Chapter 1881: Preoperative patient

Zheng Ren said in detail, the words are not swearing. Even if it is drizzle, Xia Hua is slightly embarrassed.
"Generally speaking, the initial symptoms of the patient are severe nausea and vomiting, followed by chest pain and upper abdominal pain.
Some patients have hematemesis or vomit.
The pain is tear-like and unbearable, and large doses of analgesics are not easily relieved. The pain position is mostly in the upper abdomen, the back of the sternum, the ribs in the two seasons, and the lower chest. Sometimes the pain radiates to the shoulders and back. When the symptoms are severe, there are obvious shortness of breath, difficulty breathing, cyanosis, and even shock.

Zheng Ren looked at the film and found the position he wanted, explaining to Xia Hua in a faint way.
"I haven't read the medical records and I don't know the patient's condition, but why is it that the high probability is that the esophagus spontaneously ruptures? Because of the typical imaging findings."
"X-ray chest radiograph can be seen in the mediastinal emphysema, subcutaneous emphysema in the neck, and the posterior anterior posterior position can sometimes be seen on the posterior mediastinal side of the emphysema shadow, a triangle."
"This is a typical imaging mark, and the display on CT is here." Zheng Ren immediately used the mouse to outline an area.
"If you are worried, you can choose to use Meilan for gastrointestinal angiography. You can see that the chest drainage has Meilan."
"One more thing, the drainage fluid in the patient's chest is turbid and does not meet the drainage characteristics of the bronchial pleural leak."
"But there is no need to do more inspections, go directly to the stage, and do surgery by open chest exploration. If I am right, do a simple suture after dissociation and lower the esophageal stent."
"If you judge it right, let's fix the lungs. Can you see it?"
In some words, Xia Hua directly said it.
"Is the puncture fluid sent to test amylase?" Su Yun asked behind him, full of disdain.
Although his words are a question, he can feel that he is actually saying that even the amylase has not been tested, you have a wool bronchial pleural leak!
"No..." Xia Hua lived.
Is this the difference between the provincial capital and the emperor?
"No need, direct exploration of the chest." Zheng Ren smiled: "The diagnosis is very clear, I look at the patient, it is directly sent to the operating room."
"You still have to look at the patient?" Su Yun said behind the scenes.
"Pre-operative patients, this is the rule, can not ignore this because of the short time." Zheng Rendao.
Although the diagnosis is clear, Zheng Ren still has to use the system panel to refer to it, it is already used.
However, the shock brought by Gao Shaojie and Xia Hua in this sentence is far more than just explaining the patient's condition.
Responsibility is a must for a doctor.
But everyone has been in business for decades, and some of the beginnings have changed.
Flying over to do surgery, tossing back and forth for a day, the more surgery you do in a unit of time, the more income you have.
The more income, the better the life of the wife and children.
This is a very simple account that everyone will calculate.
Therefore, many professors have seen the film transmission of mobile phones before coming, and they are not willing to see patients again.
Of course, it doesn't matter if you do this. After all, there are local hospitals that have a good first pass. If there is a problematic patient, it will definitely be raised directly.
The professor can go through the surgery and the doctor can not.
Besides, this surgery Zheng Bo has no gains, purely selling wrists to help with surgery.
Gao Shaojie was a little embarrassed, but he didn't say anything.
Xia Hua immediately contacted the patient to check the test, saying that the patient is already on the road. A few people went directly to the corridor, waiting for the patient to be tossed to the hospital bed and then tossed down.
"Zheng boss, Lao Liu is okay on that side." When the patient came back, Gao Shaojie asked.
"It's very good, it's too tired, I think..." Zheng Ren hesitated.
"There is less and less hair. He also said that he wants to transplant hair. I guess the hair in the back of the head is almost gone. The hairline of Laoliu is really going to the waist." Su Yun said with a smile.

Is the level of improvement obvious?
Gao Shaojie pretended to carelessly ask.
"Fortunately, can improve a grade. Now Laoliu came back to do TIPS surgery, there should be no mistakes." Zheng Ren looked at the door, casually said.
Gao Shaojie’s heart is like being thrown into the oil pan, and it’s rolling.
At that time, I had a bad thought...
However, if the child wants to take the college entrance examination, he really cannot do without it. Even if it is a comeback, Gao Shaojie is estimated to stay at home.
Parenting, how can I drop the child in the last few months, and there are unstable factors?
When the little sister-in-law at home is admitted to the university, he has to wait until Laoliu returns to go to the Imperial Capital.
It would be best if the child could test the university of God.
At that time, I will accompany myself to study and study... Gao Shaojie’s heart is planning the future.
"Zheng boss, when Laoliu comes back, my son is also finished the college entrance examination. Can I go to study for half a year?" Gao Shaojie asked.
"Welcome." Zheng Ren said with a smile: "Old high, if you can go is the best. Rich and old will go, I have no surgery on my face."
Gao Shaojie’s heart has a bottom.
Said, the flat car sounded.
It’s been a long time away from the emergency department, but Zheng Ren’s sound of rolling the marble floor on the flat wheels will still speed up.
This problem is estimated to be a lifetime.
Stop the flat car, Zheng Ren to the patient to check the body.
The left side of the breath is very weak, and the blisters can be heard faintly, but it is not obvious. This is not important, the key is that Zheng Ren checked the system panel, it is indeed the spontaneous rupture of the esophagus.
"Go on stage, you have to cross the operating room." Zheng Rendao: "Doctor Xia, you may let the doctors do the surgery before the surgery."
Xia Hua forgets his tiredness and starts to rush.
To the patient's family to explain the condition ~ EbookFREE.me ~ said emergency surgery, but also to sign. Although the patient has indwelled the stomach tube, the urethra, and the venous passage, as long as the skin is prepared, it is not enough for half an hour.
After more than 10 minutes, Xia Hua handed over the pre-operative confession and signature to the medical doctor. He took the patient with the skin and went to the stage.
"Boss, you are too tempered." Su Yun said with dissatisfaction: "I remember that after you went abroad, it was different. What happened?"
"The same after going abroad, it is no different." Zheng Rendao.
"At King's Hospital, I remember you kicking Gade to the wall."
"He has to press the heart, look at the posture, and when it is finished, there is no need to rescue it. It is killing, not saving people, can you be in a hurry?" Zheng Rendao, "It is you, using the pliers to smash the grandson of the medical academy." Director, the impact is very bad."
"Look at that guy is not pleasing to the eye." Su Yundao: "I just came over and picked up the thorns. I can't get a single mouth from the surgery. It's really a dog, and the surgery depends on the mouth."
Gao Shaojie’s stunned voice.