Chapter 1532

Gastroscope showed chronic, atrophic and superficial gastritis. Abdominal CT showed signs of duodenal obstruction.

There is also a film of gastrointestinal radiography, which indicates that there is obstruction in the duodenal segment. The imaging performance is very typical.

The diagnosis should be very clear. Zhou Litao looked at the patient's examination values and evaluated whether he could operate.

Looking at it, the hospitalization of gastrointestinal tract always hurried down.

Zhou Litao told the general manager of gastrointestinal surgery about the information he had obtained. There was nothing to hesitate. It was serious to seize the time for emergency surgery.

Even without intestinal perforation, local tissues have inflammatory changes. And depending on the patient's state, the changed part will be very long and the inflammation is very serious.

If we use internal medicine, we can't solve this problem at all.

Surgery, only emergency surgery can solve the problem.

This is a consensus.

The inpatients of gastrointestinal surgery always pushed the patients away in a hurry, and the family members of the patients who arrived one after another followed.

Zhou Litao looked at the relieved 120 emergency doctors in other places, smiled and said a few gossip.

"I'm so scared to run a long distance." The foreign doctor smiled bitterly and said, "I'm afraid there's something wrong. There's temporary rescue medicine on the car..."

Too much is tears, and it doesn't make sense.

It's serious to rush back from the imperial capital.

Zhou Litao watched the 120 emergency personnel leave, thinking about the patient just now.

Duodenojejunostomy should be performed to expose the problematic intestine.

According to the severity of medical treatment, you can choose to open or remove.

Because it involves the duodenum, even if you choose resection, you should be very careful.

912 gastrointestinal surgery, the operation level is very high, it should be no problem.

Zhou Litao immediately forgot the patient.

In the emergency department, if you remember every patient, it is estimated that the whole person will collapse soon.

……

In gastrointestinal surgery, Feng Jianguo took the hospitalized general manager and Quan Xiaocao to do physical examination and diagnosis urgently.

There are CT films, medical history and signs. There's no doubt. Go up and open it. It's urgent!

Whether the obstruction is light or heavy, it should be opened before thinking about the next treatment.

The treatment measures are nothing more than several surgical methods.

For Feng Jianguo, there is no difficulty at all. The real difficulty is to make a choice according to the condition during the operation.

The nurse hurriedly made preoperative preparations and the family members went through hospitalization procedures. Out of caution, Feng Jianguo didn't let Quan Xiaocao explain the condition to the patient's family before operation, but explained the condition himself.

Feng Jianguo's choice of several surgical methods is clear. The specific choice should also be determined during the operation.

Because he is unfamiliar with the patient's family, Feng Jianguo carefully told the patient's family that he would come out to communicate with the patient's family after seeing the situation, and would discuss with them how to choose at the first time.

The family members shed tears of gratitude.

I didn't expect that the doctors in the imperial capital were more considerate than those in their hometown.

Although Feng Jianguo stressed that it is very possible for patients not to get off the operating table, the family members expressed their gratitude again and again.

After all, this is one of the most technologically advanced hospitals in China. If it can't be cured, it's life.

After 22 ', the preoperative preparation was completed, and Quan Xiaocao pushed the patient onto the stage.

If general intestinal obstruction, it must be done in hospital.

But when it comes to the duodenum, the hospital always pulls Feng Jianguo up and gives him a slap.

"Mr. Feng, what do you think of the operation?" When changing clothes, the inpatient always asked.

"Duodenojejunostomy." Feng Jianguo said with certainty: "the patient's delay is a little long. I hope not to cut too many intestines."

The general manager of the hospital was about to continue to ask, when he suddenly heard the voice of Quan Xiaocao outside.

"Mr. Feng, are you there?"

"What's the matter?" Feng Jianguo is a little strange. Shouldn't Quan Xiaocao change his clothes and look at the patient in the operation room? Run to find yourself at the door of the men's dressing room. Is there a change in the patient's condition?

Thinking of this, his blood pressure "brush" suddenly increased by 10mm Hg.

"That..." Quan Xiaocao hesitated and Feng Jianguo was angry.

If you have something to say, go to work if you have nothing to do. There will be an emergency operation soon. Why do you hesitate here?

Xiaocao is a good boy. He works hard and works hard without complaint, but he is too counsellor.

I'm a little timid in any unexpected situation.

Feng Jianguo was a little worried. He immediately put on his clothes and walked out quickly.

"What's up?" Feng Jianguo asked seriously.

"Mr. Feng, I just met boss Zheng to step down. He said that the patient was not intestinal obstruction and would not allow surgery." Quan Xiaocao whispered.

"...." Feng Jianguo was stunned.

No surgery? It seems a little big.

Not to mention boss Zheng, even director Wei has to think twice to stop an emergency operation.

If we can overturn the existing diagnosis, it seems that we can consider it.

However, the diagnosis of the patient is quite clear, with abdominal CT and gastrointestinal angiography as the diagnostic basis.

"Go and have a look." Feng Jianguo recalled the process of film and physical examination and strode to the emergency operating room.

"Mr. Feng, don't be angry, boss Zheng... Boss Zheng..." Quan Xiaocao obviously helped Zheng Ren speak, but he didn't know how to say it.

"What the hell is going on?" Feng Jianguo asked.

"I sent the patient up, told the emergency anesthesiologist and went to change my clothes. When I changed my clothes, boss Zheng and Brother Yun watched a film in the operation room." Quan Xiaocao said, "then boss Zheng said, the patient is not intestinal obstruction. Let me tell you not to have surgery."

"He didn't say anything else?"

"Yes." Quan Xiaocao said, "just a few words. The anesthesiologist asked whether to anesthetize. The patient was in a bad state, so I ran down."

Feng Jianguo knows that boss Zheng is not a mischievous person, but the diagnosis of this patient should not be too clear.

Why can't you operate on such a typical intestinal obstruction?

Subconsciously, he believed in Zheng Ren's behavior, but did not believe in Zheng Ren's judgment.

This tangled mentality is somewhat complicated.

Walking quickly to the emergency surgery room, Feng Jianguo saw that boss Zheng renzheng was still familiar with the posture and formula. He was reading the film.

"Boss Zheng, what's going on?" Feng Jianguo didn't have time to be polite and asked directly.

"It is suspected that the patient is myasthenia gravis complicated with intestinal smooth muscle weakness." Zheng Ren also directly replied.

The patient is lying on the operating table in a bad state. All false and polite masks have been torn off. It is serious to seize the time for diagnosis and treatment.

Don't be polite here. If the patient dies on the operating table, it's over.

"Myasthenia gravis?" Feng Jianguo was stunned.

Myasthenia gravis is an autoimmune disease caused by transmission dysfunction at the nerve muscle junction.

The main clinical manifestations are partial or systemic skeletal muscle weakness, easy fatigue, aggravation after activity and relief of symptoms after rest.

In general, it is mainly manifested in skeletal muscle. Smooth muscle symptoms are rare.