2660 Weird Illness
Hum?" Zheng Ren was stunned for a moment.
"Uh..." Quan Xiaocao lowered his head and whispered: "Boss Zheng, every time I practiced below in the past, I think I did a good job."
Zheng Ren nodded. This time he had a more intuitive judgment on Quan Xiaocao.
"But every time I go on stage, I'm afraid." Xiaocao said timidly.
"What happened later?"
"Once I asked Brother Yun, he said you just give yourself a psychological hint and think that you are Boss Zheng." Quan Xiaocao said.
Zheng Ren was amused and crying. This kind of psychological suggestion must be built on a solid foundation. Quan Xiaocao has solid basic skills and is usually attentive. It seems that the psychological suggestion is really good.
"I tried..."
"Haha." Zheng Ren looked at Quan Xiaocao and smiled happily, saying, "That wouldn't it be that even imitating it after closing the peritoneum and turning back from the stage."
"Uh... I learned this subconsciously." Quan Xiaocao's voice was like a mosquito.
"It's not bad," said Zheng Ren. "It's okay to think about the surgery that you are sure of in the future. I'll ask you something."
"Ah? What?" Quan Xiaocao became a little panicked again.
"What are you thinking when you look at the spleen?" Zheng Ren asked.
"The obstruction of the internal splenic artery branches causes ischemia and hypoxia to cause necrosis. There is no doubt about the diagnosis of spleen infarction."
"Continue." Zheng Ren paused when he saw Quan Xiaocao paused, and immediately said.
This child had to be sucked before he could leave. Zheng now had a certain understanding of her. Before he knew it, he did not expect that he had influenced so many people.
"Well……"
"Xiaocao, please apply it now and I'll listen to your judgment at that time." Zheng Ren said with a smile.
Lao He looked interesting and asked in a low voice in Quan Xiaocao's ear, "Boss Zheng, do you need to use the music louder?"
Quan Xiaocao knew that Lao He was joking, so she finished the sewing, and then instead of using the final disinfection to cover the cutout auxiliary materials, she closed her eyes again.
Zheng Ren felt interesting when he saw Quan Xiaocao's concentration, and suddenly he felt aroused in his heart and thought of what Su Yun looked like when he smoked.
Should I learn psychology too?
But this idea was just fleeting. There were many things happening recently. I should wait until Xiao Shitou's condition improves before making a decision.
"About half of the patients with spleen infarction are asymptomatic." When Quan Xiaocao opened his eyes again, his voice became calm, and his panic appearance disappeared.
"A small range of spleen infarction can have symptoms such as low fever, leukocytes without pain; a large range of acute spleen infarction can cause sudden pain in the upper left abdomen, or total abdominal pain to the left shoulder, back, bent down or deep breathing, accompanied by nausea, vomiting, or difficulty breathing, high fever and other symptoms, and the symptoms can last for one week."
"From the patient's performance when he was admitted to the hospital, the symptoms were not serious. The direct vision showed that the spleen infarction was not large, which further confirmed this view."
"So I think the patient's spleen can be retained without splenectomy." Quan Xiaocao said with certainty.
"What if the embolism worsens after the operation?" Zheng Ren asked.
"Interventional symptomography, catheterization and thrombolysis." Quan Xiaocao said without hesitation, "The damage area itself is not large, and it can be..."
It turned out that she knew even this. Zheng Ren was slightly ecstatic when he listened to Quan Xiaocao's remarks about the extremely rare treatment process.
The little guy actually grew up so fast.
While thinking, Zheng Ren pressed the incision with sterile gauze, disinfected the perimeter, and then covered the incision.
"Little grass, not bad!" Zheng Ren praised.
Quan Xiaocao heard Boss Zheng praise him, and a flash of light flashed in his eyes.
"Okay, send the patient back." Zheng Ren said, "The spleen infarction should not be a big problem. If an unexpected situation occurs, I will deal with it immediately."
"Yes." Quan Xiaocao nodded vigorously.
Zheng Ren glanced at Xiaocao and felt that Su Yun was not just making trouble. Xiaocao was a doctor with extremely solid theoretical foundation and good at hands-on ability. The disadvantage was that he had a doctor in psychological construction.
To put it bluntly, it is stage fright.
It was really effective to ask her to assume it was herself.
"Old He, how about Brother Feng?" Zheng Ren turned around and stepped down, tore off the sterile clothes and threw them into the big red sterile waste bucket, and asked casually.
"Laboratory examinations such as total blood cell count and myocardial enzymes, imaging examinations, including head CT and transthoracic echocardiography, were not abnormal." Lao He said simply.
"What are you doing when checking the head?"
"Yun Ge'er said there are nausea symptoms, and it is not ruled out that the complications of the head will occur." Lao He said.
Zheng Ren nodded and walked out of the operating room.
"Blood pressure is 81/52 mmhg, heart rate is 41 times per minute. Yun Ge'er has given targeted treatment, given norepinephrine intravenously and atropine again."
"When I left, I looked at the electrocardiogram monitoring, and the atrioventricular block has changed from third degree to second degree."
"Is there any change in heart rate?" Zheng Ren asked.
“No significant increase.”
Zheng Ren pondered that atrioventricular block in adults is most common in patients with myocardial infarction. Unlike children, atrioventricular block often occurs for various reasons. Feng Jianguo's electrocardiogram does not have a myocardial infarction, but the QRS waveform is narrowed. Zheng Ren has never understood what this means.
He changed his clothes silently, and Lao He looked at Boss Zheng's worry-filled look and followed carefully.
There is a problem, there is inexplicable atrioventricular block. Zheng Ren clearly remembers that Feng Jianguo's system panel was very healthy in the past, and the symptoms of atrioventricular block this time are not typical. Dizziness can be said to be caused by insufficient blood supply.
So what about nausea? Quan Xiaocao said that Feng Jianguo's self-diagnosis is caused by acute gastrointestinal dysfunction. The doctor's self-diagnosis, especially the doctors in gastrointestinal surgery, must have a basis for diagnosis of his own disease.
It's a pointless thing... Zheng Ren doesn't believe it very much.
What diseases are mainly gastrointestinal dysfunction and sudden atrioventricular block?
Zheng Ren thought of two remote diagnoses, but then he was stunned. The system panel was confirmed to be without gastrointestinal problems, so he thought it was wrong.
When Zheng Ren encountered this situation again, he was helpless. The big pig's hoof was not clear and unclear, and he had to guess the rest by himself.
He changed his clothes and slowly walked out of the locker room in the operating room. Old He was silent, wearing a white suit, slippers, and shoe covers behind Boss Zheng.
Boss Zheng was pondering, and Lao He was a little confused. Feng Jianguo was a typical atrioventricular block. Is this still necessary? What is Boss Zheng thinking about?
But he still didn't say anything and just followed him honestly.
"Old He."
“Hey.”
"Help me ask the gastrointestinal elders who are always in the hospital or at home to rest."
Chapter completed!