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2196 Massive hemoptysis

In the following days, Zheng Ren was so busy that he was about to fly.

Lanke arranged a group of doctors to receive training a week. Regarding this training, Su Yun also brought Linger in to let the 912 Science and Education Department benefit from it.

Although everyone knows the truth of the matter, it is really very noble to tell it. Not to mention 912, even the major tertiary hospitals in the country have never happened.

Batches of doctors from all over the world came to 912 for training. Those who didn't know were shocked and thought that 912's technical level had reached the interstellar level.

Zheng Ren also had many surgeries on this side. After a period of fermentation, the number of live broadcast procedures such as surgical resection after interventional embolization of Gaucher's disease and liver cancer has begun to rise.

I don’t have time to read books in the afternoon and have to have live broadcast surgery.

Zheng Ren didn't think anything about this. The surgery was a routine operation. Before the operation, he went to the system operating room to do a machine to find out if there were any rare situations.

This is to prevent it. Although it is "wasted" some surgical training time, Zheng Ren believes that this is a must.

As the days pass by day, the weather gradually gets warmer.

As the weekend approaches, the group is already in full swing, and there are hundreds or thousands of information about going out to play every day.

Zheng Ren was too lazy to watch it, he just waited to notify himself.

As the leader of the medical team, Zheng Ren knew that he had absolutely no say in this kind of issue.

Zheng Ren was a little relieved after the tips surgery in the morning.

Lin Yuan is still very talented, and dozens of surgery have been polished and quickly taken shape.

After the last operation, Zheng Ren did not explain the details of the operation to Fuguier and Lin Yuan, and stood up to change his clothes.

More than ten minutes ago, Su Yun received a call from Fang Lin saying that a patient who had hemoptysis needed consultation.

Because the operation was not over, Su Yun went first.

"Boss Zheng, where are you going?" Lin Yuan handed the patient to Gu Xiaoran and asked in a hurry.

"Consultation." After Zheng Ren said that, he went straight into the locker room to change his clothes.

Lin Yuan knew that Boss Zheng was so fast that he couldn't catch up with him, so he stared at his back angrily and became angry.

You can't just go into the men's locker room, right?

Zheng Ren changed his clothes and strode towards the respiratory medicine department.

Fang Lin went to take a look and found that he was a little unsure, so he asked Su Yun for help. This model of not asking his own second-tier professors is actually very rare, and strictly speaking, it does not meet the diagnosis and treatment procedures.

But it doesn't matter. It's just a hotline for relatives and friends. If Boss Zheng and Su Yun can't solve the problem, then go through the normal procedures. But if that happens, it's a big deal. At least Fang Lin doesn't believe that there are cases that Boss Zheng and Brother Yun can't solve.

When he arrived at the respiratory department, Zheng Ren called Su Yun.

Su Yun then poked his head out of the doctor's office and waved.

"What patient?" Zheng Ren asked.

"Hemoptysis." Su Yun's expression was a little solemn. "It has appeared twice before, 5 years ago and 3 years ago, accompanied by pleural effusion. He was treated with inflammation in a local hospital and was discharged after it improved."

"This time it was three days ago. After being exhausted, I suddenly felt chest pain and chest tightness. I went to the local hospital for treatment. The local doctor gave a complete examination, indicating pneumonia. 9 hours ago, the patient suddenly had hemoptysis. About 350 ml of bright red blood were ripped out."

"Referral?" Zheng Ren walked into the office and glanced at the person in front of the video reader. Fang Lin was watching the movie there.

"Well, the patient did not pay attention to it two times before. This time the amount of hemoptysis was large, which scared him. The local doctor sent him directly to the respiratory department of our hospital for hospitalization."

Zheng Ren walked to the film reader and started reading the film.

Large-area shadows on the right lung are typical inflammation. If it is simply coughing, sputum, or fever, it can be diagnosed as pneumonia, which looks like the rare lobular pneumonia now.

With the improvement of antibiotic levels, medical level and health care awareness, typical lobular pneumonia in textbooks rarely appear in clinical practice.

Moreover, lobular pneumonia causes hemoptysis, which is particularly rare.

"Boss Zheng, here you are." Fang Lin moved to the side and moved away from the position. He had watched the film many times, and there were questions and some preliminary diagnosis.

However, neither Fang Lin nor the hospitalization of the Department of Respiratory Medicine could provide a more reasonable and definite diagnosis.

Zheng Ren was not polite either. He held his arms and chin, stood in front of the video reader, and watched the film carefully.

The inflammation looks very serious, and the density increase can be seen next to the bronchial duct of the right lower lung.

The first feeling was pneumonia, but Zheng Ren immediately denied the diagnosis.

This movie is indeed very strange. Zheng Ren watched it for nearly five minutes, but in the end he didn't give any accurate answer.

"Boss Zheng, what do you think?" Fang Lin asked.

Zheng Ren didn't say anything, just shook his head.

Su Yundao, "Hemoptysis, possible diagnosis includes bronchodilation, tuberculosis, pulmonary embolism, and tumors. Pneumonia also has a small amount of hemoptysis, but it is rare to get hundreds of milliliters at a time."

This is the same as not saying it. In fact, Su Yun didn't understand it immediately, but was brainstorming.

He said casually, without any thoughts.

The basic theory supports him as solid as his appearance.

"It may be bronchial stones, but the shape and density of the stones are also problematic." Zheng Ren shook his head and then said cautiously, "Are there any other examinations?"

"It's doing it." Fang Lin said, "I'm considering that there is a high possibility of bronchial stones. I suggest thoracic severity. If I really can't find the problem, I can only have the right lower lung."

Zheng Ren thought about it carefully and shook his head again. He did not agree with Fang Lin's statement.

Cutting the lung lobes is impossible without any chance of failure.

The operation is simple, and I don’t talk about myself. If Fang Lin does it, even the anesthesia time and the anesthesia awakening time will be almost the same.

But that is traumatic treatment, simple and rough, and the patient will lose a lobe forever.

"Boss, it is initially determined that it should be a foreign object in the trachea." Su Yun said as he looked at the film.

"Well, Fang Lin also considers the foreign objects in the tracheal system that have been around for a long time. However, the density and length of foreign objects are very strange, and there is also thick juice and bleeding around them. Using a bronchoscope... Fang Lin, you are afraid that using a bronchoscope will cause more problems."

"Yes." Fang Lin nodded.

When bleeding inside the lungs is only part of it. More will remain in the patient's lungs, just like a drowning person sucking water into the lungs.

If you take a look with a bronchoscope, if there is heavy bleeding at that time and the mirror is inside, causing increased pressure or poor outflow, more problems may occur.
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