Chapter 2509

"Trouble."

After a few seconds of silence, Zheng Ren and Su Yun said in unison.

It looks simple, but the fishbone is stuck in the esophagus. If ordinary people's idea must be to take it out.

But Zheng Renhe and Su Yun don't think so. Director Luo, who called the relatives and friends hotline for help, doesn't think so. If it were simple, director Luo wouldn't call.

That fish bone is like an arrow with a barb. It is embedded in the esophageal wall. Once it is pulled out with brute force, it must be a tragedy.

1% is likely to be successful, but 99% is likely to lead to emergency rescue. In the end, the patient is likely to die.

On the way, Zheng Ren called Gao Shaojie and asked him to wait a moment before sending the patient to surgery. He should see the situation on his own side.

"Boss, your temper will be very tiring." Su Yun said without a head.

Zheng Ren knew that he was criticizing his hands-on attitude.

Even if there are other things, such as surgery, you must see it with your own eyes before you can rest assured.

Even though Gao Shaojie's level has improved rapidly, now he has almost reached the surgical level of Professor Rudolf Wagner.

Even if Lin Yuan can start independent surgery, even Gu Xiaoran can try to be an assistant on the stage.

Others in the medical group are growing up, but Zheng Ren is still as worried as obsessive-compulsive disorder. Su Yun doesn't like his boss very much. His words are full of disdain.

However, Zheng Ren did not refute Su Yun's words. He silently walked to the mirror room.

When I came to the mirror room, I changed my shoes and clothes. A doctor had been waiting at the door for a long time. He first introduced his condition: "boss Zheng, director Luo asked me to pick you up. Please come inside. The patient ate fish last night and hemoptysis came to our hospital four days this morning. Under gastroscope, there was a 5cm long fish bone in the patient's esophagus 8cm away from the cardia, with three fish bones on both sides, stuck on the esophageal wall."

He was not wordy, and began to report his illness directly after a simple greeting.

Er, the patient's condition is more serious than expected! Zheng Ren has a dignified expression.

"Director Luo tried, but if he pulled it out, the fish bones rushed up, causing slight rupture of esophageal wall mucosa. The director didn't dare to move. Please take a look." The little doctor continued.

"Well, go and see the eye." Zheng Ren strode in.

When he came to Director Luo's mirror room, Zheng Ren said, "director Luo, I'm coming."

"Boss Zheng, give me a hand and I can't take it out." Director Luo's sterile cap has been beaten through with sweat. He looks a little tired.

Being called from home in the early morning is still such a difficult and difficult patient. Everyone is tired. Zheng Ren smiled and said, "can't you take it out?"

"Well, if I'm reluctant, I'm afraid I'll tear a few centimeters above the esophagus and cardia to the top." He shook his head. "If you don't go down, go straight to your stomach."

"This is also a way, but it can't be discharged from the stomach." Zheng Rendao.

The main component of fishbone is calcium carbonate, and the pH of gastric acid in gastric juice is 0 9 ~ 1.5, the fish bone will only become soft in the stomach, but will not be decomposed.

There are many components that make up fish bones. The phosphate can be dissolved in acid, and the fish bones that remove these minerals will naturally become soft. However, fishbone also contains a large amount of collagen, which is wrapped with many other macromolecular proteins and polysaccharides. These macromolecular structures need to be further decomposed before digestion.

Although the pH of gastric juice is very low, once it enters the small intestine, the pH will rise to about 7-8. Some proteases that effectively act on fishbone protein, such as collagenase and pancreatin, can work under this acid-base condition to further decompose food.

In short, it is said that even if the fish bone with six fish bones is pushed into the stomach, it will not be digested. Everyone present knows these things.

If the fish bone gets stuck on the pylorus with gastric peristalsis, causing obstruction or tear, greater surgery is needed.

Even gastrectomy and intestinal anastomosis are not kidding.

Director Luo was also forced to be helpless. He just talked casually.

Zheng Ren put on a pair of sterile gloves, took over gastroscope equipment from director Luo's hand and began to observe the position of fish bones.

As the little doctor just described, the fish bones are larger and harder. Zheng Ren didn't think about whether it was freshwater fish or marine fish. He didn't try to pull the fish bone out, but looked around.

There was slight damage to the mucous membrane of esophageal wall, which was pierced by fish bones, and some of it was the side injury caused by director Luo's operation just now. Obviously, director Luo was more careful and didn't pull out the fish bones with brute force.

What can I do?

Zheng Ren also has some wax.

You can't go up, you can't go down, and you can't stay in this position.

"Ding Dong ~"

A crisp sound and the task prompt sound starts. Hearing the task tip, Zheng Ren was not happy, but a little distressed.

It's hard to solve this. What's the mess when big pig hooves come to fill in at this time.

[emergency task: difficult from top to bottom.

Task content: take out the fish bones in the esophagus.

Task reward: 3000 skill points and 10000 experience points.

Task time: 3 hours.]

Zheng Ren looked at the task at the top right of his field of vision and was helpless. Are you playing with yourself? For an operation as big as a small stone, it does not issue a task, but the fish bone has to issue a task.

And the task reward is not directly proportional to its difficulty.

Looking at the task panel, Zheng Ren suddenly moved in his heart. According to his understanding of the pig's hoof, taking out the fish bone should be a very simple thing, otherwise there would not be such a meager reward.

What's the problem? Should be their own thinking has a blind spot.

Countless ideas appeared in Zheng Ren's brain. He held a gastroscope tube in his hand and looked at the screen motionless. Then he entered the system operating room and began to try various ways to remove fish bones.

Director Luo waited for nearly 10 seconds, feeling more and more uneasy in his heart. It's not the fish bones that make him uneasy. The biggest uneasiness and anxiety is brought by boss Zheng's inaction.

A bad idea came to my mind - did I hurt something when I just pulled the fishbone out?

Looking at the screen carefully, director Luo is sure that nothing is wrong. When he thought back on his actions, he still felt nothing was wrong.

"Boss Zheng... I don't think it's damaged." Director Luo didn't think about it, but asked tentatively.

"Your operation is very gentle without causing too much side damage. I'm thinking about how to take out the fish bones." Zheng Ren smiled and comforted director Luo.

"Boss, what you think is too focused, which frightened director Luo." Su Yun smiled and said, "do you understand now?"

"Well, there's a way. You can try it." Zheng Rendao.

Director Luo was overjoyed. It's good to have a way. It's good to have a way!