Su Yun, Chang Yue and others were busy chattering and preparing for surgery. Zheng Ren had nothing to do at this time, looking at the patient's film in front of the reader and studying it carefully.

After all, Rapunzel syndrome is relatively rare, so take a good look. As for the surgery, just wait for the stage.

This is the privilege of being a senior doctor, and many directors ask that the operation list be laid out and then call to call them to come to the stage.

Zheng Ren doesn't have this treatment, and he doesn't have such a big deal.

The emergency ward is also understaffed and overwhelmed.

More than ten minutes later, the case was handled, and Chang Yue began to give medical orders, and the gastric tube and urinary tube had been left in place, waiting for the preoperative explanation to come to the stage.

"Mr. Zheng, are you busy?"

The emergency ward was preparing for surgery in an orderly manner, and Director Sun suddenly walked in with a smile.

"Oh, Director Sun. Zheng Ren smiled and greeted, "I have an intestinal obstruction and am preparing for surgery." ”

Director Sun's eyelids jumped, and the number of surgeries in general surgery has dropped sharply recently, which is related to the fact that the emergency department has cut off a large part of the source of the disease.

But he didn't say anything, but the smile on his face became a little thicker, and said: "Mr. Zheng, isn't this the abdominal loose body you diagnosed that day, and the operation is done, I'll show you." ”

As he spoke, Director Sun took out his mobile phone and showed the picture to Zheng Ren.

It is indeed like a big goose egg, after closing the abdomen, Director Sun fortunately cut open the "goose egg". There are all kinds of egg whites and egg yolks in it, and if it weren't for the background of the operating room, I would definitely think that it was in a certain kitchen.

Zheng Ren glanced at these during the operation, but Director Sun showed a clearer and more detailed section specimen from the pathology department.

It is estimated that the pathological diagnosis has been made, Director Sun said.

"Mr. Zheng, your diagnosis level is really high. Director Sun patted Zheng Ren's shoulder affectionately and admired.

"Huh. Zheng Ren laughed dryly, only glanced at it, and continued to look at the film on the reader.

Director Sun felt very bored, and he was a little angry in his heart.

I was in a hurry to pat myself on the back, but I didn't expect the hot face to meet Zheng Ren's cold ass.

You really think so when you say you have a strong diagnostic ability.

I can't think about this, the more I think about Director Sun, the more aggrieved I become.

However, his city was very deep, or rather cowardly, so he didn't attack directly, and followed Zheng Ren's gaze.

"Is it a typical intestinal obstruction, what is Mr. Zheng looking at?" Director Sun glanced at and said.

The patient's imaging examination is complete, and it is indeed the most typical kind of condition, and judging from the film, it is not worth thinking about at all.

"Oh, it's an intestinal obstruction caused by La Ponzel's syndrome. Zheng Ren said casually, "Because it is relatively rare in clinical practice, I am ready to study it well, so as not to misdiagnose it next time." ”

"Pull ...... What the...... Syndrome?" Director Sun was stunned.

Paralyzed, what did Zheng Ren say?

A rare disease? After Director Sun subconsciously asked, he immediately regretted it, and hurriedly watched the film intently, trying to find out the kind of disease that Zheng Ren said.

"It's La Ponzel syndrome. Zheng Ren also has a good memory, but when he was in school, he had to find time to work to earn money, and he didn't have time to run the periodical library, so he read fewer periodicals and magazines.

"Also known as Rapunzel syndrome. The patient has a psychological or physical illness and is willing to eat his own hair. Because hair is not digestible, stones form in the gastrointestinal tract, resulting in intestinal obstruction. Zheng Ren explained briefly, habitually holding his cheeks, reading the film carefully, and wanting to find clues in the film.

Director Sun was completely confused.

La Ponzel syndrome, I've never heard of it, and I still eat hair? I've been practicing medicine for so many years, why haven't I seen it?

However, he buried all his doubts in his heart and read the film carefully with Zheng Ren.

"Fugui'er, come here. Zheng Ren shouted.

"Boss, what's the matter?" said Professor Rudolf Wagner, running excitedly.

"Are there any typical hallmarks of La Ponzel syndrome in terms of imaging?" Zheng Ren asked.

"Boss, you're too fond of joking. Professor Rudolf Wagner pointed to the film and said, "In terms of imaging, some differences can only be seen in the density of fecal stones that cause obstruction, but this difference is not much different from the density of other fecal stones, so the best way to distinguish it is surgery." ”

Zheng Ren nodded.

The professor's statement is similar to his own thoughts.

That's it, or go straight to the surgery.

Director Sun was stunned, Zheng Ren made a clear diagnosis, or was it not clear? How could he be full of confidence when he told himself, but he had to ask the professor?

"Director Sun, I'm not with you. Zheng Ren heard Su Yun beckoning him to go to surgery, so he smiled and said to Director Sun, "I'll go for surgery." ”

"I'm going to check it out, too. Director Sun said: "I haven't heard of La Ponzel syndrome. ”

Director Sun is used to it, and he can't compare to Zheng Ren, and he no longer has the idea of competing and being competitive in his heart.

Although Zheng Ren is young, he has done a good job in surgery.

You won't waste much time by taking a look. Anyway, there are not many general surgeries now, and I am also idle.

If you can see anything about La Ponzel syndrome, go back and check it out, and when you get to the annual meeting of the Cape Surgery in the future, there will be something to brag about at the wine table.

Zheng Ren didn't stop Director Sun, the director of general surgery of this hospital looked at the operation, what's the big deal?

On that side, Chang Yue had already done a preoperative explanation, and Zheng Ren took the case and went directly to the operating room.

Director Sun was a little emotional, and said, "Mr. Zheng, ......"

"Director Sun, you still call me Xiao Zheng, I'm not used to calling me Mr. Zheng. Zheng Ren said with a smile.

"It's fine. Xiao Zheng, I heard that you went to the Second Hospital for a few TIPS surgeries?" Director Sun asked casually as he walked.

"Hmm. Zheng Ren replied, "I have made 10 sets before and after." ”

"......" Director Sun was slightly surprised, and his footsteps paused slightly, but then followed Zheng Ren.

What is La Ponzel syndrome, Director Sun does not know. After all, it's a very rare disease.

However, in the era of liver cirrhosis, portal hypertension, hematemesis, and ascites are one of the most common diseases in general surgery and gastroenterology.

A few years earlier, the Department of General Surgery would have done Menci vein devascuration.

However, now the lack of fibrinogen has led to too much risk after Menchi vein devascuration, and the rise of TIPS surgery in the interventional department, a conventional surgery in general surgery has gradually faded out of the doctor's field of vision.

Director Sun was very emotional, Zheng Ren's surgery was done, and even the most difficult TIPS surgery was taken down.

"Xiao Zheng, I won't be polite to you. I have an old classmate who has severe cirrhosis and a lot of ascites, which is already uncontrollable. Director Sun said: "Who did you learn the TIPS surgery from? Help me contact me, I will make a referral for him, go to the imperial capital and the magic capital, and find your teacher to do this surgery." ”

"Learn?" Zheng Ren was pondering La Ponzel syndrome, and he nagged Director Sun to listen to his left ear, and his right ear popped up, so he asked with some surprise.