Chapter 464

"Doctor, is there any way? Cut off your stomach! " Uncle Jinya said to the doctors while loading his gold teeth.

He was also afraid. In his country, for various reasons, the hospital doctors were lazy, didn't work and treated rudely. At that time, he told him to cut off his stomach. The old man was frightened. It was just the right day to cut his stomach. He hurried to bring his family to China.

Zhang Fan smiled at the old man. He was going out to discuss the treatment plan with the doctors outside the door. Because the gastroscope room needs to see the monitor, it is generally dark.

When they saw the old man in a hurry, Zhang Fan didn't go either. They just stood in front of him and waited for the old man. Without worrying about anything else, they worried that the old man would swallow his golden teeth in a hurry.

"If you don't cut your stomach, treat it first, and then look. If you can't, open your stomach and take out the round lump in your stomach like a doll. Then sew it up, like sewing clothes, sew it up. Just fine. " Zhang Fan patiently explained.

"Sew well, you can't leak! There are people who pounce on Lu. " The old man is also a strange man.

"No, no, it won't leak." Zhang Fan smiled. After the old man pressed his teeth, he turned out of the gastroscope room.

"Come on, let's go to the conference room and talk about it." Ouyang came to the meeting room with a group of doctors.

"The transfer orders of director Li and several directors have not come down yet, but there will be no big problem. I'm really sorry to let director Li work before we have a welcome meeting! " Ouyang said to the doctors with a smile.

"Good food is not afraid of late, Dean. We're not in a hurry." Director Li said with a smile.

"Ha ha, I will be a comrade in arms in the trenches in the future. Today, let's talk about the patient's condition. The government has specially explained that we should take care of treatment. Director Li said first. "

The doctor of dry digestion has nothing to be afraid of. Director Li said after a little thought: "the stomach stone is very hard and has complex components. It is estimated that the effect of conservative treatment is not ideal. Still need surgery. "

"Can you make it smaller? This shape is too big, almost the same as the whole gastric cavity. The operation is too damaging. " After director Li finished, Ouyang looked at Zhang Fan.

"Try some enzyme preparation or sodium bicarbonate solution." Another deputy director from the traditional Chinese medicine hospital said.

"How did this hair like object come into being?" A female doctor who asked in the gastroscope room asked again.

It's not her curiosity, but the uncle, with gold teeth and wrinkles on his face, looks a little like Grandma wolf, and the stone in his stomach is like a child's head. It seems too terrible to think about it. If you don't ask clearly, it's estimated that she doesn't dare to come to the hospital.

"The formation of conventional gastrolithiasis is generally due to the fact that after eating a large number of foods rich in tannic acid, it condenses into jelly like in the gastric acid environment, and then combines with the protein in the food to form water-insoluble tannic protein. After adhering to the food, it begins to become larger and larger." Director Li explained with a smile.

"Where's the hair!"

"Hehe, I think President Zhang seems to have asked the key, otherwise president Zhang will talk about it." When director Li Xiang was in the gastroscope room, she was also very curious about the young Dean Zhang Fan. With Zhang Fan's inquiry, she also felt that the young doctor was not ordinary.

"OK, let me say something." The doctors of the two hospitals are integrated together. It is impossible to have a very tacit understanding at the beginning. It is from the slow test that you know my length and I know your depth, and then it becomes harmonious.

Zhang Fan started without thinking: "from the roughness of the patient's facial skin, it is obvious that he has many years of outdoor work experience.

Combined with the consultation, it can be judged that the living environment and nutritional status of the patient in his early years are general, which leads to the imbalance of his nutrition and the particularity of his work.

Herding sheep and hunting are almost one person. In the deserted wilderness, lonely people will unconsciously contain something in their mouth, which is the so-called sense of psychological security.

And he doesn't need anything special, like his own hair. After a long time, it becomes a habit, and then there may be the phenomenon of swallowing hair.

Combined with the consultation, the patient likes to eat acidic wild fruits containing tannic acid, and in the pastoral area, three meals a day are inseparable from a large number of dairy products. Over the years, protein is wrapped in protein, mixed with hair and food residues, wrapped layer by layer, forming today's form. "

As soon as Zhang Fan finished speaking, director Li smiled and said, "it's great. Zhang Yuan observed carefully and the consultation is also very good."

"Hehe, we will all be a family in the future. We don't have to be polite to each other. What now? " Ouyang smiled and said to Director Li that Zhang Fan's analysis could be recognized by director Li. Of course, she was happy.

"Oh! ~" Zhang Fan explained that the young female doctor who had just had questions began not to be afraid, "eating hair, pica!"

"Director Li, try conservative treatment first? Is it dangerous? " Secretary Ren Li asked. Although she was not engaged in gastroenterology, she also saw the situation under the endoscope just now.

"You can try, but because the stone in the patient's stomach stimulates the gastric wall all year round, a certain area of ulcer has been formed. If you use enzyme preparation or weak alkali, it may aggravate the patient's symptoms or produce bleeding. Even perforation. " Director Li, holding the pen in his hand, frowned.

"You can take it in small doses for observation. If it works, you can first take drugs to protect the gastric mucosa to recover the ulcer, and then dissolve the gastric stone. It's still too damaged to operate directly." Zhang Fan said while recalling the situation under gastroscope in his mind.

Although the ulcer depth is not large, no one can guarantee this. The gastric mucosa is very strange. Sometimes a little ulcer may lead to perforation because of idiopathic effects.

"Yes, let's have a try."

Treatment, especially many medical treatments, because of the specificity of the human body, we must find a suitable treatment for patients, but

"Sweet!" Uncle Jinya took a sip of enzyme preparation with sweetener.

Wait, it is estimated that before the stone changed, the old man began to cry with his stomach“ Let him drink milk! " Director Li, who is on our side, quickly commanded the nurse.

"No! If the enzyme preparation can't resist, don't think about using weak base. " Zhang Fan shook his head and went out of the ward.

"Operation, explain the condition to the patients and their families, and prepare for operation and take it out!"

"That's the only way."