Chapter 1557 What a Coincidence? Unfortunately!
"Mr. Zheng, I haven't seen you for a while. Is the side of the imperial capital okay?" The doctor in the CT room chatted with Zheng Ren, and his hands were not slow, so he took the time to check.
The doctor in the emergency department personally sends the patient for examination, which means that the judgment of the condition is very important, not to mention the doctor in the CT room.
Light patients, who have the spare time to accompany them to do the examination.
The machine roared, and Zheng Ren didn't chat with him, but put his left hand under his right armpit, his right hand resting on his cheek, and looked at the computer screen.
The atmosphere was a little dignified.
The doctor in the CT room did not dare to neglect, and stopped chatting, and looked at the screen seriously.
After 1 minute, the image appeared on the screen.
Several people were stunned.
On the left clavicle end, an image of a needle appears, inserted obliquely in the mediastinum. The pericardium was moderately and severely packed, and both lungs were covered with large shadows.
The changes in the lungs can be ignored. The most important thing is the image of the needle. It seems that it should be a Kirschner wire for fixing the fracture of the clavicle!
It protrudes halfway from the clavicle end, and the tip of the needle is at the edge of the aorta.
It turned out to be so, Zheng Ren was surprised and suddenly realized.
"I'm going..." The doctor in the CT room was the first time he saw this kind of image. He pointed at the image of the Kirschner wire in surprise, but couldn't say a word.
Zheng Ren took the time to reconstruct the CT image in his mind. The diagnosis given by the big pig's trotter was aortic adventitial ulcer. After image reconstruction, it was determined that the middle layer and intima had been involved, the surrounding tissue was edematous, and there was no local secretion.
This is the aorta that is about to burst at any time! The hair on Zheng Ren's back suddenly stood up.
"Call President Wang, the emergency hybrid operating room, and prepare the aortic stent." Zheng Ren said.
Su Yun nodded, took the phone and started to contact the operating room.
"Mr. Zheng, I have the film for you, and the report will have to wait until tomorrow." The doctor in the CT room knew that the situation was urgent, so he printed the film and handed it to Zheng Ren.
"Thank you." Zheng Ren took the film and carried the patient to the flat car with the accompanying examiner and the patient's family, and ran all the way to the emergency operating room.
MD, how can the distal end of the Kirschner wire be freed? Zheng Ren didn't understand this either.
It may be that there is a problem when the orthopaedic surgeon drills the needle in it, or it may be a problem that occurs when the patient resumes training after surgery.
Now, not the time to ask why, but to seize the time to do the surgery.
The adventitia of the aorta is damaged, and the media and intima have been involved. Once the blood pressure rises, the patient may die of aortic rupture at any time.
On the way, Su Yun caught up.
"I'm lucky, there is also an aortic stent. Next time I go back to Haicheng, I must pull Xiao Feng." Su Yun said.
Zheng Ren realized that when he was away, Haicheng should not do interventional surgery.
Feng Xuhui didn't follow, and he wasn't even sure if he had an aortic stent.
Last time, it was Wang Qiang from the Second Hospital who sent various consumables. This time I can save the same, it is estimated that Wang Qiang came to have an operation recently, or it was left over from the past.
It doesn't matter, as long as you can handle the current hurdle in front of you, Zheng Ren thought. This patient was lucky enough to meet himself.
"You go and explain to the patient's family, and I'll take off the stent." Zheng Ren said: "The family signs, you call me, and then take the stage."
When the patient's family heard the exchange between the two, they panicked.
Emergency surgery? What is this scenario? !
Moreover, seeing the expressions of the two doctors are very serious, it is more frightening than the doctor in the emergency department of internal medicine.
Not afraid of how serious it is, those are rare accidents. The most fearful thing is that the doctor has a gloomy face and runs fast all the way, and he has no time to talk to himself in detail.
The patient's family members were sensible people, and were frightened by Zheng Ren and Su Yun.
Pushing the patient into the operating room, President Wang had just performed the operation. He watched Zheng Ren hurriedly push a patient in, and asked in surprise, "What's the situation?"
"The distal end of the Kirschner wire is free, the adventitia and media of the aorta are damaged, and the pericardial tamponade is blocked." Zheng Ren said hurriedly.
"..." President Wang was stunned.
"Send the patient back, and then come up to help." Zheng Ren said rudely.
At this time, when I told President Wang to help, it was really a help.
In 912, I will also be polite with Director Wei and Professor Feng. But this is Haicheng, and he is facing President Wang, so there is no need to be polite.
"Okay." Mr. Wang knew that the situation was urgent, and immediately sent the patient down with his assistant.
"Mr. Zheng, just say you're busy. Every time you come back, you'll have to operate overnight." Chu Yanyi said while helping Zheng Ren lift the patient to the hybrid operating table.
"Hey, just happened to meet." Zheng Ren was also speechless.
If I wasn't there, I might not be so busy.
But in the gastroenterology department, I am afraid that within a day or two, a patient will die suddenly, and the death is inexplicable and silent.
Perhaps, something like this happens every day.
Zheng Ren, with the assistance of Big Pig's Hoof, discovered, diagnosed and treated early, which prevented many tragedies from happening again and again.
"How many are you going to make tonight?" Chu Yanzhi continued to nag.
"I don't want to do it either." Zheng Ren said helplessly, "I'll be fine for a while, the director has finished the drip, send him home, let's go out for supper."
"Yiren said he ordered a meal, but it's rare for Mr. Zheng to be generous. You guys earn a lot in the imperial capital. Do you know that a stingy guy like you is treating guests to dinner?" Chu Yanzhi asked.
If you don't want to eat, it's annoying and a waste of time, not stingy. Zheng Ren murmured in his heart, but he did not explain, but said directly: "General anesthesia, first place the aortic stent, and then open the chest."
"What's the diagnosis?" Chu Yanran asked.
"Aortic adventitial ulcer, cardiac tamponade, distal Kirschner wire free." Zheng Rendao.
"Wow, Kirschner's needle?!" Chu Yanzhi jumped.
"Hurry up and get anesthesia." Chu Yanran was busy and said with some disgust, "Is the ulcer serious, Mr. Zheng?"
"Seriously, I think it was caused by the Kirschner wire scratch, which has affected the media and intima, and may break at any time." Zheng Ren saw that Xiao Yiren was busy preparing things for surgery, so he went to brush his hands.
The level of emergency first aid in Haicheng is not as good as God's capital. Although the Chu sisters' technical level is not bad, there is still a certain gap between them and the old Hebi.
However, Zheng Ren felt that it was fine, as long as the situation in Xilin Town did not occur, everything would be fine.
The last rescue in Xilin Town really had a psychological shadow.
After the brush came out and the anesthesia was over, Su Yun also called on the phone, saying that the patient's family had signed the preoperative consent, and he opened the stage directly.
The film was taken by Su Yun to explain the condition to the patient's family. Zheng Ren sterilized the patient while recalling the images in his mind.
The aortic stent is not difficult, as long as it does not break, it is enough to put the stent in first.
"Yanran, pay attention to sucking phlegm." Zheng Ren urged.
"I know." Chu Yanran said, "I just heard it, there are a lot of wet rales in both lungs, don't worry, Mr. Zheng."