Chapter 2393

Professor Yang came from home. President Chen has asked about the medical history. The patient did buy Ascaris egg capsule six months ago and took it orally for weight loss.

It is said that the effect is good. The patients are thin in the past six months.

But 12 days ago, she began to have upper abdominal pain. The patient thought it was radiation like pain because she was in the physiological period, and didn't care much at that time. But after the physiological period, her upper abdomen still felt dull pain, and she still didn't come to the hospital.

Because of nausea and retching, she always thought it was a gastrointestinal cold. She took the corresponding drugs and prepared her resume to find a job.

Unexpectedly, today's condition suddenly worsened, heavy enough to vomit insects.

Professor Yang watched the film. According to the medical history, there should be Ascaris lumbricoides obstruction in the biliary tract. Ascaris lumbricoides enters the biliary tract from the large RT position of the duodenum to form biliary obstruction.

Different from other parasites, Ascaris lumbricoides is longer and thinner, and the position of the film drill is also deeper.

This operation... Is troublesome. Professor Yang has a black line in his head.

Now biliary Ascaris lumbricoides is not very common. After all, there are so many insect repellents. It doesn't feel right. Just take insect repellents.

Moreover, the most likely symptom induced by Ascaris lumbricoides is intestinal obstruction, not biliary obstruction.

Cut? The position is very deep. Cut the liver and take the roundworm... Seriously, Professor Yang really dare not open this knife.

If it is cut, it is difficult to find the position of Ascaris lumbricoides accurately, but it is not difficult for Professor 912. Any professor of hepatobiliary surgery can find a position.

But the difficulty lies in how to take out the insects undamaged and intact.

And... There are Ascaris lumbricoides in the gastrointestinal tract, which can come out of the mouth. There may not be many worms.

Professor Yang glanced at the time. It was 1:35 a.m.

Whatever, consult the whole hospital!

right off!

Now!

In his opinion, ERCP can also be considered to take Ascaris lumbricoides by retrograde stone taking, and the damage is small, which belongs to minimally invasive surgery.

People who don't know the mirror room dare to do it.

Dare it or not, the insects in the biliary tract are one thing, and the insects in the gastrointestinal tract should also be taken out. You can't cut all your intestines and intestines. Reach in and take out the insects. It's hard to say whether it can be cleaned or not, and the patient will be extremely traumatized.

Call, urgent consultation.

Although it is annoying to ask the whole hospital for consultation at this point, the patient is rolling in pain on the flat car, but it can't be delayed.

There is no person on duty for gastroenteroscopy at night. This emergency may not happen once a year or two. If there is a related operation, you still have to call from home.

35 minutes later, the second-line professor in the mirror room came. He looked at the video data face to face and didn't say a word.

After watching it for 10 minutes, he sighed, discussed with Professor Yang and called director Luo from home.

It's not afraid to talk and laugh after going on stage. The doctor said nothing. Generally, it's nothing, not neglect.

I'm most afraid that one doctor after another in this big night will be called from home, with higher and higher levels, older and older, and more and more serious expression. Everyone knows what this means.

But it was Zheng Renhe and Su Yun who finally received the call. It's quite rare to get younger suddenly.

"In the middle of the night, someone called you. If there is an emergency, go and tell me what to do." Su Yun got up full of gas after being woken up.

"It's said that there are patients with biliary Ascaris, which is deep." Zheng Ren was ready to go and urged, "hurry up."

"It's enough for you alone. Prepare ERCP? Let me sleep again." Su Yun said no, but he was very honest.

He was very unhappy and nagged as he dressed.

"I'm thinking about using a balloon while using a capture forceps. It needs to be operated by two operators. One person can't do it." Zheng Ren said seriously, "hurry up."

"Brother, biliary Ascaris is not fatal!" Su Yun is really angry when he gets up. He doesn't call the boss and starts calling big brother.

However, Su Yun quickly put on his clothes and they crept downstairs.

The sunspot squatted on the stairs and stared at them. In the dark night, sunspot's eyes glowed green, a little fierce.

"Shh." Zheng Ren went downstairs and touched the dog's head, "let's go to work and sleep well."

"Hurry up, emergency rescue, and roll the dog?" Su Yun said directly.

"Keep your voice down. They're sleeping." Zheng Ren puts on his shoes and opens the door.

"How long haven't you been called up in the middle of the night?" Su Yun asked angrily.

"It's been two months." Zheng Ren said, "it's really comfortable without an emergency."

"I haven't seen a patient with biliary Ascaris for many years. This disease usually takes insect beating medicine and kills it first. If you can take it later, you'll take it. If you can't, you'll wait for calcified stones. What's the matter today?" Su Yun started to make complaints about the illness, and many doubts could be tucked out.

"Maybe the patient's condition is special? Or did director Luo try and break the Ascaris lumbricoides, and the remaining half is in the biliary tract." Zheng Ren guessed casually.

Taking the elevator downstairs, they ran in the night of the imperial capital.

Zheng Ren still didn't buy an electric car. Although he said that the public security is much better now, he doesn't use it often. Charging alone is troublesome enough. It might as well be easier to run. Anyway, he thinks so.

Simplicity and directness are Zheng Ren's aesthetics.

Quickly came to the mirror room. Zheng Ren changed his clothes and went in. He saw a figure flashing at the door of ERCP room. As I guessed, I was really ready to use ERCP to solve the problem.

Zheng Ren strode over, but he didn't see ERCP operation. Director Luo is operating the gastroscope and taking things little by little.

Looking at the screen, Zheng Ren was stunned.

What are these special things! Zheng Ren scolded a dirty word in his heart.

Under the gastroscope, you can see the white things in the stomach looming. Why in the stomach?! Zheng Ren is also a little puzzled.

Generally speaking, although Ascaris lumbricoides is not afraid, it will not survive in gastric acid. Too high acidity is not their "livable" environment.

However, Zheng Ren thought of several possibilities in an instant. For example, severe vomiting, reduced gastric acid, and east-west reflux in the jejunum can enter the stomach through the pylorus.

But in any case, so many Ascaris lumbricoides are rare, very rare. Zheng Ren is making a prediction in his heart.

"Boss Zheng, here you are." Professor Yang said hello.

"Well, take it from your stomach first?" Zheng Ren nodded, "director Luo, what about the preparation for a while?"

"Take out the worms from the stomach and colon first. If there is something wrong with ERCP, let's discuss it again." Director Luo concentrated on the operation and briefly explained his ideas with Zheng Ren.

Zheng Ren walked in and was surprised to see a red trash can beside director Luo, in which more than a dozen yellow and white roundworms were wriggling.