Chapter 2155 Simple and Clear Diagnosis
"Old Shao, tell the truth, what have you done to the patient?" Su Yun asked with a smile while watching the film.
Old Shao's face changed drastically, Fang Lin stopped him, and said with a smile: "Brother Yun, don't make such jokes with Lao Shao, he is timid."
"Yes, yes, I was almost scared to death because of this patient." Shao Jinghe looked sad.
Zheng Ren found it strange that Dawei is a troublesome disease, will he be scared to death? Where did this word come from?
And it's strange that Dr. Shao brought the patient directly to 912.
In general, for example, in Haicheng, it is good for local doctors to help you contact higher-level hospitals for problems that cannot be solved. Escorted here personally, either because of a fatal disease like myocardial infarction, or by relatives and friends.
Even relatives and friends may not have time, who has a lot of things in his hands.
And Shao Jinghe not only contacted Fang Lin, but also sent the patient directly. There must be a story in it.
For this patient, Zheng Ren highly suspected that he missed some bullae during the operation, which caused the patient to have problems again and again.
This is just a possibility, and the possibility is actually not great.
"I'm going to see an eye patient," Zheng Ren said.
If it is a rare disease, let the big pig's trotters help solve it. Zheng Ren has experienced the stage of seeing mountains as mountains and seeing mountains as mountains, and has reached the level of seeing mountains as mountains.
There is such a convenient method as a big pig's hoof, why not use it?
You can tell at a glance whether it is Shao Jing and Dr. Shao's problem, so you must use it immediately. As for accumulating clinical experience, experience is accumulation.
"Boss Zheng, come this way." Fang Lin took off the red stethoscope hanging around his neck and handed it to Zheng Ren.
"The patient is in Ward No. 12, which was specially assigned by me." Fang Lin said with a wry smile.
"Oh? What's going on?"
"Accompanied by an old man from the patient's family, it is said that he is some kind of country talkative person. She must live in Ward 12 this time and she will be fine."
"Isn't this nonsense? If it's accurate, why did you suffer from so many illnesses before?" Su Yun said contemptuously.
"Brother Yun, Lao Shao said it. She said before that she can't let Lao Shao handle it. Don't you believe it at home, saying that the old man is old and talks insanely." Fang Lin said mysteriously.
"Speak well, believe it or not, I will kick you into the duty room!"
"Brother Yun, if you want to kick me, please kick me directly to the female officer." Fang Lin is used to joking, and he is not afraid of Su Yun's threat at all.
"I've got a bad temper." Su Yun said with a smile, Fang Lin knew that now is the most dangerous time, so he said quickly: "Brother Yun, don't make trouble, let's talk about serious things, do you know why Lao Shao accompanied you here?" Is it?"
"Why?"
"The old man said that if the child is not cured this time, the situation will get worse and worse in the future, and he will definitely die within three years." Fang Lindao, "She also said that if the child dies, she will drag Lao Shao to die together."
"She didn't say that she will be fine if she sees you?" Su Yun didn't believe this, and said with a smile.
"Didn't I ask Brother Yun to help me take a look? You are the legendary friend of women, just take a look at the patient." Fang Lin laughed.
While joking, the three came to Ward No. 12. The moment they walked to the door, Su Yun and Fang Lin became serious.
Talking and laughing behind the scenes is nothing serious. But in front of the patient's family, that's another matter.
As a doctor, being serious in front of patients can also give patients and their families more confidence.
When they came to the ward, Fang Lin went in first, and introduced to Zheng Ren and Su Yun by standing beside the middle bed, "This is the patient we mentioned earlier."
Zheng Ren glanced at it. The patient system panel was red, and the diagnosis was clear—left spontaneous pneumothorax, rupture of bullae, chronic suppurative pleurisy, and localized pulmonary fibrosis.
Plus, there's the wacky diagnosis -- endometriosis.
There is no special disease, just various complications induced by spontaneous pneumothorax. The complications are not very serious, and the empyema can be stripped during laparoscopic surgery.
Antibiotics for a few days after surgery should be fine.
Then Zheng Ren glanced at the patient. She was pale and emaciated, clutching her stomach.
abdomen?
Why do you have to cover your stomach?
It must be endometriosis, Zheng Ren guessed.
The pain of endometriosis is really terrible, it can be said that it is too painful to live.
"You are Qi Xiaojuan, right? Why are you covering your stomach?" Zheng Ren walked to the patient's right hand and asked softly while holding a red stethoscope.
Sitting next to the patient was a thin, withered old lady. She was blind, she rolled her eyes and "looked" at Zheng Ren, and said, "The child is coming to the aunt."
Sure enough, the guess was right, the big pig's trotters were very reliable.
Zheng Ren smiled, showing the gentlest side, "Lie flat, I'll listen to the sound of breathing."
The girl was very docile, but she didn't want to talk, and according to what Zheng Ren said, she lay flat on the hospital bed enduring the pain.
A chest tube was placed between the 6th and 7th intercostals on the left side of the chest, and at the midaxillary line. Zheng Ren glanced at it and saw a yellowish fluid coming out of the chest tube.
"Cough." Zheng Ren said.
"Cough cough." The patient named Qi Xiaojuan coughed hard twice.
"Gulu Gulu." Bubbles began to emerge from the chest bottle.
It's a classic case of an open hole in the lung, and it's been days and it hasn't healed at all. Nothing to say, just go to surgery.
This kind of surgery, Zheng Ren would not follow, it is really not difficult. Just fill the chest cavity with warm salt water carefully, and then inflate the lungs to see if there are any bubbling places.
For some suspected small bullae that have not yet broken, Zheng Ren also suggested cutting them off.
But now is not the time to talk about it, first check the body, and then go back to the office to talk about it.
Because the closed drainage was inserted in the left chest cavity, the patient's breath sounds were only slightly weak. Breath sounds on the right side are normal, no problem.
After the investigation, Zheng Ren carefully pressed the patient's stomach again. There was no positive sign in the abdomen, and the patient curled up on the bed until he was on his menstrual period.
Holding the big red stethoscope, Zheng Ren left the ward without saying a word.
Although doing so, patients and family members of patients will be a little dissatisfied. But here is the Department of Thoracic Surgery, Fang Lin just took a look at himself, there is no reason to pretend to be a director in the ward and point fingers.
After leaving the ward, Zheng Ren said: "The condition is very simple, let's do it. It is probably due to the rupture of the bullae, which caused the pneumothorax."
"good."
Hearing what Zheng Ren said, Fang Lin heaved a sigh of relief.
Boss Zheng has said everything, so is there any doubt?
"Boss, don't you think 7 operations are too weird?" Su Yun disagreed with Zheng Ren's point of view and raised an objection.