Chapter 1656： Spoon in the esophagus

Subdural hemorrhage is slow, early clinical symptoms are not obvious, and even asymptomatic, so missed the time of early diagnosis and treatment.

When clinical symptoms appear, hematoma formation has been a long time, mainly characterized by atypical symptoms such as chronic intracranial hypertension and cerebral ischemia.

Da Liu did not have a trauma. Zheng Ren considered the result of long-term heavy drinking caused by vascular degeneration, increased fragility and permeability, chronic leakage, induced, aggravated and worsened by emotional agitation.

It is estimated that after his brother came, he did not say anything good to him. After a series of blows, Da Liu finally couldn’t stand it.

This man is a bit pitiful.

Only poor people must have hateful places, and Zheng Ren does not know how to say this. A large part of Da Liu’s current situation is caused by himself.

I have nothing to do with myself, or put it aside. Zheng Ren smiled a bit and thought of it.

"Zheng boss, the students of the Emperor Medical University in the past two days were disgusting and vomiting. What was the final diagnosis?" Zhou Litao then asked.

"My consideration is a collective snoring." Zheng Rendao.

Su Yun and Zhou Litao have doubts about this diagnosis. After all, there is no clear substantive change in snoring. Without evidence, the credibility has dropped a lot.

"Zheng boss, there is a case, I solved it two days ago. You have a look at it." Zhou Litao put aside the group sputum and began to show up.

"Well? What disease?" Upon hearing Zhou Litao's words, Zheng Ren immediately came to interest.

"A spoon was taken out of the esophagus." Zhou Litao smiled and looked proud.

Esophagus...spoon...

"Come on, I left a film. The spoon patient said no, I will keep it." Zhou Litao said.

Foreign bodies in the esophagus refer to foreign bodies, such as small bones of animals, root foods such as peach kernels, sweet potato blocks, corn bone sticks, etc., as well as children's toys, wire, fish hooks, plastic products, etc. stay in the esophagus.

Zheng Ren remembers a case report saying that a man swallowed 40 knives and stayed in the esophagus.

This is a bit too much, Zheng Ren is not very convinced. 40 knives, is it magic? If you can take it out, it becomes a trick to swallow the sword.

When Zhou Litao saw that he was not busy, he took Zheng Ren and Su Yun to his duty room.

He placed a plastic hook on the side of the cabinet with more than a dozen pockets.

I found the film and handed it to Zheng Ren and Zhou Litao. "The patient was in a dispute with the people at night, and was beaten on the chest by a punch. Then he developed chest tightness and nausea and came to see a doctor."

"Come on the film and see you." Su Yundao.

Zheng Ren took out the film and looked at the window.

There is a very obvious image of the spoon in the esophagus, and there is no such thing as an esophageal diverticulum.

It's hard to imagine how the spoon stayed in the esophagus.

Estimated to be relatively large, can not enter the stomach along the door, so walk in the esophagus, and finally wrapped in fiber.

"Hey, it’s so big." Su Yun looked at the film and praised it.

"No," Zhou Litao took out a plastic bag with a spoon in it. It was about 10 long and had surfaces such as food residue and pus moss.

"You don't wash it." Su Yundao.

"Look at it, it's more eye-catching." Zhou Litao said with a smile: "The wash is clean, the children should doubt whether there is such a thing. Is it that I casually buy a spoon to deceive people or really? At that time, even if there is a film It is not very credible."

Zhou Litao said that it is reasonable to say that this product has been mourning for the students of the Affiliated Hospital of the Medical University.

I don't know how many things he has collected, and where they are finally placed.

According to Su Yun, this is a collection.

This is a disease, it is cured.

"How come out?" Zheng Ren asked.

"Send to the laparoscopic room, Director Luo took the gastroscope." Zhou Litao said: "Director Luo also said that if you are, the patient may be less damaged."

Zheng Ren smiled.

It is to take an esophagus foreign body, no matter who does it, the damage is definitely not much.

Spoons are relatively rare, adult esophagus foreign bodies, generally things like dentures.

I forgot to take off my dentures at night and swallowed myself when I slept. After waking up, some careless people couldn’t feel the dentures in the esophagus, just thinking that they had forgotten where to put the dentures.

Finally, the esophagus foreign body is caused.

"It's so big, it's very troublesome to take it out." Zheng Ren said with a feeling.

"Using general anesthesia, this was taken out. At that time, the chest was gone. If the endoscope failed, I was ready to open the chest."

Zhou Litao said that it is right, and make all kinds of preparations to avoid problems.

One way can't be solved, just another way. This is also at 912, if you change to a local hospital, it is estimated that you have to open the chest to cut the esophagus.

Just cutting the esophagus to take foreign objects is a very troublesome and risky operation.

Unlike open-cut lipoma, ischemia may occur after surgery, and the incision cannot heal, leading to chest infection, lung infection, lung abscess, and empyema.

It can be taken out with an endoscope, which is the best.

After reading the film, I saw the spoon that I took out. I saw Zhou Litao carefully accepting the spoon. Zheng Ren thought that he was really interesting.

But after having a home in the future, these things don't know whether his lover can accept it.

After a few chats, Zhou Litao received a call from a doctor who sent Da Liu to check.

Cranial ct showed that Da Liu was diagnosed as subacute right frontal lobe hepatic subdural hematoma, and immediately transferred to the surgical craniotomy.

Craniotomy, although the risk is great, but in neurosurgery is definitely a "small" surgery.

As long as early detection, early diagnosis and treatment, there is little possibility of postoperative coma and long-term bed rest.

"I went to neurosurgery and took a look." Su Yunzhen asked Zheng Ren, "Do you want to go?"

Zheng Ren nodded.

He is instinctively resistant to this chores. As long as the treatment is good, and the heart disease...

Forget or hand it over to Su Yun.

Leaving the emergency department, the two parted ways.

Su Yun went to neurosurgery, and Zheng Ren went directly to the intervention department.

Sitting in the sun, Zheng Ren went into the system library to read a book. Although it is almost unforgettable, but the system library is too large, and the new journals are one by one, Zheng Ren is impossible to read.

After watching it for a while, the Xie Yis sent WeChat and asked what to eat at night.

In the evening, Qin Tang also said that he would like to treat guests. As for the specific matter, Zheng Ren did not know.

Turning over the phone, Zheng Ren suddenly moved in the heart.

The little boy who got the cancer, he hasn't seen it for a long time, don't know how he is now.

Open qq, see the boy's avatar is bright, the signature has not been updated, stayed nearly a month ago.

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