Chapter 407: Princess disease (on)

I was very impressed, and the phone rang again.
The landline of the emergency ward is different from the landline of the office of Director Pan. Where the old director sounded, most of them were the tears of the administrative work of the various departments in the courtyard.
The landline of the emergency ward is ringing. The high probability is that the emergency department will send the patient up, or the emergency department will not be able to diagnose the patient's condition and need Zheng Ren's consultation.
After picking up the phone, Zheng Ren responded a few times and stood up and went downstairs.
"Boss, what is it?" Su Yun asked.
"Intestinal obstruction, 15-year-old girl." Zheng Rendao.
"Go, go and see." Su Yun followed Zheng Ren, and the two went all the way to the emergency department.
Intestinal obstruction, or intussusception occurs in infants and young children, leading to obstruction. Either older, intestinal function is reduced, resulting in obstruction.
15 or 6 years old, it is the best time for physical function, intestinal obstruction, which is rare.
When I arrived at the emergency department, the emergency doctors were already flying fast. There were a lot of people in the clinic, most of them were middle-aged and elderly people over 60 years old.
In the northeast, there are young people who are promising, energetic, and skilled, or young and middle-aged technical backbones. Most of them go to work in the South. Left behind, mainly based on the elderly.
This is a side effect of population loss, and it has just begun, and this situation will be more serious in the future. Reflected in the hospital, there are fewer and fewer doctors, and patients are getting older.
Seeing Zheng Renlai, the doctor of the emergency department first appeased a father in front of him, then hurriedly came to Zheng Ren, took Zheng Ren to the emergency room, and said while walking: "The patient is a 15-year-old woman suffering from abdominal pain. Vomiting for 2 days to see our hospital. The patient found that the patient's abdominal bulging, soft touch, extensive tenderness, no rebound pain. Abdominal CT examination returns: the right abdominal cavity can be seen dilated intestinal fistula and a large number of shadows."
Her voice was a little hoarse. When she heard it, she knew that she had gone to work from the morning to the present. She said countless words and didn’t even have time to drink.
"What has been done?" Zheng Ren asked.

Hypertonic saline enema, but the effect is not good.
The emergency physician replied:
After the enema, a flat plain film of the standing position can be seen, and the degree and number of expansion of the small intestine can be seen, and the gas-liquid level appears.

"Yeah." Zheng Ren meditated.
When I came to the disposal room, I saw a girl curling up on the disposal bed. I was retching, very violent, but I couldn’t vomit anything.
A middle-aged woman with an anxious face, while wiping her tears, patted her back.
"Zheng Zong, the film is here, you have a look at it, I am going back to work." The doctor in the emergency department rushed to explain a few words with Zheng Ren, and even returned to the clinic with the hurdle.
Zheng Ren first came to the patient, let the patient lie flat, his legs picked up, rubbed his hands, raised the temperature of the palm, and then began to check the body.
The patient is very thin, with long hair, big and round eyes, long eyelashes, but tears in his eyes. This is the natural reaction of the human body caused by severe vomiting, Zheng Ren knows.
"What is your name?" Zheng Ren habitually asked the patient's information, while starting to check the body, while the question, the hand has been placed in the patient's left upper abdomen.
"Brother, my name is Wang Yutong." The girl flashed her big eyes and replied.
"Upper junior high school or high school?" Zheng Ren asked without a word, his hand swimming in the patient's abdomen.
The patient's upper abdominal tenderness is not very obvious, but bloating is typical. The patient developed tenderness as soon as the left lower abdomen.
Zheng Ren looked carefully and confirmed the location.
The diagnosis given by the system panel is - intestinal obstruction, La Ponzier syndrome.
Zheng Ren is somewhat confused, but he encounters problems he does not understand, especially when he is facing the patient. Pretending to be calm and well-prepared is a necessary basic quality.
After checking the body, Zheng Ren patted the girl's shoulder and motioned her to cover her belly.
Then came to the reader and inserted the abdominal CT and the standing abdominal plain film into the reader.
As the emergency physician said, typical symptoms of intestinal obstruction. Whether it is liquid level or stone disease, it is typical.
Zheng Ren is addicted.
Su Yun saw Zheng Ren’s expression abnormal. He whispered and asked:
Boss, is there anything weird?

"How much do you know about La Ponzier syndrome?" Zheng Ren asked.
Su Yun did not expect Zheng Ren to consult himself, but thought he was testing himself. He quickly looked for memories of La Ponzier's syndrome in his mind.
Genius is really a genius, memory, absolutely no flaws.
Like those in the history books who can leave their names, what is the sight of the monument, what is unforgettable, these capabilities, Su Yun all have.
In just a dozen seconds, Su Yun searched for information about La Ponzel's syndrome in memory.
"La Ponzier's syndrome, also known as Rapunzel Syndrome, a clinical condition described by Vaughan Jr et al., 1986. The patient has either light or heavy plucking and swallowing. The formed hair gastrolith enters the small intestine. Cause abdominal pain, vomiting, nausea, malnutrition, vomiting blood, diarrhea, which can lead to intestinal obstruction." Su Yun whispered as if to return to the campus, next to a highly respected old professor.
Test yourself? With such a simple question, how can I live! Su Yun is proud.
"Yeah." Zheng Ren listened to Su Yun and nodded.
It is very consistent with the symptoms of the patient. It seems that it should be long-term swallowing of hair, the formation of hair stones, blockage of the colon, resulting in obstruction.
The best way to get this type of intestinal obstruction with a clear cause is to remove it.
Now that you are sure, prepare for surgery.
"The patient's family, come on." Zheng Ren greeted.
The patient's mother is taking care of her, and the patient's father followed Zheng Ren out of the disposal room.
"Your daughter, is there any strange move in the usual time?" Zheng Ren asked.
The patient's father was a bit strange~EbookFREE.me~ carefully recalled, but did not know what Zheng Ren was asking.
"I don't know if it doesn't matter." Zheng Renwen said: "I think patients have intestinal obstruction symptoms, see the film, is caused by clogging of stone, laxative enema is not good, need surgery to solve the problem of intestinal obstruction."
Zheng Ren did not directly explain La Ponzel's syndrome to the patient's father. If that was the case... I was afraid that the patient's father would turn his face directly.
Some things, the order is very important.
To solve the intestinal obstruction, the parents' anxiety of the parents is relieved, and then the hair stones are held, and then explain the source of the disease and the future treatment, which is the best choice.
The patient's father also had no idea what Zheng Ren said.
Greeting Su Yun, the patient was admitted to the hospital, preoperative preparation, and surgery.
......