Chapter 544: What A Complicated Intussusception
Zheng Ren communicated with the previous acute appendicitis patient and the patient’s family. When they saw that it was a child less than one year old who was sick, they generously gave the surgery to the child.
Subsequently, Zheng Ren asked director Sun to find the head of the anesthesiology department to anesthetize the child.
After all, Chu Yanran and Chu Yan did not have enough experience. The anesthesia for children, especially children under the age of three, was completely different from that for adults.
After getting everything ready, Zheng Ren brought director Sun to the operating theater.
Director Kong had long heard the messy corridor and the child’s childish cries.
He was very curious. There were usually few doctors outside of the child. Only a place like the provincial capital would have a specialist outside of the child.
Haicheng? It was impossible.
He did not expect Zheng Ren to perform an operation outside of the child… This was also possible.
Director Sun changed his clothes and carried the child directly to the operating room. After Director Sun left, director Kong asked, “Boss Zheng, you are very knowledgeable. You can perform extra-curricular surgery? ”
“It’s not something extra-curricular. ” Zheng Ren frowned. He was also a little troubled.
“Oh? ” Director Kong was stunned for a moment.
“The patient failed to have an air enema. It is considered to be caused by enterobiasis, ” Zheng Ren said.
” … ”
Although he was not a general surgeon, director Kong knew that it was not easy to diagnose intestinal parasites. Zheng Ren did not even have a CT scan. How could he diagnose encephalopathy?
And intussusception was the most common cause of intestinal obstruction in children. In most cases, viral infection (usually from the upper respiratory tract) caused the intestinal lymphatic tissue to expand, creating a starting point that caused the proximal portion of the distal intestinal canal to “Expand” , resulting in intussusception.
Since the air enema could not be opened, he could only open the operation and perform manual reduction.
This disease had nothing to do with parasites at all.
Seeing director Kong’s hesitant expression, Zheng Ren took out the X-ray dot film that director Sun had left behind.
It was already dark, so he could not look at the window. Zheng Ren could only raise his neck and look at the film with the light, “Here, in the ileocecal department, we can see the image of the filaments. We can consider whether this is a false image or an overlapping image under fluoroscopy, but we can not rule out the possibility of the image of the intestinal parasite. ”
Seeing the images, director Kong regained some confidence.
After all, he had been dealing with images all his life. Without the images, director Kong felt like all his martial arts had been wasted.
Seeing the images, director Kong’s eyes narrowed.
He had seen where Zheng Ren was talking about. It was indeed suspicious, but if not for Zheng Ren’s reminder, with director Kong’s clinical experience, he would not have been able to determine that it was parasitic disease.
It was very difficult to push forward, but it was much easier to push backward.
After confirming that Zheng Ren was right, director Kong thought in the opposite direction and immediately found the theoretical basis.
“Here, the density on the image is not right, ” director Kong said immediately. “I think you are right. ”
“Not only here, but also here. ” Zheng Ren pointed to another location and said, “The patient is probably infected with pinworms. The eggs that the patient ingested hatch in the small intestine, and the adult worms live in the Appendix Area… ”
“Director Zheng, director Zheng, are you done changing? ” As he said this, director Sun ran in like his butt was on fire.
He was stunned when he saw Zheng Ren and another person studying the X-ray film.
What was there to study about that X-ray film? However, out of instinct as a doctor, director Sun subconsciously clicked on an X-ray film after the air enema failed.
He had also seen this film. It was just a simple intussusception.
“Let me introduce you. ” Zheng ren smiled and said, “This is director Sun from the Second Department of General Surgery of our hospital. ”
Director sun stretched out his hand in confusion. He did not expect director Kong to just nod his head, indicating that he understood.
“This is director Kong from the Department of Interventional Surgery of Capital 912 hospital. ”
Director Sun quivered for a moment.
912 hospital was the top military hospital in the country. It was also the top large-scale tertiary grade a hospital in the country.
The slight displeasure from before had dissipated like smoke. Even if there was, he did not have the time to care about this now.
His little grandson was under anesthesia. He needed to operate on him. How could he have the time to care about the attitude of others towards him.
“Director Sun, both director Kong and I suspect that it’s an intestinal parasite disease. After the surgery, look for the director of the pathology department to take a look. If it’s a parasite, you’ll need to take the corresponding insecticides after the surgery, ” Zheng Ren said.
Director Sun was a little puzzled and also a little lost.
But since Zheng Ren said so, then no matter what he was asked to do, he would definitely agree
“Boss Zheng, your diagnostic skills have left me far behind. ” Chief Kong smiled. He was neither jealous nor envious. He was only stating a fact.
Zheng Ren shook his head, changed his clothes, and went to the operating theater with the two chief physicians.
Chief Sun wanted to scrub his hands and go on stage, but his hands were trembling slightly. It was obvious that he could not perform the surgery.
Zheng Ren pressed on director Sun’s shoulder and said, “Director Sun, you can watch the stage. ”
After he said that, he shouted, “Su Yun! ”
“What are you doing! ” Su Yun’s voice was heard from the waiting room inside.
This guy had been taking a break after the heart surgery because he had drunk some alcohol in the afternoon. Anyway, Cao Guozhen was watching over him, so there would not be a problem.
“Scrub your hands and go on Stage! ” Zheng Ren saw that the head of the anesthesiology department had already given general anesthesia to director Sun’s grandson, so he went straight to scrub his hands.
Scrub his hands, disinfect them, and lay out the sheets.
Zheng Ren and Su Yun worked together to quickly prepare for the surgery. After that, they disinfected their hands, put on their clothes, and wore sterile gloves.
The shadowless lamp’s light was very bright and somewhat dazzling.
“Boss, what is the surgical method? ” Su Yun asked.
“Laparotomy. ”
Su Yun’s eyebrows furrowed slightly, but she did not say anything.
Right lower abdomen, incision next to the rectus abdominis, 5cm.
For an adult, 5cm was a small incision. But for an 11-month-old infant, this incision was already very big.
At the same time, the Apricot Garden’s live broadcast room was opened.
[ the surgeons are becoming less and less attentive. The number of live broadcasts is so few. ]
[ it sounds like you’re broadcasting the appendicitis surgery every day. ]
[ needless to say, today’s surgery is really appendicitis. No, why are there still intussusception and intestinal parasites? ]
The doctors who came in at the first moment released their hand speed and chatted with bullet screens while looking at the patient’s medical history.
After that, everyone’s interest was piqued.
Infant, 11 months old. Air enema with intussusception was ineffective. They even diagnosed intestinal parasites.
Such a complicated disease was still such a young child. The difficulty of the surgery increased exponentially.
[ it’s so strange. How did the surgeon see the intestinal parasites? ]
[ isn’t there a dot in the data after the enema? I think it was diagnosed based on the image data. ]
[ no, that dot… I’m in the video business. I’ll go take a closer look. ]
In the live broadcast, the operator raised his hand, and the knife fell. A small amount of blood was dipped, and the electrocautery stopped the bleeding. The blunt separation was done. The operator’s cooperation with the assistant and the scrub nurse was as smooth as flowing water.