"Mr. Zheng, what kind of patient, was it a car accident?" Feng Xuhui asked as he drove back to the first hospital in the city.

"No, Mr. Wang always said that it was Crohn's disease, and he suddenly had abdominal pain. Abdominal pain is severe, and acute ischemic changes in the bowel are suspected. Let me go back and take a look, if I can't save it, I'll have emergency surgery to cut my intestines. ”

"Crohn's disease?" Liu Xiaojie was stunned for a moment, this is a very difficult problem in gastrointestinal surgery. When she was in school for an internship, her instructor told her that the most difficult disease in gastrointestinal surgery was Crohn's disease.

And it's highly ranked, and it's at least in the top five for trickiness.

"Is it Crohn's disease complicated by intestinal obstruction?" Liu Xiaojie asked.

She has seen similar cases, and when she spoke at this time, she also wanted to leave an impression on Mr. Zheng. Otherwise, after playing soy sauce all night, Mr. Zheng won't know who he is tomorrow.

"Consider not. Zheng Ren said lightly: "If it is intestinal obstruction, Mr. Wang will say it directly." Go check it out, it's impossible to speculate yet. ”

"Xiao Feng, did you bring the interventional consumables for blood vessels?"

"Bring, bringing. Feng Xuhui hurriedly said, "A full set of vascular interventional consumables is not much, and the box can't fit it, but the variety is definitely enough." But it's much better for Xiao Liu to come in, and it will be much better if Ming'er brings an extra box. ”

"That's good. Zheng Ren smiled, "Thanks to you this time, if it weren't for you, I would have to cut my intestines." ”

"Look at what you said, I'm an errand runner, and I know what surgery you can do. I'm afraid that this will happen, so I have a copy. The patient is saved, because you diagnosed and operated well, and it has nothing to do with me. Feng Xuhui hurriedly politely rejected Zheng Ren's praise.

Zheng Ren did not continue to speak, and the car quickly drove to the emergency building of Haicheng First Hospital. Zheng Ren said hello, got out of the car and rushed directly to the emergency ward.

"Mr. Wang, how is the patient?" Entering the office, Zheng Ren saw that Mr. Wang was watching the film, so he asked.

"Boss Zheng, you're back so fast!" Mr. Wang said: "The film is here, you can take a look at it first." ”

Zheng Ren stood in front of the film reader, habitually put his left hand under the right armpit, and supported his cheek with his right hand, watching the film.

The film is an ordinary abdominal CT, and there is not much information that can be obtained from it. After Zheng Ren did revascularization in his mind, he discovered the presence of a superior mesenteric vein thrombosis.

The patient has branch thrombosis of the superior mesenteric vein, complete occlusion of the left and right portal veins, significant ischemic thickening of the small intestine and portal thrombosis.

This one...... It's a little tricky.

But it's just tricky, as long as Feng Xuhui brings consumables, Zheng Ren can do surgery. After all, the branch of interventional surgery has just reached its peak a few days ago, and Zheng Ren is already a bird's-eye view of the existence of all interventional doctors around the world.

Even if interventional surgery cannot be done, intestinal resection surgery can be performed.

"Boss Zheng, how do you judge?" asked Mr. Wang.

"The initial consideration is superior mesenteric vein thrombosis complicated by portal thrombosis. Zheng Rendao.

Mr. Wang was dumbfounded.

He knew that Boss Zheng had a high level of diagnosis, but he was still skeptical.

Doubting everything is the most basic trait of a doctor.

"Go and see the patient. Zheng Rendao.

Mr. Wang nodded, although he did not believe the diagnosis given by Zheng Ren, but it is necessary to see the patient before the operation, and in the patient's state, at least one laparotomy is indispensable.

A group of family members gathered around the door of the rescue room, walking around anxiously, and the uneasy breath could be felt from afar.

Seeing Mr. Wang come out, the patient's family members began to gather around him and anxiously inquire about the situation.

"Mr. Wang, you are a professor of 912, can you tell me that this disease can still be cured?"

"yes, I have to have surgery. ”

Mr. Wang nodded, is surgery necessary. Whether it is Boss Zheng's diagnosis or his own diagnosis, whether it is interventional surgery or open abdominal resection of the intestine, in short, it must be done.

"I knew it!" said one of the patient's family members, "the old man was so hungry that I gave him something delicious when I came." Otherwise, if you have surgery, it will take a long time ...... after surgery."

"What are you talking about?!" Mr. Wang said almost in a roar.

"......" Zheng Ren was also speechless, he had just eaten? Now there are many things, the risk of anesthesia is multiplied, and the postoperative ...... In short, there are countless dangers, just because of this meal.

"yes. The family didn't see Mr. Wang's hideous expression at all, and he said a little proudly: "I've seen other people have surgery, and they can't eat or drink for two or three days after the operation." Mr. Wang, you said that good people can't eat for two or three days, so they can't be hungry. So, I fed the old man something to eat. ”

"What have you eaten?" Mr. Wang's expression was slightly hideous, and he asked viciously. I don't know if he has already greeted this relative in his heart, but in short, that expression is scary to look at.

Zheng Ren shook his head and walked into the rescue room.

Behind him, the voice of the patient's family spoke: "Two dumplings stuffed with fresh shrimp, a small bowl of wontons, seafood porridge ......"

At least seven or eight things, Zheng Ren was also very confused, it is said that the supramesenteric vein is embolized, there is a problem with the blood return of the intestinal veins, and the local tissue congestion and edema are very serious. The patient has severe abdominal pain, why can he eat so much?

Is it because of fear?

Who knows, anyway, there are so many strange patients in the hospital that many people can't analyze it logically.

Walking into the emergency room, the nurse was preparing the skin.

Zheng Ren glanced at the patient system panel and gave a diagnosis consistent with his own analysis - the diagnosis of superior mesenteric vein embolism, portal embolism, Crohn's disease and some other chronic diseases.

Zheng Ren began a physical examination, typical signs of peritonitis. He also admires the patient very much, how can he eat so many things when the pain is so bad? If he were a good person, he probably wouldn't be able to eat so much at night. (Note 1)

Strange.

"Hey, you're a student of Mr. Wang. A family member asked very horizontally.

Zheng Ren knew that he looked young, and he was especially easy to be treated as a little doctor, so he was scorned. But I'm used to it, and I don't take it seriously.

"It's not. Zheng Ren replied lightly.

"What about your teacher, it's okay to press nonsense, you see my dad hurts!" The patient's daughter just asked and answered herself, and did not listen to Zheng Ren's answer at all.

"Mr. Wang is outside to explain his condition to others, because the patient has eaten, and the surgical operation may encounter great risks. Zheng Ren said.

"What?!" the patient's daughter raised her eyebrows.

……

……

Note 1: There was once a little nurse who had appendicitis and ate a lot of things before the operation. When he came to power, the old director, who had passed away, had a dark face at the time, and he was probably scolding his mother in his heart.