Chapter 1880 Seeing the Patient Before Surgery

Zheng Ren spoke carefully, without harsh words. But even the gentle wind and light rain made Xia Hua a little embarrassed.

"Generally speaking, the initial symptoms of patients are severe nausea and vomiting, followed by chest pain and upper abdominal pain.

Some patients have hematemesis or bloody vomitus.

The pain was tearing, unbearable, and not easily relieved by large doses of analgesics. Pain locations are mostly in the upper abdomen, behind the sternum, ribs, and lower chest. Sometimes the pain radiates to the back of the shoulder. When the symptoms are severe, there are obvious shortness of breath, dyspnea, cyanosis, and even shock. "

Zheng Ren watched the film, found the position he wanted, and explained it to Xia Hua lightly.

"I haven't read the medical records, and I don't know the patient's condition, but why can I be sure that the esophagus ruptured spontaneously with a high probability? Because there are typical imaging findings."

"Pneumomediastinum and subcutaneous emphysema in the neck can be seen on the lateral side of the chest X-ray, and sometimes the shadow of emphysema on the postero-inferior mediastinum can be seen in the posteroanterior view, which is triangular in shape."

"This is a typical imaging sign, and it's shown here on the CT." Zheng Ren then used the mouse to outline an area.

"If you are worried, you can choose to use Meilan for upper gastrointestinal contrast, and you can see that the chest drainage is led by Meilan."

"One more thing, the drainage fluid in the patient's chest bottle is cloudy, which does not meet the characteristics of the drainage fluid of a bronchial pleural leak."

"But there is no need to do more checks. I went directly to the stage and performed the operation by means of thoracotomy. If my judgment is correct, I will do simple sutures after the dissociation and place a lower esophageal stent."

"If your judgment is right, let's repair the lung lobe, do you think it's okay?"

Xia Hua was dumbfounded by what he said.

"Have you sent the puncture fluid to be tested for amylase?" Su Yun asked behind him, his tone full of contempt.

Although his words were a question, it can be felt that he was actually saying that he didn’t even test for amylase, what a bronchopleural leak!

"No..." Xia Hua was stunned.

Is this the difference between the provincial capital and the imperial capital?

"It's not necessary, just do a thoracotomy." Zheng Ren smiled and said, "The diagnosis is very clear. I'll see the patient and send him directly to the operating room."

"Do you still want to see the patient?" Su Yun said from behind.

"It's a rule to see patients before surgery, and we can't ignore this because of the short time," Zheng Ren said.

Although the diagnosis is clear, Zheng Ren still has to use the system panel to refer to it, and he is already used to it.

But the shock that these words brought to Gao Shaojie and Xia Hua was far more than just explaining the patient's condition.

Responsibility is a must for a doctor.

But everyone has been trapped in life for decades, and some original intentions have changed.

Flying over for surgery, tossing back and forth for a day, the more operations performed per unit time, the more income it means.

The higher the income, the better the life of the wife and children.

This is a very simple account that everyone can calculate.

Therefore, many professors are reluctant to see patients after seeing the films transmitted by mobile phones before coming here.

Of course, it doesn't matter if you do this, after all, there are local hospitals to take care of the first pass. If a patient has a problem, he will definitely bring it up directly.

The professor can leave after the operation, but the doctor in charge of the bed cannot.

Besides, Boss Zheng has no profit from this operation, he just sells his wrist to help with the operation.

Gao Shaojie was a little embarrassed, but he didn't say anything.

Xia Hua immediately contacted the accompanying examiner who sent the patient for an examination, saying that the patient was already on the way. A few people went directly to the corridor and waited, so as not to toss the patient to the hospital bed and then toss it down.

"Boss Zheng, is Lao Liu okay over there?" Gao Shaojie asked when the patient came back.

"It's pretty good, but I'm too tired, I think..." Zheng Ren hesitated.

"The hair is getting less and less. He also said that he wants to have hair transplanted. I guess the hair on the back of his head is almost gone. Lao Liu's hairline is really coming up to his waist." Su Yun said with a smile.

"Has your level improved significantly?" Gao Shaojie asked pretending to be careless.

"Fortunately, it can be upgraded to a higher level. Now that Lao Liu is back to do the TIPS operation by himself, there shouldn't be any mistakes." Zheng Ren looked at the door and said casually.

Gao Shaojie's heart seemed to be thrown into a frying pan, tumbling and sizzling.

At that time, I had a bad idea...

But the child is going to take the college entrance examination, and I really can't do without it. Even if it is to do it all over again, Gao Shaojie will probably choose to stay at home.

How can parents leave their children behind in the last few months and become unstable?

When the little boy in the family is admitted to university, he has to wait for Lao Liu to come back and go to the imperial capital.

It would be the best if the child can be admitted to a university in the capital of God.

When the time comes, he will accompany him to study and study...Gao Shaojie is planning the future in his heart.

"Boss Zheng, when Lao Liu comes back, my son has also finished his college entrance examination. Can I go to study for half a year?" Gao Shaojie asked.

"Welcome." Zheng Ren said with a smile, "Old Gao, it would be the best if you could go. Both Fu Guier and Lao Liu are leaving, and I have no surgery on my side."

Gao Shaojie's heart has settled down.

Said, flat car sound.

It's been a while away from the emergency department, but Zheng Ren's heart rate still speeds up when he hears the sound of flat cart wheels rolling over the marble floor.

This problem is estimated to last a lifetime.

Stopping the flat car, Zheng Ren checked the patient.

The breath sound on the left side is extremely weak, and the sound of blisters can be heard vaguely, but it is not obvious. None of this is important, the key is that Zheng Ren checked the system panel, and it was indeed a spontaneous rupture of the esophagus.

"Come on stage, we need a hybrid operating room." Zheng Ren said, "Doctor Xia, you may ask the trainee doctor to explain before the operation."

Xia Hua forgot his tiredness and started to run quickly.

Explain the condition to the family members of the patient, talk about emergency surgery, and sign. Although the patient had indwelling gastric tube, urinary catheter, and venous access, as long as the skin was prepared, he was busy within half an hour.

After more than 10 minutes, Xia Hua handed over the pre-operative explanation and signing to the trainee doctor, and went to the stage first with the patient who had prepared the skin.

"Boss, you are just too mild-tempered." Su Yun said rather dissatisfied: "I remember you were different after you went abroad, what's going on?"

"It's the same after going abroad, it's no different." Zheng Ren said.

"At King's Hospital, I remember you kicking Gad against the wall."

"He's going to do cardiopulmonary compressions. Look at the posture. After one press, there's no need to rescue them. That's killing people, not saving lives. Can you be anxious?" Zheng Ren said, "It's you who smashed the grandson of the Affiliated Hospital of Medical University with the pliers. Director, the influence is very bad."

"I don't see that guy pleasing to the eye." Su Yun said: "He just came here to pick and choose. He can't do the surgery with his mouth alone? It's really a dog at the beginning, and the surgery depends on his mouth."

Gao Shaojie was dumbfounded.