Chapter 2322

In the corridor of the operating room, everyone was shocked. The head nurse squatted on the ground with the rescue box and began to look for various rescue drugs.

"Raise Director Mao's head, push omeprazole, and apply two groups of hemostatic drugs." Zheng Ren said calmly.

The venous channel has long been established, and all kinds of drugs are ready for injection.

A bottle of omeprazole was drawn into the syringe and then pushed in.

Everyone is waiting for boss Zheng's subsequent rescue order.

However, boss Zheng didn't say a word. He was looking at the light with a CT film in his hand.

"Boss Zheng, hurry up for surgery." The professor of vascular surgery said anxiously.

"Not aortic dissection." Zheng Rendao.

“……”

Except for a few nurses who were still busy adding medicine and hanging drops, everyone looked at boss Zheng quietly.

After calming down, everyone looked at Director Mao again.

The blood pressure is still stable, and there is no situation that the blood pressure directly returns to zero after a mouthful of blood is sprayed out.

I was in a hurry before. Now I want to break the descending aortic dissection, and I won't spit blood directly.

Gastric varices? Or is the blood supply artery of the esophagus ruptured? But what if a sharp object pierces the esophagus and then the aorta? You can also spray out a mouthful of blood.

Countless possibilities appeared in the minds of the doctors present.

"Looks like an esophageal problem?" Su Yun frowned and said, "feeling doesn't rule out the possibility of esophageal space occupying lesions."

Although the sound is small, it is like thunder.

If this is esophageal cancer, to the extent of hematemesis... Director Mao is afraid that the operation will not be saved.

"If CT reconstruction is performed, abnormal density foci can be seen in the space between trachea, heart and descending aorta in the left longitudinal septum, with the maximum thickness of 34 mm × 28 mm, about 180 mm long. It really looks like a tumor... "Zheng Ren squinted at the film and said faintly.

"But not." Su Yun took his boss's words and made a conclusion.

"Contact director Luo and go to the mirror room to have a look with the mirror." Zheng Rendao.

The professor of vascular surgery was stunned. Just when he arrived in the intervention operating room, he thought that Director Mao's life was saved.

Who would have thought that boss Zheng thought he had to push into the endoscope room without surgery or intervention.

At this moment, he understands the feelings of those patients' families too much.

Watching relatives vomiting blood while running around the hospital... This feeling is deadly.

No wonder so many patients' families start to pick on a little problem. They are grumpy like something. Now the professor of vascular department wants to swear.

"Boss Zheng, don't you have to take an angiography first?" The professor with the group finally insisted.

"No, it looks like descending aortic dissection on the film, but if it is reconstructed, it will be found..." Zheng Ren said, pausing for a moment, and he realized that this was not the time to talk about the film.

"Considering the inflammation of the esophagus, Director Mao, have you eaten anything hard lately?" Zheng Ren asked.

Director Mao was already in a semi coma. He was frightened by the blood he vomited out.

I'm dying. This is the only thought in Director Mao's mind. As for what boss Zheng said after watching the film, he didn't listen to a word. The ears were buzzing and the whole person was stunned.

Everyone looked at the ECG monitoring on the flat car, and the blood pressure was stable. Director Mao's head is raised. Even if he vomits blood again, there should be no choking cough.

To the mirror room? It's so far. What if something happens.

Even if it is not aortic dissection, gastric varices are also a serious disease, which is fatal.

"Boss, director Luo is doing an examination in the mirror room. He asked him to push people over immediately." Su yundao.

Someone confidently commanded the rescue. It was boss Xiao Zheng. Even if they had questions, they all swallowed them back.

No one dares to question boss Zheng, especially in the emergency rescue. Boss Zheng usually looks good tempered and kind. But when rescuing people, they will hit people. Professor Zhang is an example.

Pushing Director Mao to the mirror room again.

Zheng Ren changed his clothes as quickly as possible and walked in, followed by a group of people with dignified faces.

"Boss Zheng, what happened to Director Mao?" Director Luo, wearing isolation clothes, asked loudly at the door of an operation room.

"It is suspected that there is a hematoma in the esophagus. Take a endoscopic look to make a clear diagnosis." Zheng Rendao.

Put Director Mao on the examination table. Director Luo looked at him with blood on his mouth and felt some pity.

"Boss Zheng, are you okay?" Director Luo asked in a low voice.

"It should be all right." Zheng Ren said, "I'll come?"

"Hurry up and don't be polite to me." Director Luo gave way to the operation position and handed over the inspection right to boss Zheng.

I was afraid that the stimulation was too intense, resulting in restlessness, increased pressure, hematoma rupture and other complications, so I gave basic anesthesia drugs.

Under the lens of electronic fiber gastroscope, a huge longitudinal dark red hematoma can be seen from the left wall of esophagus 20 cm away from the incisor to the cardia, resulting in esophageal lumen stenosis and no obvious active bleeding.

"Such a big hematoma..." director Luo sighed.

"It's okay, it's okay, it's just a hematoma." Zheng Rendao.

Seeing the hematoma in the esophageal cavity, the people in the vascular department were not as impatient as before.

Zhao Yunlong looked at the image and asked, "exfoliative esophagitis?"

"Well, consider exfoliative esophagitis." Zheng Ren said, "keep it conservative first. If you send it to Fang Lin, you won't be sent to your ward."

Zheng Ren's last words were with Director Luo.

Director Luo also knows that if conservative treatment is ineffective and spits blood one mouthful at a time, surgical treatment is necessary.

"Add a group of normal kidney ice salt water and fasting water. Don't eat these days." Zheng Ren continued.

"Lower gastrointestinal decompression?"

"No." Zheng Ren said, "repeated stimulation of gastric tube may lead to hematoma rupture. Just control it with acid inhibiting drugs."

"Director Mao has eaten something hard. He grinds the esophagus like this." Director Luo said with emotion when he saw that boss Zheng had pulled out the camera.

"It's estimated that it's something hard. It's esophageal mucosal injury or submucosal hematoma caused by hasty eating and forced swallowing of dry and hard food. The symptoms are not typical. Typical... It can spit out a long film." Zheng Ren said, "that's scary."

"It won't be infected." The professor of vascular Department asked carefully.

"No, there are hematoma like changes in the esophageal wall. In the late stage, there are mucosal defects and exudation like changes in the esophageal wall. The prognosis of this disease is good. The lesion only involves the mucosal epidermis and generally does not invade the lamina propria, so infection rarely occurs."

"Boss Zheng, do you have any medical advice?"

"Use some drugs to promote cell regeneration to quickly repair the mucosal epidermis to avoid esophageal stenosis in the future." Zheng Rendao.

At this time, the strength of the anesthetic had passed, and Director Mao woke up. He seemed to have just been drunk and looked around with bleary eyes.

"Am I... Dead?"