Chapter 551 What Are You Looking At?

Cheng Lixue is angry!

This is to put on shoes for yourself!

The patient's liver cirrhosis diagnosis is very clear, and the film shows a large amount of ascites. How can he say that his diagnosis is wrong? !

Cheng Lixue stared at Gao Shaojie viciously, it must be because of the professor of this medical university, it must be!

Immediately, he glared at Zheng Ren, barely suppressed the anger in his heart, and said, "Boss Zheng, I think the diagnosis is clear."

As soon as the words came out, a rush of blood rushed into Cheng Lixue's head. He angrily pointed at the film on the film reader and said: "The symptoms of liver cirrhosis are obvious, the portal pressure is high, and there is a lot of ascites! I don't know. Why did Mr. Zheng say that my diagnosis was wrong, because he didn’t want to be my patient?!”

The last sentence is a bit embarrassing.

After saying this, all the skin has been torn.

It meant that there was no possibility of cooperation between Cheng Lixue and Zheng Ren.

but!

Cheng Lixue couldn't bear it!

It is tolerable, what is unbearable!

MMP's are not Lao Tzu's patients!

Dean Zhang's face changed, and he took half a step forward, standing between Cheng Lixue and Zheng Ren.

Just as he was about to speak, he heard Zheng Ren say leisurely, "Director Cheng, did you not see the patient?"

"Huh?" Dean Zhang was taken aback for a moment.

Cheng Lixue's face flushed red, and she was also puzzled, how did Zheng Ren know that he didn't see a patient?

But how can you admit this!

He thought that Zheng Ren was deliberately pouring dirty water on himself, and it was impossible for him to know that he was not seeing patients.

Right, that is it! He is not a fortune teller, so how can he know that he did not see the patient.

This idea makes sense.

As a result, Cheng Lixue became even more angry!

bristle!

But before he could speak, Zheng Ren asked Wang Qiang for a pen, lightly tapped the film, and said: "On the film, it does look like liver cirrhosis, splenomegaly, and it's in an advanced stage."

Cheng Lixue snorted coldly.

"But did Director Cheng notice that the patient's liver didn't shrink, but instead enlarged?" Zheng Ren asked.

"..." Cheng Lixue didn't even look at the film carefully, the liver hasn't shrunk, that's not normal...

Of course, Cheng Lixue also knew that this was abnormal. Having said that, such rare cases can occasionally be seen.

Cheng Lixue felt that Zheng Ren was committing more crimes.

"This is not liver cirrhosis, but Budd-Chiari syndrome." Zheng Ren sighed, and said, "Budd-Chiari syndrome is caused by various causes of obstructive lesions of the hepatic vein and the inferior vena cava above its opening, often accompanied by A form of posthepatic portal hypertension characterized by inferior vena cava hypertension."

"It seems to be similar to liver cirrhosis. It is possible to make a wrong judgment, but it is usually misdiagnosed by hospitals below the county level. Why didn't Director Cheng see it? It shouldn't be."

Zheng Ren's words were very flat, as if he was talking to himself, there were no accusations, only doubts.

But every word was like an invisible big hand slapping Cheng Lixue's face.

"You...impossible!" Cheng Lixue forcefully defended herself.

"Director Cheng, if you go for a physical examination in person, you will definitely find that the patient has spider-man signs, and the veins on the abdominal surface are bulging, and the boot-shaped necrosis of both lower extremities. These can clearly tell you that they are different from liver cirrhosis. .” Zheng Ren’s tone was still flat.

However, the slap in the face intensified.

Professor Rudolf Wagner curled his lips, showing disdain for Cheng Lixue.

Director Kong stood at the back with a smile. He had already seen it, but he was just a guest. If Zheng Ren ignored it, he could just remind him in a low voice when no one was around.

But, without a doubt, Zheng Ren could see it.

Gao Shaojie looked at the film with a blank expression on his face.

If Gao Shaojie's doctor, even Wang Qiang, had shown him a film of Budd-Chiari syndrome as liver cirrhosis, Gao Shaojie would have smashed the film in the doctor's face.

It’s okay to not understand, but it’s too much to ignore patients.

Seeing that Cheng Lixue's face was flushed and she couldn't say a word, Dean Zhang already guessed that this guy really didn't see the patient.

He quickly smoothed things over and said, "Teacher Zheng..."

"Let's take a look at the patient." Zheng Ren said, "Budd-Chiari syndrome was almost incurable before interventional surgery. But with interventional surgery, it is no longer a difficult problem."

"Interventional surgery is one of the most typical diseases, and Director Cheng really shouldn't be ignorant of it." Zheng Ren shook his head and looked at Dean Zhang.

Dean Zhang was also very helpless, asked the patient's ward, and took Zheng Ren to see the patient.

The patient was lying on the hospital bed with a high belly and thin limbs, which was a typical cachexia state. Because of the high bulge of the stomach, the limbs were as thin as sticks, like a spider with a big belly with only four legs, lying on the bed.

In a trance, there is a magical feeling.

Zheng Ren glanced at the system panel at the top right of his field of vision, and the diagnosis given on it was the same as the diagnosis he had read on the film—Budd-Chiari syndrome.

After greeting the patient and the patient's family members, Zheng Ren began to conduct a physical examination himself.

Lift up the clothes on the patient's abdomen, and three veins with a diameter of about 1cm meander on the patient's abdomen like small snakes.

The symptoms were exactly the same as what Zheng Ren judged in the office before, and there was no slight difference.

All the doctors fell silent.

Zheng Ren percussed, confirmed the ascites, and determined the extent of the liver area. Then he started looking at the patient's feet.

A pair of purple feet appeared in front of everyone.

Ischemia, but not to the extent of necrosis. But even that is heavy.

Zheng Ren asked a few more questions about the medical history, and then led everyone out of the ward and back to the office.

"Typical spider-man symptoms, the boot syndrome caused by the venous return problem of both lower limbs is also very clear." Zheng Ren went back to the film, lit the film, and said: "So, the patient has been diagnosed with Budd-Chiari syndrome, which is already very clear. confirmed."

Cheng Lixue blushed as if she was about to bleed.

"Director Cheng, I remember that you went to the city's first hospital a few days ago and said that you want to learn TIPS surgery." Zheng Ren said.

Silence, silence.

"It's okay if you don't understand MRI. It's also very difficult to use MRI to judge the relationship between the portal vein and hepatic veins in advanced cirrhosis." Zheng Ren looked at the film with a flat tone, "But as a doctor, as a Director, it's too much not to watch the film or the patient before the operation!"

Cheng Lixue was speechless, he lowered his head and took a few steps back.

"Ms. Zheng, do you think this patient can be operated on?" Dean Zhang asked.

"Manager Feng, do you have blood vessel consumables?" Zheng Ren asked.

"Thrombolysis? I brought it, just to prepare you for thrombolysis." Feng Xuhui said happily.

"No need for thrombolysis, ordinary guide wire can do it." Zheng Ren said.

Cheng Lixue raised her head suddenly, her eyes were bloodshot, her lips moved, as if she wanted to say something.

Professor Rudolf Wagner glared at him and said, "What are you looking at!"