In the hallway of the operating room, everyone was shocked. The head nurse was holding the rescue box and squatted on the ground to start looking for various rescue medications.
"Lifting Director Mao's head, pushing omeprazole quietly, and putting on two groups of hemostatic drugs." Zheng Ren said calmly.
The venous access has been established for a long time, and various drugs are ready to wait for the bolus.
A bottle of omeprazole was drawn into the syringe and then pushed in.
Everyone is waiting for Boss Zheng's subsequent rescue order.
However, Boss Zheng did not say a word. He had a CT film in his hand and was looking into the light.
"Boss Zheng, hurry up for surgery." The band professor of vascular surgery said anxiously.
"Not aortic dissection." Zheng Rendao.
"..."
Except for a few nurses who were still busy adding medicines and hanging up drips, everyone looked at Boss Zheng quietly.
After calming down, everyone revisited Director Mao.
The blood pressure is still stable, and there is no case where the blood pressure from a spit of blood directly returns to zero.
I was in a hurry before, but now I want to rupture the descending aortic dissection, and I will not vomit blood directly.
Gastric varices? Rupture of the esophagus' supplying arteries? But what if a sharp object punctured the esophagus and then onto the aorta? Can also spit out a spit of blood.
Countless species may appear in the minds of the doctors present.
"Looks like a problem with the esophagus?" Su Yun frowned. "I don't feel the possibility of a mass lesion in the esophagus."
The sound was small, but it was like a thunder.
If this is esophageal cancer, to the extent of vomiting blood ... Director Mao is afraid that it will not be saved by surgery.
"If CT reconstruction, you can see the abnormal density of the left mediastinal trachea, the heart and the descending aorta, the largest layer is 34mm × 28mm, about 180mm long. It really looks like a tumor ..." Zheng Ren squinted his eyes and said lightly. Here.
"But not." Su Yun caught the words of his boss and concluded.
"Contact Director Luo, go to the endoscope room and take a look at the endoscope." Zheng Rendao.
The band professors of Vascular Surgery were all stunned. When they arrived in the interventional operating room, they thought that Director Mao's life would be saved.
Who would have thought that boss Zheng actually thought that no surgery or intervention was needed, and he had to push to the endoscope room.
At this moment, he understood the feelings of the patients' families too.
While watching my loved ones vomiting blood, I still have to run around in the hospital ... This feeling is just terrible.
No wonder so many family members of patients start to stab at a little problem, like a bad temper, now the professor of Vascular Bands wants to curse.
"Boss Zheng, don't you need to take an angiogram first?" Professor Dai Zu insisted.
"No, the film really looks like a descending aortic dissection, but if you reconstruct it, you will find ..." Zheng Ren said, after a pause, he realized that it was not the time to talk about the film.
"Considering inflammation in the esophagus, Director Mao, have you eaten anything hard recently?" Zheng Ren asked.
Director Mao was already in a semi-coma. He was terrified by the blood that he vomited.
I am going to die, this is the only thought in Director Mao's mind. As for what Zheng said after watching the film, he didn't hear a word. The ears were buzzing, and the whole person was choking.
Everyone looked at the ECG monitoring on the flat car, and the blood pressure was still stable. Director Mao's head was raised, and even if he vomited blood again, he should not have any coughing.
Go to the endoscope room? So far, what if something goes wrong.
Even if it is not an aortic dissection, the varicose veins of the stomach are also a serious disease, and they are very serious.
"Boss, Director Luo checked in the endoscope room, he asked to push people over immediately." Su Yundao.
Someone was confident in directing the rescue, or it was Boss Xiao Zheng, and everyone swallowed back even if there was any doubt.
No one dared to question Boss Zheng, especially in the emergency department. Boss Zheng usually looks good-tempered and very kind. But when it comes to rescue, it will hit people, such as the savvy Professor Zhang.
Pushing Director Mao and ran to the endoscope room.
Zheng Ren changed his clothes and walked in at the fastest speed, followed by a group of people, looking dignified.
"Boss Zheng, what's wrong with Director Mao?" Director Luo asked loudly in an isolation booth at the door of an operating room.
"Suspected that there is a hematoma in the esophagus, take a laparoscopy and make a clear diagnosis." Zheng Rendao.
Putting Director Mao on the bed to check the bed, Director Luo looked at the blood on the corner of his mouth and felt a little stunned.
"Boss Zheng, are you okay." Director Luo asked quietly.
"It should be fine." Zheng Ren said, "I'm coming?"
"Hurry up and don't be polite with me." Director Luo gave up the operating position and gave the inspection right to Boss Zheng.
I was afraid that the stimulus would be too severe, causing complications such as restlessness, increased pressure, and rupture of the hematoma, so I gave the drug for basic anesthesia.
Under the lens of the electronic fiber gastroscope, a large vertical dark red hematoma was seen from the left wall of the esophagus 20cm from the incisors to the cardia, leading to narrowing of the esophagus and no significant active bleeding.
"Such a hematoma ..." Director Luo sighed.
"It's okay, it's okay, just a hematoma." Zheng Ren said.
Seeing the hematoma in the esophagus cavity, everyone in the vascular department was not as impatient as before ~ www.novelhall.com ~ Zhao Yunlong looked at the image and asked, "Exfoliative esophagitis?"
"Well, consider exfoliative esophagitis." Zheng Rendao, "Be conservative, take Fang Lin's side, you will not be sent to the ward."
Zheng Ren said the last sentence with Director Luo.
Director Luo also knows that if conservative treatment is not effective and the blood is sprayed out one by one, then surgical treatment is needed.
"Add a group of normal kidney ice salt water, fast water, do not eat these days." Zheng Ren continued.
"Is the lower gastrointestinal decompression?"
"No," Zheng Ren said, "repeated irritation of the gastric tube may cause the hematoma to rupture. Control with acid-suppressing drugs."
"Director Mao has eaten some hard food and grind the esophagus like this." Director Luo said with emotion that Boss Zheng had taken the lens out.
"Estimated as a hard object, the bin promotes eating and forcibly swallows dry hard food to cause esophageal mucosal damage or submucosal hematoma. The symptoms are not typical, typical ... a long film can be spit out." Zheng Rendao, "In that case It ’s scary. "
"It won't be infected." The band professor of Vascular Department asked carefully.
"No, esophageal wall hematoma-like changes, and late-stage esophageal wall mucosal defects and exudate-like changes. The disease has a good prognosis. The lesion only affects the mucosal epidermis and generally does not invade the lamina propria, so infection rarely occurs."
"Boss Zheng, are there any medical orders?"
"Use a medicine that promotes cell regeneration to quickly repair the mucosal epidermis to prevent esophageal stricture in the future." Zheng Rendao.
At this point, the anesthetic strength had passed, and Director Mao woke up. He looked like he was just drunk, eyes narrowed.
"Am I ... dead?"
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