Chapter 2694

"Oh." Zheng Ren answered, but he didn't seem interested. It's just anastomotic fistula. There's no need to go up and see it. 912 if we can't even solve this problem, it won't be the top third class hospital in China.

Linge said, "then I'll go up to boss Zheng."

With that, he turned and left.

Walking on the road, Ringer's mind was full of pictures of boss Zheng weaving red ropes. This man is really interesting. Every time I had an operation, I seemed to see him holding his arm and watching the film again and again.

Nothing else, just this seriousness is admirable.

And he won the Nobel Prize. It seems that he is not ready to rest. He is energetic and ready to work in the clinic all his life.

I really don't understand him, but it's good for me. I have arrived at the science and education department, saw the position of vice president and waved to me a few years later.

At the thought of this, ringer was happy. Just now, the confused mood caused by the inexplicable wrong operation in my heart gradually faded, and I went to thoracic surgery with a brisk step.

Ringer felt that the consultation of thoracic surgery was nothing special. For example, the following hospital had surgery and transferred to 912 to continue treatment almost every day. He didn't know what the thoracic surgery thought. He even asked the medical department to participate in the consultation.

However, he doesn't want to put his mind too much on it. He thinks more about boss Zheng's needs and how he can get benefits.

The consultation time was 3 p.m., a few minutes earlier, which was also linge's habit. For this consultation, he left early in the medical adjustment Committee.

Entering the doctor's office, ringer saw both Feng Jianguo and director Luo.

Huh? How could there be so many people? Ringer was a little surprised. When the staff of the medical office saw linge coming in, they immediately gave him a seat.

"Director Luo, why are you here?" Ringer asked in surprise.

"Ha ha." Director Luo smiled and said, "I'm not here for consultation, just to see the excitement."

Ringer sat straight all of a sudden, and he felt a faint smell of something wrong. Thoracic surgery and gastroenterology seem to intersect only in the esophagus and cardia. And Feng Jianguo was there. Beside him sat a female doctor with her head down.

It's Quan Xiaocao. Ringer smiled. He whispered, "there's no one in Corey. Yechu goes to deal with a medical dispute. Everyone is busy. I got the news and hurried back from the medical adjustment Commission. I don't know the situation."

"A patient with cancer of the lower esophagus, cardia, gastric fundus and gastric body underwent radical total gastrectomy + Roux-en-Y esophagojejunostomy after neoadjuvant chemotherapy for gastric cancer. The patient has been having a fever after the operation. Considering that there may be anastomotic leakage, this is coming." Director Luo said.

If you are reluctant, it has something to do with Gastroenterology, but it's too reluctant.

Ringer still didn't understand the problem, but he didn't ask and continued to listen.

"The chest Department has been doing chest irrigation and drainage and thinking about the second stage operation. Later, Lao Feng's student said he could do endoscopic treatment. Xiao Fang asked me and I came to have a look curiously."

Endoscopy? Director Wei's gastrointestinal surgery has recently applied for some scientific research projects, including endoscopy. Now ringer is in charge of science and education. He knows it.

However, the scientific research project is only a project. It will take a long time to implement it. Linge doesn't believe that it can be used in clinic in the blink of an eye.

"Director Luo, what do you think?"

"Director Lin, I just took a look at the state of the patient. The situation is not good." Director Luo said, "CT showed that the left pleural effusion was accompanied by the formation of purulent cavity, and CT guided left pleural puncture and drainage + left subphrenic puncture and drainage were performed. About 10ml of light blue sputum like liquid was extracted from the left pleural purulent cavity and about 20ml of yellow green liquid was extracted from the left subphrenic cavity."

"Light blue? Yellow green?" Ringer's eyebrows wrinkled.

It's too infected.

Color means bacterial infection. Yellow and green are more common, while light blue is rare. What bacteria are light blue? After thinking for a long time, ringer didn't understand.

"In the morning, I made a gastroscope..." director Luo said, "at first I thought it was risky, so I refused. Later, Gu came to me, but I couldn't help it. He hardened his scalp."

"Gastroscopy showed that there was an esophagojejunostomy at 38cm away from the incisor. There was a fistula on the left front wall of the anastomosis. There were anastomotic nails at the edge, with a diameter of about 0.8cm."

"What about this?" Asked ringer.

"In the past, we could only strengthen nutrition, avoid infection as much as possible, and let the patient's esophageal fistula heal as soon as possible. As for whether it grows or not, it depends on our own luck. As you know, the biggest problem is the fistula."

Ringer nodded.

"Now you can remove the stent to avoid gastric juice reflux. But it's also a problem if you use the stent under light. Professor Feng's student said you can use endoscopy." Director Luo mentioned Quan Xiaocao again.

It's interesting. Gastrointestinal surgery is going to eat the rhythm of some business scope robbed by gastroenterology in turn. Ringer made a judgment in his heart.

No wonder director Luo took the initiative to see the situation.

What are these directors thinking? Ringer is like a mirror. As long as the treatment is not delayed, he will not care who is responsible for the specific business.

It has nothing to do with yourself. Anyway, it's all the meat in the big pot of 912. Whatever you like, as long as you don't give me trouble.

But this time it involves Quan Xiaocao. Linge knows that Quan Xiaocao has sent several SCI articles in the past six months, which are all due to Su Yun, but Su Yun didn't leave a name.

He smiled and decided to look and speak less.

Fang Lin came in sweating. Seeing that ringer had come, he came up and said hello very seriously. And the people in the medical office can't laugh, especially when there are serious things.

The patient was Professor Lu's. Fang Lin was just caught working. With a greeting, he hid in the corner and waited for the consultation to begin.

Professor Lu's doctors began to introduce the condition, which was no different from what director Luo said, but more detailed.

"This is the case with the patient." Professor Lu said, "after 10 days of closed thoracic drainage and tube flushing, the esophageal fistula has not improved. I think the next stent is better for the next treatment, and the rest can heal slowly when the patient comes home."

"It's very difficult to remove the stent. Why didn't the people from the intervention department come?" Ringer's heart moved and asked.

"Please invite director Kong to consult. He said there was an emergency operation on that side. Director Kong came on stage." Professor Lu said: "I discussed with Gu. The best way is to take some risks to make stents. In fact, less than a month after the operation, there is too much possibility of problems in stenting."

He said with a helpless expression.