"Dangdangdang~" Zheng Ren gently knocked on the door of the clinic, heard Mr. Cui's voice inside, and pushed the door and went in.

"Xiao Zheng, I came so early." Mr. Cui was concentrating on studying an X-ray film and pushed the flower-pushing glasses.

"Well, I just stepped down and came here." Zheng Ren smiled quietly and leaned over.

"It's not good not to eat. When I reach my age, you will feel uncomfortable." After Cui said that, he pointed to the movie and asked, "Tell me, what do you think."

Zheng Ren was silent.

The film in front of me is incredible. A broken glass bottle is in the rectum, and the tip of the rectum is stabbed, and the bone surface at the lower end of the ischium is damaged, especially the pubic joint, where the bone surface is eroded, and the damage is about 90%.

The sharp part of the bottle reaches the gluteus medius area backwards, and the surrounding organic tissue is wrapped. Diffusion of inflammatory lesions occurs in the surrounding area of ​​the rectum where the foreign body is located, and disabling steatosis occurs in the right lower limb muscle.

Zheng Ren has seen many rectal foreign bodies in the emergency department, such as wine bottles, steel tubes, and mousse bottles.

But usually I went directly to the hospital for treatment at that time, and then I took it out. Apart from a bit embarrassing, there was nothing.

The case in front of you is different.

Severe inflammation changes and wear, erosion, and surrounding adhesion tissues of the bones in the pubic gang mean that this foreign object has not been removed for a long time.

Is this abuse? Or is it something else?

Zheng Ren's brows frowned unconsciously.

"The patient began to describe his medical history unknown, but later after Xiao Zhou's repeated inquiries, he learned that it was five years ago when he and his girlfriend were having too much drinks and played with him, so he stuffed a bottle of beer into the rectum. Because he was embarrassed, the patient was also introverted, so he didn't come to the hospital to remove foreign objects at that time." Mr. Cui slowly talked about the patient's medical history while watching the film.

Uh... Zheng Ren felt extremely strange as soon as he outlined the scene of his injury at that time in his mind.

Are you introverted? I didn't see it.

But this has nothing to do with Zheng Ren. What he has to consider is how the patient should treat it. As for answering Mr. Cui, it made the atmosphere in the clinic less awkward, Zheng Ren didn't realize it at all.

Before he knew it, his left hand had reached his right armpit, his right hand held his cheek, and he focused on the X-ray.

Mr. Cui was not angry because Zheng Ren didn't speak, so he continued to introduce his condition.

"The patient complained of lameness for one month and weakness in the right lower limb, which was considered to be caused by apnea fat changes. This time, he was due to fecal incontinence and watery stool. He came to our hospital for emergency treatment."

"Where is the patient?" Zheng Ren asked.

"I'm going to do the lower abdomen and pelvic t. I'm considering that the patient should undergo surgical treatment, and the treatment is very difficult, so it's better to have a detailed examination." Cui Lao said, "Xiao Zheng, do you have any ideas about the operation when you look at this x-ray film?"

"It should be like radical rectal cancer surgery. For those with both surgery, the colon and anus must be left unavailable. After recovery is better, then undergo a second phase of surgery." Zheng Ren said.

Mr. Cui nodded slightly, which was something he could think of.

It's just that the difficulty of the operation is definitely not something that can be described in just a few simple sentences.

The patient's rectal foreign body has been used for too long, so that the foreign body is highly mechanized and wrapped in the body. If you want to completely clean it up, you will definitely lose a lot of blood.

This operation has a great test on the operator's surgical techniques.

Once the operation is a little rougher, there may even be a large area of ​​bleeding but the possibility of bleeding vessels cannot be found.

It is necessary to use electric sclerosis to coagulate all capillaries, postoperative healing and rebleeding has become a big problem.

The operation must be very meticulous and requires extremely high techniques.

Zheng Ren's brain began to run at high speed, analyze x-rays, perform three-dimensional reconstruction, and judge the direction of blood vessels, capillary branches and related body tissue locations.

Even with the passive skill of reconstruction, Zheng Ren still felt that the operation of this patient was so difficult that he had almost reached the sky.

As time passes by minute by minute, Zheng Ren reconstructs it repeatedly in his mind, trying to find a reasonable path to enter. It must be minimal to achieve its goal. However, even with Zheng Ren's ability, it is difficult to solve this problem in a short time.

Soon, Zhou Litao knocked on the door, "Old Cui, the patient just now has come back from having a T-shirt."

Mr. Cui nodded, stood up and said, "Xiao Zheng, let's go and see the patient."

Zheng Ren looked at the x-ray film, and the glass bottle in the rectum looked so dazzling.

He accompanied Mr. Cui to the emergency room, and the patient was lying on the flat car. He was a young man who looked like he was not old last year, only 23 or 4 years old.

He was surrounded by a girl, wearing a plain plaid dress and shawls, simple and clean.

"Li Mingchao, right?" asked Mr. Cui.

"Doctor, I won't die, right?" The young man lay on the flat car, looking panicked.

"First check the body, then send it to the gastrointestinal surgery department. Xiao Zhou called the gastrointestinal surgery department and reserved an emergency bed." Mr. Cui did not answer the patient's question, but said to Zhou Litao.

"Doctor, you're okay." The girl also asked anxiously.

"How could it be fine?" Zheng Ren blocked between Mr. Cui and the girl and said lightly, "Why did you come with such a serious injury?"

"..." The girl's conclusion, she was a little timid, a little embarrassed, and a little entangled, and tears fell down.

Zheng Ren was speechless. At this time, the girl's crying made him helpless.

"Are you from the imperial capital, or are you working here?" Zheng Ren asked.

"Go to work here after graduating from college," the boy said.

"Are you married?"

"No."

"Notify your family and hurry up and come here." Zheng Ren said, "The condition is very serious and you need to undergo a major operation."

"Don't..." the boy said in enduring the pain, "I... that... the surgery is signed, so I can let my girlfriend come."

"A surgery with such a high risk must be from immediate relatives. You are not married and cannot sign, so no doctor dares to do such surgery." Zheng Ren said.

After watching the movie, Zheng Ren had a basic judgment on his condition. Even if he went on stage to operate, he would have a lot of bleeding during the operation.

It is entirely possible to say that you can't come to Taiwan.

"doctor……"

"If you don't sign, no one dares to have surgery. If you don't have surgery, you will definitely not be fine for another five years." Zheng Ren said firmly.

Suddenly, the patient and his girlfriend were in panic.

They were silent, and Zheng Ren looked at Mr. Cui’s physical examination. The patient’s abdomen was flat and soft, without tenderness, and without rebound pain. The perianal fistula was examined for digital rectal examination. The tension of the anal sphincter was significantly reduced, and the lower end of the foreign body could be clearly touched.

This matter was a mess, Zheng Ren sighed and shook his head slightly.

...
Chapter completed!