Just as I was sighing, the phone rang again.

The landlines in the emergency ward are different from those in Director Pan’s office. Where the old director’s landlines rings, most of them are in trouble with administrative work in various departments in the hospital.

When the landline in the emergency ward sounds, it is likely that the emergency department will send the patient up, or the emergency department will not be able to grasp the diagnosis of the patient's condition and need Zheng Ren to consult.

After answering the phone, Zheng Ren responded a few times, stood up and walked downstairs.

"Boss, what's the matter?" Su Yun asked.

"Intestinal obstruction, a 15-year-old girl." Zheng Ren said.

"Let's go and have a look." Su Yun followed Zheng Ren, and the two went all the way to the emergency department.

Intestinal obstruction is either caused by intestinal intestinal infancy and toddlerhood, resulting in obstruction. Or it is caused by age and decreased intestinal function.

At the age of 15 or 6, it is the time when the body is at its best, and intestinal obstruction will occur, which is rare.

When I arrived at the emergency department, the emergency internal medicine doctor was almost flying. There were a lot of people in the clinic, most of whom were middle-aged and elderly patients over 60 years old.

This is the case in the Northeast. Most of the young and middle-aged and young technical backbones who have a promising future, energetic and skilled skills have gone to work in the south. The ones who stayed are mainly the elderly.

This is a side reaction of population loss, and it has just begun, and this situation will be more serious in the future. It is reflected in the hospital, where fewer and fewer doctors are and older patients are getting older.

Seeing Zheng Ren coming, the doctor from the emergency department first comforted an old man in front of him, then hurried to Zheng Ren and took Zheng Ren to the emergency treatment room. While walking, he said: "The patient is a 15-year-old female. She came to our hospital for treatment for two days due to abdominal pain and vomiting. The physical examination found that the patient's abdomen was bulging, soft to touch, extensive tenderness, and no rebound pain. The results of the abdominal CT examination: dilated intestinal loops and a large number of fecestone shadows can be seen in the right abdominal cavity."

Her voice was a little hoarse. As soon as she heard it, she knew that she had said countless things from the morning to now, and she didn't even have time to drink water.

"What have you done?" Zheng Ren asked.

"The hypertonic saline enema is a poor effect." The emergency physician replied: "After the enema, a vertical abdominal flat film was performed, and the degree and quantity of the small intestine were increased, and gas and fluid flatness appeared."

"Yeah." Zheng Ren pondered.

When I came to the disposal room, I saw a girl curled up on the disposal bed, retching very violently, but I couldn't vomit anything.

A middle-aged woman was full of anxiety and gently patted her back while wiping her tears.

"Mr. Zheng, the film is here. You can take a look first. I'm busy when I go back." The doctor in the emergency department hurriedly explained to Zheng Ren a few words, and ran back to the clinic.

Zheng Ren first came to the patient, asked the patient to lie flat, curl up his legs, rub his hands, increase the temperature of his palms a little, and then began to check his body.

The patient is very thin, with long hair, big and round eyes, long eyelashes, but his eyes are filled with tears. This is a natural reaction in the human body caused by severe vomiting, Zheng Ren knows.

"What's your name?" Zheng Ren habitually asked about the patient's information while starting to check his body. While asking questions, his hand was already on the patient's upper left abdomen.

"Brother, my name is Wang Yutong." The girl replied with her big eyes flashing.

"In junior high school or high school?" Zheng Ren asked without a word, his hands wandering around the patient's abdomen.

The patient's upper abdomen is not very obvious, but the abdominal distension is typical. Until the left lower abdomen, the patient develops tenderness.

Zheng Ren searched carefully and confirmed the location.

The diagnosis given by the system panel is - intestinal obstruction, Laponzer's syndrome.

Zheng Ren was a little confused, but when encountering problems he didn't understand, especially when he was in front of the patient, pretending to be calm and confident is a basic quality.

After checking her body, Zheng Ren patted the girl on the shoulder and signaled her to cover her belly.

Then, before the film reader, insert the abdominal CT and vertical abdominal flat film on the film reader.

Just as the emergency physician said, the typical symptoms of intestinal obstruction. Whether it is fluid level or sedema, it is typical.

Zheng Ren pondered.

Seeing that Zheng Ren's expression was abnormal, Su Yun came over and asked in a low voice: "Boss, is there anything strange?"

"How much do you know about La Ponzell's syndrome?" Zheng Ren asked.

Su Yun didn't expect that Zheng Ren was consulting himself and thought he was taking the exam. He quickly searched for memories of La Ponzell's syndrome in his mind.

Genius is indeed a genius, and his memory is absolutely flawless.

Like those who can leave their names in history books, Su Yun has all these abilities:

In just over a dozen seconds, Su Yun searched for information about Laponzer's syndrome in his memory.

"La Ponzell's syndrome, also known as Rapunzel's syndrome, was a clinical condition described by Vaughan Jr in 1986. The patient has mild or severe trichotillopathy and swallows it. The hair gastric stone formed enters the small intestine, causing abdominal pain, vomiting, nausea, malnutrition, vomiting blood, diarrhea, and severe can lead to intestinal obstruction." Su Yun replied in a low voice, as if returning to the campus, and standing next to him was a respected old professor.

Taking the exam by yourself? How can you live with such a simple question? Su Yun was very proud.

"Yes." Zheng Ren nodded after hearing Su Yun say it.

It is very consistent with the patient's symptoms. It seems that it should be caused by long-term swallowing of hair, which causes hair stones to block the colon and obstruction.

The best way to remove this intestinal obstruction with clear causes is surgical removal.

Since you've all been confirmed, then prepare for the surgery.

"Patient's family, come on," Zheng Ren greeted.

The patient's mother was taking care of her, and the patient's father followed Zheng Ren out of the treatment room.

"Your daughter, do you have any strange actions?" Zheng Ren asked.

The patient's father was a little strange and recalled it carefully, but he didn't know what Zheng Ren was asking.

"It doesn't matter if you don't know." Zheng Renwen said: "I consider that the patient has symptoms of intestinal obstruction. When watching the film, it is caused by sedema blockage. The laxative enema is not effective. I need surgery to solve the problem of intestinal obstruction."

Zheng Ren did not directly explain Laponzell's syndrome to the patient's father. If that were the case... he was afraid that the patient's father would turn against him directly.

Some things are very important in order.

To resolve intestinal obstruction, the patient's parents' anxious mood is relieved, and then they take the hair stones and explain to them the source of the disease and future treatment. This is the best choice.

The patient's father had no idea, and Zheng Ren said what he said.

Hearing Su Yun, put the patient in the hospital, make pre-operative preparations, and go to the stage for surgery.

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Chapter completed!