Chapter 1963 Brand-New Emergency Surgery (Monthly Ticket 57000 Plus More × 114)

Zheng Ren stood in front of the film reader, watching the film with his chin resting on his hands.

"Boss Zheng, I don't think it's a tumor." Professor Feng first stated his judgment.

"Well, I don't think so. Only the periphery has blood supply, and there should be fecal stones in the middle." Zheng Ren said.

"Zai..." Quan Xiaocao wanted to speak, but swallowed the words after only one word.

"Xiaocao, don't be cowardly. Say what you have to say. What are you afraid of? If you say something wrong, I can't eat you." Su Yun encouraged her.

Quan Xiaocao had her hair baked today, and there was a hint of green in her black hair. The more she looked, the more she looked like a grass.

"Hmm... um..." Quan Xiaocao lowered her head, looked at her toes, and seemed to be regretting why she had to speak just now.

"You're so cowardly, what will you do if you encounter problems in the future?" Su Yun seemed to have always been gentle towards Quan Xiaocao, and he encouraged Quan Xiaocao.

"The patient's defecation and exhaust have always been normal." Quan Xiaocao expressed his opinion like a mosquito.

"This is indeed a problem." Zheng Ren said: "There are defecation and gas, which means that bowel movements are normal."

"I heard bowel sounds, 4-5 times per minute." Feng Jianguo added.

Zheng Ren watched the film silently, and he already had the relevant medical diagnosis in his mind.

"Huge space-occupying lesions, no blood vessel images appear inside, regardless of active substances, the possibility of fecal stones is very high." Zheng Ren reiterated again.

Quan Xiaocao was a little confused, didn't she say that the patient's bowel movements were normal?

If there is such a large fecal stone, the intestinal obstruction must be severe, and the gas and liquid level... Although it is not an upright abdominal plain film, it will also be shown on CT.

During this period of time, Quan Xiaocao had a hard time supplementing her clinical knowledge, and she felt that her level had improved a lot.

It's just that when facing Boss Zheng, he couldn't help but feel scared first, no matter how ridiculous Boss Zheng said.

She didn't have the guts to question Boss Zheng, the Nobel Prize candidate, a "superior" doctor who was as dazzling as the sun.

"How is the patient doing now?" Zheng Ren asked.

"Severe abdominal distension, accompanied by tearing pain, unable to eat or drink, and unable to lie down." Seeing Quan Xiaocao looking at the ground, Feng Jianguo knew that her mind was blank, so he introduced the patient's current condition to Boss Zheng.

Quan Xiaocao is a diligent, kind-hearted, down-to-earth kid. It's all good, but it's a little too cowardly, and Feng Jianguo feels very helpless about it.

"Tell me your opinion." Zheng Ren looked at the film and said softly.

Feng Jianguo was stunned for a moment, what does this mean?

Does Boss Zheng want to test himself?

"Boss Zheng, I have the same opinion as you. I don't think it's a tumor. But for fecal stones... I need to do a CT enhanced look." Lin Yuan said directly.

Feng Jianguo glanced at Lin Yuan. When will Boss Zheng have another female doctor by his side?

White clothes are not buttoned. This habit is not common among domestic doctors. Either some major directors don't button up their buttons, or there are occasional young doctors who don't know what to do.

"Lin Yuan, you didn't expect..." Su Yun just showed a skillful smile, then he paused, and said softly, "Think more, boss, my diagnosis is duplication of transverse colon and descending colon."

Zheng Ren nodded.

"Brother Feng, let's do an emergency operation." Zheng Ren said, "I went to see the eye patient. Su Yun's diagnosis should be correct. The patient has a duplication of the colon, and fecal stones appeared in the extra intestinal tract in the middle, compressing the abdominal organs. and the diaphragm."

"..." Seeing that Zheng Ren was going to see a patient, Feng Jianguo immediately said, "Boss Zheng, I have also considered this rare disease, but generally speaking, gas images can be seen in the intestinal tract with duplication."

"For the time being, we can consider that the patient has been ill for a long time, and the proliferative deformed intestine is blocked by fecal stones." Zheng Ren smiled, "Use the stethoscope for me."

When Quan Xiaocao heard Zheng Ren's words, she immediately took out the stethoscope from her pocket.

But when she looked up, she saw that the female doctor next to Boss Zheng had handed the stethoscope to Boss Zheng.

"Look at the patient." Zheng Ren said, "Whether it is intestinal duplication or not, an exploratory laparotomy is required. If it is, it will be more troublesome, even more troublesome than cutting out a tumor."

Feng Jianguo knew what Boss Zheng meant. Although the operation for duplication of intestinal malformation is relatively simple, but with so many fecal stones inside, it is almost certain that the patient will have serious infection, and it is very likely that the intestine will have to be left open to wait for the second-stage anastomosis.

Thinking about these treatments gives me a headache.

Let's go to see the patient first. Feng Jianguo led the way for Boss Zheng and went straight to the ward.

"The patient was picked up today, and the stomach looks like she is pregnant. It is estimated that the condition inside is very serious." Feng Jianguo introduced the situation to Zheng Ren.

Zheng Ren nodded.

Entering the ward, Zheng Ren saw a male patient rolling on the bed.

His belly was high and swollen, just like what Feng Jianguo described, like a pregnant woman who was pregnant in October.

It is estimated that the abdominal pressure is extremely high. No matter how he lies down, he will feel very uncomfortable. It is difficult to find a way for him to lie comfortably for a while.

It is said that people who are sick are anxious and feel so uncomfortable. Who can speak peacefully?

What's more, the patient has suffered from abdominal distension for more than ten or twenty years. After a long period of torture, his whole life seems to be sinking into hell.

The system panel was bright red, and the diagnosis was the same as Zheng Ren's judgment, duplication of the transverse colon and descending colon. There are also a bunch of other diagnoses, but those are other complications that are not urgent, and Zheng Ren doesn't care.

He listened to the patient's bowel sounds, which were normal.

Inquiring about the medical history revealed that the patient had not eaten well for three or four days, and had almost no bowel movements recently, but the exhaust gas was normal.

Regarding the overall treatment, Zheng Ren already had an idea in mind.

He performed a physical examination on the patient, finally confirmed his judgment, and then left the ward.

"Brother Feng, make preoperative preparations, your next consultation." Zheng Ren said.

"It's okay, you can come up if you want, there is no need for a consultation." Feng Jianguo smiled.

Boss Zheng, a doctor from general surgery, has itchy hands when he sees rare diseases, which Feng Jianguo has known for a long time.

"No." Zheng Ren said, "Enema before the operation, and then a retractable intestinal stent will be placed during the operation."

"Huh?" Feng Jianguo was stunned.

Combined surgery and interventional surgery? It seems that there is no such formula.

"Recyclable intestinal stent? Is it to block the intestinal hyperplasia to prevent fecal stones from flowing backward and contaminating the wound?" Lin Yuan asked with a frown.

"As expected of a PhD from Harvard, the judgment is right!" Su Yun said on the side.

He was beaming with joy, and he could not see a trace of bitterness.

Lin Yuan frowned even tighter. She looked at Su Yun cautiously, as if she was wary of a thief.