Chapter 2196: Mass hemoptysis

On the following days, Zheng Ren was busy flying.
Lanco was arranged for a week of doctors to receive training. Regarding the training in this area, Su Yunshun pulled Lin Ge in, and let the 912 Science and Education Department follow the spotlight.
Although the truth of the matter is clear to everyone, it is really very high to say this kind of thing. Not to mention 912, even in the top three hospitals across the country, this has never happened.
A group of doctors from all over the world came to 912 for training. Those who did not know were shocked, thinking that the technical level of 912 reached the interstellar level.
Zheng Ren has many operations on this side. After a period of fermentation, the number of live surgical procedures such as Gaussian disease and surgical resection of liver cancer after embolization began to rise.
I didn't have time to read books in the afternoon and I had to do live surgery.
Zheng Ren does not feel anything about this. The operation is a routine operation. Before going to the system operating room before surgery, I have to find out if there is a rare situation.
This is still to prevent the situation, although "wasting" some training time, but Zheng Ren believes that this must be done.
Day by day, the weather is getting hotter.
Near the weekend, the group has been boiling for a long time, and there are hundreds of thousands of messages to discuss and go out every day.
Zheng Ren looked too lazy to look at it, he just waited to inform himself.
As the leader of the medical team, Zheng Ren knows that he has absolutely no say in listing on this issue.
After the morning TIPS operation, Zheng Ren was a bit gratified.
Lin Yuan talent is still good, dozens of surgery polishing, has been formed very quickly.
After the last operation, Zheng Ren did not explain the details of the operation to Fu Guier and Lin Yuan, and stood up to change clothes.
More than ten minutes ago, Su Yun received a phone call from Fang Lin, saying that there was a patient with hemoptysis who needed consultation.
Because this surgery did not end, So Yun went first.
"Zheng boss, where are you going?" Lin Yuan asked the patient to Gu Xiaoyu and asked in a hurry.
"Consultation." Zheng Ren finished, directly into the locker room to change clothes.
Lin Yuan knew the speed of Zheng Boss, he couldn’t catch up with it, and he was angry with his back.
It is not always possible to directly smash the men's locker room.
Zheng Ren changed his clothes and strode to the Department of Respiratory Medicine.
Fang Lin went to take a look, some are not sure, just look for Su Yun to help. This kind of model that does not look for a professor in the second-line group is actually rare, and strictly does not meet the medical procedures.
But it doesn't matter, it's just a hotline for friends and relatives. If both Zheng and Su Yun can't solve the normal procedure. But if that's the case, I'm afraid that it will be big. At the very least, Fang Lin does not believe that there are cases that Zheng Bo and Yun Geer can't solve.
When I came to the Department of Respiratory Medicine, Zheng Ren called Su Yun.
Su Yun then poked his head from the doctor's office and waved.
"What patient?" Zheng Ren asked.
"Huoqixue." Su Yun's expression is somewhat dignified. "Previously appeared twice, 5 years ago and 3 years ago, accompanied by pleural effusion. In the local hospital for treatment with inflammation, after the improvement, discharged."
"This time is 3 days ago, because of sudden chest pain and chest tightness after exertion. Go to the local hospital for treatment, the local doctor gave a perfect check, suggesting pneumonia. 9 hours ago, this patient suddenly appeared massive hemoptysis. ML."

Reviewed?
Zheng Ren walked into the office and glanced at the person in front of the reader. Fang Lin was watching the film there.
"Well, the previous two patients did not pay attention. This time the hemoptysis was large, and he was frightened. The local doctor used 120 to directly go to our hospital for respiratory medicine."
Zheng Ren walked to the reader and began reading.
A large area of ​​the right lung, a typical inflammatory manifestation. If it is a simple cough, cough, or fever, it can be diagnosed as pneumonia, and it looks like a rare lobar pneumonia.
With the increase in the level of antibiotics and the improvement of medical and health awareness, the typical lobar pneumonia in textbooks has rarely appeared in the clinic.
Moreover, lobar pneumonia is caused by hemoptysis, which is particularly rare.
"Zheng boss, come." Fang Lin moved to the side and let the position go. He has watched the film many times, and the question is yes, there is also a preliminary diagnosis.
It is only the hospitalization of Fang Lin or Respiratory Medicine that can not give a reasonable diagnosis.
Zheng Ren is also welcome, holding his arms in front of the reader, seriously watching the film.
The inflammation looked very heavy, and the density increased in the right lower lung.
The first feeling was pneumonia, but Zheng Ren immediately denied this diagnosis.
This film is really weird. Zheng Ren looked at it for nearly five minutes and finally gave no accurate answer.
"Zheng boss, how do you think about it?" Fang Lin asked.
Zheng Ren did not speak, just shook his head.
Su Yundao, "hemoptysis, possible diagnosis of bronchiectasis, tuberculosis, pulmonary embolism, tumor. Pneumonia also has a small amount of hemoptysis, but a few hundred milliliters at a time, not rare."
This is not the same as saying that, in fact, Su Yun did not understand the first time, but was doing brainstorming.
He said very casually, did not go to heart ~ EbookFREE.me ~ basic theory supports solid like his face value.
"There may be bronchial stones, but the shape of the stones is problematic and the density is also problematic." Zheng Ren shook his head and then cautiously said, "Is there any other inspection?"
"Doing it." Fang Lindao, "I think it is more likely to be a bronchial stone. It is recommended to perform a thoracotomy. If you can't find a problem, you can only cut the right lower lung."
Zheng Ren thought carefully and shook his head again. He did not agree with Fang Lin’s statement.
Cut the lungs, it is impossible to do so.
The operation is simple, not to mention myself, Fang Lin to do it, even anesthesia time with anesthesia recovery time of 2 hours is almost the same.
But it is a traumatic treatment, simple and rude, and the patient will lose a lobe forever.
"Boss, the initial judgment should be a tracheal foreign body." Su Yun looked at the film.
"Well, the long-term tracheal foreign body, Fang Lin is also considered this way. But the density and length of the foreign body are very strange, there are thick juice, bleeding around. Using a bronchoscope... Fang Lin, you are afraid of using a bronchoscope Lead to more problems."
"Yeah." Fang Lin nodded.
Internal bleeding in the lungs is only a part of it. More will stay in the patient's lungs, like drowning people sucking water into the lungs.
Take a look at the bronchoscope, in case there is a major bleeding at that time, the mirror is inside, causing pressure increase or poor flow, and more problems may occur.
Therefore, Fang Lin is ready to choose the treatment of thoracic lobes.
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