Chapter 1221: Diagnosis - Mesenteric rupture
-
Live Surgical Broadcast
- 真熊初墨
- 1354 characters
- 2021-03-01 09:00:45
Pediatric surgery, general hospitals in counties and cities will not have.
In the remote provinces, there are one or two pediatric hospitals in the whole province, and most of them are mainly internal medicine. The number of doctors who can actually perform pediatric surgery is also very small.
There are no pediatricians in the country, so don't talk about higher-tech pediatric surgeons.
But the 912's pediatric surgery is the top of the country.
Zheng Ren rarely touched the pediatrics, although the director of the habit habitually let him come to the hospital for consultation, but did not think about what to say.
Just close to the ward outside the child, the sound of crying inside was far from being heard.
Zheng Ren’s heart is a little uncomfortable. The 40-day-old newborn said that he wouldn’t have it. Who can afford it?
Although I have not been exposed to children's surgery, after all, the last task of "redemption" gave some experience and surgery training time. If...the estimate is enough, I will say it better.
He knows that the two concepts are very different from the outside world. It is not so easy to master the master level.
I used to give surgery to the grandson of Sun’s grandson. The child is already a big child, and the situation is very different from that of the newborn.
Walking into the corridor of the children's surgery, a couple of 60-year-old couples were crying. A middle-aged doctor stood in front of them, looking sad and sad.
The child is estimated to be difficult to save, Zheng Ren immediately judged.
"Doctor, no matter what the risks, we all bear. As long as there is a chance, I beg you to save my grandson." The old man was still awake, crying while pulling the sleeve of the surgeon. Pleading.
"Grandfather, I am looking for a hospital consultation in the hospital. Many experts come to see your grandson. We will find the most suitable way and notify you immediately." The pediatric surgeon said again and again.
"I beg you, beg you." The old lady said that her knees were soft and almost smashed.
This is to be a long-term life, the scared child surgeon immediately helped the old lady, and comforted with good words.
"Boss, have you had a child's surgery?" Su Yun asked.
"I haven't done it. I don't know what happened to some children. But if someone is guiding, it is estimated that there is no problem." Zheng Ren thought all the way, Su Yun asked, he blurted out.
"I don't know if we have the opportunity to go on stage." Su Yundao.
"The technical strength of the children's surgery is very strong. If it is not a rare disease, it is estimated that there is no chance to go up." Zheng Rendao.
The two said, they have come to the doctor's office.
The door is closed. At first glance, I know that there are more than a dozen experts and professors sitting in the room to discuss the condition of the small children.
Gently knocking on the door, Zheng Ren pushed the door in.
Ringer sat inside and saw Zheng Ren coming. He smiled first and said hello. In this case, if the relationship is too hot, Ringer’s sense of proportion is still in place.
More than a dozen directors and professors in internal and external pediatrics are sitting in the office, and a resident doctor is reporting a medical history.
Zheng Ren observed that she did not take medical records, and everything went out of her mouth, including the results of various examinations outside the hospital and in the hospital.
The pediatric surgery is really well trained, and he thought of it.
Looking for a place, the two sat down and listened carefully to the medical history of the resident doctor.
It turned out that this doctor is not a child's surgery, but a doctor in the nicu (neonatal intensive care unit). Now the child is suffering from ventricular fibrillation, and is being led by the director in the nicu.
The child was already very heavy, and now the situation is not good, so I went to the hospital for emergency consultation. It is estimated that the time will not be long. Everyone will talk about the opinions and suggestions. If the condition is a little stable, they will go to power.
The condition is heavy and it is impossible to drag.
It may take ten minutes to decide the life and death of a small life.
The resident doctor simply reported the medical history, and everyone’s face was extremely severe. The child's film was inserted in the reader, and the director of the Department of Pediatric Surgery began to express their opinions.
I don't know what causes intestinal obstruction, and the gas in the intestine is very obvious. It is no wonder that Su Yun will say that the child's belly drum is the same as the balloon.
Zheng Ren noticed that the child had an onset time of 28 hours. It was impossible for the county and city to be treated. The family was rushed to the Imperial Capital.
It is estimated that there will be a large number of necrotic segments in the intestine that need to be removed. The recovery of small patients after surgery is very difficult.
Thinking of this, Zheng Ren sighed.
It is not a difficult disease, and surgery is not a problem. But the problem is that after surgery, even if it can save lives, it is feared that there will be big problems in nutrition in the next few years, and it will cost a lot of money.
Of course, this is the premise that the child can survive ventricular fibrillation and can undergo surgery.
The whole hospital consulted, and the director and professor who came here simply said a few words. The diagnosis is clear - mesenteric hernia, intestinal obstruction.
Emergency surgery is required, as long as the condition of the nicu is stable, it is sent directly to the operating room.
Ringer immediately contacted Director Xu of the operating room.
For 40 days, neither surgery nor anesthesia can be done by ordinary people. Once there is a flash, a ventricular fibrillation, the child will not work.
Director Xu took the call and immediately went to prepare. This director of the gastrointestinal Wei must be on the stage, after all, has a relationship with the gastrointestinal, up to help the palm.
The hospital consultations also rushed, and went in a hurry. Unrelated people dispersed, and Zheng Ren left with Director Kong.
In the hallway, the old couple was still crying, and another doctor stayed in the office, prematurely pre-printing the instructions, ready to immediately sign the patient's family.
"Zheng boss, don't take a look at the palm?" asked the director Kong.
"Well... take a look." Zheng Ren just had some stuff in his heart. He knew that he couldn’t go up.
The diagnosis is clear, the director of 912 is not growing up with rice. If even mesenteric hernia and intestinal obstruction can not be diagnosed, then there is no difference with the first hospital in Haicheng.
As for surgery, the difficulty is not great. The problem is also the preoperative cardiac arrest and postoperative nutritional rehabilitation.
"What is the situation of Director Kong, Dr. Mehar?" Su Yun took advantage of this opportunity to get together.
"The medical department has a special person to contact Dr. Mehar's assistant~EbookFREE.me~ The doctor came to the hospital one day before the operation." Director Kong is more familiar than Zheng Ren.
"What kind of things can I see before the film?" Zheng Ren asked.
"It is said that Dr. Mehar brought information with you in the afternoon. Don't you know this?" Director Kong looked at Zheng Ren with amazement.
"..." Zheng Ren is speechless.
Similar to Dr. Mehar's patient, he still has less experience in handling it. After checking the room, he thinks it's okay, and forgets the old man directly.
Dr. Mehar did not think that someone would pay attention to himself. Vice Premier Yuan of 912 arranged all this, and thought that Zheng Ren would know.
I don't know which part of the problem has gone wrong. Fortunately, Zheng Ren knew before Dr. Mehar came, everything is not a problem.
"Zheng boss, come to the operating room to help with a palm?" Director Wei came out from the nicu opposite the child's surgery, and said in a hurry.