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1964 Brand-new emergency surgery (monthly ticket 57000114)

Zheng Ren stood in front of the film reader and held his cheek to watch the film.

"Boss Zheng, I don't look like a tumor." Professor Feng first said his judgment.

"Well, consider not. Only the blood supply is available on the outside, and there should be fecestone in the middle." Zheng Ren said.

"Disturbation..." Quan Xiaocao wanted to speak, but after only saying one word, he swallowed the words back.

"Xiaocao, don't be timid, say whatever you want. What do you say you are afraid of? If you say something wrong, you can't eat you." Su Yun encouraged her.

Quan Xiaocao baked his hair today, and there was a hint of green in his black hair. The more he looked, the more he looked like a grass.

"Um...um..." Quan Xiaocao lowered his head and looked at his toes, as if regretting why he was talking just now.

"You are so cowardly, what should you do if you encounter something in the future?" Su Yun seemed to have always been gentle to Quan Xiaocao, and he encouraged Quan Xiaocao.

"It is always normal for patients to defecate and exhaust." Quan Xiaocao expressed his point of view like a mosquito.

"This is indeed a problem," Zheng Ren said: "If you have bowel movements and exhaust, it means that intestinal peristalsis is normal."

"I heard the intestinal rumbling sounds, 4-5 times per minute." Feng Jianguo added.

Zheng Ren watched the movie silently and had a related diagnosis in his mind.

"The huge space-occupying lesions, no vascular images appear inside, and it is not considered to be active substances, and there is a high possibility of fecal stones." Zheng Ren reiterated.

Quan Xiaocao was a little confused. Didn’t he say that the patient’s bowel movements are normal?

If there is such a large fecal stone, the intestinal obstruction will definitely be very severe, and the gas and liquid will be flat... Although it is not a flat abdominal film in a standing position, it will also be displayed on the CT.

During this period, Quan Xiaocao made up for clinical knowledge and felt that her level had improved a lot.

But when facing Boss Zheng, he couldn't help but feel timid, no matter how nonsense what Boss Zheng said.

She didn't have the courage to question Boss Zheng or the identity of the Nobel Prize candidate, and the "superior" doctor who was as dazzling as the rising sun.

"How is the patient now?" Zheng Ren asked.

"The abdominal distension is severe, accompanied by tear-like pain, unable to eat, drink water, and unable to lie flat." Feng Jianguo saw Quan Xiaocao looking at the ground and knew that her mind was blank, so he introduced the patient's current condition to Boss Zheng.

Quan Xiaocao is a child who is diligent, kind, down-to-earth and willing to work hard. He is good at all, but he is a little too cowardly, and Feng Jianguo is also helpless about this.

"You guys have your opinions." Zheng Ren whispered softly as he looked at the movie.

Feng Jianguo was stunned for a moment, what does this mean?

Does Boss Zheng want to take the exam for himself?

"Boss Zheng, I have the same view as you, and I don't think it's a tumor. But for fecestone... I have to do a CT enhancement." Lin Yuan said directly.

Feng Jianguo glanced at Lin Yuan. When did Boss Zheng have another female doctor beside him?

It is not common for domestic doctors to wear buttons without buttoning. Either some senior directors will not button them, or occasionally there are young doctors who are ignorant of the world to show off their handsomeness.

"Lin Yuan, you didn't expect..." Su Yun's mouth just showed a skilled smile, then paused, and said in a gentle tone, "You should think more, boss, I diagnosed it as a transverse colon and a repetitive deformity of the descending colon."

Zheng Ren nodded.

"Brother Feng, let's have an emergency surgery." Zheng Ren said, "I went to see the patient. Su Yun's diagnosis should be correct. The patient has repeated deformities in the colon, and feces appear in the extra intestines in the middle, which compresses the abdominal organs and diaphragm."

"..." Feng Jianguo saw Zheng Ren going to see the patient, and immediately said: "Boss Zheng, I have also considered this rare disease, but generally speaking, gas images can be seen in the intestines with repeated deformities."

"We can temporarily consider this because the patient has been ill for a long time, and the hyperplasia of the deformed intestines are blocked by fecestones." Zheng Ren smiled, "Give me a stethoscope."

When Quan Xiaocao heard Zheng Ren's words, he immediately took out the stethoscope from his pocket.

But when she looked up, she saw that the female doctor next to Boss Zheng had handed the stethoscope to Boss Zheng.

"Look at the patient." Zheng Ren said: "Whether it is a repeated intestinal deformity or not, a laparotomy is required. If so, it is more troublesome, and more troublesome than cutting a tumor."

Feng Jianguo knew what Boss Zheng meant. Although the surgery was relatively simple, there were so many feces inside, and it was almost certain that the patient would experience serious infections. It was very likely that the intestines would be left unattached and wait for the second phase of the anastomosis.

These treatments will make you feel a headache if you think about them.

Let’s go and see the patient first. Feng Jianguo led the way for Boss Zheng and walked straight to the ward.

"The patient was collected today, and his stomach seemed to be pregnant. I guess the situation inside was very serious." Feng Jianguo introduced the situation to Zheng Ren.

Zheng Ren nodded.

When he entered the ward, Zheng Ren saw a male patient rolling on the bed.

His belly was high and raised, just like Feng Jianguo described it, like a pregnant woman who was pregnant for ten months.

I guess his abdominal pressure is extremely high, so he feels uncomfortable no matter how he lies down. It is difficult to find a way to let him lie comfortably for a while.

It is said that people who are sick are anxious and feel so uncomfortable. Who can speak steadily?

What's more, the patient has been suffering from abdominal distension for more than ten years, and has been suffering for a long time, and his whole life seems to be in hell.

The system panel is bright red, and the diagnosis is the same as Zheng Ren's judgment, with repeated deformities in the transverse colon and descending colon. There are also a bunch of other diagnoses, but those are other complications that are not urgent, and Zheng Ren doesn't care.

It was normal for him to listen to the patient's intestinal rumbling sound.

When asked about the medical history, the patient had not had a good meal for three or four days, and had almost no bowel movements recently, but the exhaust was normal.

Zheng Ren had already figured out the overall treatment.

He conducted a physical examination on the patient, finally confirmed his judgment, and then left the ward.

"Brother Feng, make pre-operative preparations, you will have a consultation." Zheng Ren said.

"It's okay, you can come up as soon as you want, there is no need to consult." Feng Jianguo said with a smile.

Boss Zheng, a doctor from general surgery, will feel lenient when he sees rare diseases, Feng Jianguo has known this for a long time.

"No." Zheng Ren said, "The intestinal stent can be recovered before surgery."

"Ah?" Feng Jianguo was stunned.

Surgery combined with interventional surgery? It seems that there is no such procedure.

"Can intestinal stent be recycled? Is it necessary to block the intestinal hyperplasia to prevent the feces from flowing backwards and contaminating the wound?" Lin Yuan asked frowned.

"I am worthy of being a doctor from Harvard, and I have the right judgment!" Su Yun said.

He was dancing, and there was no trace of harshness.
Chapter completed!
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