In the corridor of the operating room, everyone was shocked. The head nurse carried the first-aid box, squatted on the ground and started looking for various rescue medicines.
"Elevate Director Mao's head, administer omeprazole intravenously, and apply two sets of hemostatic drugs." Zheng Ren said calmly.
The intravenous channel has already been established, and all kinds of drugs are ready, waiting for injection.
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 didn't say a single extra word. He held the CT film in his hand and looked at it under the light.
"Boss Zheng, hurry up and do the surgery." The leading professor of vascular surgery said anxiously.
"It's not aortic dissection." Zheng Ren said.
“…”
Except for a few nurses who were still busy adding medicine and drips, everyone looked at Boss Zheng quietly.
After calming down, everyone looked at Director Mao again.
The blood pressure is quite stable, and there is no situation where the blood pressure returns to zero directly after a mouthful of blood spurts out.
I was panicking before, but now I don't vomit blood directly even if I have a ruptured descending aortic dissection.
Gastric varices? Or is the artery supplying the esophagus ruptured? But what if a sharp object punctures the esophagus and then punctures the aorta? It can also spurt out a mouthful of blood.
Countless possibilities ran through the minds of the doctors present.
"It looks like an esophageal problem?" Su Yun frowned and said, "I don't think we can rule out the possibility of space-occupying lesions in the esophagus."
Although the sound was small, it was like thunder.
If this is esophageal cancer, to the point of vomiting blood... Director Mao is afraid that surgery will not save him.
"If you perform CT reconstruction, you can see abnormal density in the space between the trachea, heart and descending aorta in the left mediastinum. The largest slice is 34 mm × 28 mm and is about 180 mm long. It does look like a tumor..." Zheng Ren squinted at the film and said calmly said.
"But no." Su Yun took in his boss's words and made a conclusion.
"Contact Director Luo and go to the endoscopy room to have a look with an endoscope." Zheng Ren said.
The leading professor of vascular surgery was stunned. When they arrived at the interventional operating room, they thought Director Mao's life would be saved.
Who would have imagined that Boss Zheng actually thought that there was no need for surgery or interventional surgery, and he still had to push it to the endoscopy room.
At this moment, he understood the feelings of those patients' families all too well.
Watching your loved ones vomiting blood while running around in the hospital... This feeling is simply terrible.
No wonder so many family members of patients start to find fault with the slightest problem and become so grumpy that the leading professor of the vascular department now wants to curse.
"Boss Zheng, don't you need to do an angiogram first?" the professor leading the team finally insisted.
"No, it does look like descending aortic dissection on the film, but if it is reconstructed, it will be discovered..." Zheng Ren said, paused, and realized that now was not the time to talk about the film.
"Considering that there is inflammation of the esophagus, Director Mao, have you eaten anything hard recently?" Zheng Ren asked.
Director Mao was already in a semi-conscious state. He was frightened by the mouthful of blood he spit out.
He was going to die, this was the only thought in Director Mao's mind. As for what Boss Zheng said after watching the movie, he didn't listen to a word. My ears were ringing and I was confused.
Everyone looked at the ECG monitor on the flat car and saw that the blood pressure was fairly stable. With Director Mao's head elevated, even if he vomits blood again, there should be no choking and coughing.
Go to the endoscopy room? It's so far away, what if something happens
Even if it is not aortic dissection, gastric varicose veins are a serious disease and can be fatal in severe cases.
"Boss, Director Luo is doing an examination in the endoscopy room. He asked me to push him over immediately," Su Yundao said.
Someone confidently directed the rescue, and it was Boss Xiao Zheng. Even if everyone had doubts, they swallowed it down.
No one dares to question Boss Zheng, especially during emergency rescue. Boss Zheng usually seems to have a good temper and is very kind. But when rescuing people, they will hit them. The big-hearted Professor Zhang is an example.
Pushing Director Mao, he ran to the endoscopy room again.
Zheng Ren changed his clothes as quickly as possible and walked in, followed by a group of people with solemn expressions.
"Boss Zheng, what's wrong with Director Mao?" Director Luo asked loudly at the door of an operation room wearing an isolation suit.
"If there is a hematoma in the esophagus, let's do a laparoscopy to confirm the diagnosis." Zheng Ren said.
Director Mao was put on the examination bed. Director Luo felt a little pity when he saw blood hanging from the corner of his mouth.
"Boss Zheng, are you okay?" Director Luo asked quietly.
"It should be fine." Zheng Ren said, "Shall I come?"
"Hurry up and do it, don't be polite to me." Director Luo stepped aside and handed over the inspection rights to Boss Zheng.
I was afraid that the stimulation would be too severe, which might lead to complications such as agitation, increased pressure, and hematoma rupture, so I gave him basic anesthesia.
Under the electronic fiberoptic gastroscopy lens, a huge longitudinal dark red hematoma was seen on the left wall of the esophagus from 20 cm away from the incisors to the cardia, resulting in narrowing of the esophageal lumen, but no obvious active bleeding.
"Such a big hematoma..." Director Luo sighed.
"It's okay, it's okay, it's just hematoma." Zheng Ren said.
Seeing the hematoma in the esophageal cavity, everyone in the vascular department was not as impatient as before.
Zhao Yunlong looked at the image and asked: "Exfoliative esophagitis?"
"Well, I think it's exfoliative esophagitis." Zheng Ren said, "Let's be conservative first and send him to Fang Lin's side instead of your ward."
Zheng Ren's last words were to Director Luo.
Director Luo also knew that if conservative treatment failed and blood spurted out, surgical treatment would be necessary.
"Add a set of Zhengshen ice salt water, fasting water, and don't eat for the next few days." Zheng Ren continued.
"Lower gastrointestinal decompression?"
"No need." Zheng Ren said, "Repeated stimulation by the gastric tube may cause the hematoma to rupture. Just use acid-suppressing drugs to control it."
"Director Mao must have eaten something hard to grind his esophagus like this." Director Luo said with emotion when he saw that Boss Zheng had pulled out the camera.
"It's probably some kind of hard object. Rushing to eat or forcibly swallowing dry and hard food caused esophageal mucosal damage or submucosal hematoma. The symptoms are not typical. Typical... can spit out a long film-like object." Zheng Rendao, "That's the case. Scary.”
"It won't be infected, right?" the leading professor of the vascular department asked carefully.
"No, there are hematoma-like changes in the esophageal wall, and in the late stage, there are mucosal defects and exudation-like changes in the esophageal wall. The prognosis of this disease is good. The lesions only affect the mucosal epidermis and generally do not invade the lamina propria, so infection rarely occurs."
"Boss Zheng, do you have any other medical advice?"
"Use some medicine that promotes cell regeneration to quickly repair the mucosal epidermis to avoid esophageal stenosis in the future." Zheng Rendao.
By this time, the anesthetic had worn off and Director Mao woke up. He seemed to be drunk just now, looking around with sleepy eyes.
"Am I... dead?"