2278 Urinary catheter, saline, syringe
The problem in front of you is quite difficult.
Because Zheng Ren encountered a patient after a sex change surgery for the first time. He did not have rich clinical experience and was not a surgery, so he could not enter the system space to try different methods to remove it.
Everything can only be thought about by mind and find a logical and feasible solution.
Zheng Ren knew about sex change surgery. If he had the lead, there might be dozens of surgical methods.
The situation is very vague now, and even Zheng Ren doesn't know much about the specific way of the patient in front of him. Theoretically, it is impossible for the patient to come to the hospital with a complete surgical record.
After entering the treatment room, the woman with long legs and thin waists sat on the bed. She looked at the doctors who were helpless with innocent expressions. The effect of the surgery was quite impressive, at least Zheng Ren couldn't see any problems.
If you don't know, you will definitely think you are a beautiful girl.
No one spoke, and the room was quiet like a medical accident.
Perhaps in Thailand, sex transfer surgery is very common, and there are really not many people who choose to do this kind of surgery in China. The doctors in the People's Hospital looked at each other and were at a loss.
Zheng Ren glanced at the woman and asked, "What size is the tampon?"
When she saw two strange doctors coming, she was helpless and gestured with her fingers.
"Why don't we try an analoscope?" said a doctor.
This is an instrument used to check rectal and anal lesions. It is a commonly used tool for anorectal disease examination. It has traditional analoscope and electronic analoscope.
Zheng Ren thought for a while and said, "No, the vision is limited, but it's still invisible."
The doctor was a little surprised. He glanced at him and didn't know the person in front of him, nor did he know Lin Yuan behind him.
But he just made a random suggestion, and it didn't matter if he was denied, even he didn't think it was feasible. But the tone of the speech in front of him... seemed to be the director, and there was no doubt at all.
"If not, let's take a look with a fiber colonoscope." Another doctor said.
"No!" Zheng Ren said a little sternly this time.
The previous suggestion is just invisible, while the second suggestion is more dangerous.
"The colonoscopy needs to be cheered up. She has a blind cavity under her. If the pressure is not controlled well, it is easy to have problems." Zheng Ren said lightly at last.
Zheng Ren didn't say much, not because he was unfamiliar with the place here, and he was all doctors, so there was nothing he could not say. But because he was not very good when facing patients, he scolded the doctors here.
The doctor was a little surprised at first, but Zheng Ren explained briefly and then he figured out the truth.
Generally, the deepest position is at the back of the uterus, called the posterior fornix, usually about 12 cm. In the emergency department, Zheng Ren has also encountered foreign objects. Common foreign objects are condoms, and a small number of patients will drop sanitary napkins in. It is generally not difficult to remove them using a vaginal expander.
But the person in front of me is the intestinal replacement...
"Do you know what intestines you took and how long it is?" Zheng Ren wanted to give it a try in the end.
The female patient blushed and shook her head slightly.
Sure enough, I didn't know anything. This is the normal situation. If she really sat here and could say something, not only Zheng Ren, but everyone would have some doubts.
What should I do? Zheng Ren is also a little numb.
I don’t know how deep it is, a small tampon is hidden inside. It looks simple, but it is extremely difficult to take it out.
The old doctor also made mistakes. Zheng Rengang had a few days after his heart conjoined infant separation surgery. He himself did not expect that he would be stumped by such a problem.
It's really... Zheng Ren smiled helplessly.
"Did you just see it?" Zheng Ren looked at the first female doctor who came in, probably the hospitalization director of obstetrics and gynecology, and he asked directly.
He was concentrating on the patient's situation. Zheng Ren was no longer as polite as before, but was very direct, and the superior doctor's aura was fully opened.
The hospitalized officer of the obstetrics and gynecology department was stunned for a moment, and subconsciously said in the tone of reporting the condition with the director: "The position is too high, and after the vaginal expansion device is opened, all the fingers are in, and I can't find the bottom. I didn't dare to use the holding forceps, for fear of breaking the intestinal wall."
Zheng Ren nodded, put his left hand on his right armpit, and held his cheek with his right hand, and looked at the female patient in front of him in a posture of watching a movie.
The patient was a little furious when he was seen, but he couldn't get angry.
She could feel the young doctor in front of her, looking at the solution that was concentrating on, instead of looking at her gender and the few surgery in China with a strange look.
"How about trying anesthesia colonoscopy, you can try to give it as little as possible and just see it." Lin Yuan whispered behind.
Although this proposal was denied by Zheng Ren, it should be the only feasible solution now.
Zheng Ren shook his head slightly, then said, "Castidate, saline, syringe."
The emergency surgeon's eyes lit up excitedly, and he responded and began to look for what Zheng Ren said.
Although he didn't know why he needed a catheter when taking foreign bodies in the intestine, it did not affect his actions as Boss Zheng said.
Boss Zheng wants to first extract the urine from the bladder, and then... he doesn't know what to do. Anyway, the legendary Boss Zheng appears here, and he has to solve the problem!
Soon, the emergency surgeon ran back with the stuff.
Zheng Ren asked the patient to lie down on the stone cutting position, stretched out his hand, paused for 1.2 seconds, and then said in a deep voice, "Sterile gloves..."
The emergency surgeon found another pair of sterile gloves and handed it to Zheng Ren.
"Boss Zheng, what are you going to do?"
"I'm not sure if I try it. If it really doesn't work, I can only go to the operating table and use a colonoscopy to look for it." Zheng Ren said.
This statement means to prepare for intestinal rupture and once there is a problem, it must be sutured again.
There are few similar experiences in China, and it may be much more convenient if you are in Thailand.
Zheng Ren repeatedly rubbed paraffin oil on the catheter three times and then went down into the intestines.
"Boss Zheng, urethra...urethra..." the emergency surgeon whispered.
After the operation, the position of the patient's urinary tract opening changed, and Boss Zheng did not find it. He was a little worried and kindly reminded him.
"Well, I know." Zheng Ren looked up, smiled, and said, "Open the syringe to me."
Before the emergency surgeon could move, Lin Yuan had already opened the syringe and placed it in front of Zheng Ren's hand.
Then Lin Yuan inserted the needle of the syringe into the salt water bottle, and placed it in front of Boss Zheng at an angle.
After extracting 10ml of salt water, Zheng Ren shot it through the airbag opening of the urethra catheter.
There is an airbag in front of the urethra, or waterbag. Generally, after inserting the urethra, about 5 ml of normal saline must be injected. The waterbag expands and is stuck at the opening of the bladder and urethra to prevent the ureter from falling off.
Chapter completed!