Chapter 1470

"What's up?" Su Yun saw Zheng Ren hang up and asked.

"One patient had a huge stomach stone, failed to lithotripsy in the endoscopic room, and was transferred to surgery." Zheng Ren said, "Lao he is preparing for anesthesia. Go and have a look."

Stomach stones? Su Yun is also interested.

Of course, he also knew that he and Zheng Ren didn't want an operation.

It's just to take something from the stomach. It's estimated that professors of Feng Jianguo's grade won't go on stage. It must be the inpatient of gastrointestinal tract who took it out with a doctor's operation.

Although the operation is very simple, huge gastric stones are particularly rare.

Stomach stones are stone like masses formed in the stomach after eating certain substances.

The shapes are mostly round or oval, with different sizes. The small ones are like table tennis, and the large ones are like a baby's head.

According to its composition, it can be divided into plant, hair and mixed. Plant gastric stones are the most common in clinic.

Once upon a time, the patient with long hair Princess disease encountered in Haicheng was an intestinal stone. She ate her hair, passed through her pylorus and into her colon.

If it doesn't pass, stones will form in the stomach.

Kidney stones and gallstones are the most common, and gastrointestinal stones are relatively rare. And huge stones are rare.

Lao he just felt fresh and went to see Zheng Ren and Su Yun.

This is what they like.

Su Yun praised Lao he's move.

It is said that all three kinds of stomach stones are possible, but they are mainly plant-based, and even the cause is very simple - most of them eat too much persimmons.

This disease is also called stomach persimmon stone disease.

It's very awkward. It's almost the same as that of crosstalk actors.

In persimmon or black jujube, there is something called tannin. In immature persimmon, its content can be as high as 20%.

When people eat raw persimmons, their tongue feels astringent, which is caused by tannin.

In addition, persimmon also contains gum and pectin.

After people eat immature persimmon, tannin can combine with protein to form tannic protein that is not easy to dissolve in water under the action of gastric acid.

Tannic acid protein precipitates in the stomach, while tannic acid protein, gum and pectin can bond persimmon seeds, vegetables and plant fibers together, and gastric persimmon stone can be formed in the stomach.

That's what I say, but if you want to eat a lot of raw persimmons... How much do you love raw persimmons?

So Zheng Ren only saw similar cases in the book, but he didn't see them with his own eyes.

Seeing is believing. Doctors have this little quirk. If you encounter a rare disease, it's called a relative. You have to go and have a look at everything you say.

Walking to the operating room, Su Yun also received a message from Quan Xiaocao that there was a patient with gastric calculi.

"How's the paper on the grass side?" Zheng Ren asked.

"The case report of abdominal cocoon disease was sent to the lancet magazine by mail." Su Yun said, "I've contacted that side. It should be no problem."

"The child is lucky. Before graduation, he holds an SCI of the lancet in his hand, which is enough for her to graduate three or five times." Zheng Ren said with a smile.

"I didn't add your name." Su Yun said casually.

Zheng Ren waved. It doesn't matter.

For Nobel Prize candidates, what the lancet and New England are floating clouds.

Besides, Zheng Ren doesn't need the influence factors of these magazines to add luster to himself.

In terms of influencing factors, the number that beats every day in the third phase of the world is the thorough influencing factor.

The live broadcast of each xinglinyuan operation is also the most real influencing factor.

But others don't have this influence, and Zheng Ren doesn't want to quantify it with a certain number.

For him, these are meaningless.

At that time, it would be good to have two more operations. Or, look at the operation of gastric calculi is better than calculating these.

When he came to the operating room, Zheng Ren politely said hello to the gatekeeper's aunt and took the key to change his clothes.

From one operating room, then into another operating room.

This is the distress of interdisciplinary doctors.

Entering the dressing room, I saw Director Wei wearing silk stockings.

Every time I see an old man with a broken beard and gray hair sitting in a chair and wearing silk stockings a little, Zheng Ren will have a sense of realistic magic.

"Director Wei, why are you here?" Su Yun came forward to say hello.

"Gastric calculi, this is the 13th case I have encountered. Look at the operation and leave information by the way. It's also a thought in the future." Director Wei said with a smile.

"13 cases! You've seen so many." Zheng Ren was surprised.

But think about it, Director Wei is, after all, the director of gastrointestinal surgery of the imperial third class hospital. I have seen many patients in my life.

Encountered 13 cases, really not a lot.

"Fortunately, this rare disease was solved by surgery in the past. Since the endoscope was mature, they all used the method of endoscopic lithotripsy. It's difficult to see it in surgery." Director Wei sighed.

Gastrointestinal surgery is also facing the pressure of endoscopic minimally invasive surgery.

It's just that the progress is slow and the operation risk is higher, so the gastrointestinal tract is relatively easy to dry.

The best thing to do is orthopedics.

Femoral head replacement, hip joint replacement and knee joint replacement are all replacement operations. This is not minimally invasive surgery... The existing minimally invasive surgery can be completed.

"Has the chamber been tried?" Zheng Ren asked.

"Well, under the endoscope, use a gravel trap to trap the stone. But the stone is too slippery. It's like a stone covered with moss. It doesn't need strength at all." Director Wei said: "later, director Luo called me and transferred to our gastrointestinal surgery."

After a pause, Director Wei said, "the mirror room is full of flowers. We still have to operate to solve it."

Zheng Ren smiled. He didn't want to participate in this dispute. Before, the old monitor of fan Tianshui had ESD operation, which probably made Director Wei very unhappy.

This sentence is aimed at yourself.

Only his own surgery was really good. Director Wei couldn't vent at all. He had to vent in the endoscope room.

"What a big stone?" Su Yun also heard the slight anger in Director Wei's words and immediately turned off the topic.

"Estimate 8 × 10cm。” Director Wei said.

"I'll go, so big! What's the patient's medical history?" Su Yun was surprised.

eight × 10cm, but it's not small. In the stomach, physical examination can touch it.

"Migrant workers don't have much money. They usually like to have a drink." Director Wei said, "if he had no money to buy wine and vegetables, he would buy some hawthorn, cut it into pieces and dry it to make wine and vegetables."

"...." Zheng Ren sighed.

When fasting, drinking after eating persimmon and hawthorn is more likely to form stomach stones.

Because ethanol can accelerate the coagulation of protein, the greater the amount of alcohol, the higher the degree of alcohol, the easier it is to form stomach stones, and the formation speed is particularly fast.

He glanced at Su Yun.

"Don't look at me. Everything depends on drinking!" Su Yun was furious.