Chapter 551： You

Cheng Lixue is angry!

This is to wear small shoes for yourself!

The diagnosis of cirrhosis of the patient is very clear. On the film, the amount of ascites is also very large. Why does he say that he is diagnosed wrong? !

Cheng Lixue stared at Gao Shaojie with sorrow, it must be because of the professor of the medical university, it must be!

Immediately, he glared at Zheng Ren and barely suppressed the anger in his heart and said: "Zheng Zong, I think the diagnosis is very clear."

As soon as the words were exported, a blood rushed into Cheng Lixue’s head. He said with an angry hand on the film on the reader. He said: "The symptoms of cirrhosis are obvious, the portal pressure is high, and there is a lot of ascites! I don't know. Why did Zheng always say that I was diagnosed incorrectly, did not want to be my patient?!"

In the last sentence, I was a little worried.

Having said this, it has already torn all the skin.

It means that there is no possibility of cooperation between Cheng Lixue and Zheng Ren.

but!

Cheng Lixue can't bear it!

It’s tolerable, it’s unbearable!

P, even do not be a patient of Laozi!

Zhang’s face changed, and he stepped forward, between Cheng Lixue and Zheng Ren.

Just talking, I heard Zheng Renyou said: "Director Cheng, are you not looking at the patient?"

“Hmm?” President Zhang snorted.

Cheng Lixue’s face is red, and he is also very confused. How does Zheng Ren know that he has not seen the patient?

But how can you admit it?

He believes that Zheng Ren is deliberately pouring dirty water on himself, and it is impossible to know that he has not seen the patient.

Yes, exactly! He is not fortune-telling, so he knows that he has not seen the patient.

This idea is reasonable.

Therefore, Cheng Lixue is even more angry!

bristle!

However, without waiting for him to speak, Zheng Ren asked Wang Qiang to take a pen and gently click on the film and said: "The film looks like cirrhosis, splenomegaly, and is a late form."

Cheng Lixue snorted.

"But did Director Cheng notice that the patient's liver has not shrunk, but has increased?" Zheng Ren asked.

"..." Cheng Lixue didn't even look at the film, the liver didn't shrink, it was not normal...

Of course, Cheng Lixue also knows that this is not normal. Even so, this rare case can be seen occasionally.

Cheng Lixue feels that Zheng Ren is more guilty.

"This is not cirrhosis, but Budd-Chiari syndrome." Zheng Ren sighed, saying: "Buddha syndrome is caused by various causes of hepatic veins and obstructive lesions of the inferior vena cava above the opening. A post-hepatic portal hypertension characterized by vena cava hypertension."

"It seems that there is a similar situation with the performance of cirrhosis. It is possible to make a wrong judgment, but generally the hospitals below the county level will be misdiagnosed. How can the director not see it? No."

Zheng Ren’s words are very dull, no blame, only doubts.

But every sentence is like an invisible big hand, fanned on Cheng Lixue's face.

"You...nothing!" Cheng Lixue arbitrarily defended.

"Director, if you personally check the body, you will find that the patient has the signs of spiders, and the abdominal surface veins are bulging, and the lower limbs are shoe-like necrosis. These can clearly tell you that it is different from cirrhosis. "Zheng Ren's tone is still very dull.

However, the slap is getting worse.

Professor Rudolf Wagner grinned and was very disdainful to Cheng Lixue.

Director Kong smiled and stood at the end. He had already seen it, but he was only a guest, and Zheng Ren had to ignore it. When he waited for no one, he whispered a message.

However, no doubt, Zheng Ren saw it.

Gao Shaojie was expressionless and looked coldly at the film.

This is if Gao Shaojie's doctor, even Wang Qiang took the film of Bujia syndrome and showed him cirrhosis. Gao Shaojie had already put the film on the doctor's face.

I don't understand, but even if the patient doesn't look at it, it's too much.

Dean Zhang saw that Cheng Lixue’s face was flushed and he couldn’t say a word. He had already guessed that the goods should be really not seen by the patient.

He quickly hit the round and said: "Zheng Zheng..."

"Let's take a look at the patient." Zheng Rendao: "Bugar syndrome is almost incurable before interventional surgery. But with interventional surgery, it is no longer a problem."

"Interventional surgery entered the clinic, one of the most typical diseases, Cheng Director really should not know." Zheng Ren shook his head and looked at Zhang Dean.

Dean Zhang was also very helpless. He asked the patient's ward and took Zheng Ren to see the patient.

The patient was lying in a hospital bed, his stomach was high and his limbs were thin and thin, and his typical cachexia state. Because of the high uplift of the stomach, the limbs are skinny, like a big-legged spider with only four legs, lying on the bed.

In the meantime, there is a magical feeling.

Zheng Ren glanced at the system panel at the top right of the field of vision. The diagnosis given above is the same as the diagnosis of his own reading - Budd-Chiari syndrome.

Say hello to the patient and the patient's family, and Zheng Ren began to check the body personally.

Picking up the clothes on the patient's abdomen, three veins with a diameter of about 1 are squatting on the patient's belly like a snake.

The symptoms and Zheng Ren’s judgment in the office were exactly the same, and there was no difference.

All doctors are silent.

Zheng Ren diagnosed the ascites and determined the extent of the liver. Then he began to look at the patient's feet.

A pair of purple feet appeared in front of everyone.

Ischemia, but not to the extent of necrosis. But even if it is just like this, it is very heavy.

Zheng Ren also asked a few medical history, which took everyone away from the ward and returned to the office.

"Typical spider body sign, the lower limbs because of venous return problems caused by the shoe disease is also very clear." Zheng Ren returned to the film, clicked on the film, said: "So, the patient diagnosed as Bujia syndrome, already very confirmed."

Cheng Lixue’s blushing image is like dripping.

"Director Cheng, I remember that a few days ago, you went to the city and said that you want to learn tips surgery." Zheng Rendao.

Silence a silence.

"Nuclear magnetic dispersion does not understand, it does not matter. It is also difficult to use nuclear magnetic dispersion to determine the relationship between the portal vein of the liver cirrhosis and the hepatic vein." Zheng Ren looked at the film and his tone was flat. "But as a doctor, as a doctor, Director, don't look at the film before surgery, don't look at the patient, this is too much!"

Cheng Lixue was speechless, and he lowered his head and stepped back.

"Mr. Zheng, can you see if this patient can do surgery?" Director Zhang asked.

"Manager Feng, do you have vascular consumables?" Zheng Ren asked.

"Thrombolytic? I brought it, I am ready to do thrombolysis." Feng Xuhui said happily.

"Without thrombolysis, ordinary guide wire can be done." Zheng Rendao.

Cheng Lixue suddenly raised his head, his eyes were bloodshot, his lips moving, as if he wanted to say something.

Professor Rudolf Wagner gave him a look and said, "You see!"