Chapter 905： : I have 1 idea!

The involvement of relevant departments has made a matter that is no small even more exciting!

More and more people are beginning to pay attention to the situation of Che Zhehua, care about the results of this matter, the situation of the logistics company, hundreds of victims, and also start to care about Che Zhehua's family. people!

Zhe Chehua's medical expenses have been reimbursed by the relevant departments, but this does not seem to reduce his pain at all!

The destruction of tissues after eating sulfuric acid has become more and more serious. Che Zhehua still underestimates this pain!

What is painless? Now pethidine is useful, but you ca n’t always use it?

More and more people are paying attention now, and the pressure on medical staff has also been raised.

The superior department required the Capital First Aid Center Hospital to do a good job in this rescue work, and must do a good job in Che Zhehua's rehabilitation. It is not expected that this incident will cause too serious disturbances and consequences.

This is a good thing, but now the pressure is on the medical staff.

After all, Che Zhehua's physical condition is known to everyone. If you want to fully recover, the possibility is too small.

After two days of rehabilitation, Che Zhehua's condition has basically stabilized. Although it hurts, it is not life-threatening. Because of the timely rescue and dialysis treatment, the patient has not experienced serious complications, but it is very important. The question is on the agenda.

On Friday afternoon, seven or eight general surgery directors gathered together in the case discussion room of the emergency department of the Capital Emergency Center Hospital, plus Yu Yonggang, Ma Yuehui, Li Yue, and Chen Cang.

Tong Yuyong frowned and said, "Director He, what do you think?"

He Zhiqian looked at the endoscopic photos on the big screen, it was a headache!

"Once the esophagus recovers, the stenosis should be more than 70% or even higher. This does not include the repair of late perforations on the esophagus. Even if exogenous repair conditions are used, this esophagus can retain the opportunity. It's also very small! It might as well be replaced by manual replacement. "

"But this artificial replacement also has a trouble, that is, the stomach and duodenum need to be replaced. In this way, it can only retain its structural functions and not satisfy physiological functions."

He Zhiqian, as the director of the General University, his words are still authoritative.

你们 "Look, here, the entire stomach wall must have perforations in less than a few days. Now gastric acid secretion is inhibited. By the time the gastric acid secretion increases, the serosa layer must have penetrated."

"Surgery can not be delayed, it must be performed today, or even if it is postponed to tomorrow, gastrointestinal function will be difficult to recover!"

Everyone sighed. This is a problem.

He Zhiqian looked at Zhang Chahai, director of Thoracic Surgery: "Director Zhang, what do you think should be done with this esophagus?"

察 Zhang Chahai couldn't help but said, "I have a question now, and that is, if I have a pedicled jejunal interposition, will you be able to fit smoothly after gastrectomy!"

一 As soon as this sentence came out, everyone in the room was stunned!

Zhang Zhanghai continued: "It is now very clear that the severe esophageal stricture is not effective after dilatation and cannot be used. It must be cut, but I am worried that after using the jejunum, this gastrectomy is not easy to follow up."

As soon as this word came out, the room fell silent again.

This is no longer an operation. It needs to be considered from the esophagus to the stomach, duodenum, and jejunum.

Is more than just an esophagus!

The esophagus must be done, but with so many gastric ulcers and obvious pyloric obstruction, a major gastric resection must be done.

How to effectively reconstruct the digestive tract has become a big problem!

Everyone is thinking and discussing, chest surgery and general surgery are thinking.

Although the esophagus belongs to the digestive tract, most of the operations are performed in thoracic surgery. General surgery is very general for esophageal surgery.

And thoracic surgery is also half a catty for general surgery.

Everyone has been discussing for two full hours.

There is no clear idea now.

Chen Cang said at this time, "Actually, I think I can use esophageal colon surgery."

Chen Cang's words broke the tranquility of this moment!

Everyone turned to look at the young man, full of doubts.

的 All of you are directors. What do you know as a young man?

We don't know esophageal colonization?

The key is prolific esophagus? This resection is definitely not as simple as a narrow one, you use the colon ...

How long is the colon?

The effective length of the iliac colon is limited, so we do not consider the colon, but the jejunum is the first thing to think of.

The jejunum is the small intestine, which is much longer than the colon, even if it is used to replace the esophagus.

But is your colon okay?

Everyone glanced at Chen Cang and ignored them.

Continue to look at the big screen and think, but Yu Yong just saw this and said, "Cang Cang, what do you think, introduce it to the directors."

When everyone heard the name Chen Cang, they suddenly came to a spirit.

They are familiar with the name Chen Cang, but they are familiar with it ~ www.novelhall.com ~ After all, Chen Cang has done so many things back and forth in the hospital. You have never seen a real person, but if you have not heard the name, you ca n’t justify it. Already.

Now the cardiopulmonary surgery technology is in full swing, and it is the construction of a new cardiopulmonary medical research center. Who is not envious of this? Who doesn't wink?

沧 And all who started it is Chen Cang.

All of a sudden, everyone looked at each other.

This is Chen Cang?

At this time, everyone also paid more attention.

It ’s like this. People talk lightly. If you have done anything, others will naturally look at you!

"What do you think, Dr. Chen?" Zhang Chahai of Thoracic Surgery asked first. Since it is Chen Cang, no one thinks he is aimless.

Chen Cang got up and walked forward: "This esophagus does not need to be completely removed. If it is completely cut, it is wasteful, and the reconstruction of the digestive tract will be a very troublesome thing. It is better to choose than esophageal repair + stenosis. + Esophageal colonic interposition. "

Yes!

Chen Cang prepares to complete esophageal reconstruction with three kinds of surgery.

"In this way, there is no need to interfere with major gastrectomy or affect esophageal reconstruction."

Any Zhiqian, head of the Department of Gastroenterology, asked directly: "How many colons do you plan to remove?"

Speaking of them, He Zhiqian had opinions on Chen Cang!

Because Chen Cang, the digestive function summit forum held by the Mayo Medical Center, also signed up for this, the hospital looked at Chen Cang's face in surgery, and was definitely not willing to scan his face.

But He Zhiqian thinks, what kind of gastrointestinal function conference do you go to if you are engaged in emergency and cardiac surgery?

Isn't this a typical occupation of that pit without shit?