Chapter 2286 Meticulous Operation

"Mr. Zheng." Chang Yue led the little girl and stood in front of Zheng Ren.

Seeing that the little girl did not have the indifference and fear of rejecting others, but had a little more trusting expression, Zheng Ren was also very convinced by Chang Yue. It seemed that anyone could be a friend if she wanted to.

It doesn't matter whether it's the young and "mature" little girl in front of you, or the many patients and their family members in Haicheng back then, it's the same.

Except for myself, the medical team leader.

It was not without reason that she was sent to the medical office back then.

"It's okay." Zheng Ren thought wildly in his heart, and said: "I think it's avoidance-restrictive eating disorder, just correct it."

"What should I do?" Chang Yue asked seriously.

"Now she only drinks porridge every day, and it gradually turns into food puree, such as yogurt, applesauce, and pudding."

"After a few days of adaptation, it turns into a coarse-textured food puree, such as oatmeal, mashed potatoes, etc. Then you can eat softer solid foods, such as rice, noodles, bread, and potatoes."

"So simple?" Chang Yue looked at Zheng Ren in surprise.

"It's not that simple." Zheng Ren smiled and wanted to touch the little girl's head, but saw her make a slight dodging movement, but he reacted instantly and stopped abruptly.

The little girl's movements were blunt, as if she was wary of this malicious world. Zheng Ren withdrew his hand, not wanting to irritate her.

"When her grandfather comes back, sign the agreement, and the old man will be able to extubate and go home soon after the operation." Zheng Ren withdrew his hand and said with a smile: "Seeing that the patient is getting better, her problem will also be cured soon. Just now It’s a small matter, the main thing is the surgery.”

Although Chang Yue felt that what Zheng Ren said was too simple, after so long, she still had a considerable degree of trust in her boss's diagnosis and treatment of the disease.

Mr. Zheng has said it all, so let's do it like this.

Zhou Litao is busy, and for some reason tonight, the emergency department is like boiling. Patients with minor injuries and illnesses kept coming, and there was no time to entertain Zheng Ren.

Zheng Ren didn't have much interest in staying in the emergency department either.

Fang Lin's patient was in a special situation. If he had surgery in the afternoon tomorrow, he would have to do a few more training sessions in the system operating room.

The completion rate of this kind of patient's operation is less than 95%, and Zheng Ren dare not perform the operation directly. Thinking of so many postoperative complications gave him a headache.

Chang Yue said that she wanted to stay with the little girl and watch her eat.

Nothing to say all night.

The next day was still the normal ward rounds and surgery. After lunch, Zheng Ren sat in his usual place and read in the system library.

At around 1 p.m., Su Yun told Zheng Ren that the patient's son had returned.

The two went up to check the situation, and saw that Xinglinyuan's lawyer was talking to the patient's son about the relevant legal procedures.

He was probably in his fifties, with deep wrinkles on his face, not just dust and mud, the wrinkles seemed to be mixed with debris of concrete.

He responded meekly to what the lawyer said, and it seemed that he was still a little afraid of lawyers in suits and ties.

"Get ready for surgery." Seeing that there was nothing wrong, Zheng Ren talked to Su Yun.

Seeing that the appearance of the patient's son was somewhat different from what he had imagined, Su Yun didn't say anything else. After going through the legal procedures here, Fang Lin explained before the operation that he was about to go on stage.

Lao He had already prepared the matters related to anesthesia. Propofol and analgesics were ineffective during the operation, and all preparations for intubation were also in place.

Regardless of whether Boss Zheng can successfully complete the operation every time, Lao He always prepares according to the big event, being cautious and walking on thin ice.

Zheng Ren expressed his satisfaction with Lao He's attitude.

One hour and 22 minutes later, Fang Lin sent the patient to the operating room.

Under mask anesthesia, Zheng Ren understood that the biggest purpose of interventional surgery is to preserve the patient's lung function. He took a deep breath to calm his emotions, then waited for the anesthesia to take effect, and began to explore with a fiberoptic bronchoscope.

After entering the mirror, Zheng Ren found that the main fistula was in the left superior lobe, and there were also small fistulas in the posterior and anterior segments of the apex.

After occluding the proper segment of the left upper lobe with a balloon, he began to observe the chest bottle.

There were few air bubbles in the closed chest drainage bottle, but they could not completely disappear. Zheng Ren suspected that there might be a communicating branch in the left proper upper lobe fistula.

Then the bronchoscope continued to be sent inside.

While exploring as much as possible, try to avoid excessive irritation to the patient's airway.

Zheng Ren felt that it was simply too difficult for him.

Even for him at the peak level of intervention, this kind of operation still feels a little headache.

Su Yun carefully assisted on the side, and soon discovered that the communication branch of the air leak was expected to range from the upper left upper lingual lobe and left lower lingual lobe, the dorsal section of the left lower lobe, and the inner anterior basal section of the left lower lobe.

The range is too wide. If all of them are tied, the patient's respiratory function cannot be guaranteed.

Su Yun stared closely at the pressure waveform diagram of the Charitis system, his eyebrows furrowed tightly.

"Boss, what should we do next?" Su Yun asked.

"The pressure waveform of the Charitis system may have the possibility of false positives. The pressure waveforms of the posterior segment and anterior segment of the left upper lobe tip in the patient are obviously wider than the rest of the sub-segment. " Zheng Ren said lightly, and then began to do the test.

Su Yun cooperated attentively.

He saw his boss seal the left upper lobe proper with a balloon, use gelatin sponge to seal the left lingual lobe and the dorsal part of the left lower lobe, and then looked down at the closed chest drainage bottle.

The blisters in the bottle disappeared, and Su Yun immediately explained this to Zheng Ren, excluding collateral ventilation in the basal segment of the left lower lobe.

Zheng Ren then slowly removed the gelatin sponge from the dorsal section of the left lower lobe, and the blisters in the thoracic contempt drainage bottle still did not appear, suggesting that the side branch ventilation of the dorsal section of the left lower lobe was less affected.

The operation is performed very slowly and carefully, and the observation time is longer than the operation time.

Zheng Ren blocked the left upper lobe propria with a one-way valve, and the left lingual lobe with gelatin sponge, and the air bubbles in the closed chest drainage bottle disappeared completely.

About half an hour later, the pressure was slowly reduced, and the gelatin sponge of the left lingual lobe was taken out. No air bubbles appeared in the closed chest drainage bottle.

In the end, Zheng Ren only implanted a one-way valve in the left upper proper lobe, and the communicating branch of the left lingual lobe has not been further treated.

Although only one one-way valve was left, the meticulousness of the operation and exploration during the operation was outrageous.

The whole operation took nearly 3 hours, and Fang Lin was impressed by Boss Zheng's stability and patience.

When the operation was finally completed, Boss Zheng's hands were the same as at the beginning, as if they had never changed.

"It's done?" Seeing that Boss Zheng withdrew the tube and Lao He administered the medicine, Fang Lin asked in a low voice.

"Well, I guess there's nothing wrong with it." Zheng Ren looked at the 98% success rate of the operation given by the system, and said softly.

Seeing that the water column in the closed thoracic drainage bottle fluctuated well, but no bubbles came out, Fang Lin felt relieved.