A family member kicked his foot and the obstetrician responded quickly and avoided it sideways, but his hand holding the flat car had to let go.

"As long as I have been here, you will be responsible if something happens!" The old lady pointed to the obstetrician's nose and said, "You are shirking responsibility! You are also saving lives and helping the wounded. My conscience is so bad that the dog can eat it!"

"..." Zheng Ren was speechless.

"Don't send it away, it's still time to have a caesarean section. The time you said is not possible at all!" The obstetrician did not worry about the old lady and tried to grab the flat car, but was pushed away by another person.

Seeing the elevator arrive, the flat car pushed into the elevator, and the noise at the entrance of the operating room gradually became quiet.

But, this is just the beginning.

Seeing that the dissuasion was ineffective, the obstetrician immediately called the director and the medical department, explaining the situation, and hurriedly went downstairs to change clothes.

Yes, this is just the beginning. The more troublesome thing is still to come.

The obstetrician and Zheng Ren went against each other. Zheng Ren went a long way and watched her leave in a hurry, feeling helpless.

If you don’t believe the statement of large tertiary hospitals, you have to go to a private hospital or underground black clinic to deliver a baby. The child has already developed symptoms of fetal heart failure and has to wait for a few hours to rebirth...

It sounds ridiculous, but that's the truth.

Zheng Ren shook his head. Some things cannot be solved by medical technology and high level.

However, Zheng Ren had a verdict in his mind that such a thing could never be solved by himself, so he could only take a look.

He found the second-hand one that Su Yun mentioned, opened the closed door, and walked in.

"Boss, what's going on outside?" Su Yun stood in the assistant position, and an elderly training doctor was squeezed aside by him.

"What's the case with the pericardium?" Zheng Ren did not answer Su Yun's words, but asked back.

"The pericardium of gas and liquid is rare." Su Yun said with a smile.

Zheng Ren's heart moved, was the pericardium of gas and fluid? Why didn't the system diagnose it?

He glanced at the patient and found that the last item in the system panel showed a diagnosis of gas-liquid pericardial.

This is……

The patient is so lucky! Zheng Ren thought.

Generally, pericardial effusion is common, and the traumatic condition is very dangerous. Zheng Ren has encountered it several times in Haicheng. He had to open the chest in the emergency room and cut the pericardium into decompression under direct vision.

However, pericardial qi accumulation is not common. Traumatic pneumothorax and pericardial rupture have not damaged the large blood vessels, which is a reasonable source of pericardial qi accumulation.

The other is the anesthesia intubation and side damage caused by mechanical ventilation.

Zheng Ren knew that when he was in the emergency department, there was no diagnosis of gas-liquid pericardial in the system panel, but it was found on the operating table, which may be caused by mechanical ventilation.

"Have you done it?" Zheng Ren asked.

"When repairing the diaphragm, the tension is particularly high."

"Boss Zheng, here you are." Fang Lin put down the needle holder in his hand and turned around and smiled.

Zheng Ren did not talk to Fang Lin, so he came over and took a look at the art area.

The diaphragm atrophy is quite obvious, and my previous judgment is still very accurate.

The right diaphragm has been sutured with the help of patches. Depending on the tension, there should be no problem.

Fang Lin's surgery was pretty good. The hospitalization level of 912 was a little higher than that of the director of Haicheng First Hospital.

"Explore the lung vesiculation, mediastinum, and pericardium." Zheng Ren said in a deep voice.

"The large lung aquaporin in the lower lobe of the right lung was closed when the second time the chest was opened." Su Yun said.

"Check it out, otherwise there is no way to explain the accumulation of qi in the pericardial region." Zheng Ren said.

Su Yun touched the pericardium with hesitation forceps, hesitated for a moment, and said, "The pressure on the pericardium is greater than just now."

As he said that, he picked up the knife without hesitation and cut it into the pericardium.

If this happens under the table or during transportation, the patient will face extremely dangerous situations. However, on the operating table, a pericardial incision and decompression cannot be simple.

Fang Lin didn't say much to Zheng Ren, and began to perform pericardial opening surgery. The reduced pericardial effusion was sent for pathological examination, and a syringe was used to extract part of the pericardial effusion for relevant examinations.

The pericardial effusion is about 700ml, and the color is clear, which ruled out the possibility of hematogenous pericardial effusion.

Under normal circumstances, it is time to flush the chest cavity and the operation is about to end.

But when rinsing the chest cavity, a small amount of gas was found overflowing.

Fang Lin and Su Yun were on the stage for a while, but finally found a problem in the mediastinum.

A small sinus tract forms between the trachea and pericardial. Strangely, there is also a channel leading to the chest cavity.

During the transportation process, the patient has a small amount of pneumothorax, which can be explained by this. Because the patient is weak and has insufficient lung ventilation, there is no large amount of gas and fluid pericardial.

However, during general anesthesia, with mechanical ventilation, the patient's ventilation volume increases, and part of the gas enters the pericardial cavity, forming a gas-liquid pericardium.

The condition is nothing special, at least Zheng Ren seems to be like this. But this patient... has undergone consecutive surgeries, as if he is facing the missing god of death.

Such a complex hernia eventually led to the appearance of gas-liquid pericardium. Zheng Ren said that it was the first time he saw it.

Even in the vast number of medical journals and papers, no related cases are mentioned.

However, it’s good to find the problem. The next surgery is not difficult, but it’s just to remove the sinus tract and eliminate hidden dangers.

"Boss Zheng, this patient is so lucky." Fang Lin sighed when he repeatedly flushed his chest cavity and found no problems. He was about to close his chest.

"Just be fine, hurry up and close your chest." Su Yun clamped the ribs on both sides with a closure, began to twist the screws, and close the closure.

Suture is the most basic, but Su Yun seems to have not had a thoracic surgery for a long time, and he doesn't even miss this opportunity for surgery. The person who was studying next to him looked helpless, but he couldn't say it yet.

Fortunately, there are a lot of surgery in 912, and if you want to do it, there is always no shortage of surgery.

When you come here, the biggest problem is that your body cannot keep up. If you do every surgery, you can do all the events on the operating table except eating and sleeping.

To eliminate hidden dangers, the atmosphere became relaxed. When talking and laughing, the anesthesiologist told Su Yun and Fang Lin about the matter of having a woman just waiting for her to give birth.

Everyone unanimously judged that something was going to happen. If such a thing is a corpse and two lives, the obstetrician will have great trouble.

"When I was internship, I met a family member who told the doctor that if it were a girl, she would ligate the right fallopian tube on the mother's side." Su Yun sneered.

"Uh...why?" Zheng Ren was stunned for a moment.

Can the fallopian tube on one side be closed?

"Because the male left and the female right." Su Yun said: "If you close the right fallopian tube, you will be able to have a boy next time."

"..." Zheng Ren was speechless.

Although I have been clinical for so many years, when I encounter similar patients, I still have a very ridiculous idea.

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Chapter completed!