Chapter 1533： Keep under the knife

Feng Jianguo thought that he had got it wrong. He looked at Zheng Ren with a strange expression and asked: "Zheng boss, what do you say?"

"Consider the patient is myasthenia gravis, immediately go to the thymus CT or MR, if there is a thymoma, you can temporarily make a preliminary diagnosis." Zheng Rendao.

Feng Jianguo saw Zheng Ren’s eyes squinting, and he was watching the film, some doubts.

He glanced at it and saw Zheng Ren not looking at the abdominal CT, but the lung CT.

This film can only be seen that there is a small amount of inflammation in the lungs, nothing special.

How do you see thymoma?

However, Feng Jianguo belongs to those who have a lot of psychology.

Imaging, it is okay to look at the film related to the abdomen. It is really necessary to look at the image of the chest carefully, and the level is much worse.

"Zheng boss, there is a problem with the thymus?" Feng Jianguo asked carefully.

"Flat sweep, can't see clearly." Zheng Rendao: "But in terms of imaging, the density here is not right."

Zheng Ren ordered a film and continued: "If the intestinal obstruction, the patient's signs are not right. Abdominal tenderness is too light, it does not feel like."

Feng Jianguo was hesitant, but he did not question Zheng Ren’s statement, but picked up his mobile phone and called to Director Wei.

In the face of big things, it is the most normal thing to find a director to back the pot.

After Feng Jianguo finished the phone call and looked at the patient lying on the operating table, he felt that it was difficult.

Is it necessary to throw the patient here and wait for the director to come up?

He has never done this kind of thing.

Can you twist the surgery? I guess I can’t beat Zheng’s boss.

It is said that Xiangjiang and the hospital have a doctor, carrying Zheng boss, was slap in the face to the wall. Later, he was also taken out and raised, and now he does not know where.

But even if Zheng boss does not hit himself, open the stomach and see the intestines, there is nothing big, then what should I do?

Take the wax directly!

Just when Feng Jianguo felt that it was a dilemma, Zheng Rendao said: "How long has Xinsi’s Ming given?"

"8 minutes." The anesthesiologist had a detailed record and said immediately.

"You have to wait any longer." Su Yundao: "But I think the patient's breathing difficulties have begun to ease, not as heavy as when I first came in."

Zheng Ren looked back at the patient and slightly decapitated.

Feng Jianguo knows that the positive test of neostigmine is a common method for diagnosing myasthenia gravis.

However, the emergency surgery was stopped, and the Xinsi’s test was done on the operating table. Zheng Bo is really confident.

If you don't have the patient still lying in the operating room, you can do it.

"Boss, open the chest directly." Su Yun can't wait to say: "Looking for Fang Lin to come up, do a mediastinal thymoma resection, half an hour to finish."

"Don't worry." Zheng Ren said very calmly: "Just guessing that without thymus CT, MR, it is impossible to determine whether it is a thymoma."

"This is definitely!" Su Yun pointed his finger on the reader and rang straight.

These few times, like knocking on Feng Jianguo's heart, he immediately felt the symptoms of mild arrhythmia.

However, regardless of what Su Yun said, Zheng Ren did not look at the film, but turned around and looked at the patient.

After 5'12′′, Director Wei hurriedly rushed up.

Just after the operation, I had to run up to the emergency consultation. Director Wei did not even have time to wear the stockings.

“What happened?” Director Wei asked directly after coming in.

Zheng Rengang wants to say that seeing Feng Jianguo began to introduce the condition, he will continue to observe the state of the patient.

Feng Jianguo briefly explained that the patient's condition was relatively clear, and Director Wei glanced at Zheng Ren, and his heart was a bit strange.

The patients were sent to the operating table and shouted directly. What is the difference between this and the shouting of the knife on the court?

A doctor in the intervention department stopped the operation of the gastrointestinal surgery with this overbearing method... Even if it is a good relationship, he has to consider his feelings.

However, Director Wei turned to think that if the patient had an accident, what did he feel?

It may be that Zheng Boss is more confident in the diagnosis.

He carefully found the film of the abdominal CT and inserted it into the reader.

Very typical intestinal obstruction! Director Wei was puzzled.

I took another look at the film of digestive tract angiography, which confirmed this point.

"Zheng boss." Director Wei Shen said: "Are you sure?"

"I can hear it when I speak, then open my eyes and force it!" said Zheng Ren.

Director Wei’s heart was slightly annoyed. This is too familiar with Zheng’s boss. On the operating table, he even opened his eyes and watched the film!

wrong!

When the anger appeared in the chest, it was extinguished by Director Wei.

This is not a provocation, but a strange test - the fatigue test of the upper jaw!

The fatigue test of the upper jaw is not a physical examination of the gastrointestinal surgery. Director Wei also told the teacher when he was at school.

Today is because listening to Feng Jianguo said that Zheng boss diagnosed as myasthenia gravis, he vaguely recalled what the teacher taught in the classroom.

This disease has nothing to do with gastrointestinal surgery. In a few years, there is not one case, and the memory is already full of dust.

Just because of the madness of the moment, it seems that the fatigue test of the captain that has long been forgotten is remembered.

Director Wei turned around and secretly called for danger.

Just if you want to change your temperament I am afraid that it will break out on the spot.

If this is an episode, look back at Zheng Boss to do a fatigue test on the patient, not to be jokes and die?

There was an anesthesiologist standing next to him, holding a pen and paper in his hand, and it seemed to record the gaffe of his moment.

“Zheng Boss, what is the result of the fatigue test on the Shangyu?” Director Wei asked softly.

Zheng Ren carefully observed the patient's condition. The anesthesiologist took a look at Director Wei and replied: "There is a need to record 6 times. There are already 4 recorded values, which should be positive."

Immediately, the anesthesiologist smiled and said: "Director Wei is very powerful. You can remember the physical examination that has nothing to do with your department."

"Who said that there is no contact, is this not related?" Director Wei self-satisfied, smiled a little, said: "If the upper jaw fatigue test is positive, send it to a thymus CT, MR time is too long."

Zheng Ren said a value that the anesthesiologist recorded. After completing the fifth test, Zheng Rencai turned around and said with apologetic apology: "Sorry, Director Wei, just checking the body. What do you think?"

Director Wei felt that he was a dog.

Look at the film, it must be an intestinal obstruction, or the more anxious kind, to do surgery.

However, Zheng boss directly carried out the fatigue test of the upper jaw, and the test result is still very positive.

There was a brief confrontation between his many years of clinical experience and his trust in Zheng Boss, but soon, a mind quickly gained the upper hand.

"I think the possibility of myasthenia gravis is relatively large. At least the diagnosis of patients is still unclear. Let's talk about a thymus CT." Director Wei said.

"Do another fatigue test, then the result is positive, just go... It seems to be no longer needed." Zheng Ren suddenly remembered something and said: "The average is definitely positive, go directly to CT."