Chapter 1656

Subdural hematoma bleeding is slow, the early clinical symptoms are not obvious, or even asymptomatic, so as to miss the time of early diagnosis and treatment.

When clinical symptoms appear, hematoma has been formed for a long time, mainly manifested as atypical symptoms such as chronic intracranial hypertension and cerebral ischemia.

Liu has no trauma. Zheng Ren considers that it is the result of vascular recession, brittleness, increased permeability and chronic leakage caused by long-term heavy drinking, which is induced, aggravated and worsened by emotional excitement.

I guess his brother didn't say anything good to him after he came. After a series of blows, big Liu finally couldn't stand it.

This man is a little pathetic.

But the poor man must be hateful. Zheng Ren doesn't know how to say such a thing. Liu's current situation is largely caused by himself.

It has nothing to do with himself. Let's put it aside. Zheng Ren smiled bitterly and thought of it in his heart.

"Boss Zheng, two days ago, the students of DIDU Medical University were sick and vomiting. What was the final diagnosis?" Zhou Litao then asked.

"My consideration is collective hysteria." Zheng Rendao.

Su Yun and Zhou Litao are skeptical about this diagnosis. After all, hysteria has no definite substantive change. Without evidence, its credibility has decreased a lot.

"Boss Zheng, there is a case. I solved it two days ago. Take a look." Zhou Litao put aside mass hysteria and began to show off.

"Hmm? What disease?" As soon as Zhou Litao's words were heard, Zheng Ren immediately became interested.

"A spoon was taken out of the esophagus." Zhou Litao smiled and looked proud.

Esophagus... Spoon

"Come on, I left one. The spoon patient said no, so I kept it." Zhou Litao said.

Esophageal foreign bodies refer to foreign bodies, such as small bones and root foods of animals, such as peach stones, sweet potato pieces, corn bone sticks, as well as children's toys, iron wires, fish hooks, plastic products, etc.

Zheng Ren remembers a case report that a man swallowed 40 knives and left them in the esophagus.

This is a little too much. Zheng Ren doesn't believe it very much. 40 knives, is it magic? If you can take it out casually, it will become a trick of swallowing a sword.

Seeing that he was not busy, Zhou Litao took Zheng Ren and Su Yun to his duty room.

He installed a plastic hook on the side of the cabinet with more than a dozen film bags hanging on it.

He found the film and handed it to Zheng Ren. Zhou Litao said, "the patient came to see a doctor because he had a dispute with someone at dinner at night and was punched in the chest, followed by chest tightness, nausea and other symptoms."

"Take a film and you'll see it." Su yundao.

Zheng Ren took out the film and looked at the window.

There is an obvious image of a spoon in the esophagus, and there is no esophageal diverticulum or the like.

It's hard to imagine how the spoon stays in the esophagus.

It is estimated that it is relatively large and cannot enter the stomach along the cardia, so it swam in the esophagus and finally wrapped with fiber.

"Tut Tut, so big." Su Yun looked at the film and exclaimed.

"Not really." Zhou Litao took out a plastic bag with a spoon about 10cm long. The surface was full of food residues and pus moss.

"You don't wash it either." Su yundao.

"In this way, it's more eye-catching." Zhou Litao said with a smile, "it's clean. Children should wonder if it's true. Did I buy a spoon to cheat people or really? Even if there were films at that time, it wasn't very credible."

Zhou Litao is right. He has been thinking about giving classes to the students of the Affiliated Hospital of Medical University in the future.

I don't know where he finally put all the messy things he collected.

According to Su Yun, this is a collection mania.

This is a disease that needs treatment.

"How did you take it out?" Zheng Ren asked.

"Send it to the endoscope room. Director Luo took it with a gastroscope." Zhou Litao said, "director Luo also said that if you were here, the patient might have less damage."

Zheng Ren smiled.

Is to take a foreign body in the esophagus. No matter who does it, the damage is certainly not much.

Spoons are relatively rare. Adult esophageal foreign bodies are usually dentures and the like.

I forgot to take off my denture at night and swallowed it when I went to bed. After waking up, some careless people can't feel the denture in the esophagus. They just think they have forgotten where to put the denture.

Finally, it causes esophageal foreign body.

"It's so big that it takes a lot of trouble to take it out." Zheng Ren sighed.

"It was taken out after general anesthesia. At that time, the chest Department went. If the endoscopy failed, we were ready for thoracotomy."

Zhou Litao is right. Make all kinds of preparations to avoid problems.

If one way can't be solved, change another way. This is in 912. If you change to a local hospital, it is estimated that you will have to open the chest and cut the esophagus.

Just cutting the esophagus to remove foreign bodies is a very troublesome and risky operation.

Different from open skin resection of lipoma, local ischemia may occur after operation, and the incision cannot heal, resulting in thoracic infection, lung infection, lung abscess and empyema.

It's best to take it out with an endoscope.

After watching the film, he saw the spoon taken out. Seeing that Zhou Litao carefully put the spoon away, Zheng Ren thought he was really an interesting person.

But after having a home, I don't know whether his lover can accept these things.

After chatting a few more words, Zhou Litao received a call from the doctor who sent Liu for examination.

Head CT showed that Liu was diagnosed as subacute subdural hematoma in the right frontotemporal lobe, and immediately transferred to surgery for craniotomy.

Although the risk of craniotomy is great, it is definitely a "small" operation in neurosurgery.

As long as early detection, early diagnosis and treatment, postoperative coma and long-term bed rest are unlikely.

"I'll go to neurosurgery." Su Yun glanced at Zheng Ren and asked, "don't you want to go?"

Zheng Ren nodded.

He is instinctively resistant to such patients with messy housework. As long as you treat the disease, and heart disease

Forget it, let Su Yun handle it.

Leaving the emergency department, the two parted ways.

Su Yun went to neurosurgery, while Zheng Ren returned directly to the interventional department.

Sitting in the sun, Zheng Ren dived into the system library to read. Although it is almost unforgettable, the system library is updated too much. Zheng rengen can't finish reading one new journal after another.

After watching for a while, Xie Yi sent a wechat and asked what to eat in the evening.

In the evening, Qin and Tang said they would treat. Zheng Ren didn't know what it was.

Turning over his mobile phone, Zheng Ren suddenly felt a move in his heart.

I haven't seen the QQ of the little boy with cancer for a long time. I don't know how he is now.

When I opened QQ, I saw that the little boy's head was bright, but his signature was not updated. He stayed nearly a month ago.