Chapter 2157： Simple and clear diagnosis
"Old Shao, what do you tell the truth to the patients?" Su Yun asked as he smiled as he looked at the film.
Lao Shao’s face changed greatly, Fang Lin stopped, and smiled: “Cloud brother, don’t make such a joke with Lao Shao, he is courageous.”
"Yes, yes, because this patient I am almost scared to death." Shao Jinghe looked sad.
Zheng Ren feels strange, is a terrible disease, is it scared to death? Where did this come from?
And this Dr. Shao took the patient directly to the 912, which is also very strange.
In general, for example, in Haicheng, it is very good for local doctors to contact the higher level hospitals. Personally escorted, either the heart disease or the fate of friends or relatives.
Even friends and family may not have time, and there is not a pile of things in their hands.
Shao Jinghe not only contacted Fang Lin, but also sent the patient directly. There must be a story inside.
For this patient, Zheng Ren highly suspected that he had missed some of the bullae at the time of surgery, causing the patient to have problems again and again.
This is only a possibility, and the possibility is not that big.
"I went to see the patient." Zheng Rendao.
If it is a rare disease, let the big pig hoof help solve it. Zheng Ren experienced the stage of seeing the mountain is the mountain, seeing the mountain is not the mountain, has reached the level of seeing the mountain or the mountain.
There are so many convenient means of big pig hooves, why not?
If you look at it, you know if it is the problem of Shao Jing and Dr. Shao. It must be used in the first place. As for accumulating clinical experience, experience is accumulation.
"Zheng boss, this is coming." Fang Lin took the red stethoscope hanging around his neck and handed it to Zheng Ren.
"The patient is in the ward of the 12th, and the ward is still specially adjusted for me." Fang Lin said with a smile.
"Oh? What happened?"
"The patient's family is accompanied by an old man. It is said to be a kind of person in the country's gods. It is better to say that she lives in the 12th ward."
"This is not a nonsense, if it is really accurate, then why have you committed so many diseases before." Su Yun said.
"Cloud brother, Lao Shao said, before she said that she could not let Lao Shao handle it. The family doesn't believe it, saying that the old man is old, and the conversation is upside down." Fang Lin said mysteriously.
"You can talk well, believe it or not, I will take you to the duty room!"
"Cloud brother, I have to worry about bringing me directly to the value of women." Fang Lin said that he was used to laughing, and he was not afraid of Su Yun’s threat.
"Long temper." Su Yun said, Fang Lin knows that now is the most dangerous time, and quickly said: "Cloud brother, do not make trouble, say serious things, you know why Lao Shao is accompanying What?"
"why?"
"The old man said that if the child is not cured this time, the situation will become worse and worse, and it will die within three years." Fang Lindao, "She also said that if the child dies, he will die with Lao Shao."
"She said that she did not say that looking for you to see a doctor is definitely okay?" Su Yun did not believe this, haha smiled.
"This is not to find Yun Geer, you can help me with a palm, you are a legendary friend of women, just look at the patient." Fang Lin laughed.
Between the jokes, the three came to the 12th ward. Su Yun and Fang Lin were serious in the moment they walked to the door.
Talking and laughing behind the back is not a big deal. But in the face of the patient's family, that is another matter.
When the doctor is serious in front of the patient, he can give the patient and the patient's family more confidence.
When I came to the ward, Fang Lin advanced, standing next to the middle bed and Zheng Ren and Su Yun introduced, "This is the patient who said before."
Zheng Ren took a glance, the patient system panel was red, and the diagnosis was clear - spontaneous pneumothorax on the left side, rupture of the lung vesicle, chronic suppurative pleurisy, and localized fibrosis of the lung.
In addition, there is a weird diagnosis - endometriosis.
No special disease is a variety of complications caused by spontaneous pneumothorax. The complications are not very heavy, and the empyema can be peeled off during laparoscopic surgery.
After a few days of antibiotics, it should be no problem.
Then Zheng Ren glanced at the patient, her face was yellow and thin, her belly.
belly?
Why are you licking your stomach?
It is endometriosis, Zheng Ren guessed.
Endometriosis is really terrible, it can be said that it is painful.
"You are Qi Xiaojuan, what is your stomach?" Zheng Ren went to the right hand side of the patient and asked with a red stethoscope.
Sitting next to the patient, a thin and dry old lady, her eyes are blind, and she turned her eyes and looked at Zheng Ren. "The child is coming to aunt."
Sure enough, the guess is right, the big pig's hoof is very reliable.
Zheng Ren smiled and showed the gentlest side. "Let's lay flat, I listen to the breath sound."
The girl was very docile, but she didn't want to talk. She insisted on lying on the bed in accordance with Zheng Ren's statement.
In the left chest 6 and 7 intercostal space, the chest tube was placed at the midline of the sacrum. Zheng Ren glanced at it and saw a pale yellow liquid in the chest tube.
"Cough." Zheng Rendao.
"Cough." The patient named Qi Xiaojuan coughed twice.
"Hey." Bubbles began to appear inside the breast bottle.
This is a typical expression of an open mouth in the lungs, and it has been many days, and it has not healed at all. Nothing to say, go straight to surgery.
This kind of surgery, Zheng Ren will not follow, it is really no difficulty. Just use your heart to fill the chest with warm salt water, then raise your lungs to see if there is any bubbling.
For some suspected, unbroken small lung bullae, Zheng Ren also suggested cutting off.
But now is not the time to say this, first check the body, then go back to the office and say.
Because the left thoracic cavity is inserted with closed drainage, the patient's breathing sound is only slightly weakThe right breathing sound is normal, no problem.
After the investigation, Zheng Ren carefully pressed the patient's stomach, the stomach did not have any positive signs, the patient is going to the physiological period, will collapse in the bed.
Taking advantage of the red stethoscope, Zheng Ren did not say a word, leaving the ward directly.
Although the patient and the patient's family will be slightly dissatisfied. But here is the thoracic surgery, Fang Lin just looking for a look at himself, there is no reason to pretend to be a director in the ward looks like a finger.
Out of the ward, Zheng Rendao: "The condition is very simple, do it. It is estimated that the pneumothorax caused by the rupture of the bullae."
"it is good."
Listening to Zheng Ren, Fang Lin grew a sigh of relief.
Zheng boss said, is there any doubt?
"Boss, don't you think that 7 operations are too weird?" Su Yun disagreed with Zheng Ren's point of view and raised an objection.
Lao Shao’s face changed greatly, Fang Lin stopped, and smiled: “Cloud brother, don’t make such a joke with Lao Shao, he is courageous.”
"Yes, yes, because this patient I am almost scared to death." Shao Jinghe looked sad.
Zheng Ren feels strange, is a terrible disease, is it scared to death? Where did this come from?
And this Dr. Shao took the patient directly to the 912, which is also very strange.
In general, for example, in Haicheng, it is very good for local doctors to contact the higher level hospitals. Personally escorted, either the heart disease or the fate of friends or relatives.
Even friends and family may not have time, and there is not a pile of things in their hands.
Shao Jinghe not only contacted Fang Lin, but also sent the patient directly. There must be a story inside.
For this patient, Zheng Ren highly suspected that he had missed some of the bullae at the time of surgery, causing the patient to have problems again and again.
This is only a possibility, and the possibility is not that big.
"I went to see the patient." Zheng Rendao.
If it is a rare disease, let the big pig hoof help solve it. Zheng Ren experienced the stage of seeing the mountain is the mountain, seeing the mountain is not the mountain, has reached the level of seeing the mountain or the mountain.
There are so many convenient means of big pig hooves, why not?
If you look at it, you know if it is the problem of Shao Jing and Dr. Shao. It must be used in the first place. As for accumulating clinical experience, experience is accumulation.
"Zheng boss, this is coming." Fang Lin took the red stethoscope hanging around his neck and handed it to Zheng Ren.
"The patient is in the ward of the 12th, and the ward is still specially adjusted for me." Fang Lin said with a smile.
"Oh? What happened?"
"The patient's family is accompanied by an old man. It is said to be a kind of person in the country's gods. It is better to say that she lives in the 12th ward."
"This is not a nonsense, if it is really accurate, then why have you committed so many diseases before." Su Yun said.
"Cloud brother, Lao Shao said, before she said that she could not let Lao Shao handle it. The family doesn't believe it, saying that the old man is old, and the conversation is upside down." Fang Lin said mysteriously.
"You can talk well, believe it or not, I will take you to the duty room!"
"Cloud brother, I have to worry about bringing me directly to the value of women." Fang Lin said that he was used to laughing, and he was not afraid of Su Yun’s threat.
"Long temper." Su Yun said, Fang Lin knows that now is the most dangerous time, and quickly said: "Cloud brother, do not make trouble, say serious things, you know why Lao Shao is accompanying What?"
"why?"
"The old man said that if the child is not cured this time, the situation will become worse and worse, and it will die within three years." Fang Lindao, "She also said that if the child dies, he will die with Lao Shao."
"She said that she did not say that looking for you to see a doctor is definitely okay?" Su Yun did not believe this, haha smiled.
"This is not to find Yun Geer, you can help me with a palm, you are a legendary friend of women, just look at the patient." Fang Lin laughed.
Between the jokes, the three came to the 12th ward. Su Yun and Fang Lin were serious in the moment they walked to the door.
Talking and laughing behind the back is not a big deal. But in the face of the patient's family, that is another matter.
When the doctor is serious in front of the patient, he can give the patient and the patient's family more confidence.
When I came to the ward, Fang Lin advanced, standing next to the middle bed and Zheng Ren and Su Yun introduced, "This is the patient who said before."
Zheng Ren took a glance, the patient system panel was red, and the diagnosis was clear - spontaneous pneumothorax on the left side, rupture of the lung vesicle, chronic suppurative pleurisy, and localized fibrosis of the lung.
In addition, there is a weird diagnosis - endometriosis.
No special disease is a variety of complications caused by spontaneous pneumothorax. The complications are not very heavy, and the empyema can be peeled off during laparoscopic surgery.
After a few days of antibiotics, it should be no problem.
Then Zheng Ren glanced at the patient, her face was yellow and thin, her belly.
belly?
Why are you licking your stomach?
It is endometriosis, Zheng Ren guessed.
Endometriosis is really terrible, it can be said that it is painful.
"You are Qi Xiaojuan, what is your stomach?" Zheng Ren went to the right hand side of the patient and asked with a red stethoscope.
Sitting next to the patient, a thin and dry old lady, her eyes are blind, and she turned her eyes and looked at Zheng Ren. "The child is coming to aunt."
Sure enough, the guess is right, the big pig's hoof is very reliable.
Zheng Ren smiled and showed the gentlest side. "Let's lay flat, I listen to the breath sound."
The girl was very docile, but she didn't want to talk. She insisted on lying on the bed in accordance with Zheng Ren's statement.
In the left chest 6 and 7 intercostal space, the chest tube was placed at the midline of the sacrum. Zheng Ren glanced at it and saw a pale yellow liquid in the chest tube.
"Cough." Zheng Rendao.
"Cough." The patient named Qi Xiaojuan coughed twice.
"Hey." Bubbles began to appear inside the breast bottle.
This is a typical expression of an open mouth in the lungs, and it has been many days, and it has not healed at all. Nothing to say, go straight to surgery.
This kind of surgery, Zheng Ren will not follow, it is really no difficulty. Just use your heart to fill the chest with warm salt water, then raise your lungs to see if there is any bubbling.
For some suspected, unbroken small lung bullae, Zheng Ren also suggested cutting off.
But now is not the time to say this, first check the body, then go back to the office and say.
Because the left thoracic cavity is inserted with closed drainage, the patient's breathing sound is only slightly weakThe right breathing sound is normal, no problem.
After the investigation, Zheng Ren carefully pressed the patient's stomach, the stomach did not have any positive signs, the patient is going to the physiological period, will collapse in the bed.
Taking advantage of the red stethoscope, Zheng Ren did not say a word, leaving the ward directly.
Although the patient and the patient's family will be slightly dissatisfied. But here is the thoracic surgery, Fang Lin just looking for a look at himself, there is no reason to pretend to be a director in the ward looks like a finger.
Out of the ward, Zheng Rendao: "The condition is very simple, do it. It is estimated that the pneumothorax caused by the rupture of the bullae."
"it is good."
Listening to Zheng Ren, Fang Lin grew a sigh of relief.
Zheng boss said, is there any doubt?
"Boss, don't you think that 7 operations are too weird?" Su Yun disagreed with Zheng Ren's point of view and raised an objection.
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