Chapter 1879

"Spontaneous esophageal rupture?" Xia Hua was stunned for a moment, and then he had some strange feelings in his heart.

He immediately said: "boss Zheng, the patient didn't vomit blood after drinking. When the family told the medical history, they said they slept in the middle of the night and suddenly coughed up blood."

Spontaneous esophageal rupture is generally rare. Xia Hua has been a doctor for more than ten years and has seen one case. The book says that generally, it is caused by vomiting caused by drinking.

"Oh, the patient's family members describe the medical history. Sometimes we have to look at it dialectically. It may not be all right, but we have to analyze it again." Zheng Ren said, "when will the patient go to surgery? If the patient's condition is ordinary, it is estimated that the first stage can't match, but the second stage."

Xia Hua is a little tired. Is this pointing fingers at his own work?

Generally, external experts have no time to look around. Some even don't look at patients before operation. When they get on the pick-up vehicle off the plane, the hospital begins to send patients to the operating room.

When he came to the hospital, the professor went directly to the stage.

After a few hours of surgery, they left with money. Some even didn't eat food in order to catch the plane.

If it weren't for the strong request of this familiar doctor, no one would have nothing to do and talk to other hospitals.

The man is young and doesn't even know the rules.

The most important thing is his diagnosis There are also problems.

The cause and mechanism of spontaneous esophageal rupture have not been fully understood.

Most patients have vomiting first and then esophageal perforation, so vomiting is still the most important cause. There is also a saying that many doctors call it esophageal rupture after vomiting.

Drinking is associated with vomiting. Most patients with vomiting are caused by overeating and drinking.

Other causes of spontaneous esophageal rupture include delivery, car accident, post craniocerebral surgery, epilepsy and so on.

The patient coughed up blood during sleep and had no history of drinking, which basically ruled out the possibility of spontaneous esophageal rupture.

Xia Hua was a little unconvinced, and then worried about his father's operation.

What level is this.

It's too young. It's really not very reliable.

"Boss, it's a typical spontaneous esophageal rupture. Can't you sew it in the first stage?" Su Yun asked.

"Well, it can't be sewn. It's possible if you can open your stomach and take out the greater omentum for outer suture for complex trauma with abdominal injury." Zheng Ren said: "but this is all the scope of surgery. If surgery combined with interventional surgery can be put on a big shelf directly."

“......” Xia Hua was speechless.

It's like the truth.

Also surgery + interventional surgery combined treatment, clinical pressure does not have this operation, is it good!

Boss Zheng looks simple and honest. How can he be so unreliable!

Xia Hua's heart is a little greasy.

But he knows Gao Shaojie's personality. Xia Hua admires his elegant scholar demeanor.

Things are contradictory. Xia Hua feels that her mind is a little confused.

"Xia Hua, show the old man's film to boss Zheng." Gao Shaojie felt that the atmosphere was a little embarrassed. He said quickly.

"Oh, oh." Xia Hua is a little slow.

Yesterday's new upper gastrointestinal radiography showed that the esophageal tumor had almost blocked the esophageal cavity. After drinking compound meglumine diatrizoate, the liquid stayed above the tumor for more than ten seconds before a line slowly flowed down.

The tumor grew more than before, and the lateral wall almost touched the heart.

Zheng Ren watched the film carefully with his arm in his arms.

"Boss Zheng, will you take me today?" Gao Shaojie whispered.

"Yes." Zheng Ren just nodded and didn't seem to care about Gao Shaojie's attitude.

Xia Hua was even more unhappy.

He really didn't know why Mr. Gao Shaojie rushed to deliver a small message to the little doctor.

Nobel Prize? What a distant thing, Xia Hua has no concept at all.

However, seeing Gao Shaojie's excited look on his face, Xia Hua's doubts became more serious.

In the face of cold reception, shouldn't you be very angry? How can miss gao be excited.

After a full five minutes, Zheng Rencai said, "Lao Gao, double intermediary * * combination treatment, you can use this way."

"I guess you can do it!" Gao Shaojie said loudly.

"But today I can only make a small opening of the esophagus, and then the stent will have to be opened 2-3 times." Zheng Ren said, "I don't have time. You can do the rest."

"Good!" Gao Shaojie promised, "then take a look at the patient's state and let's go now?"

"OK." Zheng Ren turned and held out his hand.

Xia Hua was stunned.

"Oh, Dr. Xia, please use the stethoscope for me." Zheng Ren said with a smile.

Xia Hua gave Zheng Ren his stethoscope and took him to the ward.

Although my heart is tired of being crooked, it is already on the line at this time. If you refuse at this time, your relationship with Gao Shaojie will be useless in the future.

People came to help, but they finally changed their mind. There is no reason to do so.

Xia Hua has some regrets.

"By the way, Dr. Xia, the patient with spontaneous rupture of esophagus just now, hurry up and have an operation." Zheng Ren said: "the later the time, the more severe the edema at the rupture site, and the worse the postoperative recovery."

“......” Xia Hua didn't speak, lowered his head and tried to hide all his discontent.

Gao Shaojie saw a clue. He waited for Zheng Ren to enter the ward and start physical examination. He patted Xia Hua on the back, winked and motioned him to go out with him.

"Xia Hua, are you too tired?" Out of the ward, Gao Shaojie whispered.

"Miss Gao..." Xia Hua hesitated, paused, and finally said, "is boss Zheng really high?"

"Of course, it's not as high as usual." Gao Shaojie smiled and whispered, "whether it's surgery or diagnosis, we can't think of it. Do you think he's young?"

Xia Hua was silent.

Gao Shaojie smiled. "Lao Liu is now working as a little doctor under others' hands. It is said that he is as tired as a dog every day."

Xia Hua knows about it, but he just doesn't understand it.

"Mr. Gao, let me tell you the truth. I don't know what the intervention level of boss Zheng is. But in the film just now, the patient didn't have any predisposing factors for spontaneous esophageal rupture. I think it was tumor erosion that caused bronchopleural leakage."

"Then you're wrong." Gao Shaojie whispered.

He looked at Xia Hua's expression and knew that he had a knot in his heart. Gao Shaojie is modest, but he is not the kind of person with one track mind.

After thinking about it, Gao Shaojie said with a smile, "where are you on duty?"

"There was an emergency car accident in the operating room. It is estimated that I can't get off the operating table before 4 p.m."

"Then you can find a doctor and you two go on stage to open your chest for exploration. Can the operation be done?" Gao Shaojie asked.

Xia Hua nodded and thought it was a good idea.

The old man's condition is not urgent. He can wait for a few hours.

"Let boss Zheng watch the stage?"

"Or let him give you a hand." Gao Shaojie smiles.