Zheng Ren said carefully, his words did not speak loudly. But even the gentle breeze and drizzle made Xia Hua a little embarrassed.

"Generally speaking, the initial symptoms of the patient are severe nausea, vomiting, and subsequent chest pain and upper abdominal pain.

Some patients have hemorrhagic vomiting or bloody vomiting.

The pain is tear-like and unbearable, and large doses of analgesics are not easy to relieve. The pain is mostly in the upper abdomen, behind the sternum, the ribs, 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 watched the movie, found the position he wanted, and explained it to Xia Hua indifferently.

"I haven't seen the medical record and don't know the patient's condition, but why is it most likely that it is spontaneous rupture of the esophageal tube? Because there are typical imaging manifestations."

"The mediastinal emphysema can be seen on the side of the x-ray chest x-ray, subcutaneous edema in the neck, and sometimes the posterior and anterior position can be seen on the posterior and inferior mediastinal side, which is triangular."

"This is a typical imaging sign, and it is displayed on CT here." Zheng Ren then outlined an area with his mouse.

"If you are worried, you can choose to use Meilan for upper digestive tract imaging, and you can see that Meilan is drawn out of the chest drainage substance."

"One more thing is that the drainage fluid in the patient's chest vial is turbid and does not meet the characteristics of the drainage fluid of bronchial pleural leakage."

"But there is no need to do any more examinations. Just go to the stage and perform the surgery by opening the chest to investigate. If I make a judgment correctly, do a simple suture after freeing and lower the esophageal stent."

"If you make the right judgment, we will repair the lung lobes. Do you think it's okay?"

After saying this, Xia Hua was stunned.

"Have you sent the puncture solution to test for amylase?" Su Yun asked behind him, his tone full of contempt.

Although his words were a question, I could feel that he was actually saying that he had not even tested for amylase, and that the bronchial pleural leakage of your yarn!

"No..." Xia Hua was stunned.

Is this the difference between a provincial capital and an imperial capital?

"No need, I will just cut off my chest and check it out." Zheng Ren smiled and said, "The diagnosis is very clear. If I look at the patient, I will send it to the operating room."

"You still have to look at the patient?" Su Yun said behind his back.

"This is a rule to look at patients before surgery. You cannot ignore this because the time is short." Zheng Ren said.

Although the diagnosis is clear, Zheng Ren still needs to use the system panel to refer to it, which is already accustomed to it.

However, the shock this sentence brought to Gao Shaojie and Xia Hua was far more than just explaining the patient's condition.

Responsibility is a must for a doctor.

But everyone has been stolen by life for decades, and some of their original intentions have changed.

Fly over for surgery and go back and forth for a day. The more surgery you do in a unit time, the more income you earn.

The more income you earn, the better your wife and children will have.

This is a very simple account, and everyone can calculate it.

So many professors have watched the videos transmitted by their mobile phones before coming, but they are unwilling to see the patients again.

Of course, it doesn’t matter if you do this. After all, there are local hospitals that keep the first step. If there are problems, they will definitely raise it directly.

The professor can leave after the operation, but the doctor in the bed cannot.

Besides, Boss Zheng made no profit in this operation, and he simply sold his wrist to help with the surgery.

Gao Shaojie felt a little embarrassed, but he didn't say anything.

Xia Hua immediately contacted the patient who sent the patient to the examination and said that the patient was already on the way. A few people went directly to the corridor to wait, so as not to toss the patient on the bed and then toss them.

"Boss Zheng, it's okay for Lao Liu to be there." Gao Shaojie asked when the patient came back.

"It's pretty good, but I'm too tired. I think..." Zheng Ren hesitated for a moment.

"The hair is getting less and less, and he also said he wanted hair transplants. I guess the hair on the back of my head is almost gone. Lao Liu's hairline is really about to reach his waist." Su Yun said with a smile.

"Has the level improved significantly?" Gao Shaojie asked casually.

"Fortunately, I can improve it to a higher level. Now that Lao Liu comes back to undergo tips surgery by himself, there should be no mistakes." Zheng Ren looked at the door and said casually.

Gao Shaojie's heart was like being thrown into a frying pan, rolling sizzlingly.

At that time, I had a difference in my mind...

However, the child is really inseparable from the college entrance examination. Even if he does it again, Gao Shaojie probably has to choose to stay at home.

How can parents throw their children away in the last few months and cause unstable factors?

When the little boy at home was admitted to university, he would have to wait for Lao Liu to go to the imperial capital after he came back.

It would be best if a child could get into a university in the capital of God.

At that time, I will accompany me to study and study... Gao Shaojie is planning the future in his mind.

"Boss Zheng, when Lao Liu comes back, my son will have the college entrance examination finished. Can I go to study for half a year?" Gao Shaojie asked.

"Welcome." Zheng Ren smiled and said, "Lao Gao, it would be the best if you can go. Fuguier and Lao Liu both left, but I didn't have surgery on it."

Gao Shaojie's heart is at a loss.

As he said, the sound of the flat car sounded.

It's been a while since I was away from the emergency department, but Zheng Ren still accelerated his heart rate when he heard the sound of the flat car wheels crushing the marble floor.

This problem will probably never be cured in your life.

He stopped the flat car and Zheng Ren checked the patient's body.

The breathing sound on the left side is extremely weak, and you can vaguely hear the sound of water bubbles, but it is not obvious. This is not important. The key is that Zheng Ren checked the system panel and it was indeed spontaneous rupture of the esophagus.

"Go to the stage and need a hybrid surgery room." Zheng Ren said: "Doctor Xia, you may ask the practitioner to give pre-operative explanations."

Xia Hua forgot his fatigue and began to run quickly.

He explained the condition to the patient's family and told him that the emergency surgery was also signed. Although the patient had a gastric tube, urinary catheter, and venous passage, he only had skin preparation, but he was busy in less than half an hour.

More than 10 minutes later, Xia Hua handed over the pre-operative instructions and signed the matter to the trainee doctor, and took the patient who had prepared the skin to the stage first.

"Boss, you just have a gentle temper." Su Yun said with dissatisfaction: "I remember it was different after you went abroad. What's going on?"

"The same is true after going abroad, it's no different." Zheng Ren said.

"I remember you kicking Gad against the wall at King's Hospital."

"He wants to do a heart pressure, look at that posture, and after one press, there is no need to rescue him. That is killing people, not saving people, can you not be anxious?" Zheng Ren said, "But you, you use pliers to hit Director Sun of the Affiliated Hospital of Medical University, will have a very bad impact."

"That guy doesn't like it." Su Yun said: "I just come here to pick on my hair. I can't just open my mouth for surgery? It's really a dog at the beginning, and the surgery depends on my mouth."
Chapter completed!