Chapter 2661 Strange illness
“What?” Zheng Ren was stunned.
“Uh …” Quan xiaocao lowered her head and whispered,””Boss Zheng, I used to practice below, and I thought I did well.”
Zheng Ren nodded his head. This time, he had a more direct judgment of Quan xiaocao.
“But I’m always scared every time I go on stage.” Little grass said timidly.
“What happened after that?”
“I asked Brother Yun once, and he told me that you should just give yourself a psychological suggestion and think that you are boss Zheng.” Quan xiaocao said.
Zheng Ren didn’t know whether to laugh or cry. This kind of psychological suggestion had to be built on a solid foundation. Quan xiaocao’s basic skills were solid, and she was usually very attentive. It seemed that she had done a good job in hypnotizing others.
“I tried …”
“Hehe.” Zheng Ren looked at Quan xiaocao and smiled happily,””But you don’t have to be so good at imitating the turning and stepping off the peritoneum.”
“Uh … I learned it subconsciously.” Quan xiaocao’s voice was already as soft as a mosquito ‘s.
“Not bad, not bad.” Zheng Ren said,”it’s okay to think this way for future surgeries that we’re confident in. Let me ask you something.”
“Ah? What?” Quan xiaocao started to panic again.
“What were you thinking when you were looking at the spleen?” Zheng Ren asked.
“The obstruction of the internal splenic artery branch caused local tissue of the spleen to lack blood and oxygen, resulting in necrosis. He was diagnosed with spleen infarction, and there is no doubt about it. “
“Continue.” Zheng Ren saw Quan xiaocao’s pause and immediately replied.
This child had to smoke before she could leave. Zheng now had a certain understanding of her. He didn’t realize that he had affected so many people.
“Uh …”
“Xiao Cao, put yourself in the shoes of others. I want to hear your judgment at that time.” Zheng Ren said with a smile.
Old he found it interesting and whispered in Quan xiaocao’s ear,”boss Zheng, can you turn up the volume of the music?”
Quan xiaocao knew that old he was joking. After she was done suturing the wound, she did not disinfect it or cover the incision with surgical materials. Instead, she closed her eyes again.
Zheng Ren found Quan xiaocao’s focused look interesting. He suddenly thought of Su Yun’s smoking face.
Do you want to learn psychology?
However, this thought only flashed through his mind for a moment. There had been a lot of things to do recently, so it was better to wait for little stone’s condition to improve before thinking about it.
“About half of the patients with splenic infarction have no symptoms.” When Quan xiaocao opened her eyes again, her voice had become calm and steady. Her previous panic was nowhere to be seen.
“A small number of small-scale spleen blockages can have symptoms such as low fever and increased white blood cells without pain; A large area of acute spleen infarction can cause sudden pain in the left upper abdomen, or full abdominal pain radiating to the left shoulder and back, which will be aggravated when bending over or taking deep breaths, accompanied by nausea, vomiting, breathing difficulties, high fever, and other symptoms. The symptoms can last for a week. “
“Based on the patient’s performance when she was admitted into the hospital, the symptoms are not serious. When you look at it directly, you can see that the area of spleen infarction is not large, which further confirms this point of view. “
“That’s why I think the patient’s spleen can be preserved. There’s no need for splenectomy. ” Quan xiaocao said with certainty.
“What if the embolism gets worse after the surgery?” Zheng Ren asked.
“Interventional angiography, and bronolthan via tube were performed,” Quan xiaocao answered without hesitation,”the area of damage is not large, during the surgery, you can …”
“So, she even knows about this.” Zheng Ren was slightly lost in thought as he listened to Quan xiaocao’s explanation of the extremely rare treatment process.
This little fellow had actually grown so quickly.
As he thought about this, Zheng Ren pressed a sterile gauze on the incision to disinfect the surrounding area before covering the incision.
“Little grass, not bad!” Zheng Ren praised.
Quan xiaocao’s eyes flashed when she heard boss Zheng’s praise.
“Alright, send the patient back.” “Spleen blockage shouldn’t be a big problem,” Zheng Ren said.”If there’s an accident, come to me immediately to deal with it.”
“Yes.” Quan xiaocao nodded her head vigorously.
Zheng Ren glanced at Xiao Cao and felt that Su Yun was not just fooling around. Xiaocao was the kind of Doctor Who had a solid theoretical foundation and good hands-on ability. Her weakness was her psychological construction.
To put it bluntly, it was stage fright.
It was quite effective for her to assume that it was her.
“Old he, how’s brother Feng’s side?” Zheng Ren turned around and got off the stage. He tore off his sterile coat and threw it into the red sterile waste bucket as he asked casually.
“There are no abnormalities in the laboratory tests such as the whole blood cell count and myocardial enzymes, as well as the medical imaging examinations, including the head CT scan and thchest ultrasound.” Old he said straightforwardly.
“What’s the point of checking a CT scan of the head?”
“Big brother Yun said that there are symptoms of nausea. We can’t rule out the possibility of head complications.” Old he said.
Zheng Ren nodded and walked out of the operating room.
“Blood pressure: 81/52 mmHg, heart rate: 41 beats per minute. Brother Yun has already given him targeted treatment. He gave him epinephrine through the veins and a syringe of atropine.”
“When I left, I looked at the ECG monitor. The severity of atrial septal block has increased from 3 to 2 degrees.”
“Is there any change in the heart rate?” Zheng Ren asked.
“There’s no obvious increase in height. “
Zheng Ren muttered to himself. Atrial septal block was most common in patients with myocardial infarction in adults. Unlike children, who often had atrial septal block for various reasons. However, Feng Jianguo’s electrocardiogram did not show any signs of myocardial infarction, but the QS wave was narrow. Zheng Ren had never understood what this meant.
He changed his clothes in silence. Old he looked at boss Zheng’s troubled expression and followed him carefully.
There was a problem. It was an abstruse atrial septal block. Zheng Ren clearly remembered that Feng Jianguo’s previous system panel was very healthy, and the symptoms of atrial septal block this time were not typical. The dizziness could be said to be due to insufficient blood supply.
That disgusting? Quan xiaocao said that Feng Jianguo’s self-diagnosis was caused by acute gastrointestinal disorder. A doctor’s self-diagnosis, especially those from the Department of Gastrointestinal Surgery, definitely had a basis.
Something like shooting aimlessly … Zheng Ren didn’t really believe it.
What kind of disease would be mainly gastrointestinal dysfunction and sudden atrial septal block?
Zheng Ren thought of two obscure diagnoses, but he was immediately dumbfounded. The system panel had already confirmed that there were no problems with the gastrointestinal tract, but he had misunderstood.
Zheng Ren was helpless when he encountered such a situation again. Big pig trotter’s words were unclear and unclear, so he had to guess the rest.
He changed his clothes and slowly walked out of the changing room in the operating room. Old he was silent. He put on a white coat and slippers and followed boss Zheng.
Boss Zheng was deep in thought. Old he couldn’t understand. Feng Jianguo had a typical atrial septal defect. Was there a need to think about it? What was boss Zheng thinking about?
However, he still didn’t say anything and just followed obediently.
“Old he,”
“Eh.”
“Help me ask the boss of the gastrointestinal department whether he’s staying in the hospital or resting at home.”