"Spontaneous esophageal rupture?" Xia Hua was stunned for a moment, and then felt something strange in his heart.
He immediately said: "Boss Zheng, the patient did not vomit blood after drinking alcohol. When the family told the medical history, they said that he suddenly coughed up blood in the middle of the night."
Spontaneous esophageal rupture is generally rare. Xia Hua has only seen one case in more than ten years of medical practice. The book says that it is generally caused by vomiting caused by drinking alcohol.
"Oh, the patient's family members describe the medical history. Sometimes we have to look at it dialectically. It may not be all correct, and we need to analyze it again." Zheng Ren said: "When will the patient undergo surgery? If it depends on the condition, if a normal thoracotomy is performed, it will probably be one stage. It can’t be matched, so we’ll have to wait for the second phase.”
Xia Hua is a little bored. Is this dictating his own work
Generally, the external experts have no time to look around, and some even don't even look at the patient before the operation. When they get off the plane and get into the pick-up vehicle, the hospital starts sending the patient to the operating room.
When we arrived at the hospital, the professor came directly to the stage.
After a few hours of surgery, they leave with their money, and some even skip meals to catch their flight.
If it weren't for the strong request of this familiar doctor, no one would be looking for trouble and commenting in other hospitals.
This man is young after all and doesn’t even understand the rules.
The most critical thing is that his diagnosis... is also problematic.
The causes and mechanisms of spontaneous esophageal rupture are still not fully understood.
Most patients have vomiting first and then esophageal perforation, so vomiting is still the most important cause of the disease. There is also a theory that many doctors call esophageal rupture after vomiting.
The most common cause of vomiting is drinking alcohol, and most cases of vomiting are caused by overeating or drinking.
Other causes of spontaneous esophageal rupture include childbirth, car accidents, brain surgery, epilepsy, etc.
The patient coughed up blood while sleeping and had no history of drinking. These two factors basically ruled out the possibility of spontaneous esophageal rupture.
Xia Hua was a little unconvinced, and then worried about his old man's surgery.
What level are these.
He's too young, so he's not very reliable.
"Boss, it's a very typical spontaneous esophageal rupture. Can't you suture it in one stage?" Su Yun asked at the side.
"Well, it can't be sutured. If it's a complex trauma, accompanied by abdominal cavity injury, it would be possible if the abdomen could be opened and the omentum taken out for outer suturing." Zheng Ren said: "But this is all within the scope of surgery. If Surgery combined with interventional surgery, just take a big step and it will be fine."
"..." Xia Hua was speechless.
It sounds like it's true.
It is also a combined treatment of surgery + interventional surgery. There is no such operation in clinical practice!
Boss Zheng looks honest and honest, but why is he so unreliable in his words and actions
Xia Hua felt a little fed up.
But he knew what Gao Shaojie was like, and Xia Hua admired his elegant scholarly demeanor.
Things were inconsistent, and Xia Hua felt that his mind was a little confused.
"Xia Hua, show the old man's film to Boss Zheng." Gao Shaojie felt that the atmosphere was a bit awkward and he said quickly.
"Oh, oh." Xia Hua's movements were a little slower.
Yesterday's new upper gastrointestinal tract angiogram showed that the esophageal tumor had almost blocked the esophageal cavity. After drinking compound meglumine diatrizoate, the liquid stayed above the tumor for more than ten seconds before a line slowly flowed down.
The tumor had grown even more than before, and the side wall almost touched the heart.
Zheng Ren hugged his arms and watched the movie seriously.
"Boss Zheng, will you take me up today?" Gao Shaojie whispered.
"Yeah." Zheng Ren just nodded, as if he didn't care about Gao Shaojie's attitude.
Xia Hua was even more unhappy.
He really didn't know why Teacher Gao Shaojie and Gao rushed up to give this little doctor some gossip.
Nobel Prize? It was such a distant thing, Xia Hua had no idea at all.
But seeing Gao Shaojie's excited look, Xia Hua's doubts became a little heavier.
Shouldn't we be angry when faced with cold treatment? Why is Teacher Gao so excited
After a full five minutes, Zheng Ren said, "Lao Gao, dual interventional combined treatment can be done this way."
"I guess you can do it!" Gao Shaojie said loudly.
"But today we can only make a small opening in the esophagus, and then the stent will need to be opened 2-3 times." Zheng Ren said, "I don't have time, you can do the rest."
"Okay!" Gao Shaojie agreed wholeheartedly, "Then you can take a look at the patient's condition, shall we go there now?"
"Okay." Zheng Ren turned around and stretched out his hand.
Xia Hua was startled.
"Oh, Doctor Xia, please give me the stethoscope." Zheng Ren said with a smile.
Xia Hua handed his stethoscope to Zheng Ren and took it to the ward.
Although I felt disgusted in my heart, I was ready to go. If he refuses now, his relationship with Gao Shaojie will be useless in the future.
There is no reason to do things like this when someone comes to help, but he changes his mind in the end.
Xia Hua regretted a little.
"By the way, Dr. Xia, the patient with spontaneous esophageal rupture just now should hurry up and undergo surgery." Zheng Ren said: "The later the time is, the more severe the edema will be at the rupture site, and the worse the postoperative recovery will be."
"..." Xia Hua said nothing, lowered his head, and tried his best to hide all his dissatisfaction.
Gao Shaojie saw a clue. He waited for Zheng Ren to enter the ward and began to check up. He patted Xia Hua's back gently, winked, and motioned for him to follow him out.
"Xia Hua, are you too tired?" Gao Shaojie asked softly after leaving the ward.
"Teacher Gao..." Xia Hua hesitated, paused, and finally said: "Is this Boss Zheng really very high-level?"
"Of course it's high, it's not an ordinary height." Gao Shaojie smiled and whispered: "Whether it's surgery or diagnosis, we can't think of it. Did you have other ideas because he was young?"
Xia Hua was silent.
Gao Shaojie smiled and said, "Lao Liu is now working as a little doctor. It is said that he is as tired as a dog every day."
Xia Hua knew about this, but he just didn't understand.
"Teacher Gao, let me tell you the truth. I don't know how good Boss Zheng's intervention is. But in the X-ray just now, the patient did not have any triggering factors for spontaneous esophageal rupture. I think it was bronchopleural leakage caused by tumor erosion."
"Then your diagnosis is wrong." Gao Shaojie whispered.
Looking at Xia Hua's expression, he knew that he had a knot in his heart. Gao Shaojie is a humble man, but he is not a one-minded person.
After thinking about it, Gao Shaojie smiled and said, "Where are your people on duty?"
"There's an emergency accident in the operating room. It's estimated that we won't be able to get off the operating table before four o'clock in the afternoon."
"Then you can find any doctor, and you two will go on stage to perform a thoracotomy. Can the operation be completed?" Gao Shaojie asked.
Xia Hua nodded, thinking this was a good idea.
My old man's condition is not an emergency, and he can still wait for a few hours.
"Let Boss Zheng watch the stage?"
"You can also ask him to help you." Gao Shaojie smiled.