The hard object was an irregular glass fragment about 1.5cm in diameter, stained with blood.
"Brother Yun, help me call the gastrointestinal tract and ask them to take a look with a gastroscope." Fang Lin stopped the bleeding and started flushing the chest and mediastinum to check if there were any other missed glass fragments. said.
Fang Lin was not sure if there were any glass fragments in his stomach. If it continued like this, once a plate-shaped abdomen appeared after the operation, he would have to go back and forth.
Regardless of the patient's suffering, will the patient's family be unhappy, leading to a medical dispute
If there is a problem, it is better to stew it in a spoonful.
If it comes to examination, the least damaging method is table endoscopy.
However, the patient has a gastric tube in his esophagus and needs to undergo a gastroscopy. The esophagus itself is not elastic enough, which may cause secondary damage to the suture.
"Hehe, you're mature." Su Yun smiled and took out his cell phone to call the gastrointestinal surgery department.
"It's okay. How many cases of this kind of surgery have been done? It's not a big deal." Fang Lin said with a smile: "I asked the patient's family and they said there was no mental disorder. Brother Yun, why do you have to continue taking medicine?" Eat all the glass bottles?”
"Who knows, have you ever been confused and run out of brains?" Su Yun had already put through the phone and called for consultation on the gastrointestinal surgery desk.
"Yes." Fang Lin seemed to have nothing to do. He was obviously very relaxed and said happily: "A few years ago, when I was still in school, I went to the mall early in the morning. I was the first to enter and took the escalator. Go up to the top floor. A bunch of salesmen were guarding the escalator on the top floor. When they saw me, they went up and bent down to say a word to me."
"Then what?"
"I didn't hear clearly." Fang Lin chuckled, "Just ask them, what?"
"They said something again, and then I still didn't catch it."
"..." Su Yun looked at him with pity and asked, "Did you ask me another question?"
"I'm sure, all I was thinking about that day were exam questions." Fang Lin said with a smile.
"Boss, let's take a look. Anyone with a sick mind can come if you want."
"It's okay." Zheng Ren looked at the system panel and hesitated. He didn't pay attention to what was being said here.
"Fang Lin, do you think you are stupid or not? If I bend down to talk to you so early in the morning, I must be saying welcome." Su Yun said disdainfully.
"Yes, when I said it for the third time, their eyes reminded me." Fang Lin was a little embarrassed, "Then I turned around and left. When I left, I was still thinking, what do you think the salesperson would say to me? So early in the morning Come here in the morning just to hear welcome three times?”
"Yes, I'm sick. It's quite serious."
"So after I work, I can understand no matter how much water appears in the brain of the patient." Fang Lin chuckled.
"Hey, I feel the same way."
"Everyone's brain gets wet sometimes," Fang Lin said.
While chatting, Professor Feng, the second-line gastrointestinal surgeon, came up with Quan Xiaocao.
"Hey, Boss Zheng has some free time today." Feng Jianguo saw Zheng Ren and said hello first.
"Brother Feng, here we come." Zheng Ren said with a smile.
Fang Lin felt a little strange. When Zheng Ren first came to 912, he was the chief resident of Haicheng. At that time, when I met any professor here, wouldn’t he always be called “teacher”
It wasn't long before they started to call each other brothers.
It's not just calling him brother or brother, Professor Feng's attitude is a bit humble and respectful. It's obvious that they put themselves in a lower position.
Boss Zheng's growth rate seems to be much faster than Brother Yun's.
"What patient?" Feng Jianguo asked.
"When taking the medicine, I smashed the bottle and took it orally." Zheng Rendao, "Let's do a gastroscopy to see if there is any major damage to the lining of the esophagus, and see if there are any remaining fragments in the stomach."
"Okay." Feng Jianguo responded directly, prepared the sterilized gastroscope lens, and began to perform the examination.
After all, he is an old professor. What weird cases have he not seen? Feng Jianguo did not express surprise that he had swallowed the medicine even from the glass bottle, but directly began to prepare the equipment and conduct the examination on the stage.
There is a tracheal intubation and a gastric tube, but the endoscope is quite awkward.
But when the gastroscope went down a little bit, I could clearly see a slight scratch on the cardia door.
The scratches are very minor and can be completely ignored.
Do not eat or drink for 3-5 days after surgery, and it will heal naturally.
The gastroscope entered the stomach along the cardia. A tear could be seen in the part of the gastric body near the greater curvature, and glass fragments were missing.
Feng Jianguo smiled bitterly, "The job has become bigger, go find it."
This kind of surgery is said to be a big job, but in fact it is just a laparoscopy, searching for foreign bodies in the abdominal cavity, removing them, suturing the stomach wall, and flushing them, and that's the end of it.
But the difficulty lies in rummaging through the intestines for shards of glass of varying sizes.
If the fragments are small, let alone endoscopic surgery, even if you perform a direct operation, make a 40-50cm gap from the xiphoid process to the symphysis, and pour out the intestines, you may not be able to find it.
It doesn’t matter if it’s big or small, it doesn’t mean it’s small.
"Brother Feng, please get busy first. Su Yun and I are going down." Zheng Ren saw that the abdominal injuries were not missed and that he had nothing to do here, so he said to Feng Jianguo.
"Zhang Weiyu from Xiyang also said that he has time to get together recently. Is Boss Zheng finished with his work?" Feng Jianguo asked.
"It's done. I'll rest for two days. I'm as tired as a dead dog. Find time to get together, don't be in a hurry." When it came to eating, Zheng Ren took the time to get out of the way.
"Don't you finish reading?" Su Yun asked.
Zheng Ren took a quick look, pulled out the endoscope, and Feng Jianguo took Quan Xiaocao for surgery. Fang Lin had already started suturing the esophageal wall, flushing, exploring, and immediately closing the chest.
There's nothing difficult about the surgery, just leave it at that. Zheng Ren shook his head.
"Huh? It's rare to see you. Normally you would like to sew up the skin. You are the most hateful kind of magician." Su Yun said with a smile.
"Brother Feng, Fang Lin, let's go first." Zheng Ren greeted and turned to leave.
Combined thoracoabdominal incision, this kind of surgery is no longer a major surgery in Zheng Ren's opinion.
But the moment he turned around, he suddenly stopped.
The patient's system panel changed color and turned frighteningly red instantly.
The diagnosis was an intestinal rupture.
Let me go... Zheng Ren was speechless. This was intestinal peristalsis. The glass fragments just scratched the intestines, causing the intestines to rupture.
If it was a simple intestinal rupture, the system panel would not be red like this. According to Zheng Ren's understanding of the big pig's trotters, the mesenteric artery should also be ruptured.
Sure enough, looking further down, the diagnosis of mesenteric artery rupture was clearly marked.
Seeing Zheng Ren stop, Su Yun felt strange, "Boss, what's the matter? You want to go on stage again?"
Zheng Ren didn't say anything, he went straight to the system space and clicked to buy surgical training time.
He was very determined this time. He waited for the system operating room to rise from the ground and got into it.