CT shows that the scanning positioning is like the truncation of the bronchial lobe of the right lung, and the upper lobe of the right lung has a wedge-shaped high-density shadow, with uneven internal density, and circular low-density shadows and dot-shaped calcification shadows. Most mediastinal lymph node swelling is calcified. The left bronchus is unobstructed.

"Pulmonary torsion, prepare for emergency surgery." Su Yun said with certainty.

"Brother Yun, I think it's also a lung torsion. I'm preparing to report to the second-tier professor." Fang Lin said with a smile.

However, he saw that Zheng Ren was still watching the movie and was a little confused.

"Boss Zheng? What are you thinking?" Fang Lin asked.

"There is a high possibility of lung torsion." Zheng Ren said with certainty: "But it is difficult to distinguish between differential diagnosis and localized pleural effusion, atelectasis, intrapulmonary hematoma, and coagulated hemothorax."

"It's not the same. Tell me, in which case you don't need to go to the stage?" Su Yun said disdainfully.

"Didn't it mean to diagnose? If you say surgery, you can prepare to do it directly." Zheng Ren still watched the film, ignoring Su Yun's provocation at all.

"You are too cautious." Su Yun said: "It is obvious that you can see the movement of high-density areas when standing and lying. This is the clearest diagnosis."

"It can also be localized pleural effusion." Zheng Ren held his chin and watched the film.

“There is a difference.”

"I know." Zheng Ren said: "Fang Lin, is the patient's family saying that the condition is urgent?"

"It should be fine. There is no vascular obstruction for the time being, resulting in venous return disorders and signs of venous infarction or gangrene after pulmonary parenchymal congestion. However, Mr. Cui from the emergency department was very anxious and asked Mr. Zhou to bring the patient's family directly, saying that he was to hurry up and take the surgery." Fang Lin said.

"Then do a dynamic chest perspective, make the diagnosis clear, and start the stage immediately." Zheng Ren said.

Su Yun also knew that thoracic artery fluoroscopy is the best way to diagnose lung torsion, but the patient's image is no longer too standard. Although spontaneous lung torsion is rare, no matter what, there should be no mistake in the direct surgery.

Is it really necessary to be so cautious?

But what his boss said was done. I seemed to owe him a convincing person just now. If this guy really wanted to criticize him with this sentence...

Su Yun didn't dare to continue thinking.

"Fang Lin, we are looking at patients with biesophageal deformity. When will patients with lung torsion be hospitalized?"

"If there is no traffic jam, it will probably take about an hour." Fang Lin said.

"Well, let me know when I go on stage, I'll take a look." Zheng Ren said.

"Okay."

It was just a stand operation, and Fang Lin had no reason to refuse.

He looked at the patient with biesophageal deformity, sorted out all the medical records and test forms, and Zheng Ren used the system panel to compare them.

I had a clear idea of ​​surgery tomorrow and then left the thoracic surgery department.

Back in the department, Liu Zewei was busy with a shiny plate over his head and was correcting the case. Chang Yue went to communicate with the patient's family, while the professor was sorting out the data on the tips surgery.

Because more and more doctors have learned new tips surgery, the number of surgeries has soared. Professor Rudolph Wagner has devoted almost all his energy to sorting out relevant information except surgery.

"Boss, will the patient with lung torsion just now have thrombosis and metastasis when the torsion is removed?"

"It is possible that you should be very careful when performing the operation." Zheng Ren said: "You can't do it with laparoscopy, and the meticulousness is still slightly worse."

"By the way, you have good laparoscopy, why are you so unconfident in laparoscopy surgery?" Su Yun asked.

"It's not that you don't have confidence, but that you have more confidence in your own hands." Zheng Ren said: "Did you notice what Dr. Charles said later?"

"When you touch your hand, you will know what force to stitch it?"

"Well, that's it." Zheng Ren said: "Although the damage of laparoscopic surgery is small, laparoscopic forceps and other hand are not comparable. If you can use this from the benefits you have plundered from Chu Nu'angsai, perhaps laparoscopic technology can be further improved."

"Stop talking nonsense." Su Yun said: "There are definitely not many people who can grasp this. I have just touched the threshold, and it doesn't take long to get through it. Are you counting on other people?"

"Yes, it's always good. Not to mention surgical operations, just interventional surgery, the feel is very important," said Zheng Ren.

"No wonder you can understand this because the interventional surgery is done well?" Su Yun seemed to have found some key points.

"It should be." Zheng Ren was unwilling to let it go. "Interventional surgery depends quite on the feel, especially after reaching a certain level. After doing too much, it unknowingly uses the surgical side."

"It seems that Dr. Charles is more genius than you. He doesn't know how to do interventional surgery, but he has also touched the threshold of his hand." Su Yun also understood the truth.

"Absolute." Zheng Ren said: "I am a metaphor, because I can only understand this with the strongest interventional surgery."

After hearing Zheng Ren's strongest interventional surgery, Su Yun immediately wanted to retort. However, when the words came to his mouth, they stopped.

Is this sentence wrong?

That's right!

He is the strongest interventional surgeon, and he can't even find a similar example.

“Touch…”

"For example, if you touch the intestines, you can know what force you need to peel off so as not to cause complications such as intestinal rupture and intestinal perforation." Zheng Ren talked about his experience.

Su Yun was silent and nodded.

This is a brand new field, and Su Yun can only vaguely understand what Zheng Ren is talking about, but he still has a long way to go to understand this and use it in surgery.

As he thought about it, Su Yun was a little confused.

Recently, I have been concentrating like never before and have worked harder than before, but why do I feel that the distance between myself and my boss is getting farther and farther?

"You are back." Chang Yue came back from the ward and saw Zheng Ren and Su Yun chatting, and greeted him, "Yiren seems a little unhappy. Mr. Zheng, be careful."

"..." Zheng Ren felt a thunder falling from the sky.

"Hmm?" Su Yun glanced at Chang Yue and asked, "Why?"

"I won't eat at noon, and it will disappear without a trace as soon as it is lunch." Chang Yue was busy when she sat down.

"Isn't this a problem in the emergency department?" Su Yun didn't care at all.

"You don't reply to send a message. Don't you know how big a girl is?" Chang Yue turned around, held her glasses, and looked at Zheng Ren gloatingly.

"..." Zheng Ren then remembered that after he stepped down, he went to the emergency department. He first listened to Su Yun's lecture to Zhou Litao, and then did a differential diagnosis of Amoeba protozoa, but actually forgot to look at his phone!

Although Zheng Ren is not very emotionally keen or too lazy to think about it, he knows that he doesn’t reply to his girlfriend’s message, and this mistake is too big!

Zheng Ren felt cold on his back and his whole body was frozen.
Chapter completed!