Chapter 1842

"There's nothing to hesitate about. We'll live together on the next shelf." Su Yun said after watching the film.

Zheng Ren nodded and agreed with Su Yun.

In this case, if the esophageal stent is not removed, the patient will soon die within 1-2 weeks due to multiple organ failure due to inability to eat.

The reason for uncertainty is that when dying, everyone can endure for a different length of time.

Under the esophageal stent, or successful, you can eat without being starved to death. Or failure, cardiac arrest, crisp death on the operating table.

Of course, this is only the logic of diagnosis and treatment. When it comes to life and death, they are all major events, and rarely can they be judged calmly according to logic.

The patient died slowly without any disposal, and the family members may recognize it. It's all disease, it's all life.

But if you risk an operation and die on the operating table because of an emergency, the doctor will take responsibility. Director Miao

This is part of the medical risk.

"Lao Liu, who is it?" Zheng Ren then asked.

"Boss Zheng, the patient's son is a doctor in our hospital." Liu zewei said, "it is said that you have met."

"Huh?" Zheng renleng.

"Once, on the plane, I met a patient with aortic dissection. Do you remember?" Liu zewei asked.

"Remember." This experience, for once, Zheng Ren will certainly not forget. And when he left Haicheng, Cui Heming's people came to help on Xie Yi's birthday.

"The person who gave you antihypertensive drugs and sphygmomanometers on the plane, Xia Hua, is the patient's son."

"Oh, it's the old man." Zheng Ren doesn't remember Xia Hua at all. He only remembers that when he boarded the plane that day, he met an old man with advanced lung cancer.

"The probability of lung cancer complicated with esophageal cancer is not high." Su Yun said: "but at this time, you can try to have an operation. It's best if you have your own doctor. You can make yourself clear."

Liu zewei smiled without saying anything.

Zheng Ren didn't think the film was good. He caught a glimpse of Liu zewei's smile and was stunned. Then he asked, "what does Lao Gao mean? Ask me for surgery?"

"Yes." Liu zewei nodded. "Lao Gao wants to ask you to fly the knife and give the esophageal support."

This operation is not big. Zheng Ren is not interested.

"Boss Zheng, Lao Gao means to see if we can do double interventional therapy." Liu zewei asked.

Double interventional therapy refers to endoesophageal stent and interventional embolization.

While restoring esophageal patency, it also has certain control over esophageal tumors.

"Can do it." Zheng Ren had already thought of this possibility. He said without hesitation: "but Lao Gao can do it."

"One section may involve the blood supply artery of the spinal cord. Lao Gao doesn't dare to move." Liu zewei said, "if he did it, it would be a simple esophageal stent."

With that, Liu zewei smiled, "boss Zheng, I think Lao Gao wants you to go and knock on his operation."

Zheng Ren smiled faintly.

Lao Gao also wanted to come to the imperial capital at that time, but he still couldn't let go of something at home. Go back? By the way, see old director Pan?

At the thought of Lao pan, Zheng Ren was moved.

The operation in front of you is not difficult. Do it carefully. There should be no problem. If you are worried, you can do interventional embolization first, and then do secondary stent surgery after the tumor passes the stage of necrosis, congestion and edema.

None of this is a problem for Zheng Ren.

"Well, tell Lao Gao." Zheng Ren said, "if he can bear the risk of surgery after discussing with Xia Hua."

"OK." Liu zewei said cleanly. Then he touched his head with one hand and his mobile phone with the other, ready to call Gao Shaojie.

"Lao Liu, I feel very tired every day when I see you touching your head." Su Yun said, "do you envy your floor?"

"Ah?" Liu zewei didn't understand.

"There are more hair on the floor than on the head." Su Yun smiled.

"..." Liu zewei smiled bitterly.

This Yun Ge'er has a very different style from boss Zheng. He has long been used to talking about his baldness when he seizes the opportunity.

[they said write a love song soon...]

Zheng Ren took a look. It was director Kong's phone.

"Director."

"I'm here. Just a moment."

With that, Zheng Ren hung up the phone.

"What's up?" Su Yun asked.

"Said a patient let me have a look." Zheng Rendao.

Su Yun was curious and followed Zheng Ren. They came to director Kong's office.

Knock on the door and go in. Director Kong is watching a film.

"Boss Zheng, have a look." Director Kong said.

Zheng Ren glanced and saw that it was a film of upper gastrointestinal radiography. There seemed to be a problem. He immediately came together.

The angiographic film showed that the esophageal mucosa was not smooth, the upper segment was flat, the T4 vertebral body was locally narrow, the upper segment was dilated, and a first-line filling defect was seen in the lower segment of the esophagus.

After swallowing barium, barium is divided into two parts in the middle and lower esophagus and flows into the gastric fundus; There is a small tubular barium shadow on the right side of the esophagus, which twists and turns from bottom to top, and finally flows into the small opening and enters the esophagus.

"Eh? Double esophagus deformity?" Zheng Ren suddenly became interested.

"Yes." Kong said, "the book says that it is 1/10000 chance, but I think the incidence rate is at least one part of a million. I have seen 6 cases in my life, seventh cases."

"Do you want surgery?" Su Yun rubbed his hands.

"People outside my chest consult me, which means to find someone who knows the truth." Director Kong said with a smile, "in case of leakage, we have to get off the support."

"The operation is not difficult." Zheng Ren said as he picked up the chest CT film on the side and watched it.

Chest CT showed a fibrous tubular structure shadow in the esophagus, with the degree of enhancement similar to the esophageal wall. The upper segment shared the wall with the esophagus at the level of T2 vertebral body, and the lower segment shared the wall with the esophagus near the cardia.

A typical image of double esophageal malformation.

"When is the operation?" Zheng Ren asked.

"Say tomorrow." Director Kong smiled and said, "boss Zheng, if you have time, go up and take a look?"

Zheng Ren is most suitable to see this disease. Thoracic surgery and interventional surgery can be picked up. Intraoperative judgment, whether there is the risk of esophageal fistula after esophageal repair, and whether the stent should be removed during the operation.

"Did Fang Lin do it?" Su Yun smiled.

"Professor Li's patient doesn't know whether Fang Lin can go up or not."

"Well, I'm calling Professor Li. The operation will be arranged in the hybrid operating room tomorrow." Zheng Ren said, "it's estimated that it will be a little late. I'm looking at Fuguier. They finished tips surgery."

Zheng Ren was careful to watch Professor Rudolph Wagner finish the operation. Director Kong naturally wouldn't say anything.