Chapter 1879： Impossible diagnosis

"Spontaneous esophageal rupture?" Xia Hua stunned, and then there was some strange feelings in his heart.

He immediately said: "Zheng boss, the patient is not the hematemesis after drinking alcohol. When the family told the medical history, they said that they slept halfway at night and suddenly coughed up blood."

Spontaneous esophageal rupture is generally rare, and Xia Hua has seen it for more than a decade. The book says that the general situation is caused by drinking and causing vomiting.

"Oh, the patient's family describes the medical history. Sometimes we have to dialectically. It is not necessarily correct. We must analyze it again." Zheng Rendao: "When is the patient going to surgery? If the condition is normal open chest, it is estimated that the first phase Can't match, I have to say it in the second period."

Xia Hua is a bit tired, is this a gesture for his own work?

In general, experts are not allowed to look around, and some even do not see the patient before the operation. This plane is connected to the aircraft, and the hospital begins to send patients to the operating room.

When I came to the hospital, the professor came directly to the stage.

After a few hours of surgery, I took the money and left, and some even didn’t eat the food in order to catch the plane.

If it weren’t for the familiar doctor’s strong request, no one would have nothing to look for and set it in another hospital.

This person is young and does not even understand the rules.

The most important thing is his diagnosis... there are also problems.

The causes and mechanisms of spontaneous esophageal rupture have not been fully understood.

Most patients have vomiting followed by esophageal perforation, so vomiting remains the most important cause of the disease. There is also a saying that many doctors call it a rupture of the esophagus after vomiting.

Associated with vomiting is drinking, and most types of vomiting are caused by overeating and drinking.

Other causes of spontaneous esophageal rupture include childbirth, car accidents, post-cranial surgery, and epilepsy.

The patient has hemoptysis during sleep and has no history of drinking. These two points basically rule out the possibility of spontaneous esophageal rupture.

Xia Hua was a little dissatisfied, and then worried about the operation of his father.

What is the level of this.

Too young, it really is not very reliable.

"Boss, a typical spontaneous esophageal rupture, can you sew in the first phase?" Su Yun asked on the side.

"Well, it can't be sewed. If the complex trauma, accompanied by abdominal injury, can open the stomach, take the omentum out for the outer suture. It is possible." Zheng Rendao: "But this is the scope of surgery, if Surgery combined with interventional surgery, you can go directly to the next big shelf."

"..." Xia Hua is speechless.

How to say it is the same as the real thing.

Also surgery + interventional surgery combined treatment, clinically, there is no such surgery!

This Zheng boss looks honest and honest, how to do things so unreliable!

Xia Hua’s heart is a bit greasy.

But Gao Shaojie’s personality is known to him. The elegant scholarly style, Xia Hua is very admired.

Things are inconsistent, Xia Hua feels that his brain is a bit messy.

"Xia Hua, give the boss's film to Zheng boss." Gao Shaojie felt a little embarrassed, he said quickly.

"Oh, oh." Xia Hua's movements were a bit slower.

Yesterday's new upper gastrointestinal angiography, esophageal tumors have almost blocked the esophageal cavity. After drinking the compound diatrizoate, the liquid stayed on the tumor for more than ten seconds before a line slowly flowed down.

The tumor grew more than before, and the side wall almost touched the heart.

Zheng Ren took a serious look at the film.

"Zheng boss, are you taking me today?" Gao Shaojie whispered.

"Yeah." Zheng Ren just nodded, and did not seem to care about Gao Shaojie's attitude.

Xia Hua is even more unhappy.

He really didn't know why Gao Shaojie Gao was rushing to give a small message to this little doctor.

Nobel Prize? For a faraway thing, Xia Hua has no concept at all.

However, looking at Gao Shaojie's look of excitement, Xia Hua's doubts were a bit more serious.

Shouldn't it be angry in the face of cold reception? How high the teacher will be excited.

After a full five minutes, Zheng Rencai said, "Old high, double intervention therapy, you can use this way."

"I guess you can do it!" Gao Shaojie said loudly.

"But today, you can only open a small mouth in the esophagus, and then the stent will have to open 2-3 times." Zheng Rendao: "I have no time, the rest of you to do."

"Good!" Gao Shaojie agreed, "Let's take a look at the patient's state, let's do this?"

"Yes." Zheng Ren turned and reached out.

Xia Hua stunned.

"Oh, Dr. Xia, the stethoscope is troublesome for me to use." Zheng Ren said with a smile.

Xia Hua gave his stethoscope to Zheng Ren and took him to the ward.

Although the heart is greasy, this time the arrow is on the string. If you refuse at this time, the relationship with Gao Shaojie will not be used anymore.

People are coming to help, but they have finally changed their minds, so there is no such thing.

Xia Hua has some regrets.

"Right, Dr. Xia, just the patient with spontaneous rupture of the esophagus, take time to surgery." Zheng Rendao: "The later the time, the more severe the edema at the rupture site, the worse the postoperative recovery."

"..." Xia Hua did not speak, bowed his head and hid all dissatisfaction as much as possible.

Gao Shaojie saw a clue. He waited for Zheng Ren to enter the ward and began to check the body. He patted Xia Hua’s back and made a look, indicating that he was going out with himself.

"Xia Hua, are you too tired?" Going out of the ward, Gao Shaojie whispered.

"High teacher..." Xia Hua was hesitant, paused, and finally said: "Is this Zheng boss really high?"

"Of course, it’s not high." Gao Shaojie said with a whispered smile: "Either surgery or diagnosis is something we can't think of. Do you see him young, have other thoughts?"

Xia Hua is silent.

Gao Shaojie smiled. "Lao Liu is now used as a small doctor under the hands of others. It is said that he is tired like a dog every day."

Xia Hua knows about this, but he just doesn't understand.

"High teacher, I tell you the truth. How is Zheng boss involved in the level I don't know. But just the film, the patient does not have any triggering factors of spontaneous esophageal rupture, I think it is tumor erosion, resulting in Bronchial pleural leak."

"Then you diagnosed wrong." Gao Shaojie whispered.

He looked at Xia Hua’s expression and knew that he had a knot in his heart. Gao Shaojie is modest, but he is not the kind of person in his mind.

After thinking about it, Gao Shaojie smiled and said: "What about the people on duty?"

"There is an emergency car accident in the operating room. It is estimated that the operating table will not be available until 4 pm."

"Then you just find a doctor, you both went to the chest to explore. Can the surgery be done?" Gao Shaojie asked.

Xia Hua nodded and felt that this method was good.

The condition of his father is not an emergency, and he can wait for a few hours.

"Let Zheng boss watch the stage?"

"You can also let him give you a handle." Gao Shaojie smiled.