Chapter 553: line with translation of chapter title

Zheng Renhe communicated with the previous acute appendicitis patient and the patient's family. They saw it was a child under one year old who was sick, and they all generously gave the Shou Bing to the child.

Afterwards, Zheng Ren had Director Sun find the Head of Anesthesiology Department to give the child anesthesia.

After all, Chu Yanran and Chu Yan zhi lack sufficient experience; the child's anesthesia, especially anesthesia for infants under three, is completely different from adult anesthesia.

After preparing everything, Zheng Ren took Director Sun to the Operating Room.

Director Kong had long heard the noisy hallway, plus the child's milky crying voice.

He was curious; generally there are few pediatric surgeons, only a place like Sheng Cheng would have pediatric specialty.

Hai Cheng? It's simply impossible.

I didn't expect Zheng Ren to even do pediatric surgery...... that works too.

Director Sun changed clothes, took the child and went straight to Shujian. Seeing Director Sun leave, Director Kong asked: "Zheng Lao Ban, you have a wide range of expertise; can you also do pediatric?"

"It's not a pediatric matter." Zheng Ren frowned, also somewhat troubled.

"Huh?" Director Kong stared blankly for a moment.

"The patient's air enema failed; we consider it caused by intestinal parasitic worm disease." Zheng Ren said.

「」

Although not a general surgery specialist, Director Kong knows intestinal parasites are not easy to diagnose. Zheng Ren doesn't even have a CT here; how was the cerebral parasitic disease diagnosed?

Intussusception is the most common cause of pediatric intestinal obstruction. In most cases, viral infection (often from the upper respiratory tract) causes lymphoid tissue in the intestinal wall to enlarge, creating a leading point that causes the proximal part of the distal intestine to undergo "telescoping", thereby leading to intussusception.

If the air enema cannot be administered, the only option is to operate and perform manual reduction.

This disease has nothing to do with parasites at all.

Seeing Director Kong's hesitant expression, Zheng Ren took out the X-ray film left by Director Sun.

At this time it was already dark, couldn't look out the window. Zheng Ren could only crane his neck to look at the film under the light, saying: "Here, in the cecum, you can see a faint, thread-like shadow. We can consider this an artifact or overlay appearing under fluoroscopy, but we cannot rule out the possibility of an intestinal parasite shadow."

Seeing the film, Director Kong regained some confidence.

After all, he has spent his life dealing with images; without the image film, Director Kong feels as if his whole body's martial arts have been abolished.

At this moment, seeing the film, Director Kong's eyes narrowed.

The position Zheng Ren mentioned, he saw it. Indeed it's worth suspicion, but if Zheng Ren hadn't reminded him, based on Director Kong's clinical experience, he would likely not have judged it as a parasitic disease.

Forward reasoning is difficult, but reverse reasoning is much simpler.

First assume Zheng Ren is correct; Director Kong uses reverse thinking and immediately finds theoretical basis.

"The density here in the image is wrong." Director Kong then said: "I think you're right."

"Not only here, but also there." Zheng Ren pointed to another location, saying: "I estimate the patient is infected with pinworms; the ingested worm eggs hatch in the small intestine, and the adult worms live in the appendiceal region..."

"Chief Zheng, Chief Zheng, have you changed clothes?" As he said this, Director Sun rushed in like his butt was on fire.

Seeing Zheng Ren and another person studying the film, he was stunned for a moment.

What's there to study about that film? It's just out of a doctor's instinct that Director Sun, after the air enema failed, subconsciously took an X-ray film.

He also looked at this film; it's just a simple intussusception.

"Let me introduce." Zheng Ren laughed: "This is Director Sun of our hospital's General Surgery Department II."

Director Sun reached out his hand, bewildered, not expecting Director Kong to just nod, indicating he knew.

"This person is Director Kong of the Intervention Department at Di Du 912 Hospital."

Director Sun shivered slightly.

Di Du 912 Hospital, the nation's top military region hospital, and also the nation's top-tier Grade-A tertiary hospital.

The previous moment's slight displeasure drifted away like smoke and clouds; even if it existed, there's no time now to care about it.

My little grandson is under anesthesia, needing surgery; where would I have time to worry about others' attitudes toward me?

"Director Sun, I and Director Kong suspect intestinal parasitic disease. During the operation later, see if you can have the Head of Pathology Department take a look. If it's parasites, postoperative anthelmintic drugs will be needed." Zheng Ren said.

Director Sun was somewhat puzzled and also a bit bewildered.

But since Zheng Ren said that, no matter what he asks him to do, he will surely agree.

"Zheng Lao Ban, your Diagnostic Level has far outstripped this old guy of mine." Director Kong chuckled, without envy or jealousy, merely stating a fact.

Zheng Ren shook his head, changed clothes, and came to Shujian with the two directors.

Director Sun wanted to scrub his hands and go up to operate, but both hands trembled slightly; at a glance he couldn't go up to perform the Shou Bing.

Zheng Ren pressed down on Director Sun's shoulder, saying: "Director Sun, you take the Observation Platform."

After saying that, he shouted, "Su Yun!"

"What the hell!" From inside the lounge, Su Yun's voice came out.

This guy, relying on having drunk a bit at noon, has been slacking off ever since the heart surgery. Anyway, there's Cao Guozhen watching over that side, so there won't be any problem.

"Scrub hands, go up to operate!" Zheng Ren saw that the Head of Anesthesiology Department had already given Director Sun's little grandson general anesthesia, so he went straight to scrub his hands.

Scrub hands, disinfect, lay the drape.

Zheng Ren and Su Yun worked together, quickly completing the preoperative preparation. Afterwards they disinfected their hands, put on clothes, and wore sterile gloves.

The Shadowless Lamp's light is very bright, somewhat glaring.

"Boss, what procedure?" Su Yun asked.

"Laparotomy exploration."

Su Yun's eyebrows twitched slightly, but he didn't speak.

Right lower abdomen, incision beside the rectus abdominis, 5 cm.

For an adult, 5 cm is a small incision. But for an 11-month-old infant, this incision is already quite large.

At the same time, the Xinglin Yuan live broadcast room opened.

【Now the operators are becoming less attentive, the broadcast frequency is low.】

【It's said that if you watch the daily broadcast of appendectomy surgeries, you'll get tired of seeing them.】

【Don't say, today's Shou Bing really is appendicitis. No, how come there's also intussusception and intestinal parasitic worms?】

【The doctors who came in at First Time, one moment releasing their hand speed and chatting via bullet comments, the next moment looking at the patient's medical history.】

【Soon, everyone's interest was aroused.】

【Infant, 11 months, air enema for intussusception ineffective, and intestinal parasitic worms also diagnosed.】

【Such a complex disease, and yet such a young child, the difficulty of the Shou Bing increased geometrically.】

【How Strange, how did the surgeon detect the intestinal parasitic worms?】

【Isn't there a spot film after the enema in the data? I guess it was diagnosed based on the imaging data.】

【No way, that spot film... I'm in imaging, let me take a close look.】

【In the live broadcast screen, the surgeon raised his hand, the blade fell, a small amount of blood was wiped away, electrocautery hemostasis, Blunt Dissection, the coordination between the surgeon, assistant, and instrument nurse was as smooth as flowing clouds and water.】