Chapter 272： Floating gallbladder (1/5)
The operation was very smooth. Zheng Ren took Yang Lei to do it and stepped down in 20 minutes.
On the stage, Zheng Ren took the trouble to tell Yang Lei the key steps. Although it is only a laparoscopic appendectomy, but Yang Ren appears to be horizontal, side by side, and extended to other operations, Yang Lei benefited a lot.
After stepping down, Zheng Renbai was bored.
Just coming back from the emperor, it seems that life has lost its way.
No, not because of this, but because the Shea people did not go to the surgery.
Only Zheng Ren did not realize this.
The skills of general surgery are a little bit ground, and there is still a long way to go.
Zheng Ren is interested in training the pancreaticoduodenectomy in the operating room. It is estimated that one operation can raise more than 100 skill points.
However, when looking at his remaining experience and surgery time, Zheng Ren dispelled the idea.
If you spend all of your time, the chances of being promoted to the Master are very small. Once you are in a critical situation, you will be dumbfounded.
Still a little bit of grinding, the long-term main task - the best surgeon has not finished knowing how many rounds, although the reward is meager, but the scorpion is small and meat.
"What do you think about God?" Su Yun’s familiar voice came from behind.
"daze."
"Is thinking about Xiaoyi people? You are too courageous, the overbearing president loves me, have you seen it? What you want is the domineering." Su Yun squats.
"Liu is very aggressive in the United States and has lost a lot of money, so hey." Zheng Ren did not hesitate to go back.
"I am talking about you, I can understand the spirit." Su Yun did not care about Zheng Ren's lifting, which proved his guilty conscience and smiled.
"How is the patient?" Zheng Ren asked.
"The state is stable, just pulled out of the tube, now look, can live." Speaking of the patient's condition, Su Yun is not so sloppy, but a brief introduction to the patient's situation.
There are counts in Zheng Ren's heart. The degree of completion of the operation is 100%. As long as there is nothing wrong with the ICU, it is very difficult for the patient to die.
"Right, the paper on small nodule liver cancer has been mailed. I just picked up the phone and said there are more cases."
"For the time being, there should be no." Zheng Rendao: "Is it published as a case, can't it?"
"It is ok, but it is difficult to get approval in a short time." Su Yundao, "You don't care anyway, you are a salted fish. It is always better to be hospitalized in Haicheng."
"Where isn't it for a lifetime, don't you come back from the emperor?"
"Boss, is the pet hospital interested? It is not for you to go, there is a surgery that requires you to go out, it is to save a station."
"..." Save the station, go to the pet hospital, these two words Zheng Ren said that it is very strange.
"Basically, Jinmao, Alaska, what to eat socks, intestinal foreign body causes intestinal obstruction. At your level, twenty minutes, no exaggeration." Su Yundao: "Money, let's say."
"I……"
"Don't say that you are not short of money, I asked yesterday, the parents of the Xie Yi people came back for the New Year in a month or two." Su Yun said.
"..." Zheng Ren hesitated. "Okay. However, I don't have a veterinarian card, can I?"
"No problem, how can the veterinarians have surgery? All of them are Yimeng. It is okay to be sterilized. If the real knife is open and the chest is open, they can't take it." Su Yundao.
"Look for an opportunity." Zheng Ren finally bowed his head in the face of reality.
As soon as I thought of the Xie Yi’s parents coming back, Zheng Ren’s heart was a bit embarrassing. Specifically, why, how to solve, Zheng Ren has no fate.
Just thinking, the phone rings.
"Zheng Zong, I have an aunt, the upper right abdomen hurts, you take a look." It is Chu Haoran.
It’s very simple, not even talking about it. And you are welcome, your own people, what kind of polite? More common.
Since I didn't say it, it was in the emergency department.
Zheng Ren immediately strode to the emergency department, Su Yun as usual, slightly bowed, followed.
The emergency department is not very busy. It is the winter season. The people who drink and fight are almost extinct. The road is still full of ice and snow. Everyone is careful to drive, so the emergency department is slightly cold.
However, this is quite good.
In the emergency department, Chu Xiaoran stood in the emergency room to rescue the bedside, next to the emergency B-overtaking, a doctor is giving the patient a belly B-ultrasound.
The family members were anxiously looking forward, Zheng Ren did not pay attention to them, took a look at the system panel tips - acute gallbladder torsion, acute gangrenous cholecystitis.
Huh? This is a rare disease.
Gallbladder torsion is a rare condition. Since Wendell first described it as "floating gallbladder" in 1898, it has been more than a hundred years now. Zheng Ren searched the literature in memory, and estimated that there are only a hundred cases. Report.
Plus, I don’t know, it’s estimated that there are three or five hundred reports.
Prepare for surgery, no way.
Any organ that is twisted will mean necrosis. The system panel has given hints of acute gangrenous cholecystitis.
When Chu sees Zheng Ren, he said: "Lin Ayi had abdominal pain after a meal this morning. It was not treated at that time. Three hours ago, the pain was aggravated, and the anti-inflammatory and gallbladder tablets were taken orally. No improvement. The pain was severe 1 hour ago. Unbearable, come to our hospital for treatment. There is no chills and fever in the course of the disease, no nausea and vomiting, emergency blood routine and liver function have been sent to check, it is estimated that it will come soon."
"Cholecystitis requires surgery." Zheng Rendao.
“You are Dr. Zheng?” asked a middle-aged man in his thirties.
He wears gold-rimmed glasses, a book of anger, and anxious emotions.
"Well, I am." Zheng Ren should be.
"Hello, my name is Zhou Wenxiang." Although the middle-aged people were very anxious, they did not mess up the square inch. They reached out and shook hands with Zheng Ren.
"Dr. Zheng, do you judge that my mother needs surgery? Can I have surgery?" Zhou Wenxiang asked.
"I consider acute gangrenous cholecystitis caused by gallbladder torsion and local necrosis. There are two methods of surgery, removal of gallbladder and gallbladder reduction. I suggest direct resection, so as to avoid similar situations in the future. As for conservative treatment ~www .novelhall.com~ can't alleviate the symptoms, not recommended."
Zheng Ren made his diagnosis clear with his fifty-one.
Zhou Wenxiang hesitated for a moment and walked out in perfunctory.
Zheng Ren saw Chu Xiaoran, Chu Xiaoran came over and whispered: "His father is my dad's colleague, and he is going back in the provincial capital. General Zheng, the gallbladder is a rare disease, can it be diagnosed?"
"Hey." Zheng Ren pointed to the bedside B-ultrasound, said: "Imageology supports the diagnosis of gallbladder torsion."
"When will you watch the B-ultrasound? I remember that you have not commented on the B-moderator before." Chu Yuran sharply discovered the anomaly.
"That's because there was no problem with the previous B-ultrasound. This is not a rare case in the emergency department. I said it."
Chu Xiaoran thought for a moment, and Zheng Ren said that it makes sense, and he did not continue to say anything.
"Director Xia, you can help me to see, my mother can't stand it, she doesn't want surgery." Zhou Wenxiang's voice came in.
On the stage, Zheng Ren took the trouble to tell Yang Lei the key steps. Although it is only a laparoscopic appendectomy, but Yang Ren appears to be horizontal, side by side, and extended to other operations, Yang Lei benefited a lot.
After stepping down, Zheng Renbai was bored.
Just coming back from the emperor, it seems that life has lost its way.
No, not because of this, but because the Shea people did not go to the surgery.
Only Zheng Ren did not realize this.
The skills of general surgery are a little bit ground, and there is still a long way to go.
Zheng Ren is interested in training the pancreaticoduodenectomy in the operating room. It is estimated that one operation can raise more than 100 skill points.
However, when looking at his remaining experience and surgery time, Zheng Ren dispelled the idea.
If you spend all of your time, the chances of being promoted to the Master are very small. Once you are in a critical situation, you will be dumbfounded.
Still a little bit of grinding, the long-term main task - the best surgeon has not finished knowing how many rounds, although the reward is meager, but the scorpion is small and meat.
"What do you think about God?" Su Yun’s familiar voice came from behind.
"daze."
"Is thinking about Xiaoyi people? You are too courageous, the overbearing president loves me, have you seen it? What you want is the domineering." Su Yun squats.
"Liu is very aggressive in the United States and has lost a lot of money, so hey." Zheng Ren did not hesitate to go back.
"I am talking about you, I can understand the spirit." Su Yun did not care about Zheng Ren's lifting, which proved his guilty conscience and smiled.
"How is the patient?" Zheng Ren asked.
"The state is stable, just pulled out of the tube, now look, can live." Speaking of the patient's condition, Su Yun is not so sloppy, but a brief introduction to the patient's situation.
There are counts in Zheng Ren's heart. The degree of completion of the operation is 100%. As long as there is nothing wrong with the ICU, it is very difficult for the patient to die.
"Right, the paper on small nodule liver cancer has been mailed. I just picked up the phone and said there are more cases."
"For the time being, there should be no." Zheng Rendao: "Is it published as a case, can't it?"
"It is ok, but it is difficult to get approval in a short time." Su Yundao, "You don't care anyway, you are a salted fish. It is always better to be hospitalized in Haicheng."
"Where isn't it for a lifetime, don't you come back from the emperor?"
"Boss, is the pet hospital interested? It is not for you to go, there is a surgery that requires you to go out, it is to save a station."
"..." Save the station, go to the pet hospital, these two words Zheng Ren said that it is very strange.
"Basically, Jinmao, Alaska, what to eat socks, intestinal foreign body causes intestinal obstruction. At your level, twenty minutes, no exaggeration." Su Yundao: "Money, let's say."
"I……"
"Don't say that you are not short of money, I asked yesterday, the parents of the Xie Yi people came back for the New Year in a month or two." Su Yun said.
"..." Zheng Ren hesitated. "Okay. However, I don't have a veterinarian card, can I?"
"No problem, how can the veterinarians have surgery? All of them are Yimeng. It is okay to be sterilized. If the real knife is open and the chest is open, they can't take it." Su Yundao.
"Look for an opportunity." Zheng Ren finally bowed his head in the face of reality.
As soon as I thought of the Xie Yi’s parents coming back, Zheng Ren’s heart was a bit embarrassing. Specifically, why, how to solve, Zheng Ren has no fate.
Just thinking, the phone rings.
"Zheng Zong, I have an aunt, the upper right abdomen hurts, you take a look." It is Chu Haoran.
It’s very simple, not even talking about it. And you are welcome, your own people, what kind of polite? More common.
Since I didn't say it, it was in the emergency department.
Zheng Ren immediately strode to the emergency department, Su Yun as usual, slightly bowed, followed.
The emergency department is not very busy. It is the winter season. The people who drink and fight are almost extinct. The road is still full of ice and snow. Everyone is careful to drive, so the emergency department is slightly cold.
However, this is quite good.
In the emergency department, Chu Xiaoran stood in the emergency room to rescue the bedside, next to the emergency B-overtaking, a doctor is giving the patient a belly B-ultrasound.
The family members were anxiously looking forward, Zheng Ren did not pay attention to them, took a look at the system panel tips - acute gallbladder torsion, acute gangrenous cholecystitis.
Huh? This is a rare disease.
Gallbladder torsion is a rare condition. Since Wendell first described it as "floating gallbladder" in 1898, it has been more than a hundred years now. Zheng Ren searched the literature in memory, and estimated that there are only a hundred cases. Report.
Plus, I don’t know, it’s estimated that there are three or five hundred reports.
Prepare for surgery, no way.
Any organ that is twisted will mean necrosis. The system panel has given hints of acute gangrenous cholecystitis.
When Chu sees Zheng Ren, he said: "Lin Ayi had abdominal pain after a meal this morning. It was not treated at that time. Three hours ago, the pain was aggravated, and the anti-inflammatory and gallbladder tablets were taken orally. No improvement. The pain was severe 1 hour ago. Unbearable, come to our hospital for treatment. There is no chills and fever in the course of the disease, no nausea and vomiting, emergency blood routine and liver function have been sent to check, it is estimated that it will come soon."
"Cholecystitis requires surgery." Zheng Rendao.
“You are Dr. Zheng?” asked a middle-aged man in his thirties.
He wears gold-rimmed glasses, a book of anger, and anxious emotions.
"Well, I am." Zheng Ren should be.
"Hello, my name is Zhou Wenxiang." Although the middle-aged people were very anxious, they did not mess up the square inch. They reached out and shook hands with Zheng Ren.
"Dr. Zheng, do you judge that my mother needs surgery? Can I have surgery?" Zhou Wenxiang asked.
"I consider acute gangrenous cholecystitis caused by gallbladder torsion and local necrosis. There are two methods of surgery, removal of gallbladder and gallbladder reduction. I suggest direct resection, so as to avoid similar situations in the future. As for conservative treatment ~www .novelhall.com~ can't alleviate the symptoms, not recommended."
Zheng Ren made his diagnosis clear with his fifty-one.
Zhou Wenxiang hesitated for a moment and walked out in perfunctory.
Zheng Ren saw Chu Xiaoran, Chu Xiaoran came over and whispered: "His father is my dad's colleague, and he is going back in the provincial capital. General Zheng, the gallbladder is a rare disease, can it be diagnosed?"
"Hey." Zheng Ren pointed to the bedside B-ultrasound, said: "Imageology supports the diagnosis of gallbladder torsion."
"When will you watch the B-ultrasound? I remember that you have not commented on the B-moderator before." Chu Yuran sharply discovered the anomaly.
"That's because there was no problem with the previous B-ultrasound. This is not a rare case in the emergency department. I said it."
Chu Xiaoran thought for a moment, and Zheng Ren said that it makes sense, and he did not continue to say anything.
"Director Xia, you can help me to see, my mother can't stand it, she doesn't want surgery." Zhou Wenxiang's voice came in.
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