors who want to make progress jealous.
Legend has it that an eighty or ninety-year-old man from out of town went to Xiehe to see a doctor, saying that he had never been to Xiehe. But the nurse entered the information, and it immediately popped out that the old man went to Xiehe to see a doctor in 1950, and the information was detailed.
Concord remembers things that even patients forget. (Note 1)
Therefore, it is not unreasonable that Xiehe is the top hospital.
For the same case, no similar patients could be found in local hospitals, and doctors could only guess. But Xiehe is different. Dozens of related patients can be found anytime and anywhere.
Therefore, the Xinglinyuan website can only be a niche website, a high-end website.
Ten minutes later, the warm saline gauze was removed after being changed twice.
The symptoms of intestinal ischemia in the little patient have been alleviated, and they look pink and tender, without any problems.
Everyone breathed a sigh of relief,
fine,
just fine.
Zheng Ren and Su Yun started appendectomy.
This kind of operation is even more familiar.
In 3 minutes, an appendix was cut off. Zheng Ren didn't rush to close his abdomen, but asked Xie Yiren for a sharp knife to cut open the appendix.
Filamentous pinworms visible to the naked eye infested the appendix.
It seems that my judgment is correct. The inflammatory lymph nodes around the appendix prove that the initial power of intussusception in a small patient comes from the appendix.
The diagnosis was clear and the operation went well. Zheng Ren put the sharp knife and appendix into the pathology basin, then took off his gloves and left the stage.
When the appendix is cut, the gloves may be stained with eggs, which will cause a certain risk of recurrence after the patient recovers.
Anyway, it's just shutting down, Su Yun can do it alone.
"Boss Zheng, it's amazing!" Director Kong stood by the instrument table, looked carefully at the pinworms in the appendix, and admired.
"Hehe." Zheng Ren smiled dryly.
On this occasion, this kind of compliment, Zheng Ren really didn't know how to respond properly.
He came to Director Sun, smiled and said, "Director Sun, the operation is over."
"Ma... I'm in trouble." Director Sun said weakly.
Just seeing the ischemia of the small intestine in the intussusception, Director Sun had a sudden hypoglycemia, and he didn't recover until the operation was completed.
"My fellow, why are you being polite." Zheng Ren smiled, "It's pinworms, do you take a look? After reading it, send it to the pathology department for a clear diagnosis and appropriate medication."
Director Sun struggled to stand up from the small round stool and came to the instrument table.
Seeing the white worms in the appendix, he felt mixed feelings.
Both distressed, but also rejoicing.
"Director Sun, then you can find someone to deliver to the pathologist. I'll just be lazy on my side." Zheng Ren left the operating room with Director Kong with a smile.
In the live broadcast room of Xinglinyuan, the live broadcast of the operation has been closed. But the barrage danced like crazy... wildly dancing.
[Awesome! Looking at a fluoroscopy film, it can be determined that it is an intestinal parasite! 】
[It’s amazing. Mr. Lin from the Imperial Hospital also said it was appendix parasites and suggested surgery. I didn’t dare to tell him that it was a live broadcast of the surgery. 】
[The old man can't accept this new thing. 】
[Sure enough, it's top-notch, live broadcast once in a few days, and the time is good. Once you look at it, you can think about it for a few days. If you read too much at once and don't understand, it might as well be like this. 】
[Xinglinyuan is too outdated, how can there be no reward function! 】
[Did they send you three melons and two dates? Top hospitals, top surgeons, it is estimated that registration costs start at 10,000 US dollars, you reward a plane rocket, is it a curse? 】
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Note 1: I don't know the truth or falsehood from what my classmates said. It is estimated to be true. After all, one of the three major advantages of Concorde is its huge database. This is all manually entered after informatization, what a great effort.