Chapter 2790 No surgery is needed.
After parking a car, Su Yun suddenly remembered something. He said to fan Tianshui,””Old fan, go and keep an eye on that machine.”
“Alright,” he said. Fan Tianshui never asked why. Zheng Ren felt that this habit was particularly good, but Su Yun felt very awkward. He had to explain a few words, otherwise, his bold and imaginative ideas would be seen by a blind man.
“Boss, do you know what I’m worried about?” Su Yun asked after getting into the car.
“Speak,” he said. Zheng Ren was about to go to the system’s operating theater to take a look, but he was called back by Su Yun. He was very unhappy, and his tone was a little hard.
“Never underestimate their shamelessness. If no one is watching, they would dare to take the juicer away.”
“I don ‘t.” Zheng Ren said,”Cheng has been sent for examination. It’s clear if there’s anything wrong with him.”
Su Yun shrugged her shoulders and did not agree with Zheng Ren’s words.
After he quieted down, Zheng Ren entered the system space and clicked to purchase the surgery training time. The system operating theater rose from the ground, and he went in directly.
The experimental was lying on the operating table, and closed thoracic drainage had been performed. A laparoscope was placed beside it.
According to Fang Lin’s phone call, the patient would be sent for a CT scan after the chest bottle was removed. Then, he would be sent to the emergency room for a spleen rupture. At this time, the CT image came back, and they found that the heart and large blood vessels were reversed. The heart was still completely reversed.
He reckoned that Fang Lin’s side had initially thought that it was a right metriolet, but after the consultation on the stage, they concluded that it was caused by external injuries.
Zheng Ren first looked at the related examination report, then repeatedly confirmed that he was in the system space. He did not try to perform a splenectomy. This level of “minor” surgery was not a big deal for Zheng Ren.
Dissecting an experimental body to determine the location and condition of the torsion was the most important task.
There were many papers related to cardiac torsion, and most of them were about lung cancer of the left or right lung, which had caused a certain amount of damage to the physiological structure of the heart when it was removed through the pericardium.
The process was 6 to 12 hours after the operation. When there was insufficient gas exchange, the patient would go into shock, and the doctor would only find out after checking on the ultrasound.
At this time, if a chest x-ray was done at the head of the bed, it would show that the heart had herniated into the chest cavity and was accompanied by pulmonary edema. If he opened up the chest again, it would be confirmed that the apex of the heart had punctured the chest.
It was difficult to detect post-operative cardiac torsion in time, so most patients with such complications would die soon from respiratory and circulatory failure.
After dissecting the experimental body, Zheng Ren discovered that the heart had shifted to the right chest cavity after a 90-degree rotation.
This situation was simply too rare. There had been some reports of a surgery that caused the right heart, but it was extremely rare to see an external injury.
Zheng Ren had never seen such a case before. The amazing thing about it was that the patient’s heart had deviated so far, but the patient was still alive and conscious.
Reduction surgery was not difficult. Zheng Ren completed the surgery very quickly, and the surgery was 110% complete.
According to the dissections, Zheng Ren began to speculate that the victim’s body had been twisted violently in the car accident, which caused his heart to spin and deviate.
This speculation seemed logical and reasonable, but Zheng Ren soon began to doubt it.
He thought of another possibility-the strange change did not happen at the scene of the car accident, but might have happened a few minutes or even an hour later-the positive pressure formed by the air filling his chest cavity might be the cause of the heart displacement.
The left traumatic pneumothorax formed positive pressure in the thoracic cavity and “pushed” the heart to the right, forming a cardiac torsion during the pushing process.
Zheng Ren felt that this judgment was possible because the position of the heart on the CT image was different from the position and angle he saw.
The time difference between the two was relatively short. The difference in such a short time was due to the gas from the left side of the chest cavity being drawn out, resulting in a change in pressure.
A bold idea appeared in Zheng Ren’s mind. What would happen if Wanwan didn’t care about it? Zheng Ren started to feel that this idea was a little bizarre and weird, but the more he thought about it, the more it made sense.
Zheng Ren bought surgery training time again. This time, he felt a little pained, but he was rich now, so he didn’t seem to mind the consumption of this little time.
He first performed tracheal intubation for the patient and performed general anesthesia.
Due to the displacement of the heart, Zheng Ren was very careful with every step. He was afraid that any step would cause complications such as cardiac arrest in the test subject.
However, he was obviously overthinking things. The experimentals were doing well, and the general anesthesia was going smoothly.
He first used a laparoscope to perform a splenectomy and explored the abdominal cavity. Zheng Ren ended the abdominal surgery when he saw that there was no active bleeding.
However, he did not choose to leave the system operating theater after the surgery. Instead, he “wasted” a lot of surgery training time in the system operating theater to observe the patient’s condition with an ultrasound.
After waking up from general anesthesia, Zheng Ren did not use a mechanical ventilator to assist him in breathing. He was monitored for an ultrasound every 0.5 hours.
Sure enough, just as he had expected, the patient’s heart slowly returned to its normal physiological anatomical position without any external intervention. The vital signs of the experimentals were stable throughout the whole process, and the ECG monitor did not even show any alarm.
After a full 28.2 hours of monitoring, Zheng Ren heaved a sigh of relief when his heart was successfully placed back in place.
He was lucky that he had more money now, so he could “waste” a certain amount of surgical training time to do this kind of experimental observation.
Weighing the pros and cons of the two, each had their own thoughts. Zheng Ren was now at the peak, so he naturally wanted to try some new treatment methods. If he could avoid surgery, he would. After all, no matter how small a surgery was, it would be a blow to the patient.
Zheng Ren was also no longer the rookie who had been using one to two hours of surgery training time when he first had big pork trotters a year ago.
After exiting the operating theater, Zheng Ren glanced at his energy bar. It was full! As long as he was in the system space, his energy points would recover very quickly.
However, it was a pity that it still couldn’t withstand the consumption of the eye of truth.
What Zheng Ren could not forget was the eye of truth. At first, he did not expect that this skill would become the thing that he was most entangled with, the thing that he loved and hated at the same time.
The car cruised through the traffic in the capital. When they returned to Room 912, the two of them took the fire escape and rushed to the operating theater.
After changing his clothes, he entered the operating theater. He saw the solemn expressions of the people walking around, and even the sound of their footsteps was much softer.
Zheng Ren guessed that director Xu was having a consultation. Otherwise, the medical staff would not be so quiet. Silence meant depression, and working for a long time in such a depressing atmosphere could drive people crazy.
After asking about the operating room, Zheng Ren and Su Yun strode in.
There were more than a dozen people standing inside. Some were watching x-ray films, while others were whispering in low voices. The patient was lying on the operating table. His face was pale, and his blood pressure was 80/50 mmhcg. He saw that more and more people were in the operating room, and he was obviously a little scared. His eyes were full of fear and helplessness.