Chapter 2154 22-Year-Old Old Patient (Leader-Stop Beating-Addition 1)

Zheng Ren didn't know that so many things happened in the Affiliated Hospital of Imperial Medical University.

He had dinner with Yi Ren at noon, and then went back to the chair by the window of the Intervention Department to sit.

The afternoon was quiet and beautiful, and the sun was shining brightly. Sitting in the sun, with the fifth edition of Surgery on my lap, I leisurely went to the system library to read.

A quiet life is wonderful, and it would be great if it could continue like this.

Zheng Ren sat by the small pond in the system space, quietly reading a magazine, with his feet in the pond. When I saw happiness, my feet moved slightly, causing some ripples.

"Boss, watch a movie!" Su Yun's voice came from outside, Zheng Ren gave up a moment of leisure with some regrets, and came out of the system space.

"What patient?"

"Walking around just now, Fang Lin received a patient with pneumothorax." Su Yun said.

"What's so interesting about a pneumothorax." After hearing what Su Yun said, Zheng Ren lost interest all of a sudden.

Whether traumatic or spontaneous, a pneumothorax is a pneumothorax. General anesthesia, single-chamber ventilation, find the location of the bulla or the tear in the lung, and just sew it on.

Now laparoscopic surgery is easier, just find the place where the break is made and put a titanium clip. The operation does not exceed 1 hour, which also includes the anesthesia and anesthesia wake-up time.

The only thing to pay attention to is to inflate the lungs repeatedly to see if there is only one place where the air is coming out. If there are any omissions, a second thoracotomy may be required, which is hard to explain.

"The pneumothorax is weird. Fang Lin is not sure, so ask me to have a look." Su Yun said with a smile.

Zheng Ren saw that his expression was different, and his heart moved.

For the problem of heart and chest, Su Yun is looking for himself? There was an operation in Haicheng before, and the lungs were not compressed in the film, but the lung rupture was already quite serious.

In such a rare case, Su Yun would ask himself to take the blame when he was in doubt.

"What patient?" Zheng Ren asked.

"Recurring pneumothorax, the last time was 20 days ago, I went to the local doctor, and I still have gas after surgery, so I came to the imperial capital." Su Yun said.

"What about the film?"

"Fang Lin sent a picture on his phone. It's nothing to look at. Go up and have a look." Su Yun pulled Zheng Ren and left.

"Recurrent attacks? Spontaneous pneumothorax?" Zheng Ren was puzzled.

"Well, it happened seven times in two years." Su Yun said, "Boss, don't you find it strange?"

"I think it's very strange." Zheng Ren thought about it.

Spontaneous pneumothorax refers to the rupture of lung tissue and visceral pleura due to lung disease, or the spontaneous rupture of bullae and fine emphysematous blisters near the surface of the lung, allowing the air in the lungs and bronchi to escape into the pleural cavity.

Under normal circumstances, young men around the age of 15-25 are prone to spontaneous pneumothorax.

Especially high school students, when they returned to Haicheng a while ago, they met a mother who insisted on performing an appendectomy on her child, Su Yun used this example to scare her.

In fact, that is not scaring, just telling the truth.

In a young boy, when the bullae ruptured, he had to open his chest and suture the bullae. But now for laparoscopic surgery, it is enough to punch two eyes.

The recurrent case in front of me means that the doctor who performed the operation did not remove all the bullae.

It does not mean that all bullae should be removed, the condition is always more complicated than imagined. Some patients' lungs are covered with bullae, and there are at least a dozen or dozens of them. It is impossible to cut off the entire lung lobe.

Moreover, there was an abnormality in the last operation, and gas continued to be drawn out of the chest bottle after the operation.

This problem is more serious.

Coming to the outside of the chest, Fang Lin was watching a movie. A man in his forties, of medium build, but very fat was standing beside him.

"Boss Zheng, Brother Yun, take a look at the two of you." Fang Lin greeted Zheng Ren and Su Yun immediately when he saw Zheng Ren and Su Yun coming in, "This is my savior, Boss Zheng, this is Brother Yun."

He introduced Zheng Ren and Su Yun to the fat man beside him.

Afterwards, Fang Lin said, "This is Dr. Shao from City L."

Zheng Ren nodded, and smiled kindly at the chubby Mosaic, signaling that he understood.

"Huh? Is that the hospital that asked you for surgery?" Su Yun asked with a smile.

"Isn't that the earthquake relief? Our hospital went to the front line, so I went to Lao Shao's hospital for an operation." Fang Lin explained with a smile.

Flying knives are generally professor-level people who go out to run, and few people come to the general manager of the hospital. Fang Lin also has a high level of technology, and with special circumstances, he only ran once.

"Brother Yun, why did you drag Boss Zheng over here?" Fang Lin was a little embarrassed, "I just thought the condition looked simple and there might be something wrong, so I asked you to give me a palm."

"Don't be so polite, it doesn't take much trouble." Zheng Ren said with a smile, and walked to the viewer.

The film is CT, which looks very simple. The left pneumothorax has tube shadow of closed chest drainage, and the lungs are compressed by about 10%.

There were abnormal images on the lung surface and costophrenic angle. Zheng Ren estimated that the intubation time was relatively long, and the formation of irritating hyperplasia or pus moss caused by infection.

"What's the patient's condition?"

"Boss Zheng, hello, I'm Shao Jinghe." The chubby doctor greeted honestly.

Zheng Ren thought it was funny. If he was a shrewd person, he should have come up to shake hands after Fang Lin's introduction just now, and they were close.

I don't know if this person was hit by a medical accident, or he was this kind of person in the first place, so he was a few steps late in saying hello.

"Doctor Shao, you're welcome, tell me about the patient's condition." Zheng Ren smiled.

"This is an old patient, 22 years old, female."

"..."

For a 22-year-old patient, it sounds strange to say this. But everyone in Zheng Ren knew what Shao Jinghe meant—an old patient meant that he often dealt with the hospital.

"Two years ago, the patient suddenly felt chest tightness and shortness of breath. The chest X-ray showed spontaneous pneumothorax on the right side. I performed thoracoscopy. After the operation, he recovered well and was discharged home."

"Then during the two years, the patient suffered intermittently."

Shao Jinghe was a little depressed while talking.

"Old Shao, did you suffer from bullae?" Su Yun asked while watching the film.

"I check carefully every operation, and there is no abnormality." Shao Jinghe said with a sad face, "Brother Yun, I also call you that?"

"It's fine." Su Yun said with a smile. This old Shao winked a little bit, so help him out.

"When I see this patient now, I want to hide... My colleagues in the unit laughed at me, saying that I did something to the girl, and why did they pester me."

Zheng Ren glanced at Shao Jinghe's big belly, thinking it was funny.

However, this kind of emotion is normal. In the previous 2 years, I had 6 or 7 surgeries. Although the adhesion of the lung tissue in thoracic surgery is not as serious as that of the intestinal tract, it is enough to cause a headache when opened.

This is not counted. Anyone who has done chest surgery knows that it is rare for people who can perform two or three bullae resections. This kind, I did it 7 times in 2 years, no one wants to hide.