Pulmonary embolism, also known as pulmonary embolism.
It referred to the clinical symptoms of pulmonary circulation disorders caused by either an internal or external thrombosis in the pulmonary artery or its branches.
Its main source was thrombosis, and other sources included amniotic fluid embolism, fat embolism, air embolism of foreign matter, and so on.
For example, amniotic fluid embolism was an extremely serious complication after cesarean section. Ten years ago, it was a disease that had no cure.
Meanwhile, one of the most feared complications in orthopedic surgery was fat embolism.
After a patient developed pulmonary embolism, they would experience severe pain in their chest and back, as well as breathing difficulties.
However, patients in the early stage would generally feel that it would pass after enduring it for a while, which would delay the best time for treatment.
However, even when he went to the hospital, when the early symptoms were not typical, the location of the embolism was not as typical as this patient ‘s, and it was easy to miss the patient.
From the x – ray, there was nothing suspicious about it. The blood clot originated from the pulmonary valve and blocked the main pulmonary artery.
There was no way to remove the plug. The grinding technique … The blood vessel wall was too thin, which was completely different from a coronary artery. In addition, it originated from the pulmonary valve, so it was difficult to deal with the plug on the valve.
It was impossible for him to perform a grinding surgery.
Zheng Ren’s first impression of the patient was the same as many of the Department directors of the Emergency Medical Center. They all thought that the patient could only be treated with thrombosis.
However, just as he was about to look away from the video, Zheng Ren stopped.
In an instant, the vestige nerves trembled violently, and it was very uncomfortable.
It was like riding a roller coaster.
Sensing that something was wrong with Zheng Ren, director Wei asked,””Boss Zheng, are you tired after a long day?”
“No, there’s a problem with the scan.” Zheng Ren said as he stared at the film.
“What?” Chief Wei was puzzled.
The image was typical, and no one had any objections to the diagnosis. The only difference was in the treatment.
“Wait a moment, let me think about it.” Zheng Ren said, and then began to use his reconstruction ability.
Three – dimensional reconstruction, MRI scans, and CTAs of the blood vessels in this position were all useless.
Based on the most basic imaging data, Zheng Ren used dual – Energy CT reconstruction mode and began to re – observe the lesion that originated from the pulmonary valve.
The dual – Energy CT system could use two different types of X – rays to form an image of an object, and it could accurately obtain the composition of the object.
Its principle had been proposed in the 1970s.
By using two different energy photon beams to penetrate the stage for imaging, the difference in the energy absorption curve of different materials could be accurately calculated.
Of course, in order to be very close to the truth, the doctor Who read the scan needed to have a very deep understanding of scans.
And Zheng Ren was that person.
The reconstruction ability was very handy. However, even Zheng Ren felt that it was a little difficult to perform a dual – Energy CT scan.
His brain was operating at full power, like a machine, and the rumbling sounds continued. The CPU was processing all sorts of data rapidly, and Zheng Ren was slightly overwhelmed.
However, the dual – Energy CT scan image was still established.
It was a little blurry, and there was still a difference between the image and the one made by a standard machine. Even so, Zheng Ren felt that it was enough.
The image showed another situation that was completely different from the previous judgment.
There was no blood clot in the large area near the pulmonary artery valve!
It wasn’t a blood clot, but the Echo of abnormal body tissue.
Zheng Ren looked at the dual – Ability CT image that was added to his mind. After an instant of excitement, he fell silent.
Although it wasn’t a trap, it overturned the previous diagnosis.
However, abnormal body tissue … Meant that there was a dense tumor tissue in the patient’s pulmonary artery valve area!
Whether it was benign or malignant, it was still a tumor tissue!
Tumors in the pulmonary valve were very rare.
“Su Yun, call Fu Gui ‘er up.” Zheng Ren said in a deep voice.
Both director Wei and Lin Ge were stunned. What did boss Zheng mean?
After a short, awkward silence, Zheng Ren immediately realized that he was in the ICU doctor’s office, and Su Yun was not with him.
“I’m sorry, director Lin, director Wei. ” Zheng Ren chuckled.
“Boss Zheng? Did you find anything?” Chief Wei asked in a low voice.
Boss Zheng was going to use surgery to treat a case of pulmonary embolism caused by thrombosis in the pulmonary artery valve?
Since some thrombosis was not fixed in the original position, there was a high possibility that thrombosis would occur in other parts of the body during the surgery.
Therefore, this was a taboo in surgery!
Boss Zheng was preparing to attack the restricted area? That’s impossible.
No, he was going to call professor Rudolph Wagner. Was he going to use interventional surgery?
No, director Mao did not say anything.
“Department Director Wei, I also thought it was a pulmonary embolism in the beginning.” “But after looking at the x – ray, I feel that there’s something wrong,” Zheng Ren said.
“What’s the problem?” Chief Wei asked.
“How should I put this? Based on my preliminary judgment, I can tell that the organ that is damaged in the pulmonary artery is in the body tissue. ”
“…” Director Wei was speechless.
To ordinary people, this passage was a little choppy. However, for doctors, the appearance of body tissue in the pulmonary artery valve area meant that there was a benign or malignant tumor there!
What the … A tumor in the pulmonary valve area?
Boss Zheng was really daring.
However, chief Wei did not refute him. Some time ago, she had chatted with Feng Jianguo and said that boss Zheng might not be good at laparoscopy.
After that, he was slapped in the face by a standard laparoscope emergency bleeding control and foreign body removal surgery.
Boss Zheng immediately diagnosed her with a pulmonary valve tumor. Director Wei really wanted to scold boss Zheng, but he held back.
‘Forget it, I’ll just listen obediently and not make a joke out of this laparoscopy.’
“Let’s go and take a look at the patient. ” Zheng Ren said.
Lin Ge felt that boss Zheng was completely out of control at this moment. He was like a little beast.
His mind was filled with the surgery and the patient.
Give boss Zheng more opportunities for surgery? He didn’t seem to be able to do it. Besides, Department Director Kong had already contacted the community Hospital for boss Zheng.
Others had already done what they needed to do, but he was a little late.
Then what should he do?
Zheng Ren took out his phone as he walked out of the ICU doctor’s office.
“Su Yun, ICU, call Fu Gui over.”
“I’m busy? sure. I’ll talk to Zhao Yunlong about the tumor in the pulmonary valve. You can go back to your work. ”
After saying that, Zheng Ren did not wait for Su Yun to say anything and hung up.
But he did not continue to call.
“Boss Zheng, do you want to find someone with a big heart to come up?” Lin Ge immediately asked.
“No need, Su Yun will be there soon.”
“Isn’t doctor su busy?” Lin Ge was a little confused. Did he hear wrong?
“There are only thirty – seven reported cases of patients with pulmonary valve tumors in the world. Thirty – five of them were found out after their death, and two of them were operated on, but the operation failed.” “When he encounters such a case, he’ll have to let go of everything,” Zheng Ren said.
