2157 Simple and clear diagnosis (Leaders visit the cloud leisurely 1)
"Lao Shao, to be honest, what have you done to the patients?" Su Yun asked with a smile while watching the film.
Lao Shao's face changed drastically. Fang Lin stopped him and said with a smile: "Brother Yun, don't make such jokes with Lao Shao, he is timid."
"Yes, yes, because of this patient, I was almost scared to death." Shao Jinghe looked worried.
Zheng Ren felt strange. It was a difficult disease and was scared to death. Where did this come from?
Moreover, it was also strange that Dr. Shaw brought the patient to 912 directly.
Generally speaking, for example, in Haicheng, it is very good for local doctors to help contact the superior hospital. In person, it is either a fatal disease like myocardial infarction or a relative or friend.
Even relatives and friends may not have time, and no one is in their hands.
Shao Jinghe not only contacted Fang Lin, but also sent the patient directly. There must be a story here.
Regarding this patient, Zheng Ren highly suspected that he missed some lung bulla during the operation, which caused the patient to have problems again and again.
This is just a possibility, but the possibility is not very high.
"I'll go see the patient." Zheng Ren said.
If it is a rare disease, let the big pig's hooves help solve it. Zheng Ren has experienced the stage of seeing the mountains as mountains but not mountains, and has reached the level of seeing the mountains as mountains or mountains.
With such a convenient method as a big pig's hooves, why not use it?
You can tell if it is a problem with Shao Jing and Dr. Shao at a glance. So you must use it as soon as possible. As for accumulating clinical experience, experience is accumulation.
"Boss Zheng, come here." Fang Lin took down the big red stethoscope hanging around his neck and handed it to Zheng Ren.
"The patient is in Ward No. 12, and I have specially adjusted the ward." Fang Lin said with a wry smile.
"Oh? What's going on?"
"The patient's family was accompanied by an elderly person. It is said that she was a kind of person from the countryside. She had to say that she could be cured by living in Ward No. 12 this time."
"Isn't this nonsense? If it was really accurate, why did you have had so many illnesses before?" Su Yun said contemptuously.
"Brother Yun, Lao Shao said that she had said before that she could not let Lao Shao take charge. Don't you believe it at home? You said that the old man is old and talks in a mess." Fang Lin said mysteriously.
"You speak well, believe it or not, I kick you into the duty room!"
"Brother Yun, if you want to kick me, please kick me directly to the female tutor." Fang Lin was used to joking and was not afraid of Su Yun's threat at all.
"I'm getting angry." Su Yun said with a smile. Fang Lin knew that now was the most dangerous time and hurriedly said: "Brother Yun, don't make a fuss or make a fuss, talk about serious things. Do you know why Lao Shao comes with you?"
"Why?"
"The old man said that if the child cannot be cured this time, the situation will get worse and worse in the future, and he will definitely die within three years." Fang Lin said, "She also said that if the child dies, he will take Lao Shao to die together."
"She said she didn't say it would be fine to ask you for medical treatment?" Su Yun didn't believe this and said with a laugh.
"Isn't this asking Brother Yun, please help me with a look? You are the legendary friend of women, just take a look at the patient." Fang Lin said with a smile.
While talking and joking, the three of them came to Ward No. 12. The moment they walked to the door, Su Yun and Fang Lin both became serious.
Talking and laughing behind the scenes is nothing big. But in front of the patient's family, that's another matter.
Being a doctor can give the patient more confidence in front of the patient.
When he arrived at the ward, Fang Linxian went in, stood next to the middle bed and went to Zheng Ren, Su Yun introduced, "This is the patient I mentioned before."
Zheng Ren glanced at the patient's system panel was red, and the diagnosis was clear: spontaneous pneumothorax on the left side, ruptured large vesicles, chronic suppurative pleurisitis, and localized lung fibrosis.
In addition, there is a weird diagnosis - endometriosis.
There is no special disease, it is all kinds of complications caused by spontaneous pneumothorax. The complications are not very serious. Empythorax can be stripped during laparoscopic surgery.
It should be fine if you take antibiotics for a few days after the operation.
Then Zheng Ren glanced at the patient. She had a pale face and thin skin, covering her stomach.
abdomen?
Why cover your stomach?
It's endometriosis, Zheng Ren guessed.
Endometriosis is really painful, it can be said that it is painful.
"You are Qi Xiaojuan, why are you covering your stomach?" Zheng Ren walked to the patient's right hand and asked softly with a big red stethoscope.
Sitting next to the patient was a thin and dry old lady. Her eyes were blind. She rolled her eyes and "looked" Zheng Ren and said, "The child is coming to my aunt."
Sure enough, the guess is right, the big pig's hooves are very reliable.
Zheng Ren smiled and showed his gentlest side, "Lying flat, I'll listen to the breathing sound."
The girl was very docile and just didn't want to speak. According to Zheng Ren's words, she endured the pain and lay flat on the hospital bed.
There was a chest tube in the 6 and 7 intercostals of the left chest cavity and the mid-axillary line. Zheng Ren glanced at it and saw a light yellow liquid in the chest tube.
"Cough." Zheng Ren said.
"Cough cough." The patient who called Qi Xiaojuan coughed twice.
"Gulugulu." Bubbles began to appear inside the chest bottle.
This is a typical manifestation of an open lung, and it has been many days since it has not healed on its own. There is nothing to say, just go for surgery.
Zheng Ren will not follow this surgery, and it is really not difficult. Just use warm salt water to fill your chest, then swell your lungs, and see if there is any place where you bubbling.
Zheng Ren also recommends cutting off some suspected small lung bullae that has not yet broken.
But now is not the time to talk about this. Check the body first and then go back to the office before talking about it.
Because closed drainage is inserted on the left chest cavity, the patient's breathing sound is only slightly weak. The right breathing sound is normal, so there is no problem.
After the examination, Zheng Ren carefully pressed the patient's stomach again, and there were no positive signs in his abdomen. The patient would not curl up in bed until his menstrual period.
Carrying the Dahong Stethoscope, Zheng Ren left the ward without saying a word.
Although the patient's family will be a little dissatisfied with this. But this is the thoracic surgery department. Fang Lin just looked at him and had no reason to pretend to be a director in the ward and point fingers.
After leaving the ward, Zheng Ren said: "The condition is very simple, I'll do it. It's probably because of the rupture of the lung bulla, which caused pneumothorax."
"good."
After hearing what Zheng Ren said, Fang Lin breathed a sigh of relief.
Boss Zheng has said, is there anything else to doubt?
Chapter completed!