Chapter 408 Princess Disease (Part 2)

Su Yun, Chang Yue and the others were busy talking about preparing for the operation. Zheng Ren was fine at this time, looking at the patient's film in front of the film reader and studying it carefully.

After all, Rapunzel syndrome is relatively rare, so take a good look. As for the surgery, just wait for the stage.

This is the privilege of being a superior doctor. Many directors require that the operation sheet be laid out on that side, and then they call themselves to come on stage.

Zheng Ren didn't have this kind of treatment, and he didn't have that much style.

The emergency ward is not well staffed, so it is too busy.

More than ten minutes later, the case came up, and Chang Yue began to issue doctor's orders. The gastric tube and urinary tube had been left in place, and she was waiting to be explained before the operation to go on stage.

"Boss Zheng, are you busy?"

The emergency ward was preparing for the operation in an orderly manner, and Director Sun suddenly walked in with a smile.

"Oh, Director Sun." Zheng Ren smiled and greeted, "I have an intestinal obstruction, and I am preparing for surgery."

Director Sun's eyelids twitched. Recently, the volume of general surgery operations has dropped sharply, which has something to do with cutting off most of the disease sources in the emergency department.

But he didn't say anything, but the smile on his face got stronger, and he said: "Mr. Zheng, isn't this the loose body in the abdominal cavity that you diagnosed that day? After the operation, let me show you."

As he spoke, Director Sun took out his phone and showed Zheng Ren the picture.

It really looked like a big goose egg. After the abdomen was closed, Director Sun confidently cut the "goose egg". There are all egg whites and egg yolks in it. If you don’t have the background of the operating room, you will definitely think that this is in a certain kitchen.

Zheng Ren took a look at these, but what Director Sun showed was the final diagnosis of the pathology department and clearer and more detailed sliced ​​specimens.

"Boss Zheng, your level of diagnosis is really high." Director Sun patted Zheng Ren's shoulder affectionately and praised.

"Hehe." Zheng Ren gave a dry laugh, only glanced at it, and continued to look at the film on the film viewer.

Director Sun felt that it was very boring, and he was also a little angry.

I was rushing to flatter, but I didn't expect that my hot face met Zheng Ren's cold ass.

You really think so when you say you have a strong diagnostic ability.

I can't think about it, the more I think about it, the more aggrieved Director Sun becomes.

But he was very deep in the city, or he was cowardly, so he didn't attack directly, and followed Zheng Ren's gaze.

"Is it a typical intestinal obstruction, what is Mr. Zheng looking at?" Director Sun glanced at it and said.

The patient's imaging examination is complete, and it is indeed the most typical condition. Judging from the film, it is not worth pondering at all.

"Oh, this is intestinal obstruction caused by La Penzel's syndrome." Zheng Ren casually said, "Because it's relatively rare in clinical practice, so I'm going to study it carefully to avoid misdiagnosis next time I encounter it."

"Uh...what...syndrome?" Director Sun was stunned.

Paralyzed, what did Zheng Ren say?

A rare disease? After Director Sun subconsciously asked, he immediately regretted it, and quickly concentrated on watching the film, trying to find out the kind of illness Zheng Ren mentioned.

"It's Laponzel's syndrome." Zheng Ren also had a good memory, but he had to spare time to work to earn money during school, so he didn't have time to go to the periodical library, so he read fewer periodicals and magazines.

"It's also called Rapunzel Syndrome. The patient has psychological and physical diseases and is willing to eat his own hair. Because the hair is not easy to digest, stones are formed in the gastrointestinal tract, leading to intestinal obstruction." Zheng Ren briefly explained, Habitually resting her chin, she read the film carefully, trying to find clues in the film.

Director Sun was completely dumbfounded.

Laponzel's syndrome, I've never heard of it, and eat hair? I have been practicing medicine for so many years, why haven't I seen it?

However, he buried all his doubts in his heart and read the film carefully with Zheng Ren.

"Fugui, come here." Zheng Ren shouted.

"Boss, what's the matter?" Professor Rudolf Wagner ran over excitedly.

"Is there any typical signs of La Penzel's syndrome on imaging?" Zheng Ren asked.

"Boss, you are too joking." Professor Rudolf Wagner pointed to the film and said, "In the imaging of La Penzel's syndrome, some differences can only be seen from the density of fecal stones that cause obstruction, but This difference is not much different from the density of other bezoars, so the best way to identify it is surgery."

Zheng Ren nodded.

The professor's statement is similar to his own thoughts.

That's it, let's go straight to the surgery.

Director Sun was stunned. Did Zheng Ren make a definite diagnosis, or did he not? How can I be confident when I talk to myself, but I have to ask the professor?

"Director Sun, I won't be with you anymore." Zheng Ren smiled and said to Director Sun, "I'm going to have the operation."

"I'll take a look too." Director Sun said, "I've never heard of La Penzel's syndrome."

Director Sun is used to being cowardly, and if he can't compare to Zheng Ren, he can't compare to Zheng Ren. He no longer has the idea of ​​fighting and winning in his heart.

Although Zheng Ren is young, his surgery is good.

Take a look, don't waste any time. Anyway, there are not many general surgery operations now, so I can relax.

If you can see some Laponzel syndrome, go back and look it up carefully. At the annual meeting of general surgery in the future, there will be bragging things on the wine table, right?

Zheng Ren didn't stop Director Sun. The director of the general surgery department of this hospital will take a look at the operation. What's the big deal?

On the other side, Chang Yue had already finished the preoperative explanation, and Zheng Ren took the case and went directly to the operating room.

Director Sun felt a little emotional, and said, "Boss Zheng..."

"Director Sun, you should call me Xiao Zheng. I'm not used to calling me Mr. Zheng." Zheng Ren said with a smile.

"Alright. Xiao Zheng, I heard how many TIPS surgeries you went to the Second Hospital?" Director Sun asked casually as he walked.

"Yeah." Zheng Ren replied, "Nearly 10 units have been made."

"..." Director Sun was a little surprised, paused slightly, but followed Zheng Ren immediately.

Director Sun didn't know what Laponzel's syndrome was. After all, it is a very rare disease.

However, in the long-term period of liver cirrhosis, portal hypertension, hematemesis, and ascites are one of the most common diseases in general surgery and gastroenterology.

A few years earlier, general surgery would have performed portal azygos devascularization.

However, due to the lack of fibrinogen, the postoperative risk of portal azygos devascularization is too high. In addition, TIPS surgery has emerged in the interventional department, and a routine surgery in general surgery has gradually faded out of the doctor's field of vision.

Director Sun was very moved. Zheng Ren performed this operation, even the most difficult TIPS operation.

"Xiao Zheng, I won't be polite to you. I have an old classmate with severe liver cirrhosis and a large amount of ascites, which is out of control." Director Sun said, "Who did you learn the TIPS operation from? Please contact me. I will make a referral for him, go to the imperial capital and the magical capital, and ask your teacher to perform this operation."

"Study?" Zheng Ren was thinking about La Penzel's syndrome, and he nagged Director Sun that he was listening to his left ear, but his right ear was swollen, so he asked in surprise.