v3 Chapter 2792： Peak back, turn around

"Boss Zheng, do you have a big grasp?" Zhao Yunlong asked softly.

"Try it out, I guess it should be fine."

With good luck, Lao He started to administer and intubate.

Everything went smoothly without unexpected complications. Seeing that the patient's vital signs were stable, Director Xu was relieved. As long as the level of anesthesia can pass, it has nothing to do with myself, as for the remaining naturally minded people.

For the situation that Zhengzheng pulls out, Director Xu thinks that it is best not to have surgery. It's not about himself, and he is more lazy.

"Boss Zheng, what have you been doing lately?" Director Xu smiled on his face. The patient was anesthetized and his voice was a little louder.

"This is not a collective poisoning by the students at noon and noon. I went to take a sample to find the cause." Zheng Rendao.

"Secondary ... I heard that the food in the student cafeteria was good."

"Well, it's okay to take a look." Zheng Rendao, "I suspect that there is a problem with freshly squeezed fruit juice, causing acute copper poisoning in students."

"..." Director Xu froze for a moment, looking at Boss Zheng very speechless. Acute copper poisoning is rare. Boss Zheng is really busy every day, and I don't know when this patient can follow him.

"By the way, Zheng, didn't you say you had live surgery in the afternoon?" Director Xu asked.

"I didn't do it. I'm too busy with food poisoning." Zheng Ren sighed, hoping that the CDC would do laboratory tests early to solve the problem. It is a good thing to start the surgery live broadcast earlier. The main thing he missed was the reward given by the system task.

"Copper poisoning is rare, but today this patient is also rare." Director Xu said with a smile. "Boss Zheng, I saw the film and felt that it was necessary to have a thoracotomy. But the risk of thoracotomy is also very big, which only disturbs you Work over there. "

"You are welcome, Director Xu. My side was already busy when you asked Fang Lin to call. The oranges in the fresh juice machine will be tested by the CDC. It is estimated that the results will be produced in two hours without delay."

Zheng Ren said with a smile.

"Is there a lot of copper in oranges? How to get in? Is it better to keep fresh or to look at the salesman?" Director Xu was a little puzzled.

"I don't understand. I haven't heard that copper can help oranges."

"Generally, those who sell oranges will wax the epidermis, so that it looks more shiny, but the amount is not large." Su Yundao, "But the copper element is not helpful for the sale, I don't understand."

What Director Xu wanted to say, his mouth moved slightly, but he still didn't make a sound.

Zheng Ren understood and smiled, "I don't think there should be anything wrong with the medical history of Dr. Chang. The medical history shows that students with food poisoning have a common experience-drinking freshly squeezed orange juice.

"Wait a minute, it won't be clear." Su Yun twisted the mobile phone in his hand, and looked at the TV screen of Director Gandan Li doing endoscopic surgery.

The operation went smoothly and it ended in less than an hour.

Zheng Ren gave the patient an echocardiogram before the general anesthesia awakened, and found that the heart returned a few centimeters to the left. The patient's vital signs were smooth and without any abnormalities.

If it was not a routine CT scan before surgery, or if the basic clinical skills of 912 medical staff were solid, I could directly see that the heart was twisted. I am afraid that this patient will be ignored.

Even many doctors think of this as a congenital right-hand heart.

"Boss Zheng, where will the patient go next?" Director Xu asked.

"Either go to the ICU or the general ward, the most dangerous time is intubation, and the patient will recover slowly after this period." Zheng Rendao.

The director Li, who was hesitant to think about it, still sent the patient to icu. Just kidding, the patient has a twisted heart. What should I do if the vagus nerve is accidentally stimulated when resetting?

When returning to the general ward, is it necessary to arrange special supervision?

Zheng Ren did not care about these things. When he saw the patient woke up, he smiled and said, "If nothing is wrong, we will go first."

"Okay, I'll contact you later."

I came to the locker room and Su Yun asked, "Boss, are you sure?"

"Almost, if there is a heart hernia, there are already symptoms, and it won't happen when the heart slowly resets." Zheng Ren said with certainty.

"Who gives you confidence?" Su Yun asked in confusion.

"I am vague, you tell me not to talk to you with the tone of the patient. I am definitely not able to say, what do you want?" Zheng Rendao.

Su Su Yun spread his hands and looked at the sky.

【they said……】

Zheng Ren answered the call.

"Nothing? Impossible."

"Good forest, I know."

After a brief exchange, Zheng Ren hung up the phone, his eyebrows twisted together, and he pondered carefully.

云 Su Yun already knew what happened from the phone, and he was also very confused. It should be no problem that Chang Yue asked about the medical history. Is there anything else he didn't take care of?

I was really weird, and Su Yun was rarely thinking seriously.

Zheng Ke really didn't have any ideas. Zheng Ren smashed the matter again. Just now Director Lin said that the various samples collected in the cafeteria had only a few problems, and he had been ordered to rectify them. But minor problems refer to things like mold, bacteria, etc., which are completely unrelated to copper metal.

What the **** is going on ... otherwise I'll see the classmates who watched in Eye 2? Zheng Ren had such an idea ~ www.novelhall.com ~ Before Zheng Ren made a decision, the phone rang again.

Fan Tianshui called this time.

"Mr. Zheng, someone wants to move the machine." Fan Tianshui's voice was low and his words were a little urgent.

"Huh? Move the machine?" Zheng Ren asked, puzzled. He had no idea. Hearing Fan Tianshui's words, he suddenly remembered that it would not be a problem with the machine.

等 "Wait, I'll go immediately." Zheng Rendao, "Is it the school?"

"It is said that they said they would call the police if they refused to give up."

"I contact Lin, you ... try to delay as much as possible. By the way, don't hang up, don't hurt the old fan!" Zheng Ren finished and hung up the phone in a hurry.

I was so frustrated every day, but I really sighed, Zheng Ren sighed.

"The machine must be removed at this time, there must be a ghost!" Su Yun said affirmatively.

"I think so too, there may be a problem somewhere in the juicer." Zheng Ren quickly changed his clothes and straightened out his thoughts. "What is the pH of orange juice?"

"Usually 3-4, the lower the pH value, the more acidic it may be, and the freshly squeezed may be concentrated, resulting in a further reduction in pH value." Su Yundao.

"It's possible! I remember two cases of copper poisoning were the exposure of the copper parts of the cola machine, the poisoning caused by soaking in the cola with a pH value of about 2." Zheng Rendao, "Hurry up, call the car and rush over immediately. "

Uh ...

Uh ...

Note: Literature on conservative treatment of cardiac torsion Source: NEnglJMed2014; 370: e30