Chapter 544 - What A Complicated Intussusception (1/2)
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 ca.n.a.l 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 b.u.t.t 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.