Chapter 1721： Yan Zhang
"Are you questioning my ability to execute?" Su Yun asked.
"Just do it, step down and ask the results, is there a fire disease." Zheng Ren ignored Su Yun's provocation, casually said.
"What do you suspect?" Su Yun stunned.
"Thyroid crisis." Zheng Ren replied.
"Well, I will ask if I step down." This time, Su Yun did not say anything else, but took it very seriously.
Director Luo contemplates that the patient at the Massachusetts General Hospital is a thyroid crisis?
The cause of thyroid crisis may be related to the increase of thyroid hormone levels in the circulation, and it often occurs in patients who have not treated or treated with severe hyperthyroidism.
Common causes are infection, surgery, mental stimulation, etc. The clinical manifestations are high fever, sweating, tachycardia, irritability, anxiety, paralysis, nausea, vomiting, diarrhea, severe heart disease, shock and coma.
Its diagnosis is mainly based on comprehensive judgment of clinical manifestations. Clinically highly suspected of this disease and the premise of crisis should be treated according to this disease, the mortality rate is more than 20%.
The clinical manifestations are similar to the symptoms of the patient, with nausea, vomiting, and abdominal pain. Only the incidence of thyroid crisis is too low, and the patient has a very obvious history of inhaling an electric fire. I have not thought of this for a while.
Professor Zhang saw the end of the operation, did not listen to things like thyroid crisis, and recalled the process of seeing surgery.
The surgery is good, steady and fast, but some professors still do not understand.
After all, he is not a cardiothoracic surgery, can understand more than half, even if the basic knowledge is relatively solid type of doctor.
As for all of them, this kind of thing does not exist at all. If you can do this, you don't need Zheng Ren to save the plane.
"Zheng Boss, where the thick vulcan cord and the double-chamber balloon catheter are in the inferior vena cava, why do you use it?" Professor Zhang asked.
Su Yun is very disdainful, said: "I ask you, why do you give a lot of low molecular weight heparin before surgery?"
"Because it prevents thrombosis," Professor Zhang replied.
"Yeah, I haven't opened the heart yet, who knows how many blood clots." Su Yun's sullen emotions are overflowing. Some people in the place are guilty of Professor Zhang. "The inferior vena cava is given a thick hemp rope and a double-chamber balloon catheter. Control, reduce bleeding and prevent stent thrombus from falling off when the stent is removed."
After that, he paused.
"You can't think more about one step? Ask such a simple question?" Su Yun's tone of disdain is so exaggerated.
"..." Professor Zhang never thought that he would be hurt by a small doctor like a grandson.
Under the sterile mask, he opened his mouth and wanted to refute it.
But... rebuttal? Say what? The surgery itself is ignorant, and it is not bad to be able to write down the surgical procedure.
Also retort, fear that it is a mouthful of his own doctor directly sprayed to the airtight lead door of the operating room.
Forget it, the skill is not as good as people, what is good to say.
Lao He knows Professor Zhang, when he resigned, the court was really sensational for a while.
The private hospital reached the 912 hand, and it was not the doctor at the hospital level, but the professor.
Unexpectedly, Professor Zhang was so personal today that he was hurt by Su Yun’s head and he thought it was a bit interesting.
Too embarrassing! But Lao He likes it.
Just like in the Affiliated Hospital of the Medical University, director Tian is no longer dissatisfied, how can he hurt him, and the goods don’t have to bite the back teeth?
Zheng boss surgery can get it down, it is equivalent to save them in the fire, even if you put a fart, these people have to go. It’s okay to talk, it’s all right!
Can you be arrogant?
Lao He thought of this, laughing at himself. Before Mao’s long story, the shadow in his heart still remained, and it could not be dissipated for a while.
I am still a man of honesty, as arrogant as Yun Ge, but I have no such ability.
When he was a graduate student, he was known as the star of the Emperor's Cardiothoracic Surgery tomorrow. After he graduated from his Ph.D., he worked for 20 years and is still working in a small class.
Laohe still has a clear understanding of himself, and the U disk is carried with him, just for a good boss who does not know that he likes or dislikes.
It is a pity that Zheng Boss is not in a good position and has no hobbies. Lao He took a look at Zheng Ren, and his heart was helpless.
Others have good wine, good gambling, and lasciviousness. The so-called wine color is always avoided. Zheng boss can do a good job, rarely eat, do not drink. Girlfriend, comes with, even with surgical equipment.
It’s really a dog biting a hedgehog.
Still have to look carefully, Zheng boss is comfortable, he can be more comfortable, the old congratulations.
After sewing the skin, Zheng Ren turned to step down and tore off the sterile clothes.
"Zheng boss, hard work." Mao said with a smile.
"Nothing, Director Mao, the surgery is not big, that is, the equipment does not pick up the hand." Zheng Ren smiled.
The surgery is not big...
Well, people have successfully completed the surgery and are willing to do so.
"Mr. Zhang, I should pay attention to the postoperative period." Zheng Ren then looked at Professor Zhang.
"Ah? Oh, you said you said." Professor Zhang quickly said.
"There was no obvious thrombus on the removed stent. Considering the active administration of heparin anticoagulation before surgery has a certain effect.
Your patient's stent has a special incarcerated position, and the interatrial wear is seen during surgery. To prevent myocardial edema, hormone therapy should be actively administered after surgery.
During the extracorporeal circulation, 500 mg of methylprednisolone and 500,000 units of ulinastatin were given. After returning to the ward, 40 mg of methylprednisolone was continued daily for 3 days, supplemented with appropriate diuretics. ”
Professor Zhang’s brain still stayed in the contradiction between the joyful operation of the operation and how to communicate with the family members of the patient. Zheng Ren dubbed and said that he was directly told.
He tried hard to remember, but the mess in his mind said nothing to remember.
"Zheng... Zheng boss, you slow down." Professor Zhang said slyly.
"Do not have to give you a cup of coffee, sit down and let's talk slowly? The coffee of the medical committee is said to be good." Su Yun removed the sterile form from the patient, scorned.
"..."
"Find pen and paper, write down and take the patient to the ICU. If your ICU technical strength is not strong, go to 912 to find someone." Zheng Renwen said warm words.
Professor Zhang was flushed, turned and ran to the operation room, took an A4 paper and a pen. Zheng Ren said his postoperative doctor's advice again. After Professor Zhang wrote it down, he carefully placed it in the pocket of the isolation suit.
"Zheng boss, change clothes." Mao smiled and said: "I have trouble everyone today, don't leave for a while, I treat you."
"Director Mao, you are welcome." Zheng Ren smiled.
"It should be, you are not allowed to go." Director Mao blinked and pretended to be fierce. Actually, he expressed his determination to treat himself.
"Just do it, step down and ask the results, is there a fire disease." Zheng Ren ignored Su Yun's provocation, casually said.
"What do you suspect?" Su Yun stunned.
"Thyroid crisis." Zheng Ren replied.
"Well, I will ask if I step down." This time, Su Yun did not say anything else, but took it very seriously.
Director Luo contemplates that the patient at the Massachusetts General Hospital is a thyroid crisis?
The cause of thyroid crisis may be related to the increase of thyroid hormone levels in the circulation, and it often occurs in patients who have not treated or treated with severe hyperthyroidism.
Common causes are infection, surgery, mental stimulation, etc. The clinical manifestations are high fever, sweating, tachycardia, irritability, anxiety, paralysis, nausea, vomiting, diarrhea, severe heart disease, shock and coma.
Its diagnosis is mainly based on comprehensive judgment of clinical manifestations. Clinically highly suspected of this disease and the premise of crisis should be treated according to this disease, the mortality rate is more than 20%.
The clinical manifestations are similar to the symptoms of the patient, with nausea, vomiting, and abdominal pain. Only the incidence of thyroid crisis is too low, and the patient has a very obvious history of inhaling an electric fire. I have not thought of this for a while.
Professor Zhang saw the end of the operation, did not listen to things like thyroid crisis, and recalled the process of seeing surgery.
The surgery is good, steady and fast, but some professors still do not understand.
After all, he is not a cardiothoracic surgery, can understand more than half, even if the basic knowledge is relatively solid type of doctor.
As for all of them, this kind of thing does not exist at all. If you can do this, you don't need Zheng Ren to save the plane.
"Zheng Boss, where the thick vulcan cord and the double-chamber balloon catheter are in the inferior vena cava, why do you use it?" Professor Zhang asked.
Su Yun is very disdainful, said: "I ask you, why do you give a lot of low molecular weight heparin before surgery?"
"Because it prevents thrombosis," Professor Zhang replied.
"Yeah, I haven't opened the heart yet, who knows how many blood clots." Su Yun's sullen emotions are overflowing. Some people in the place are guilty of Professor Zhang. "The inferior vena cava is given a thick hemp rope and a double-chamber balloon catheter. Control, reduce bleeding and prevent stent thrombus from falling off when the stent is removed."
After that, he paused.
"You can't think more about one step? Ask such a simple question?" Su Yun's tone of disdain is so exaggerated.
"..." Professor Zhang never thought that he would be hurt by a small doctor like a grandson.
Under the sterile mask, he opened his mouth and wanted to refute it.
But... rebuttal? Say what? The surgery itself is ignorant, and it is not bad to be able to write down the surgical procedure.
Also retort, fear that it is a mouthful of his own doctor directly sprayed to the airtight lead door of the operating room.
Forget it, the skill is not as good as people, what is good to say.
Lao He knows Professor Zhang, when he resigned, the court was really sensational for a while.
The private hospital reached the 912 hand, and it was not the doctor at the hospital level, but the professor.
Unexpectedly, Professor Zhang was so personal today that he was hurt by Su Yun’s head and he thought it was a bit interesting.
Too embarrassing! But Lao He likes it.
Just like in the Affiliated Hospital of the Medical University, director Tian is no longer dissatisfied, how can he hurt him, and the goods don’t have to bite the back teeth?
Zheng boss surgery can get it down, it is equivalent to save them in the fire, even if you put a fart, these people have to go. It’s okay to talk, it’s all right!
Can you be arrogant?
Lao He thought of this, laughing at himself. Before Mao’s long story, the shadow in his heart still remained, and it could not be dissipated for a while.
I am still a man of honesty, as arrogant as Yun Ge, but I have no such ability.
When he was a graduate student, he was known as the star of the Emperor's Cardiothoracic Surgery tomorrow. After he graduated from his Ph.D., he worked for 20 years and is still working in a small class.
Laohe still has a clear understanding of himself, and the U disk is carried with him, just for a good boss who does not know that he likes or dislikes.
It is a pity that Zheng Boss is not in a good position and has no hobbies. Lao He took a look at Zheng Ren, and his heart was helpless.
Others have good wine, good gambling, and lasciviousness. The so-called wine color is always avoided. Zheng boss can do a good job, rarely eat, do not drink. Girlfriend, comes with, even with surgical equipment.
It’s really a dog biting a hedgehog.
Still have to look carefully, Zheng boss is comfortable, he can be more comfortable, the old congratulations.
After sewing the skin, Zheng Ren turned to step down and tore off the sterile clothes.
"Zheng boss, hard work." Mao said with a smile.
"Nothing, Director Mao, the surgery is not big, that is, the equipment does not pick up the hand." Zheng Ren smiled.
The surgery is not big...
Well, people have successfully completed the surgery and are willing to do so.
"Mr. Zhang, I should pay attention to the postoperative period." Zheng Ren then looked at Professor Zhang.
"Ah? Oh, you said you said." Professor Zhang quickly said.
"There was no obvious thrombus on the removed stent. Considering the active administration of heparin anticoagulation before surgery has a certain effect.
Your patient's stent has a special incarcerated position, and the interatrial wear is seen during surgery. To prevent myocardial edema, hormone therapy should be actively administered after surgery.
During the extracorporeal circulation, 500 mg of methylprednisolone and 500,000 units of ulinastatin were given. After returning to the ward, 40 mg of methylprednisolone was continued daily for 3 days, supplemented with appropriate diuretics. ”
Professor Zhang’s brain still stayed in the contradiction between the joyful operation of the operation and how to communicate with the family members of the patient. Zheng Ren dubbed and said that he was directly told.
He tried hard to remember, but the mess in his mind said nothing to remember.
"Zheng... Zheng boss, you slow down." Professor Zhang said slyly.
"Do not have to give you a cup of coffee, sit down and let's talk slowly? The coffee of the medical committee is said to be good." Su Yun removed the sterile form from the patient, scorned.
"..."
"Find pen and paper, write down and take the patient to the ICU. If your ICU technical strength is not strong, go to 912 to find someone." Zheng Renwen said warm words.
Professor Zhang was flushed, turned and ran to the operation room, took an A4 paper and a pen. Zheng Ren said his postoperative doctor's advice again. After Professor Zhang wrote it down, he carefully placed it in the pocket of the isolation suit.
"Zheng boss, change clothes." Mao smiled and said: "I have trouble everyone today, don't leave for a while, I treat you."
"Director Mao, you are welcome." Zheng Ren smiled.
"It should be, you are not allowed to go." Director Mao blinked and pretended to be fierce. Actually, he expressed his determination to treat himself.
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