v3 Chapter 2790： Without surgery

After dropping a car, Su Yun suddenly remembered something. He and Fan Tianshui said, "Lao Fan, go and look at that machine."

"OK." Fan Tianshui never asked why, this habit Zheng Ren felt particularly good, but Su Yun felt very awkward. You have to explain a few words, otherwise your wild ideas are not shown to the blind.

After getting in the car, Su Yun said, "Boss, do you know what I am worried about?"

"Say." Zheng Rengang wanted to go to the system operating room to have a look, but was called back by Su Yun, very unhappy, his tone was a bit hard.

"Never underestimate their shame, if no one is watching, they dare to take the juicer away, believe it or not."

"I don't believe it," Zheng Ren said, "The oranges have been sent for inspection, and everything is fine at a glance."

Qi Suyun shrugged his shoulders, disapproving Zheng Ren's words.

Quiet, Zheng Ren entered the system space, clicked to buy the surgery training time, the system operating room stood up, and he went straight in.

The test subject was lying on the operating table, and had closed chest drainage, with laparoscopic equipment next to it.

According to Fang Lin's phone call, the patient was routinely sent for a CT examination after the breast bottle was dispensed, and then came to the emergency department because of a spleen rupture. At this time, the CT image came back and found that the heart and large blood vessels were twisted, and the heart was still fully twisted.

I guess Fang Lin initially thought it was right heart, but after consultation on the stage, it was considered to be caused by trauma.

Zheng Ren first saw the relevant inspection report, and then repeatedly determined that he was in the system space. He did not attempt to perform a splenectomy. This level of "minor" surgery is no longer a problem for Zheng Ren.

Dissect the experimental body to see the position and condition of the twist.

There are many papers about cardiac torsion, most of which are caused by damage to the physiological structure of the heart when the lungs of the left or right lung are removed through the pericardium.

The process is 6-12 hours after surgery, and there is insufficient gas exchange. After the patient is shocked, the doctor will detect it by echocardiography.

If a bedside chest radiograph is taken at this time, a heart hernia will enter the chest cavity and pulmonary edema will occur. If the chest is opened again, the apical hernia can be confirmed into the chest cavity.

心脏 It is difficult to detect the heart torsion after surgery, so most patients with this complication die quickly from respiratory and circulatory failure.

Dissecting the experimental body, Zheng Ren found that the heart shifted to the right chest cavity after a large 90 degree twist.

This situation is rare, there are still some reports of right heart caused by surgery, but trauma is extremely rare.

Zheng Ren has never seen such a case. The magic is that the patient's heart twists and shifts so far, but the patient is still awake and alive.

The operation of resetting is not difficult. Zheng Ren finished the operation quickly, and the operation was 110% complete.

According to the anatomy, Zheng Ren began to speculate that the injured person's body was severely twisted in the car accident, which caused his heart to spin away.

推测 This speculation seemed logical, but Zheng Ren quickly began to wonder.

He thought of another possibility-this weird change did not occur on the spot of the car accident, but may occur only a few minutes or even an hour later. The positive pressure formed by the air filling the chest may be the heart displacement. Pushing hands.

The traumatic pneumothorax on the left side creates positive pressure in the chest cavity, which “pushes” the heart to the right side, and forms a heart twist during the pushing process.

Zheng Zhengren thinks this judgment is possible because the position of the heart on the CT image is slightly different from the position and angle of the heart.

相 The time difference between the two is relatively short. The difference in this short time is because the gas in the left chest cavity is drawn out, which is caused by the pressure change.

A bold idea appeared in Zheng Ren's mind-what if he didn't manage it? Zheng Ren began to think that this idea was strange and weird, but the more he thought about it, the more it made sense.

I bought surgery training time again. Zheng Ren was a little bit painful this time, but now that he has a lot of money, he doesn't seem to care about the consumption of this time.

He first intubated the patient for general anesthesia.

Because the heart shifted, Zheng Ren took every step carefully, for fear of which step might cause complications such as cardiac arrest in the subject.

But he obviously thought too much, the condition of the subject was very good, and the general anesthesia went well.

First performed a splenectomy with endoscopic equipment, explored the abdominal cavity, and saw no active bleeding, Zheng Ren ended the abdominal operation.

It was only after the operation that he did not choose to leave the system operating room, but "waste" a lot of surgical training time squatting in the system operating room to observe the state of the patient with echocardiography.

General anesthesia was awakened, and the ventilator was not assisted in breathing. Zheng Ren monitored echocardiography every 0.5 hours.

Sure enough, as expected, the patient's heart slowly returned to the normal physiological anatomy without the intervention of external forces. However, the vital signs of the experimental subjects were stable throughout the whole period, and the ECG monitoring did not even show an alarm.

Monitored for 28.2 hours, the heart returned smoothly, and Zheng Ren breathed a sigh of relief.

This is also that I am more affluent at present ~ www.novelhall.com ~ can "wasted" a certain amount of surgical training time to make such experimental observations.

The advantages and disadvantages of the two are weighed and each has their own ideas. Zheng Ren is now at the peak level and naturally wants to try some newer treatments. It can be done without surgery, after all, even small operations are a blow to patients.

Zheng Renye and the rookie who had just one or two hours of surgical training time just a year ago were no longer the same.

Out of the system operating room, Zheng Ren glanced at his energy value, full! The big pig's hoof is quite awesome, as long as the energy value is restored very quickly in the system space.

I just can't bear the consumption of the real eye, which is a bit regrettable.

What Zheng Ren always remembers is the real eye. At the beginning, he did not expect that this skill would become his most tangled, love-hate thing.

The shuttle car was swimming in the Chehe River of the imperial capital and returned to 912. The two walked directly to the fire prevention channel and flew to the operating room.

I changed my clothes and went into the operating room. The people who met them looked dignified, and the sound of walking was much lower.

Zheng Ren guessed that Director Xu should be at the consultation, otherwise these medical staff would not be so quiet. Quietness means depression, and long hours of work in a depressed atmosphere can make people crazy.

Xu Wenming struck into the room during the operation.

There are more than a dozen people standing in the cymbals, some watching movies and some whispering. The patient was lying on the operating table, his face was pale, and his blood pressure was 80 / 50mmHg. He saw that more and more people in the operating room were obviously afraid, and his eyes were full of fear and helplessness.