Huang Dazhi’s doubts about the operation are not diagnosis, but techniques.

Zheng Renneng demonstrates the problem of technique. The specific problem of how to use it during surgery depends on everyone's understanding.

Even if Zheng Ren does not hide his own personal information, most people cannot understand it.

Professor Huang asked two more difficult super selection methods and after taking the bolt, Xie Yiren finished the handover and walked out.

He knew his eyebrows and eyes, and knew that this was not a good time to chat, so he smiled and took Zheng Ren and others to intervene in the department.

On the way, Professor Huang didn't say anything more, because Zheng Ren and Su Yun were about to fall asleep while walking. He just was careful not to let the two fall asleep while walking, fall or hit him.

After entering the ward, Professor Huang came to the door of the director's office and smiled and said, "The director specially left a door for you, saying that as long as you need it, come and rest at any time."

"Thank you," Zheng Ren said vaguely.

Suddenly, a burst of rapid footsteps sounded in the corridor, and the sound of wheels rubbing against the ground was loud.

Subconsciously, Zheng Ren opened his eyes. He was in a trance and thought he was in the First Hospital of Haicheng City.

"What's wrong?" Zheng Ren asked in a daze.

"Boss, it seems to be a rescue." Su Yun was also in a daze. He saw the nurse pushing the flat car to a ward and guessed.

"Go and take a look." Zheng Ren also saw the situation clearly and then became more energetic.

Xie Yiren wanted to say something, but hesitated for a while and finally let Zheng Ren go.

She originally wanted to take a look at where Zheng Ren was sleeping, and then drove around and saw what she could buy.

Unexpectedly, as soon as I got off, I encountered rescue in the ward again.

Zheng Ren strode into the ward and saw a patient's hands and feet twitching slightly, wanting to dance but unable to do it. He was talking vaguely inside his mouth, not clear.

The nurse, doctor and volunteers who acted as nursing workers were rescued in front of the bed, and no one was seen, and the system panel did not give a diagnosis for the time being.

"Boss, this person is probably a programmer. He talks about code in his dreams, and he is really dedicated." Su Yun said in a low voice.

"programmer?"

"Listen to his delirium, this should be the case." Su Yun said.

"Isn't this a postoperative patient? What happened?" Professor Huang was a little surprised and asked quickly.

"Teacher Huang, the patient's stent transfusion, lowered blood pressure, developed symptoms such as motor disorders, blurred vision, and then began to have delirium, dizziness, headache, accompanied by nausea and vomiting, and the vomit was the contents of the stomach." The doctor reported.

"Stent?" Zheng Ren was stunned for a moment.

Nowadays, patients are basically patients with hemorrhagic shock, and blood transfusion is enough, and generally there is no blood pressure reduction.

With the stent, Zheng Ren immediately thought of a patient with abdominal aortic dissection when he first came.

The patient had a stent, and Zheng Ren was sure that there would be no problem with the stent surgery. His own surgical experience and the completion of the surgery given by the big pig's hooves can be proved.

What's wrong with this?

He took a step forward and saw the patient while the volunteers were going to pick up things.

The diagnosis given by the system panel in the upper right side of the field of view is thiocyanate poisoning after interventional embolization of pelvic fracture and abdominal aortic dissection aneurysm stent surgery.

He was already confused and Zheng Ren misread the diagnosis.

The first reaction is cyanide poisoning!

This is such a big deal. Could anyone poison it?

Zheng Ren was so scared that he woke up.

Then I saw clearly that it was thiocyanate poisoning, and I quickly recalled the memories in my mind and had a slightly moving expression.

Seeing that Zheng Ren was in a wrong situation, Su Yun squeezed up and asked, "What's wrong with the boss?"

"It's okay." Zheng Ren shook his head. He couldn't tell Su Yun about the cyanide poisoning. If he had said that, this guy could tell this matter until next year.

"It's the postoperative patient of the abdominal aortic dissection aneurysm I did." Zheng Ren asked.

"Teacher Zheng, yes." Professor Huang felt the powerful aura of the superior doctor and subconsciously called the teacher.

"What should I use to reduce the pressure?" Zheng Ren asked.

After the aortic dissection aneurysm, blood pressure should be maintained. Just wait until the peritoneal rack completely blocks the rupture. Generally, 1-2 days of antihypertensive drugs should be given, and then it can be stopped. There is nothing special, it is all routine treatment.

"Sodium nitroprusside is pumped in by a micro pump, and the dose is 8g/kg/." The young doctor immediately reported the dose.

Zheng Ren then knew what was going on.

He said in a deep voice: "Stop the sodium nitroprusside, contact the nephrology department immediately and go for dialysis immediately."

Professor Huang was stunned. What is this? Acute renal insufficiency? The symptoms of renal insufficiency are generally in the urine volume, and the urine volume of this patient is normal.

Although hemorrhagic shock causes less urine, it is less than 50 l for one hour of renal insufficiency.

There is a question, but after hearing Zheng Ren's words, he immediately subconsciously stopped the micro pump and pumped sodium nitroprusside.

"Don't treat too much. Be careful not to aspirate the vomit, causing suffocation." Zheng Ren said.

"..." Professor Huang was puzzled. He arranged for the young doctor to contact the department of nephrology immediately and came to Zheng Ren and asked: "Teacher Zheng, is it acute renal failure?"

"That's right." Zheng Ren replied.

Sweat...sweat...

That's right, what's the answer?

Professor Huang thought Zheng Ren was a little unreliable for the first time, but this idea was strangled into the bud as soon as it emerged.

As a candidate for the Nobel Prize, one identity can prove many problems.

This is not all. I have seen the surgery with my own eyes. It is definitely the most awesome one I have ever seen. Generally, this kind of doctor has a lot of clinical experience.

My own suspicion can only prove that I have little clinical experience and the diagnosis is incorrect.

Professor Huang looked at Zheng Ren with inquiring eyes, waiting for his explanation.

"It was thiocyanate poisoning." Zheng Ren said.

Uh... It is common for the use of sodium nitroprusside in clinical practice. Many patients have high blood pressure and need to use sodium nitroprusside to control it. Over the years, Professor Huang rarely hears the diagnosis of thiocyanate poisoning.

Not very few, but basically none.

He sounds so strange to thiocyanate poisoning.

"It's a problem with sodium nitroprusside metabolism." Su Yun immediately thought of some possibilities and asked.

"Well." Zheng Ren said, "Sodium nitroprusside is a nitrohydrocyanate, which acts directly on the arteriovenous vascular bed.

Sodium nitroprusside is continuously pumped in, first transformed from red blood cells into cyanide, and then converted from thiocyanidase in the liver to the terminal metabolite thiocyanic acid.

Thiocyanate is excreted from the kidney, and the half-life of people with normal kidney function is 4 to 7 days. Patients with renal failure have accumulation. If the dose is too large, the metabolite thiocyanate in the blood is too high and poisoning is prone to occur."

"But the patient has no renal function abnormality." Professor Huang tried hard to recall the patient's laboratory reward and said.
Chapter completed!