2156 22-year-old old patient (leader-stop beating-1)
Zheng Ren didn’t know that so many things were happening at the Affiliated Hospital of the Imperial Capital Medical University.
After lunch with Yiren, he returned to the chair beside the interventional department window and sat down.
The afternoon is quiet and the sun is beautiful. I sit in the sunshine with the fifth edition of surgery on my legs, and I go to the system library to read books.
It is a wonderful life to live quietly. If you can always do this, how great it would be.
Zheng Ren sat by the small pond in the system space, quietly looking at a magazine, placing his feet in the pond. When he saw happiness, his feet moved slightly, causing some ripples.
"Boss, come to watch the movie!" Su Yun's voice came from outside. Zheng Ren gave up his leisure for a moment and came out of the system space with regret.
“什么患者?”
"Just just wandering around, Fang Lin had a pneumothorax patient on the other side." Su Yun said.
"What's so good about pneumothorax?" Zheng Ren lost interest after hearing Su Yun say it.
Whether it is traumatic or spontaneous, pneumothorax is pneumothorax. General anesthesia, single-cavity ventilation, find the location of the lung blister or the rupture of the lung, and just the stitch.
Now laparoscopic surgery is simpler. Just find the place where the crack is broken and you can apply a titanium clip. The surgery schedule will not exceed 1 hour, which is also the time for waking up anesthesia and anesthesia.
The only thing to pay attention to is to repeatedly swell your lungs to see if there is only one place that is angry. If there is any omission, you may have to open your chest twice, which is difficult to explain.
"There is something strange about pneumothorax. Fang Lin is not sure about it, so he looks at me." Su Yun said with a smile.
郑仁看他神情有异,心中一动.
As for the problem of heart and chest general, Su Yun looked for himself? He had a surgery in Haicheng before. When he watched the film, his lungs did not have any compression. In fact, the lung rupture was quite serious.
This rare case will only be blamed when Su Yun is not sure about it.
“什么患者?”郑仁问道.
"The last time that recurred pneumothorax was 20 days ago, I visited the local hospital 20 days ago. After the surgery, I still had anger, so I came to the imperial capital." Su Yun said.
“片子呢?”
"Fang Lin sent one on his phone. There is nothing good to look at. Go up and take a look." Su Yun pulled Zheng Ren and left.
“反复发作?自发性气胸?”郑仁疑惑.
"Well, it happened 7 times in 2 years." Su Yun said, "Boss, don't you find it strange?"
“觉得,很奇怪.”郑仁琢磨起来.
Spontaneous pneumothorax refers to the pleura of the lung tissue and viscera due to lung disease, or lung bullae close to the surface of the lung, and the subtle emphysema blisters rupture on their own, causing air in the lung and bronchials to escape into the pleural cavity.
Generally speaking, young men around 15-25 years old are prone to spontaneous pneumothorax.
Especially a high school student, when she returned to Haicheng a while ago, she met a mother who insisted on performing an appendectomy on her child. Su Yun used this example to scare her.
其实那不是吓唬,只是实话实说而已.
The young boy had to open his chest and suture the lung bullae when he had to rupture his lung bullae. Now, he had to have two eyes for laparoscopic surgery.
The recurring case in front of me means that the doctor who had the surgery did not remove all the bullae.
Some patients have bullae on their lungs, at least a dozen or dozens of them. They can’t cut off the entire lung lobe.
In addition, there was an abnormality in the last operation, and gas was continuously introduced after the operation of the chest vial.
这个问题就比较严重了.
When he came to his chest, Fang Lin was watching a movie. A man in his forties, a medium-sized but very fat man stood beside him.
"Boss Zheng, Brother Yun, you two, please take a look." Fang Lin saw Zheng Ren and Su Yun came in and immediately greeted, "This is my savior, Boss Zheng, this is Brother Yun."
他给身边的胖子介绍郑仁和苏云.
Then, Fang Lin said, "This is Dr. Shao from City 1."
Zheng Ren nodded, smiled kindly at the chubby mosaic, and signaled that he knew.
"Huh? It's the hospital you were looking for in the surgery?" Su Yun asked with a smile.
"Isn't that earthquake relief? Our hospital has gone to the front line, so I went to Lao Shao's hospital for an operation." Fang Lin explained with a smile.
Flying knives are usually run by professors, and few people come to the hospital. Fang Lin also has a high technical level, and with special circumstances, he ran away once.
"Brother Yun, why did you pull Boss Zheng over?" Fang Lin felt a little embarrassed, "I just think the condition looks simple and there may be problems, so I asked you to take a look at me."
"Don't be so polite, it's no trouble." Zheng Ren said with a smile and walked to the video reader.
The film is CT, which looks very simple. The left pneumothorax is accompanied by a tube shadow with closed drainage in the chest cavity, and the lungs are compressed by about 10%.
There are abnormal images on the lung surface and the costopharyngeal angle. Zheng Ren estimated that the intubation time was relatively long, and the irritating hyperplasia or pus moss caused by infection was formed.
“患者什么情况?”
"Zheng...Boss, hello, I am Shao Jinghe." The chubby doctor said hello honestly.
Zheng Ren felt funny in his heart. If he was a smarter person, Fang Lin introduced him just now, he should come up to shake hands, and he would be close to the trap.
I don’t know if this person was hit by a medical accident or if he was such a person, he was even a few steps late to say hello.
"Doctor Shao, you have to be polite, tell me about the patient's condition." Zheng Ren smiled.
“这是一个老患者,今年22岁,女性.”
“…”
The 22-year-old patient said this kind of strangely. But Zheng Ren and others all knew what Shao Jinghe meant - an old patient means that they often deal with the hospital.
"Two years ago, the patient suddenly felt chest tightness and shortness of breath. He went to the hospital for a chest radiograph to report spontaneous pneumothorax on the right. I did a thoracoscopy. After the operation, I recovered well and was discharged from the hospital and went home."
"Then during the two years, the patient suffered from illness intermittently."
邵景和说着说着,有些郁闷.
"Old Shao, did you fall into bulla?" Su Yun asked as he looked at the movie.
"I checked every operation carefully, and there was no abnormality." Shao Jinghe said with a sad face, "Brother Yun, I call you that too?"
"Everything is OK." Su Yun said with a smile. Old Shao was quite a bit of a wink, so help him.
"I see this patient now and I want to hide... My colleagues in the unit laughed at me, saying that I did something to other girls, why did I pester me?"
Zheng Ren glanced at Shao Jinghe's big belly and found it funny.
However, this emotion is normal. I have performed 6 or 7 surgeries in two years. Although the adhesion of lung tissue in the thoracic surgery is not as serious as the intestine, it is enough to open it to the headache.
Chapter completed!