The chat with Xiao Shitou was interrupted by Su Yun's phone call.
"Boss, Department of Urology, come quickly!" Su Yun said urgently.
"Huh? I'm here at Little Stone. What's going on?"
"A patient with a foreign body in the urethra, Mr. Yu is not sure what to do, please help the staff." Su Yun said, "Don't be nagging, come quickly!"
After saying that, he hung up the phone. The person on the other end seemed very busy.
Zheng Ren didn't take it seriously. Foreign bodies in the urethra are just like foreign bodies in the rectum. Human beings really have infinite curiosity. This is all Mr. Yuan’s fault. In other words, he is full of food.
"Brother Yun, do you have anything to do with you?" Xiao Shitou asked.
"Well, it's said that a patient asked me to take a look." Zheng Ren said with a smile: "Doctor, seeing more weird cases is a way of growing up."
"You can go, you don't have to stay with me here." Xiao Shitou smiled and said, "Tell me the hospital's wireless password and I will play by myself."
As he spoke, he patted the cell phone box next to him.
Zheng Rengang was about to speak, but then his cell phone rang. He took it out and took a look, and saw that it was Su Yun who had sent a photo.
After one glance, Zheng Ren was stunned.
On the plain X-ray, at first glance, there were 6 nails in the urethra. But if you look carefully, you can see that there are three nails two side by side, and the images overlap.
A total of 9 iron nails appeared in the urethra, and none of them fell into the bladder. They blocked the urethra tightly.
This... Zheng Ren acted autonomously. After seeing the picture, he immediately stood up and strode out of the ward, saying, "Ask the nurse sister for the password."
After saying that, he opened the door and left.
Striding to the Department of Urology, Mr. Yu was watching a film, and Su Yun was standing beside him, sighing as he watched.
"Boss, you came very quickly." Su Yun said with a smile when he saw his boss rushing over quickly, which was more in line with his expectations.
"Where is the patient?" Zheng Ren frowned, "Is the nail stuck? Why didn't it fall into the bladder?"
"It's probably stuck," said Mr. Yu. "Now the patient has difficulty urinating, with frequent urination, urgency, and painful urination, but he can hardly urinate. He says he hasn't drank much water for three days."
“…”
How bad is this person's condition after not drinking much water for 3 days? ! Zheng Ren looked at the film with a frown and asked again, "Where is the patient?"
"Going through the hospitalization procedures," Mr. Yu said.
"No escort?"
"No, I told him to do it for him, but he seemed a little worried." Mr. Yu said, "Boss Zheng, it's okay. You'll be back soon. It's okay to walk, but it's just a little inconvenient. I don't look like I'm drinking too much water." It has caused ion disorder, so it should be no problem to go through the admission procedures."
"Boss, why are you so nervous?" Su Yun asked.
"This is the first time I've seen this." Zheng Ren said, "I'm afraid there may be other complications, 9 nails..."
"It's rare but strange." Su Yun said disdainfully, "Mr. Yu, show me your surgical skills to the boss later."
"Brother Yun, don't curse like that." Mr. Yu said, "I don't know how to do this surgery. I guess I'll have to ask the director."
"Can you be successful? You can take out the ureteroscope and urethrocystoscope. It's no big deal." Su Yun said, "The key is that this guy is too ruthless. I've seen one with two nails. Aren't you afraid of something happening with nine nails?" ?”
"Brother Yun, don't say that. I don't know how long this thing has been in there." Mr. Yu waved his hands repeatedly and said, "Look, these three nails are all side by side. The jam is probably very serious."
"Is a cystostomy needed?" Zheng Ren asked: "I see that there is a lot of urine in the bladder. The patient probably dares not urinate because of severe pain."
"I said to do a cystostomy first to drain all the urine out. But the patient refused, and he..." Mr. Yu sighed, "I'm worried that something is wrong, so why don't I just ask Brother Yun to take a look."
"Have you seen the patient?" Zheng Ren asked Su Yun.
"I didn't see it... It's been more than half an hour since I went to go through the hospitalization procedures. Why haven't I come back yet?"
"Go take a look." Zheng Ren said.
"Let's go." Mr. Yu knew that neither Boss Zheng nor Brother Yun had seen the patient in person, so he followed him downstairs to look for the patient.
A foreign body in the urethra is not like a myocardial infarction or a cerebral infarction. The foreign body itself has been in for an unknown amount of time, and it is not far behind this hour. But Boss Zheng was a little nervous, and Mr. Yu didn't raise any objection. He just went to find it to avoid trouble.
"Boss, have you really never seen urethral nails?" Su Yun asked.
"No." Zheng Ren shook his head.
"Ha, you haven't seen it before!" Su Yunze started to tell Zheng Ren happily: "I have seen 3 cases, but they are not as many as what this guy sent in. They were just nails of a few centimeters, and they were taken out. It will be fine if the urinary tube is maintained for a while.”
"When I was in Haicheng, I saw a few cases of rectal foreign bodies, but nothing too special." Zheng Rendao, "For the urethra, I heard from a classmate that I saw an old man who stuffed a garlic sprout into the urethra. , looking green... In his words, it’s called full of life.”
"I remember that many years ago, the Yangcheng Evening News reported on a child, saying that a perverted demon broke into his home in the middle of the night and inserted an iron nail into his urethra. Later, the family called the police, and the newspaper went to interview him and talked about it in a large page. It’s about this.” Mr. Yu said.
"It's impossible." Su Yun waved his hand, "That incident happened in 2013. The security of Yangcheng is no longer a problem, okay? Besides, you go to someone else's house in the middle of the night just for a foreign body in the urinary tract? There are no signs of the child being tied up. After a little struggle, I couldn’t get in. I guess the child was curious, something happened, and he made up a lie afterwards to fool the family.”
Zheng Ren felt that what Mr. Yu said was difficult to understand. Su Yun's explanation was right. It might be that the child was curious for a moment. But this child is pretty good. Even if he lies to cover up, it does not delay his condition.
As long as there is no delay, it is good. Once the nail is stuck for too long, who knows what will happen. Hematuria and pyuria are trivial matters.
"It's better to take it out as soon as possible. In the early stage, it may manifest as pain and urination disorder. Patients with injuries may have hematuria. Foreign bodies in the bladder can irritate the bladder mucosa. When combined with infection, bladder irritation symptoms such as frequent urination, urgency, and painful urination may occur. Severe cases may be complicated by periurethritis or periurethral abscess, and may present local and systemic infection symptoms."
"If the foreign body is located in the bladder neck or urethra, and a stone forms with the foreign body as the core, it can cause difficulty in urinating and even urinary retention. When the stone is huge, urinary incontinence symptoms and upper urinary tract hydrops may even occur."
"Well, this patient has begun to have symptoms of urinary retention." Zheng Ren said, "Hurry up and go through all the procedures, and have the surgery first."