Zhou Litao still had questions to ask, but when he saw the patient's family look at him, he resisted not continuing.

When I arrived at the CT room, I waited for a while. The CT doctor and the patients behind explained the situation and added the emergency patient.

Other patients also understood that when they saw that the patient was lying on the flat car, there were three doctors and a nurse next to him. In this situation, anyone who saw this patient felt that he was not good at it.

There are also people who are unreasonable and do not consider others, but they are not common.

But when you are in front of this window of the emergency department, it becomes normal.

The patient was sent to the CT room, and several people came to the operation change.

Zheng Ren didn't get started either. He always interfered in his affairs, but it was not good after all. He stood quietly behind the doctor in the CT room and watched the movie.

"Boss Zheng, the patient has no bloody stool. I think if it is diagnosed as an isolated superior mesenteric artery dissection, it is better to treat conservatively." At this time, there was no family member of the patient, and Zhou Litao immediately expressed his thoughts.

Su Yun's eyebrows stood up and just as he was about to retort, Zheng Ren gently touched him with his elbow and smiled: "If there is no thrombus in the cavity, there is no problem of conservatism. After all, the dissection pressure of the superior mesenteric artery is relatively low, and it is incomparable to the aorta."

Zhou Litao was also a little confused. Didn’t Boss Zheng just say that he would suggest surgery? Why did he change his words so quickly?

"It's just a possibility, Mr. Cui asked, and I said it." Zheng Ren smiled and said, "Each has its own benefits. The operation can avoid the inability to monitor the patient's large intestinal necrosis and other complications. If it is conservative, the surgical damage can be reduced and the patient's family can save costs."

What he said was so slick, and Zhou Litao didn't know how to answer the conversation.

"Let's see the diagnosis first. What should I do? It's up to the patient's family." Zheng Ren said.

The 64-row CT was very long, and the patient had abdominal pain and obvious agitation, so it took half an hour to push the patient out.

Then Zheng Ren said: "Mr. Zhou, please push the patient back first. I will see the reconstruction results."

Seeing Zhou Litao leaving, Su Yun asked in confusion: "Boss, this guy talks too much."

Zheng Ren felt that Su Yun was just right to say the opposite. It was not that Zhou Litao talked too much, but that he talked more. He smiled and said, "What he said is true."

"Tsk." Su Yun despised, "The pain of the interlayer is not something that ordinary people can tolerate. I met a patient who asked him after the operation and said that the pain was like a knife stirring in his chest. He didn't want to live at that time. If he could die directly, it would be even more straightforward to die."

"Well, if you can do surgery, you still have to do it. I don't agree with conservative treatment," said Zheng Ren.

"Then why don't you argue with him?" Su Yun expressed contempt for Zheng Ren's attitude as a good man.

"It's meaningless. Such patients cannot receive them from our department. They should have more experience in general foreign affairs." Zheng Ren said: "If we need to go on stage, we will do it. If not, the vascular department can also do it. In the CT room, you are in a hospitalized hospital in the emergency department. Are you free of charge?"

"You are doing a human being with your tail between your legs." Su Yun looked at Zheng Ren with a smile and said, "Is it necessary to be so low-key?"

"This is low-key and connotation. And you said you don't want to go to the emergency department? Why are you still so arrogant?" Zheng Ren asked back.

"..." Su Yun was speechless.

This was really a dilemma. He thought about it carefully and found that what Zheng Ren said made sense, but he disagreed.

It's really breathless.

"There are two views in the academic world: surgery and conservative. But I still prefer surgery. Let's analyze the specific situation specifically. If conservative treatment is treated, there is a risk of recurrence." Zheng Ren said: "This point will be determined after the 64-discharge blood vessel cta comes out."

Su Yun nodded and quietly watched the doctor in the CT room for examination. The black hair on his forehead was floating weakly.

Because it is an emergency department, the reconstruction of the 64-row CT three-digit unit was completed quickly.

The superior mesenteric artery can see the true and false dual cavity, there is no thrombus in the true cavity, and thrombus can be seen in the false cavity.

The false cavity is not large enough to compress the blood vessels, resulting in occlusion of the superior mesenteric artery.

The superior mesenteric artery supplies all small intestine and 2/3 of the large intestine to provide blood. Once ischemia, it will cause ischemic pain in the small intestine.

Zheng Ren in Haicheng had a patient with intestinal bleeding, embolizing part of the superior mesenteric artery and actively necrotic the small intestine and resection. This is the reason.

But the patients in the past wanted intestinal necrosis and found a bleeding point to be removed. Now patients avoid this.

To determine the patient's condition, whether the operation is possible or not.

If he was in the emergency department of Haicheng First Hospital, Zheng Ren would have explained to his family without hesitation that he would go on stage to take the surgery. But this is 912, and it is an ambiguous thing. Zheng Ren only made suggestions and was not responsible for making decisions.

After sending the film back, Zhou Litao had already sent the patient to general surgery department, but was not there. Mr. Cui inserted the film into the film reader, put on glasses, and looked at it carefully frame by frame.

More than ten minutes later, Mr. Cui said: "Xiao Zheng, what are your opinions?"

"Can be conservative or…"

"I asked you for your opinion, I'm not asking you to play the ball." Mr. Cui was unhappy and glanced at Zheng Ren.

White hair is as snow and eyes are like a knife.

"I recommend surgery." Zheng Ren returned immediately, "I observed on the way that the patient's pain threshold is relatively low and the blood pressure is not well controlled. Although there is no thrombus in the true cavity of the superior mesenteric artery, conservative treatment will further reduce the possibility of curing."

Mr. Cui sat down and looked at Zheng Ren quietly without saying a word.

"The surgery is also relatively simple, just use the next stent. Superior mesenteric angiography + pta + stentoplasty. If the patient's family is financially fine, he can be discharged from the hospital after three days of observation."

"Well, that's right?" Cui Lao said: "Young people, be vibrant and don't pretend to be deep in old age."

"..." This is the first time Zheng Ren has heard someone comment on him like this.

Mr. Cui is really unique.

However, the difficulty of practicing medicine in his era was incomparable to that of now. The contradiction between doctors and patients became increasingly acute as medical treatment was introduced to the market.

"The patient has a history of smoking, a history of hypertension, and poor blood pressure control. In my experience, patients with a history of smoking can basically not be protected. Now, low-molecular heparin anticoagulation, prostadil dilated blood vessels, and papaverine antispasmodics. You go to general surgery and prepare for the surgery." Mr. Cui said.

He not only gave a diagnosis, but also determined the next treatment.

It is difficult to be conservative and successful with a history of smoking. For Zheng Ren, the sentence is worth tens of thousands of yuan. If you are so sure, it doesn’t seem like a doctor said it.

But Mr. Cui said that.

This is a summary of experience. Although this sentence is not rigorous, it is precisely because of this that it cannot appear in journal discussions.

This is just a summary of Mr. Cui’s lifelong experience, and he can’t learn anything else.
Chapter completed!