Chapter 407 Princess Disease (Part 1)

Just as he was feeling, the phone rang again.

The landline in the emergency ward is different from the landline in Director Lao Pan's office. Where the old director's landline rang, most of it was caused by the administrative work of various departments in the hospital.

When the landline in the emergency ward rang, there was a high probability that the emergency department had sent the patient up, or the emergency department was unable to diagnose the patient's condition and needed Zheng Ren's consultation.

After picking up the phone, Zheng Ren answered a few times, stood up and went downstairs.

"Boss, what's the matter?" Su Yun asked.

"Intestinal obstruction, a 15-year-old girl." Zheng Ren said.

"Let's go and have a look." Su Yun followed behind Zheng Ren, and the two went to the emergency department together.

Intestinal obstruction, or intussusception in infancy, leading to obstruction. Either it is old age, the intestinal function is reduced, and the obstruction is caused.

At the age of 15 or 6, when the body is at its best, intestinal obstruction will occur, which is rare.

When I came to the emergency department, the emergency physician was already busy. There were a lot of people in the consulting room, most of whom were middle-aged and elderly patients over 60 years old.

This is the case in the Northeast. Most of the promising, energetic, and skilled young people or young and middle-aged technical backbones have gone to work in the South. Those who stayed were mainly the elderly.

This is a side effect of population loss, and it has just begun, and it will get worse in the future. It is reflected in hospitals that there are fewer and fewer doctors and patients are getting older.

Seeing Zheng Ren coming, the doctor from the emergency department first comforted the old man in front of him, then hurriedly came to Zheng Ren's side, took Zheng Ren to the emergency treatment room, and said as he walked, "The patient is a 15-year-old girl who suffered from abdominal pain, He came to our hospital for treatment after vomiting for 2 days. The physical examination revealed that the patient’s abdomen was distended, soft to the touch, with widespread tenderness and no rebound tenderness. Abdominal CT examination results: dilated intestinal loops and a large number of fecal stones can be seen in the right abdominal cavity.”

Her voice was a little hoarse, and she knew that from going to work in the morning to now, she had said countless things, and she didn't even have time to drink saliva.

"What happened?" Zheng Ren asked.

"Hypertonic saline enema, but the effect is not good." The emergency physician replied: "After the enema, an upright abdominal plain film was made, and the degree and number of expansion of the small intestine increased, and the gas-liquid level appeared."

"Hmm." Zheng Ren pondered.

When I came to the treatment room, I saw a girl curled up on the treatment bed. She was retching violently, but she couldn't vomit anything.

A middle-aged woman with an anxious face was wiping her tears while patting her on the back lightly.

"Mr. Zheng, the film is here. You can take a look first. I'm going back to work." The doctor in the emergency internal medicine hurriedly explained a few words to Zheng Ren, and hurried back to the consulting room.

Zheng Ren first came to the side of the patient, asked the patient to lie flat, curled up his legs, rubbed his hands together to raise the temperature of his palms, and then began to check his body.

The patient was thin, with long hair, large round eyes with long eyelashes, but filled with tears. This is the body's natural reaction caused by severe vomiting, Zheng Ren knew.

"What's your name?" Zheng Ren asked the patient's information habitually while starting the physical examination. While asking, his hand was already on the patient's upper left abdomen.

"Brother, my name is Wang Yutong." The girl replied with her big eyes blinking.

"Junior high school or high school?" Zheng Ren asked without saying a word, his hand wandering around the patient's abdomen.

The patient's epigastric tenderness was not obvious, but abdominal distention was typical. The patient had tenderness all the way to the lower left abdomen.

Zheng Ren searched carefully and confirmed the location.

The diagnosis given by the system panel is - intestinal obstruction, La Penzel's syndrome.

Zheng Ren was a little confused, but when encountering problems he didn't understand, especially in front of patients, it was necessary to pretend to be calm and confident.

After checking the body, Zheng Ren patted the girl on the shoulder and motioned her to cover her belly.

Then came to the film reader, and inserted the abdominal CT and upright abdominal plain film into the film reader.

As the ER physician said, typical intestinal obstruction symptoms. Both fluid levels and coprolithiasis are typical.

Zheng Ren pondered.

Seeing Zheng Ren's expression was abnormal, Su Yun leaned over and asked in a low voice, "Boss, is there anything strange?"

"La Penzel's syndrome, how much do you know?" Zheng Ren asked.

Su Yun didn't expect that Zheng Ren was consulting himself, thinking he was testing himself. He quickly searched for memories of La Penzel's syndrome in his mind.

A genius is indeed a genius, and his memory is absolutely flawless.

Like those who can leave their names in the history books, Su Yun has all these abilities, such as observing monuments from a distance, and having a photographic memory.

In just ten seconds, Su Yun searched for information about La Penzel's syndrome in his memory.

"Laponzel's syndrome, also known as Rapunzel syndrome, is a clinical condition described by Vaughan Jr et al. in 1986. The patient has mild or severe trichotillomania, and swallows. The formed hair gastrolith enters The small intestine can cause abdominal pain, vomiting, nausea, malnutrition, vomiting blood, and diarrhea, which can seriously lead to intestinal obstruction." Su Yun replied in a low voice, as if he was back on campus, standing next to a highly respected old professor.

Exam yourself? How can you pass such a simple question! Su Yun is a little proud.

"Yes." Zheng Ren nodded after hearing Su Yun finish speaking.

It is very consistent with the patient's symptoms. It seems that it should be the long-term swallowing of hair, the formation of hair stones, blocking the colon, resulting in obstruction.

The best way to remove this kind of intestinal obstruction with clear incentives is surgery.

Now that you're all set, let's get ready for surgery.

"Patient's family, come here." Zheng Ren greeted.

The patient's mother was taking care of her, and the patient's father followed Zheng Ren out of the treatment room.

"Does your daughter act strangely?" Zheng Ren asked.

The patient's father was a little strange. He recalled carefully, but he didn't know what Zheng Ren was asking.

"It doesn't matter if you don't know." Zheng Renwen said, "I think the patient has symptoms of intestinal obstruction. Looking at the film, it is caused by fecal stone blockage. The effect of laxative enema is not good. Surgery is needed to solve the problem of intestinal obstruction."

Zheng Ren didn't directly explain Laponzel's syndrome to the patient's father. If that were the case...the patient's father might turn his back on him immediately.

Some things, the order is very important.

It is the best choice to solve the intestinal obstruction, relieve the anxiety of the patient's parents, and then hold the hair stone and explain to them the source of the disease and the future treatment.

The patient's father didn't have any idea either, what Zheng Ren said was what.

Greet Su Yun, admit the patient to the hospital, make preoperative preparations, and perform surgery on stage.

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