Chapter 310： Slag male (2/4)

The doctor in charge of the emergency department B in the B-room is known to Zheng Ren. After all, the emergency department has the most emergency department.

He smiled and said: "Zheng Zonglian can do it himself?"

"Slightly understand." Zheng Ren took the probe and pulled it twice on the patient's stomach to find the position he needed to look at and carefully look at the image on the screen.

There is indeed a blockage at the distal end of the bile duct. Under the B-ultrasound, Zheng Ren changed two hand types. The lateral position and the positive position determined that the blockage was not a denser stone, but a decaying, fermented food residue.

The occlusion point is consistent with the postoperative complications of the common bile duct duodenal anastomosis. The differential diagnosis excludes the possibility of Roux-en-Y anastomosis and common bile duct duodenal fistula.

Biliary dilatation is obvious, which is why the patient has obstructive jaundice.

Gas can be seen in the biliary tract, cystic parcels can be seen in the liver, and it is highly suspected to be a liver abscess.

It should be a septic tank syndrome. Looking at the patient's condition, an emergency operation is needed.

Zheng Ren put the probe on the shelf of the B-overcar, picked up the square toilet paper and threw it on the patient. While contemplating the operation, he said casually: "Erasing."

"Zheng Zong, are you sure?" Zheng Ren's skillful approach, the doctor of the B-room is very admired, at least he is absolutely unable to reach the level of Zheng Ren.

I can't do it, but the image can still be understood, and I save myself.

He rubbed the couplant on the patient, even though he asked.

"It should be ok." Zheng Rendao: "Director Xia, if the patient's family agrees, he will be treated surgically. Before the operation, let the patient's family go to the emergency room to find me."

"Yeah." Director Xia nodded, his expression heavy and serious.

This patient is very different from the patient who had a TIPS surgery last night.

Director Xia does not know, is not familiar with, can't be as confident as last night, emergency surgery, I will sign.

Also communicate with the patient's family to explain the condition. However, these things can also be handed over to Zheng Ren.

Zheng Ren walked out of the Department of Gastroenterology and was still struggling between laparoscopic surgery and open surgery.

If the laparoscopic surgery, the patient's trauma is small, the patients in the emergency ward endoscopic cholecystectomy all ran home on the first night after surgery, which is evidence.

However, patients have various complications, and if you want to solve them all in one operation, open surgery is the best choice.

but……

"Boss, you just throw the toilet paper on your body and say rubbing it. That feeling is really like a scum male." Su Yun said with a smile.

At this time, only Su Yun can laugh out.

Zheng Ren took a moment and immediately realized what Su Yun said. I just thought about leaving God. I didn’t expect Su Yun to catch the little sister-in-law.

Slag man... oh.

Really image, Zheng Ren is also happy.

"What do you want?" Su Yun immediately asked a serious question.

"Is it open or a mirror?"

"It is necessary to open the abdomen. The food residue is difficult to clean with a laparoscopic mirror. It is too much trouble to use antibiotics after surgery. Moreover, I mainly don't want to help the mirror." Su Yun is strong and strong.

Suyun, who looks like a little girl, pursues a surgical field and wants to be spacious, so when he was a graduate student, he chose thoracic surgery.

With the evolution of minimally invasive surgery, thoracic surgery for thoracic surgery has also been rapidly reduced, with a 40 cm large knife edge rarely seen.

Zheng Ren suspects that this is the initial motivation for Su Yun to learn heart transplant.

"That's a good appetite." Zheng Ren also made a decision, not because Su Yun did not want to help the mirror, because the patient's situation is more complicated, it may be necessary to use the B-ultrasound probe to find the point of liver abscess, puncture and pus. In addition, it also has to deal with a series of operations such as stalk yellow.

The two returned to the emergency room, and today, Director Pan Pan arranged for Yang Lei to be the first class.

Chang Yue took the professor to go to a ward and chatted with the family members of the patient to talk about why he went home in violation of the regulations last night.

After turning around the ward, Chang Yue found that he had transferred to the ward with Professor Rudolf Wagner, and the patient's medical ability had at least doubled.

In Haicheng, there are internship rounds, often seen. But with a foreign "intern" rounds, no one has seen them.

The ward was in order, and Zheng Ren informed Yang Lei that he was going to surgery.

Because of the request of Yang Lei that day, Zheng Ren also thought about putting some of his surgery and improving his level as soon as possible.

Just a few months ago, Zheng Ren was entangled in the fact that Yan Meng and Director Liu did not put their own surgery.

Unexpectedly, he can now put others to surgery.

All of this is thought to be so mysterious.

Soon, Zheng Ren received a call from Director Xia, saying that the family members of the patient agreed to the operation and were on the way to the emergency ward. She also prepared for the surgery before she pushed the patient to the operating room.

Director Xia’s behavior is quite resolute, and Zheng Ren appreciates this personality.

Zheng Ren did not throw things that were pre-operatively told to Yang Lei or Chang Yue.

Because the patient's family said that the patient's past history, there is a vague place. Zheng Ren wants to determine whether the family of the patient is due to lack of professional knowledge or because of intentionality.

The difference between the two is big.

The patient's family soon came to the emergency room, two middle-aged people, who should be the son of the patient.

Before in the ward, Zheng Ren also saw the figure of both of them.

It looks very good and is more positive.

Zheng Ren asked the patient's previous situation, judging from the physical language of the patient's family, it should be a lack of professional knowledge, plus a long time, when the patient is undergoing surgery, they should not have adulthood.

With this in mind, everything is on the right track.

The situation that may occur during the operation is explained one by one, and the patient's family is explained about the current condition of the patient. If the operation is not performed, there is a 30% chance that the operation will not come.

After Zheng Ren finished, the patient's family's face was pale and cold and sweaty.

Su Yun saw no problem on this side, and he and Yang Lei went directly to the operating room to do all kinds of preparatory work before surgery.

The family still signed the word for consent to surgery. Zheng Ren handed the signature to Chang Yue and went to the operating room.

Professor Rudolf Wagner and Zheng Ren went to change clothes and entered the operating room. He didn't repeat it I wanted to convince Zheng Ren to go to Heidelberg, Germany to set up a research group.

Zheng Ren is also lazy to teach the real thoughts in his heart, and his full attention is placed on the surgery that is about to begin.

Sewage pool syndrome, I hope not too heavy.

In the process of changing clothes, Zheng Ren went to the operating room of the system and practiced the surgery of ten sewage pool syndromes.

The operation process is very smooth. After all, Zheng Ren is a master of general surgery, and with the experience of hepatobiliary anatomy, this part of the anatomy is very powerful.

The basic skills are solid, and the surgery is quick.

It is already very cautious to practice ten sets.

Upon hearing the sound of the flat car, Zheng Ren just changed his clothes and walked into the operating room.

"Zheng Zong, I started anesthesia. Is there anything I need?" asked Chu Yuzhi.

"General anesthesia, no other need for the time being." Zheng Rendao.