Chapter 458

Although Qin Xiaoyuan is not an endoscopist, his many years of clinical experience is no joke.

After hearing Xiao He's words, he immediately frowned.

Xiao He continued: "President Qin, I'm afraid it's a traumatic esophageal fistula, but... It's difficult to ensure whether it hurts the aorta, so it's better to be safe!"

Those who engage in cancer themselves belong to a relatively miscellaneous type of disease.

This is especially true for Qin Xiaoyuan, an older generation of cancer doctors.

At the beginning, the oncology department of the second provincial hospital was called "internal comprehensive department", which was called comprehensive internal medicine because there were many systems involved in tumors. Only after it was officially renamed oncology department, did it gradually derive small departments such as swelling 1 and swelling 2 from the oncology department.

However, when talking to patients now, they still talk about "internal comprehensive department", not "oncology department".

Because many families don't want patients to know they have tumors.

Therefore, basically, hospital insiders are called oncology department, and patients are called internal comprehensive department.

When Qin Xiaoyuan heard Xiao he say about traumatic esophageal fistula, he had already reacted.

Traumatic esophageal fistula is the most likely to hurt the aorta and even cause aortic fistula!

Once aortic rupture is induced, the situation is critical.

Thinking of this, Qin Xiaoyuan quickly told Huang Weiyan: "Weiyan, first go to hospital and go to cardiac surgery. Let's have a detailed examination."

When Huang Weiyan heard that Qin Xiaoyuan was so dignified, he had to take it seriously.

I didn't expect that before I could breathe a sigh of relief, another seemingly serious disease came!

Thinking of this, Huang Weiyan dared not relax. He nodded and followed Qin Xiaoyuan to go through the formalities.

Ji Ruyun stayed with the old man.

Qin Xiaoyuan picked up the phone and asked Tao MI and Chen Cang to come to the hospital.

Tao MI is in the family building. It's easy to say that she arrived at the emergency hall in less than ten minutes.

Chen Cang and Qin Yue were watching TV with their mobile phones. After receiving a call from Qin Xiaoyuan, they quickly changed their clothes and got up.

Even Qin Yue followed.

When Chen Cang arrived, Huang Yongyi had completed the hospitalization procedures and sent him to the radiology department for examination.

Qin Yue saw her mother waiting outside the radiology department and followed her

When Chen Cang saw Xiao He, he hurried over and asked, "director Xiao, what's the situation?"

Xiao he saw Chen Cang, thought about it and said, "it may be a traumatic esophageal aortic fistula."

Even Chen Cang was foolish when he said this!

This disease is not Xiaoke. It can cause severe upper gastrointestinal bleeding and life-threatening!

Basically, as long as the diagnosis is confirmed, the operation must be organized as soon as possible.

So after hearing this, Chen Cang had to pay attention to it: "is it confirmed?"

Xiao He shook his head and said, "I've sent it for a chest film."

After hearing this, Chen Cang walked directly to the operation room of the radiology department.

These days, Chen Cang and the radiology department are also very familiar, because everyone is on the first floor and often meets.

So when Chen Cang came in, Yang Lin, a doctor in the radiology department, didn't care.

After Chen Cang passed, "Lao Yang, pay attention to whether there is aortic injury."

Yang Lin nodded.

Chest X-ray is of great significance for the early detection and diagnosis of traumatic esophageal aortic fistula injury.

When the film was shot, Yang Lin frowned: "shit, canger, you may have guessed right!"

"You see, there is emphysema in the mediastinum, the density of the left diaphragmatic angle near the descending aorta increases, and the outline of the descending aorta disappears..."

Chen Cang suddenly felt a click in his heart!

It should be eight or nine.

Create conditions as soon as possible and operate as soon as possible!

Thinking of this, Chen Cang quickly got up and went out to meet Ji Ruyun.

Chen Cang hurriedly said, "aunt, it's traumatic esophageal aortic fistula. You have to prepare for surgery as soon as possible."

Huang Weiyan was really shocked to see Chen Cang so dignified. He couldn't help asking, "doctor, what's the situation with my father?"

Chen Cang didn't have time to say. He turned and looked at Qin Yue: "explain to me. I'll go to cardiac surgery first and find director Tao to arrange the operation as soon as possible."

Then, ignoring the explanation, he got up and left.

Huang Weiyan was left stunned and turned to look at Ji Ruyun: "sister Ji, is it so serious?"

Ji Ruyun has not touched the clinic for so many years. Naturally, he is a little puzzled.

But Qin Yue was in the emergency department. Knowing that it was a kind of critical illness, he quickly said, "Uncle Huang, it's very dangerous. Every minute of delay may lead to uncertain bleeding. Once the bleeding occurs, the situation... Is very dangerous."

Ji Ruyun turned and looked at Qin Yue: "how did it happen?"

Qin Yue explained in detail: "Esophageal aortic fistula is a gradual development process. The esophagus and aorta are very close. When there is foreign body injury to the esophagus, the first is the ischemia and necrosis of the local mucosa of the esophagus, which gradually penetrates the esophageal wall, and then further damages the aorta, causing the destruction of the mucosal layer on the aorta. At this time, there will be blood in the aorta."

"In the early stage, there was less bleeding. It was a small amount of bleeding with signals. The chest was uncomfortable and even had no symptoms. But once the aorta broke, it was fatal bleeding!"

"Therefore, at this time, we must strengthen prevention. If there is a small amount of bleeding, we must pay more attention."

As soon as they said this, they immediately looked frightened!

At this moment, they also understand why Chen Cang is so anxious and flustered.

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At this time, Qin Xiaoyuan and Tao MI are in the doctor's office, waiting anxiously.

Chen Cang hurried in with the film.

After seeing the two, he quickly said hello, then took out the film and went to Tao Mi: "director Tao, this is a chest film. It should be diagnosed as traumatic esophageal aortic fistula! Arrange surgery as soon as possible."

Tao Mi's face changed when she heard Chen Cang's words. Even Qin Xiaoyuan was nervous at once!

I quickly took over the film. After seeing it, I immediately frowned.

Sure enough, the situation is not optimistic!

In this case, it's really walking a tightrope on the cliff and taking life as a bet!

Because no one knows when it will cause massive bleeding.

The damage of the aorta can't be seen at all. Who can guarantee what the yellow old situation looks like now?

At the thought of this, Tao Mi quickly got up. The nurse and Ji Ruyun had pushed Huang Lao up.

After Tao Mi went out, he hurriedly asked the doctor on duty Zhang Wenfu to make preoperative preparations and arrange the operation as soon as possible.

Qin Xiaoyuan looked at Tao Mi: "director Tao, do you need to invite other experts?"

Tao MI was a little stunned and understood Qin Xiaoyuan's words: "no, it shouldn't be a problem with me and Xiao Chen."

Hearing Tao Mi say so, Qin Xiaoyuan also took a curious look at Chen Cang. Is this boy so powerful?

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