Chapter 1167: Old bottle

"Dangdang~" Zheng Ren gently knocked on the door of the clinic, heard the voice of Cui Lao inside, and pushed the door in.
"Xiao Zheng, it’s so early." Cui Lao is working on a X-ray film and pushing the mirror.
"Well, just stepped down, I came straight." Zheng Renxiao smiled and scraped together.
"It is not good to not eat. When I am at this age, you will feel uncomfortable." Cui Lao finished, pointing to the film and asked: "Talk about it, how do you think."
Zheng Ren is silent.
The film in front of you, the image is incredible. A broken glass bottle is in the rectum, with a pointed puncture of the rectum. The bone surface at the lower end of the ischial bone is damaged. Especially at the pubic symphysis, the bone surface is eroded and the degree of damage is about 90%.
The sharp part of the bottle reaches the gluteus medius, and the surrounding organic tissue is wrapped. The diffuse inflammatory lesion occurs in the area around the where the foreign body is located, and the right lower limb muscle undergoes disuse steatosis.
Rectal foreign body, Zheng Ren see more in the emergency department, what wine bottles, steel pipes, , mousse bottles are the most.
However, they usually go to the hospital directly at the time, and they are taken out when they are taken out. Apart from a little embarrassment, there is nothing.
This case is different now.
Severe inflammatory changes and bone wear and erosion at the pubic symphysis, as well as surrounding adhesions, mean that this foreign body has not been removed for a long time.
Is this abusive? Or what else?
Zheng Ren’s brow wrinkled unconsciously.

The patient began to describe the medical history is unknown, but later I learned from Xiao Zhou’s repeated inquiries that he was stuffing a beer bottle into the when he was having more fun with his girlfriend five years ago. Because of the embarrassment, the patient It was also more introverted, so I didn't come to the hospital to take out foreign objects." Cui Lao looked at the film while slowly talking about the patient's medical history.
Uh... Zheng Ren’s mind is very surprised when he sketches the picture of the injury at the time.
Is the character introverted? Didn't see it.
But this has nothing to do with Zheng Ren, he has to consider how the patient should be treated. As for answering Cui Lao’s words, the atmosphere in the clinic was not so embarrassing, and Zheng Ren did not realize it at all.
Unconsciously, the left hand has reached the right side of the armpit, the right hand caress, staring at the X-ray film.
Cui Lao was not angry because Zheng Ren did not speak. He continued to introduce the condition.

The patient complained for one month and the right lower extremity was weak. It was caused by a change in misuse of fat. This visit was due to incontinence and watery stools. I came to our hospital for emergency treatment.

"What about patients?" Zheng Ren asked.
"To do the lower abdomen, pelvic CT. I think patients should be treated with surgery, and the treatment is very difficult, or the details of the examination is better." Cui Laodao: "Xiao Zheng, you see this X-ray, right Is there any idea for surgery?"
"Like the radical resection of rectal cancer, the double surgeon, the colon and the should be placed, and then recover a little better, and then do the second surgery." Zheng Rendao.
Cui Lao is slightly decapitated, and this is what he can think of.
It's just the difficulty of surgery, it's definitely not a simple sentence to describe.
The patient's rectal foreign body takes too long, so that the foreign body is highly mechanized and wrapped in the body. If you want to clean it thoroughly, you will definitely lose a lot of blood.
This surgery is a great test for the surgeon's surgical technique.
Once the surgery is slightly rougher, there may even be a large area of ​​oozing but the possibility of bleeding blood vessels.
To burn all the capillaries with electric burning, postoperative healing and rebleeding have become a big problem.
Surgery should be particularly meticulous, and the requirements of the opponent's law are extremely high.
Zheng Ren's brain began to run at high speed, analyzing X-ray films, performing three-dimensional reconstruction, and judging the direction of blood vessels, capillary branches and related body tissue locations.
Even with the passive skills of reconstruction, Zheng Ren still feels that this patient is difficult to operate, and has almost reached the sky.
Time passed by, Zheng Ren repeatedly rebuilt in his mind, trying to find a reasonable path to enter. To be minimally damaged, you must achieve your goals. However, even with the power of Zheng Ren, it is difficult to solve this problem in a short time.
Soon, Zhou Litao knocked on the door. "Cui Lao, the patient just returned from CT."
Cui Lao nodded and stood up and said: "Xiao Zheng, let's go see the patient."
Zheng Ren looked at the X-ray film, and the glass bottle in the looked so glaring.
Accompanied by Cui Lao to the emergency room, the patient was squatting on the flat car. It’s a young man who looks young and looks like a 23 or 4 year old.
There was a girl next to him, dressed in a plain plaid dress, shawl hair, simple and clean.
"Li Mingchao, yes." Cui Lao asked.
"Doctor, I won't die." The young man squatted on the flat car and looked scared.
"Check the body first, then send the gastrointestinal surgery. Xiao Zhou, call a phone to inform the gastrointestinal surgery, reserve the emergency bed." Cui Lao did not answer the patient's question, but said with Zhou Litao.
"Doctor, nothing." The girl asked anxiously.
"How can it be okay." Zheng Ren blocked between Cui Lao and the girl, faintly said, "How can you come when such a serious injury?"
"..." The girl concluded, she was a little timid, a little embarrassed, and somewhat tangled~EbookFREE.me~ The tears fell and fell.
Zheng Ren was speechless, and the cry of the girl at this time made him helpless.
"You are the emperors, or are you here to work?" Zheng Ren asked.

Work here after graduation from college,
the boy said.
"Are you married?"
"Nope."
"Notify the family, hurry up and come over." Zheng Rendao: "The condition is very serious, and I have to do a lot of surgery."
"Don't..." The boy said with a pain, "I... that... the surgery signature, can let my girlfriend come."
"A surgery with such a high risk must be directly related to the relatives. You are not married, you can't sign the word, no doctor dare to do this kind of surgery." Zheng Rendao.
Just watching the film, Zheng Ren has a basic judgment on the condition. Even if you are on the stage, there will be a lot of bleeding during surgery.
It is entirely possible to say that you are not coming to Taiwan.
"doctor……"
"No signature, no one dares to have surgery. Without surgery, you certainly can't be five years anymore." Zheng Ren said firmly.
All of a sudden, the patient and his girlfriend fell into a panic.
They were silent, Zheng Ren looked at Cui Lao's physical examination, and the patient's physical examination sent a soft, no tenderness and no rebound pain. Rectal examination of the perianal fistula, sphincter tension decreased significantly, can clearly touch the lower end of the foreign body.
When this happened, Zheng Ren sighed and shook his head slightly.
......
Note: The case was reported by Dr. Ozbilgina. Listening to the case that the brother said, it is really tired to find the information.
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