Chapter 2840 Unlucky Reminder

【They said write quickly...】

Su Yun was playing with his mobile phone, and Zheng Ren was reading in the system library, when the phone rang.

"Hello?" Zheng Ren answered the phone.

"Uh... I'm still outside."

"good!"

After finishing speaking, Zheng Ren suddenly stood up.

"What's wrong?" Su Yun was a little puzzled.

"There is a station inside for ERCP and EST. The guide wire is broken. After 2 hours of research in the operating room, there is nothing I can do. I want us to go in and have a look." Zheng Ren said in a low voice.

His voice was very low, and there were many people outside, who knew that the patient's family members were at home, so it was the most basic thing not to cause trouble to others.

"ERCP to get stones?" Su Yun hesitated for a moment, then said contemptuously, "It must be too reckless."

Zheng Ren shrugged, and then saw the door open, and Professor Wu waved his head.

The two walked in, and Professor Wu said with a look of embarrassment, "Boss Zheng, the gastroscopy is done."

He didn't mention the breaking of the guide wire, first he talked about the gastroscope, Zheng Ren knew what it meant.

"The results showed hiatal hernia, chronic gastritis, and erosion. Esophageal impedance monitoring results: reflux mostly occurred in the upright position, and the reflux was mainly gas. Esophageal manometry results showed that the pressure of the lower esophageal sphincter decreased." Professor Wu He whispered, "Boss Zheng, your diagnostic skills are really good!"

"You're welcome." Zheng Ren waited for his next words. What I just said, I saw it on the system panel. What happened to the broken guide wire?

Zhou Chunyong was busy sending the patient off the stage, and there was also a doctor in training to help.

Professor Wu let Zheng Ren and Su Yun into the locker room, glanced left and right, saw that no one was there, and whispered, "One of our doctors is doing ERCP, and the guide wire is broken inside. We usually have a good relationship. Boss Zheng, please help me take a look." ?”

"It's okay, I'll go and have a look, it may not be possible to take it out." Zheng Ren said lightly.

Hearing what Zheng Ren said, Professor Wu bent down, with an even more humble expression, and said politely, "Boss Zheng, this matter really troubles you. My friend has... been very unlucky recently, and accidents happened one after another. "

"What?" Su Yun pouted and asked.

"Who knows, he doesn't even dare to do a gastroscopy now, because the gastroscopy just happened to catch up with the patient's acute perforation of the duodenum a few days ago. The probability... I don't know what to say." Professor Wu said with a sigh.

Acute duodenal perforation? Zheng Ren was stunned for a moment. Generally speaking, this kind of disease is an absolute contraindication for gastroscopy.

"Abdominal pain, emergency gastroscopy?" Zheng Ren asked.

"No, no. I made an appointment at the slow clinic, and I didn't think about perforation at first. The patient may be too nervous after the stage. Before the gastroscope was inserted, he suddenly complained of severe abdominal pain." Professor Wu said, "I didn't do the gastroscopy later, She didn't move, and there was a little medical dispute."

Zheng Ren nodded. If he said that, this doctor is really out of luck.

"I told him not to do anything. If he is unlucky recently, let's take a rest." Professor Wu said, "I have bought the air tickets, and I am going to go out to have fun and relax. But today, someone I know found his head. Going to do ERCP to remove stones."

What Professor Wu said was a bit messy, but Zheng Ren and Su Yun understood what he meant. The unlucky professor had already asked for leave and was going to take a rest for a period of time. After buying the air ticket, he was going out to play. An acquaintance asked him for ERCP stone removal surgery.

This kind of surgery is considered an advanced technology in Haicheng No. 1 Hospital, but in the Affiliated Hospital of Imperial Medical University, it is like appendicitis, which is not a problem at all.

I guess he thought the same way, just do it, it’s no big deal.

But I didn't expect that the guide wire would break during an ERCP stone removal operation, and I couldn't get off the stage.

This is really bad luck.

"What's the condition of the patient?" Zheng Ren asked.

"The patient is female, 55 years old. She was admitted to the hospital with intermittent upper abdominal pain for half a year. Abdominal ultrasound showed: after cholecystectomy; common bile duct stones and widened. MRCP showed: stones at the lower end of the common bile duct, 1.0cm×0.9cm."

The medical history was brief, and then Professor Wu said, "I don't know how the operation was done. Boss Zheng, please help me. I just happened to see it when I finished the gastroscopy. Otherwise, they are going to cut the RT muscle and let the broken The wire goes out by itself."

"That's fine." Su Yun said, "cutting is a conventional method."

"Isn't this just in time for the two of you here?" Professor Wu continued with a smile, "It is the best if there is no damage to the treatment. Regardless of whether the patient knows him or not, it is easy to explain after surgery with a small injury."

As he spoke, he bent over, very sincerely.

"Professor Wu, don't be so polite, let's take a look." Zheng Ren changed his clothes and put on a hat and mask.

Su Yun was still wearing a three-layer mask. Professor Wu was a little confused, wondering why he had to wear so many masks.

But these are trivial matters. As long as the problem can be solved, it doesn't matter if people wear 100 masks.

Meeting Zhou Chunyong coming out with a flat cart, he saw Zheng Ren and Su Yun changed clothes and went in suspiciously. He knew that something must be wrong, so he asked with his eyes.

"Director Zhou, let's take a look and see you in the emergency observation room later." Su Yun waved his hand casually and said.

"Oh, good. The two of you are busy first, and I'll take Aunt Liu out." Zhou Chunyong winked, seeing that Boss Zheng and Su Yun were busy, he dragged the patient out.

Professor Wu led the way, and the three came to an operating room. Not surprisingly, the atmosphere is dignified. Zheng Ren walked in and heard sobbing, a tall and thin young man was standing in the corner wiping his tears.

Uh...why are you still crying? Zheng Ren's first thought was Gu Xiaoran.

It's just that Gu Xiaoran doesn't know how to cry in the operating room. He looks like a mama but has a big heart. These two opposite temperaments highlight Gu Xiaoran's weirdness.

"Old Liu, this is Boss Zheng." Professor Wu introduced.

Professor Liu was wearing sterile gloves, so he didn't stretch out his hand. He bowed politely and said, "Boss Zheng, please help me take a look."

"How does ERCP stone extraction work?" Zheng Ren asked.

"The Olympus TJF-260V duodenoscope was used. After entering the descending duodenum, the catheter was guided by a guide wire." Professor Liu began to talk about the operation process. The little doctor wiping tears in the corner.

"The guide wire used is Boston's disposable plastic-insulated guide wire with a length of 450 cm and a diameter of 0.91 mm. Under fluoroscopy, it can be seen that the guide wire enters the main pancreatic duct, and a small α-helix is ​​formed at the front end."

"The assistant used too much force when withdrawing the guide wire, causing the α-helix end to break inside." As he spoke, Professor Liu glared at the little doctor standing in the corner.

Zheng Ren frowned, while Su Yun gave Professor Liu an unhappy look.

Something went wrong in the operation, and the blame was thrown to the assistant? This person really doesn't care.