Chapter 544： Good complex intussusception
Zheng Ren and the patient of the previous acute appendicitis and the family of the patient communicated. They saw that a child less than one year old was sick and gave the child a large degree of surgery.
Later, Zheng Ren asked Sun to find the director of the anesthesiology department to numb the child.
After all, the experience of Chu Yuran and Chu Yu is not rich enough. The anesthesia of children, especially the anesthesia of children under three years old, is quite different from adult anesthesia.
Prepare everything, Zheng Ren went to the operating room with Director Sun.
Director Kong had heard the mess in the corridor, and the sound of the child crying.
He is very curious, generally there are few doctors outside of the country, only the provincial capital will have children outside the profession.
Haicheng? It is impossible to have.
Unexpectedly, Zheng Renlian did surgery outside of the country... This is OK.
Director Sun changed his clothes and took the child directly to the surgery. Seeing that Director Sun has gone, Director Kong asked: "Zheng boss, it is very extensive, can you do it outside?"
"It's not something outside of the child." Zheng Ren frowned, and some were guilty.
“Hmm?” Director Kong snorted.
"The patient's air enema failed, considering the intestinal ascariasis." Zheng Rendao.
"..."
Although not a general professional, Director Kong knows that intestinal parasites can be difficult to diagnose. Zheng Ren has no CT on this side. How to diagnose the brain worm disease?
Intussusception is the most common cause of intestinal obstruction in children. In most cases, viral infections (often from the upper respiratory tract) cause the intestinal lymphatic tissue to swell, creating a starting point that causes the proximal portion of the distal intestine to "stretch", causing intussusception.
If the air enema cannot be opened, it can only be opened and the method can be reset.
The root of the disease has nothing to do with the parasite.
Looking at the expression of the director's words and comments, Zheng Ren took out the chapter X-ray film left by Director Sun.
It was already dark at this time, and there was no way to look at the window. Zheng Ren can only look up at the neck and look at the lamp. He said: "Here, the ecbanary department can see the image of the silk. We can consider this as an artifact or overlapping shadow in the perspective. However, the imaging of intestinal parasites cannot be ruled out."
Seeing the film, Director Kong recovered a little confidence.
After all, he has been dealing with images for the rest of his life. Without the video film, Director Kong has a feeling that the whole body martial arts is abolished.
Seeing the film at the moment, Director Kong’s eyes narrowed.
Zheng Ren said the location, he saw it. It is indeed doubtful, but if it is not Zheng Ren’s reminder, in the clinical experience of Director Kong, the high probability will not judge parasitic disease.
Pushing is difficult, and pushing back is a lot easier.
First, Zheng Ren said that it was right. Director Kong reversed his thinking and immediately found a theoretical basis.
"Here, the density on the image is not right." Director Kong said: "I think you are right."
"Not only here, but here." Zheng Ren pointed to another position and said: "It is estimated that the patient is infected with aphids, and the eggs they ingest hatch in the small intestine, and the adults live in the appendix area..."
"Zheng Zong, Zheng Zong, have you changed your clothes?" As he said, Director Sun ran in as much as he burned his ass.
See Zheng Ren and another person studying the film, he stunned.
What is the study of the film? Only because of the doctor's instinct, Sun Director subconsciously ordered an X-ray film after the failure of air enema.
He also saw this film, just a simple intussusception.
“Introduction.” Zheng Ren smiled and said: “This is the director of the second division of our hospital.”
Director Sun gave up his hand in confusion. I didn't expect Director Kong to just point his head and signal that he knew it.
"This is the director of the Interventional Department of the 912 Hospital of Emperor."
Director Sun was agitated.
912 Hospital, the country's top military hospital, is also the country's top three large hospitals.
The moment before it was slightly unpleasant, like a cloud of smoke, even if there is, there is no time to care about this.
His little grandson is anesthetizing, he has to undergo surgery, and there is still time to manage the attitude of others.
"Director Sun, I and Director Kong are suspected to be intestinal parasitic diseases. After an operation, you should look for the director of the pathology department to take a look. If the parasite is involved, you need to take the corresponding insecticide after surgery." Zheng Rendao.
Director Sun is somewhat puzzled and somewhat awkward.
But since Zheng Ren said this, no matter what he wants to do, he will only agree.
"Zheng boss, you have this level of diagnosis, but it is far from giving me this old guy." Director Kong smiled, no jealousy, no envy, just a fact.
Zheng Ren shook his head, changed his clothes, and went to the surgery with the two directors.
Director Sun wants to brush the hand, but both hands tremble slightly, and they can't go on surgery at first glance.
Zheng Ren pressed the shoulder of Director Sun and said: "Director Sun, you can watch Taiwan."
After that, I sighed, "Su Yun!"
"Dry!" Inside the lounge, Su Yun’s voice came out.
The guy sipped his own drink at noon and was lazy after heart surgery. Anyway, there is Cao Guozhen in the care, there will be no problem.
"Hands, go on stage!" Zheng Ren sees that the director of the Department of Anesthesiology has given the grandson of Sun’s grandson a general anesthesia, and he went directly to brush his hands.
Brush your hands and disinfect shop.
Zheng Ren and Su Yun worked together to quickly prepare for the operation. Then disinfect the hands, wear clothes, and wear sterile gloves.
The light of the shadowless lamp is very bright and somewhat dazzling.
"Boss, what kind of surgery?" Su Yun asked.
"Exploratory laparotomy."
Su Yun's eyebrows wrinkled slightly, but did not speak.
Right lower abdomen, incision of the rectus abdominis, 5 cm.
For adults, 5 cm is a small incision. But for an 11-month-old infant, the incision is already big.
At the same time, the Xinglinyuan live broadcast room is open.
[Now the surgeon is getting less and less, and the number of live broadcasts is very small. 】
[Speaking to the daily live appendicitis surgery you will see it. 】
[Don't say, today's surgery is really appendicitis. No, how are there intussions and intestinal parasites? 】
The doctors who came in the first time released the hand speed and chatted with the bullets while watching the patient's medical history.
Then everyone's interest came.
Infants and young children, 11 months, intussusception air enema is invalid, and intestinal parasites are also diagnosed.
Such a complicated disease is still such a small child, the difficulty of surgery has risen geometrically.
[It’s strange how the surgeon sees the intestinal parasite. 】
[Is there a piece of enema after the enema? I estimate that it is diagnosed based on image data. 】
[No, that piece of film... I am engaged in video, I will take a closer look. 】
In the live broadcast screen, the operator started, the knife fell, a small amount of blood was smashed, electrocautery stopped bleeding, blunt separation, the cooperation of the surgeon and assistant, equipment nurses like a flowing water.
Later, Zheng Ren asked Sun to find the director of the anesthesiology department to numb the child.
After all, the experience of Chu Yuran and Chu Yu is not rich enough. The anesthesia of children, especially the anesthesia of children under three years old, is quite different from adult anesthesia.
Prepare everything, Zheng Ren went to the operating room with Director Sun.
Director Kong had heard the mess in the corridor, and the sound of the child crying.
He is very curious, generally there are few doctors outside of the country, only the provincial capital will have children outside the profession.
Haicheng? It is impossible to have.
Unexpectedly, Zheng Renlian did surgery outside of the country... This is OK.
Director Sun changed his clothes and took the child directly to the surgery. Seeing that Director Sun has gone, Director Kong asked: "Zheng boss, it is very extensive, can you do it outside?"
"It's not something outside of the child." Zheng Ren frowned, and some were guilty.
“Hmm?” Director Kong snorted.
"The patient's air enema failed, considering the intestinal ascariasis." Zheng Rendao.
"..."
Although not a general professional, Director Kong knows that intestinal parasites can be difficult to diagnose. Zheng Ren has no CT on this side. How to diagnose the brain worm disease?
Intussusception is the most common cause of intestinal obstruction in children. In most cases, viral infections (often from the upper respiratory tract) cause the intestinal lymphatic tissue to swell, creating a starting point that causes the proximal portion of the distal intestine to "stretch", causing intussusception.
If the air enema cannot be opened, it can only be opened and the method can be reset.
The root of the disease has nothing to do with the parasite.
Looking at the expression of the director's words and comments, Zheng Ren took out the chapter X-ray film left by Director Sun.
It was already dark at this time, and there was no way to look at the window. Zheng Ren can only look up at the neck and look at the lamp. He said: "Here, the ecbanary department can see the image of the silk. We can consider this as an artifact or overlapping shadow in the perspective. However, the imaging of intestinal parasites cannot be ruled out."
Seeing the film, Director Kong recovered a little confidence.
After all, he has been dealing with images for the rest of his life. Without the video film, Director Kong has a feeling that the whole body martial arts is abolished.
Seeing the film at the moment, Director Kong’s eyes narrowed.
Zheng Ren said the location, he saw it. It is indeed doubtful, but if it is not Zheng Ren’s reminder, in the clinical experience of Director Kong, the high probability will not judge parasitic disease.
Pushing is difficult, and pushing back is a lot easier.
First, Zheng Ren said that it was right. Director Kong reversed his thinking and immediately found a theoretical basis.
"Here, the density on the image is not right." Director Kong said: "I think you are right."
"Not only here, but here." Zheng Ren pointed to another position and said: "It is estimated that the patient is infected with aphids, and the eggs they ingest hatch in the small intestine, and the adults live in the appendix area..."
"Zheng Zong, Zheng Zong, have you changed your clothes?" As he said, Director Sun ran in as much as he burned his ass.
See Zheng Ren and another person studying the film, he stunned.
What is the study of the film? Only because of the doctor's instinct, Sun Director subconsciously ordered an X-ray film after the failure of air enema.
He also saw this film, just a simple intussusception.
“Introduction.” Zheng Ren smiled and said: “This is the director of the second division of our hospital.”
Director Sun gave up his hand in confusion. I didn't expect Director Kong to just point his head and signal that he knew it.
"This is the director of the Interventional Department of the 912 Hospital of Emperor."
Director Sun was agitated.
912 Hospital, the country's top military hospital, is also the country's top three large hospitals.
The moment before it was slightly unpleasant, like a cloud of smoke, even if there is, there is no time to care about this.
His little grandson is anesthetizing, he has to undergo surgery, and there is still time to manage the attitude of others.
"Director Sun, I and Director Kong are suspected to be intestinal parasitic diseases. After an operation, you should look for the director of the pathology department to take a look. If the parasite is involved, you need to take the corresponding insecticide after surgery." Zheng Rendao.
Director Sun is somewhat puzzled and somewhat awkward.
But since Zheng Ren said this, no matter what he wants to do, he will only agree.
"Zheng boss, you have this level of diagnosis, but it is far from giving me this old guy." Director Kong smiled, no jealousy, no envy, just a fact.
Zheng Ren shook his head, changed his clothes, and went to the surgery with the two directors.
Director Sun wants to brush the hand, but both hands tremble slightly, and they can't go on surgery at first glance.
Zheng Ren pressed the shoulder of Director Sun and said: "Director Sun, you can watch Taiwan."
After that, I sighed, "Su Yun!"
"Dry!" Inside the lounge, Su Yun’s voice came out.
The guy sipped his own drink at noon and was lazy after heart surgery. Anyway, there is Cao Guozhen in the care, there will be no problem.
"Hands, go on stage!" Zheng Ren sees that the director of the Department of Anesthesiology has given the grandson of Sun’s grandson a general anesthesia, and he went directly to brush his hands.
Brush your hands and disinfect shop.
Zheng Ren and Su Yun worked together to quickly prepare for the operation. Then disinfect the hands, wear clothes, and wear sterile gloves.
The light of the shadowless lamp is very bright and somewhat dazzling.
"Boss, what kind of surgery?" Su Yun asked.
"Exploratory laparotomy."
Su Yun's eyebrows wrinkled slightly, but did not speak.
Right lower abdomen, incision of the rectus abdominis, 5 cm.
For adults, 5 cm is a small incision. But for an 11-month-old infant, the incision is already big.
At the same time, the Xinglinyuan live broadcast room is open.
[Now the surgeon is getting less and less, and the number of live broadcasts is very small. 】
[Speaking to the daily live appendicitis surgery you will see it. 】
[Don't say, today's surgery is really appendicitis. No, how are there intussions and intestinal parasites? 】
The doctors who came in the first time released the hand speed and chatted with the bullets while watching the patient's medical history.
Then everyone's interest came.
Infants and young children, 11 months, intussusception air enema is invalid, and intestinal parasites are also diagnosed.
Such a complicated disease is still such a small child, the difficulty of surgery has risen geometrically.
[It’s strange how the surgeon sees the intestinal parasite. 】
[Is there a piece of enema after the enema? I estimate that it is diagnosed based on image data. 】
[No, that piece of film... I am engaged in video, I will take a closer look. 】
In the live broadcast screen, the operator started, the knife fell, a small amount of blood was smashed, electrocautery stopped bleeding, blunt separation, the cooperation of the surgeon and assistant, equipment nurses like a flowing water.
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