Chapter 1740 Domineering Is to Directly Crush the Past

"Boss Zheng?"

"Boss Zheng!"

In the office, after a few greetings, the atmosphere changed.

Zheng Ren was wearing casual clothes, and he seemed to have the gloomy and cold energy of the autopsy office, and strode in.

Director Sun Chao was stunned for a moment, this Boss Zheng is really domineering! You don't ask about the condition, the patient doesn't look at it, and you just say go to the stage?

"Director Lin, Director." Zheng Ren greeted him simply and said, "Is this a patient's film?"

Shao Yongxiang nodded quickly.

Boss Zheng has quickly become a legend. Facing the legendary Boss Zheng, among the many doctors in 912, no one can feel the pressure.

The ones who were really stress-free were the directors who came with Director Mao Chi.

They don't know who Boss Zheng is, so they think the same as Sun Chao.

I saw a young doctor strode in and directly denied CTPA.

Why is 912 so unruly?

Judging by his age, this person is less than 30. It is estimated that he has not even graduated as a graduate student. He is a Ph.D., dare to deny the statement of the chief directors?

Sun Chao narrowed his eyes and asked, "Boss Zheng, is there something wrong with the CTPA diagnosis before surgery?"

Zheng Ren didn't even know who was talking to him. He watched the film with his arms in his arms, and sure enough, it was the same as the video data he saw in the operating room of the system.

Zheng Ren failed many times in this operation.

Because the pulmonary embolism was too long, Zheng Ren saw that it was 12cm after the autopsy!

For interventional thrombectomy, it is not necessary to remove thromboids from other positions, and those with a high level can be taken out directly. But pulmonary embolism is different.

From the inferior vena cava into the guide wire, through the heart, right atrium, right ventricle, to the pulmonary artery segment.

Because of the presence of valves, it is equivalent to stepping through various gates, and it is impossible to completely remove the thrombus. It needs to be mashed, and pulled out a little bit.

The operation time is long and there is a risk of re-embolization.

For a 12cm thrombus, even if Zheng Ren had an operation, it would take at least 2 hours!

And the experimental body couldn't last for so long, and died of heart and lung failure.

So now the only way out is angiography, confirmation, and then thoracotomy, and surgical removal of the thrombus.

The stakes are high, but it's the only way to go.

Zheng Ren's cardiothoracic surgery skill tree is only at the master level... Well, "only" at the master level, he has failed 15 times before finding the possibility of success.

On the way, he had already called Lao He, Professor Rudolf Wagner, Liu Zewei, and Xie Yi, to intervene in the hybrid operating room and prepare for emergency surgery!

But now, he has to convince everyone.

After all, preoperative diagnosis and CTPA should be done. But for Zheng Ren, this is not difficult.

Originally, the reading level was a geometric order of magnitude higher than other people's, and with the reverse push, it was clearer.

Sun Chao expressed the thoughts of the others present, and the office was very quiet. Even Su Yun watched the film and was a little puzzled, wondering why his boss didn't choose to have an interventional surgery.

Is it because of his own hobbies that he has to open the chest, dissect the heart, and perform surgery?

If so...

Impossible, how could that guy give up interventional surgery because of his own hobbies, and use higher-risk surgical methods!

Su Yun stared at the film, lost in thought.

"Here!" Zheng Ren's finger pointed at the film reader, and the translucent glass made a thumping sound, like a drum of war, impassioned.

"Although the artifact is heavy, and the internal structure of the heart is not very clear, combined with the echocardiography, we can guess that the patient's thrombus is longer."

"Guess?" Sun Chao said with a sneer.

Ringo glanced at him, a little puzzled. Is this a slap in the face? The two directors, Mao Chi and Zhang Lin, didn't speak. Who did he think he was?

"Who are you?" Ringo asked.

"This is Director Sun Chaosun of the Department of Vascular Surgery of the Affiliated Hospital of Medical University. He came to the annual meeting. When he heard that there was an emergency, he came to see his eyes together." Mao Chi broke out in a cold sweat and quickly explained.

"The patient is a young woman, and it is said that her body is fine." Zheng Ren did not get angry, but explained.

Only this time, he spoke at a very fast pace and seemed a little rushed.

"Su Yun, the echocardiogram, look for it." Zheng Ren said.

Su Yun quickly communicated with Mr. Shao.

"Sudden shock means that the condition is acute and serious! In addition, there is a large amount of pleural effusion after the discovery, which means that the degree of right pulmonary embolism of the patient is extremely high, and it will not be the kind that can be solved by simple thrombolysis. case."

"In terms of imaging, a vague judgment has been given. To be more specific, we have to find the answer from the echocardiographic image." Zheng Ren talked eloquently. Although his voice was urgent, it was not chaotic, showing a maturity and stability. .

"Boss Zheng, what do you mean, from this CT scan, you can tell the severity of pulmonary embolism?" Director Sun Chao finally found a flaw and attacked directly.

Isn't this nonsense!

After working for so many years, do you still know how to judge pulmonary embolism? The gold standard for clinical diagnosis is pulmonary angiography, and the second gold standard is CTPA!

Can you see it on a CT? Or a large amount of effusion in the right pleural cavity, a piece of white flowers.

This is simply irresponsible to the patient!

Sun Chao was a little angry, how could 912 make a young doctor so arrogant?

Uh...though he can do echocardiographic reconstructions, although he can intervene for bullet embolization.

But doing so is too much!

Do you still need clinical diagnosis and treatment standards? Saying one sentence above negates the gold standard for diagnosis. Who does he think he is? Are you a master of imaging?

This Xueba is absolutely different from the school Xueba.

The academic bully in the school is only the one who has good academic performance and dominates the exam. The scholar Sun Chao thought of was Newton's.

Suppress whoever you say you're suppressing.

Isn't Blenitz awesome? Newton said that he was pressing, and all formulas should start with Newton.

912 Is this trying to cultivate a scholar?

Sun Chao was a little angry, even if he was a scholar, he couldn't make fun of a young student's life!

He looked at Zheng Ren angrily.

Zheng Ren didn't speak, he saw Su Yun on the phone. It is estimated that the echocardiography will upload more image data, which is exactly what I need.

"Boss Zheng?" Linger asked in a low voice.

"The diagnosis is very certain. The echocardiogram will be uploaded in a while, and I will explain it to everyone."

When Zheng Ren said this, Sun Chao was even more furious.

Take yourself as a medical student? Also explain! Talk about wool!

"Is the patient's family here? Can you sign?"

"The Principal Zhang of the Medical University is expected to arrive soon. The parents are definitely not here. Principal Zhang is fully responsible." Director Lin said.

"Okay." Zheng Ren said, "Prepare for the operation. After Principal Zhang arrives, I will finish the explanation and sign it."

"..." Everyone was stunned.

This... is also too confident, too overbearing!