The gastroscopy showed: chronic, atrophic, superficial gastritis. The abdominal CT showed signs of obstruction in the patient's duodenum.
There was also a radiographic film of the digestive tract, indicating that there was obstruction in the duodenum. The radiographic findings were very typical.
The diagnosis should be very clear. Zhou Litao looked at the patient's various examination values and evaluated whether he could operate on it.
Just as he was looking at it, the chief resident of the gastroenterology department rushed down.
Zhou Litao told the chief resident of the gastroenterology department the information he had obtained. There was nothing to hesitate about. He had to hurry up and perform emergency surgery.
Even if there was no intestinal perforation, there were already inflammatory changes in the local tissues. Moreover, looking at the patient's condition, the change would be very long and the inflammation would be very severe.
If they used internal medicine, there was no way to solve this problem.
Only emergency surgery could solve the problem.
This was a consensus.
The chief resident of the gastroenterology department hurriedly pushed the patient away, and the family members of the patient who arrived one after another followed behind.
Zhou Litao looked at the relieved first-aid doctor from another city and smiled as he chatted.
"I'm really scared of running a long distance." The doctor from another city smiled bitterly and said, "I'm afraid that something will happen. There are emergency medicines in the car …"
If he said too much, it would only be tears, and it would be meaningless.
It was a serious matter to rush back from the Imperial Capital.
Zhou Litao watched the first-aid staff leave and thought about the patient just now.
He should do a duodenum-jejunum anastomosis to expose the problematic intestine.
Depending on the severity of the condition, he could choose to leave it open or remove it.
Because it involved the duodenum, he had to be very careful even if he chose to remove it.
The standard of the gastroenterology department of the 912 was very high, so there should be no problem.
Zhou Litao immediately forgot about this patient.
In the emergency department, if he remembered every patient, he would probably collapse very quickly.
..
In the gastroenterology department, Feng Jianguo brought the chief resident and Quan Xiaocao to do an emergency physical examination and diagnosis.
There were CT radiographic films, medical history, and physical signs. There was no doubt. Let's go up and take a look.
Regardless of whether the obstruction was light or heavy, they had to open it before thinking about the next step of treatment.
And the treatment measures were nothing more than a few surgical methods.
For Feng Jianguo, it was not difficult at all. The really difficult thing was to make choices according to the condition during the surgery.
The nurse hurriedly made preoperative preparations and the family members went through the hospitalization procedures. Out of caution, Feng Jianguo did not let Quan Xiaocao give the patient's family members a preoperative explanation.
Feng Jianguo had clearly explained the choices of several tactics. The specific choice had to be decided during the surgery.
Because he was unfamiliar with the patient's family, Feng Jianguo very cautiously told the patient's family that he would come out to communicate with the patient's family after seeing the situation. He would also discuss with them as soon as possible.
The family members shed tears of gratitude.
He didn't expect the doctors in Imperial Capital to be even more considerate than the doctors in his hometown.
Although Feng Jianguo emphasized that it was very likely that the patient would not be able to leave the operating table, the family expressed their gratitude again and again.
After all, this was one of the most technologically advanced hospitals in the country. If it couldn't be cured, it would be fate.
Twenty-two minutes later, the preoperative preparations were complete. Quan Xiaocao pushed the patient onto the stage.
If it was an ordinary intestinal obstruction, the chief resident would definitely do it.
However, when it came to the duodenum, the chief resident still pulled Feng Jianguo forward and helped him take a look.
"Teacher Feng, how do you think the surgery should be performed?" the chief resident asked while changing.
"Duodenum-Jejunum anastomosis." Feng Jianguo said with certainty, "The patient has been delayed for a long time. I hope we don't cut too much of his intestines."
The chief resident was about to continue asking when he suddenly heard Quan Xiaocao's voice coming from outside.
"Teacher Feng, are you there?"
"What's wrong?" Feng Jianguo was a little puzzled. Shouldn't Quan Xiaocao have changed her clothes and be watching the patient in the operating room? The jogger was looking for him in front of the changing room. Was there a change in the patient's condition?
When he thought of this, his blood pressure suddenly rose by 10 millimeters.
"That …" Quan Xiaocao was a little hesitant. Feng Jianguo was a little angry.
If you have something to say, say it. If you have nothing to say, then go to work. The emergency surgery was about to begin. Why did she come to his place and hesitate?
Xiaocao was a good child. She worked hard and was willing to work without complaint, but she was too timid.
She was a little timid when she encountered any unexpected situation.
Feng Jianguo was a little anxious. He immediately put on his clothes and walked out quickly.
"What's the matter?" Feng Jianguo asked with a serious expression.
"Teacher Feng, I just met Boss Zheng. He said that the patient isn't suffering from intestinal obstruction and won't allow the surgery," Quan Xiaocao said softly.
"…" Feng Jianguo was stunned.
Won't allow the surgery? This seemed a little big.
Forget about Boss Zheng, even Chief Wei would have to think twice before stopping an emergency surgery.
If the current diagnosis could be overturned, it seemed that it could be considered.
However, the patient's diagnosis was quite clear. There was an abdominal CT and gastrointestinal angiography as the basis for the diagnosis.
"Let's go take a look." Feng Jianguo recalled the process of the radiographic films and physical examination in his heart and strode to the emergency operating room.
"Teacher Feng, don't be angry. Boss Zheng … Boss Zheng …" Quan Xiaocao was obviously trying to help him, but she did not know how to say it.
"What exactly is going on?" Feng Jianguo asked.
"I sent the patient up, informed the emergency anesthesiologist, and went to change my clothes. After I changed, Boss Zheng and Brother Yun looked at the radiographic films in the operating room, "Quan Xiaocao said. "Then, Boss Zheng said that the patient isn't suffering from intestinal obstruction and asked me to tell you not to do the surgery."
"He didn't say anything else?"
"Yes," Quan Xiaocao said. "He just said a few words. The anesthesiologist asked if he wanted anesthesia. The patient's condition wasn't good, so I ran down."
Feng Jianguo knew that Boss Zheng was not a person who liked to cause trouble, but the patient's diagnosis was too clear.
Why could such a typical intestinal obstruction not be operated on?
Subconsciously, he believed in Zheng Ren's character, but he did not believe in his judgment.
This kind of conflicted mentality was a little complicated.
Walking quickly to the emergency operating room, Feng Jianguo saw Zheng Ren reading the radiographic films in the familiar posture and the familiar formula.
"Boss Zheng, what's going on?" Feng Jianguo did not have time to be polite and asked directly.
"We suspect that the patient has myasthenia gravis with intestinal smooth muscle weakness," Zheng Ren answered directly.
The patient was lying on the operating table and was not in a good condition. All the hypocrisy and politeness had been torn off. It was more important to hurry up with diagnosis and treatment.
If the two of them were to be polite here and the patient died on the operating table in the end, it would be over.
"Myasthenia gravis?" Feng Jianguo was stunned.
Myasthenia gravis was an autoimmune disease caused by transmission dysfunction at the neuromuscular junction.
The main clinical manifestations were partial or total skeletal muscle weakness and easy fatigue. It would worsen after activity and ease after rest.
Under normal circumstances, it was mainly manifested in skeletal muscle. Smooth muscle symptoms were very rare.
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