Chapter 2392

Hepatobiliary inpatients always hurried down for consultation and were silly after watching the film.

The patient had obvious epigastric pain and rolled on the flat car. But the more you move, the more painful it is, the more you can't calm down.

"I'll look for the second line." Zhou Litao, the general manager of the hospital, said: "it is estimated that we have to have an emergency operation."

Zhou Litao also thinks so. The patient has biliary obstruction and severe abdominal pain. Emergency laparotomy is necessary. He estimated that conservative treatment had no effect, and analgesic drugs did not dare to be given casually, for fear that complications such as perforation could not be found.

Seeing the patient rolling on the flat car, Zhou Litao felt pain, which made him suffer more.

"OK, I'll find someone to take the patient to the ward with you." Zhou Litao said.

Then he put the B-ultrasound report and upper abdominal CT film into the film bag and handed it to the inpatient general manager of liver and gallbladder. The two strode to the emergency room, ready to send the patient to hepatobiliary surgery.

Waiting for the results of the emergency test, the nurse of the emergency department had put down a gastric tube and a urinary tube and left a venous channel for the patient. If you're ready for surgery, it's enough to go back and prepare your skin. The efficiency of the emergency department is always so high.

When he came to the emergency room, the patient was retching.

Zhou Litao briefly asked about the medical history before, because the situation was too urgent and didn't ask too detailed.

The patient is a 24-year-old student who has just graduated from university. He came home from school and has just started looking for a job. But I didn't expect to have a sudden stomachache at night. The family doesn't know the details of other things.

Vomit... Vomit... The patient is retching. Because the vomiting is too violent, the gastrointestinal tract has long been empty and can only vomit some sour water.

She didn't vomit blood, and there was no food in her vomit. Even after gastrointestinal decompression, vomiting still didn't get any better.

The nurse is helping her side her head to avoid aspiration caused by vomit, leading to more serious complications.

"Send liver and gall!" Zhou Litao said loudly and began to help push out the flat car.

The flat car moved and seemed to involve the gastrointestinal tract. The girl poked her head out on the flat car and almost didn't touch the door of the emergency room.

Zhou Litao quickly stopped the flat car and was afraid.

If this bumps and makes a head injury, it belongs to iatrogenic trauma, then fuck it.

Vomit... Before Zhou Litao's idea disappeared, the girl began to vomit more violently.

At this time, she didn't even have gastric juice. She was crying and retching violently.

What disease is this? It doesn't look like a stone. Zhou Litao is still thinking about the film while directing the patient's family to look after the patient, but don't make trauma.

But the patient was holding the guardrail of the flat car. Her body was convulsed and vomited violently. No matter how the family persuaded her, her head was outside.

Zhou Litao just wanted someone to protect him, and then he took the time to send the patient to hepatobiliary surgery. Before he could speak, the hospital manager of the liver and gall suddenly said loudly, "wait a minute!"

"President Chen, what's the matter?" Zhou Litao asked in surprise.

President Chen strode to gastrointestinal decompression and picked up the negative pressure bottle.

Zhou Litao stared and was stunned.

An insect is sucked out by negative pressure, half of its body is in the pipe and half is struggling in the negative pressure bottle.

I'll go... What's this?!

Zhou Litao is also well-informed, but he saw insects in gastrointestinal decompression... I haven't seen them.

President Chen's face is green. He still has a telephone in his hand and is communicating with Professor Yang on the second line. At this time, he immediately said: "I saw insects in the patient's gastrointestinal decompression, white, about 6cm!"

"Vomit..." the patient vomited violently and finally vomited something.

Another yellow and white insect!

But there is no gastric juice. The insects don't spit out, but hang in the corners of the patient's mouth. It seems that there are countless insects in her body, climbing out

"Professor Yang, there are worms in his mouth..." President Chen is also a little confused. "It looks like a roundworm, yellow and white, earthworm like."

"OK, I'll make preoperative preparations immediately!"

With that, he hung up.

"Send off, send off!" President Chen shouted anxiously, "go to the liver and gallbladder and prepare for emergency surgery!"

Watching the group go away and their backs disappear around the corner, Zhou Litao still sees gastrointestinal decompression and the innermost image of creeping insects.

If Ascaris are infected, the human ascariasis is a common parasitic disease caused by roundworm parasitic in the human intestine, and the incidence rate is relatively high in children.

Ascaris lumbricoides adults are cylindrical and earthworm like; The egg is oval, and the egg shell surface is often attached with a rough protein film, which is brown yellow due to bile staining.

Ascaris lumbricoides is common in children and rare in adults.

But an adult, how can more insects go straight out? Zhou Litao was confused.

"President Zhou, what is that?" A little nurse inquired while cleaning the emergency room.

"I look like a roundworm."

"Don't Ascaris worms come out of their mouths? Why do they come out of their mouths against the current?" Asked the little nurse.

Zhou Litao shrugged. He didn't know what was going on.

Generally speaking, Ascaris should not be very heavy. Just take some anti worm medicine. It is said that people who grind their teeth have Ascaris lumbricoides. Just eat a few pieces of intestinal worm.

This thing doesn't look like a tapeworm. It's rarely fatal. It's disgusting. Who is not afraid to see insects in feces?

"When I visited the online store a few days ago, I saw someone selling Ascaris egg capsules, saying it was to lose weight, add money and anti insect medicine." The little nurse said with lingering fear: "at that time, I was still thinking about buying something to eat when I was on my annual leave."

"How dare you eat anything? How disgusting that thing is." Zhou Litao scolded with a straight face.

"President Zhou, you don't know if you don't find a girlfriend..."

In a word, Zhou Litao's scarred heart was stabbed again. He didn't hear what the little nurse said next.

"Why wait for a holiday?" Zhou Litao asked absently.

"It's said that one week after eating the Ascaris egg capsule, there will be low fever and discomfort. Some people will also have nausea and vomiting. She vomites too much! It's a little scary. I'd better think of something else." The little nurse quickly cleaned the emergency room, turned on the ultraviolet lamp and began disinfection.

Zhou Litao thought for a moment, picked up his cell phone and called President Chen of hepatobiliary surgery.

What the little nurse in the emergency department just said is an important clue. Otherwise, there is no way to explain that there are many Ascaris from the inside.

After hanging up the phone, Zhou Litao began to read out the patient's upper abdominal CT in the computer.

If Ascaris lumbricoides gets into the biliary tract, imaging still supports it. It's just that adult biliary ascariasis is very rare. Zhou Litao studies it little by little, enriching his clinical experience.