"Spontaneous esophageal rupture?" Xia Hua was stunned for a moment. Then, he felt a strange emotion in his heart.
He immediately said, "Boss Zheng, the patient didn't vomit blood after drinking. When the family members told the medical history, they said that they suddenly coughed up blood in the middle of their sleep."
Spontaneous esophageal rupture was generally rare. Xia Hua had only seen one case in more than ten years as a doctor. According to the book, it was usually caused by vomiting caused by alcohol.
"Oh, when the patient's family describes the medical history, sometimes we have to look at it dialectically. Not all of them are correct. We have to analyze them again, "Zheng Ren said." When will the patient go into surgery? Looking at the condition, if it's an ordinary thoracotomy, I'm afraid the first stage won't be able to match. We'll talk about it in the second stage. "
Xia Hua was a little annoyed. Was he interfering with his own work?
Most external experts had no time to care about other things. Some did not even look at the patient before the surgery. When they got off the plane and got into the car, the hospital began to send the patient to the operating room.
When they arrived at the hospital, the professor went straight to the stage.
After a few hours of surgery, they took the money and left. Some did not even eat in order to catch the plane.
If it were not for the strong request of the doctor they were familiar with, no one would cause trouble for no reason and interfere in other hospitals.
This person was still young and did not even know the rules.
The most important thing was that his diagnosis … was also problematic.
The cause and mechanism of spontaneous esophageal rupture were still not fully understood.
Most patients vomited first and then had esophageal perforation, so vomiting was still the most important cause. There was another saying that many doctors called esophageal rupture after vomiting.
Alcohol consumption was associated with vomiting. Most patients who vomited were caused by overeating or drinking.
Other causes of spontaneous esophageal rupture included childbirth, car accidents, brain surgery, epilepsy, and so on.
The patient had coughed up blood during sleep and had no history of drinking. These two points basically ruled out the possibility of spontaneous esophageal rupture.
Xia Hua was a little unconvinced, and then he was a little worried about his old man's surgery.
What kind of standard was this?
He was too young. As expected, he was not very reliable.
"Boss, it's a typical spontaneous esophageal rupture. Can't you suture it in the first stage?" Su Yun asked.
"Yes, I can't. If it's a complicated trauma with abdominal damage, it's possible to open the stomach and remove the greater omentum for external suture, "Zheng Ren said. "However, this is within the scope of surgery. If surgery is combined with interventional surgery, it'll be fine."
"…" Xia Hua was speechless.
Why did it sound like it was the truth?
Surgery plus interventional surgery combined treatment? There was no such surgical method in clinical practice!
This Boss Zheng looked simple and honest, but why was he so unreliable?
Xia Hua felt a little sick of it.
However, he knew what kind of person Gao Shaojie was. Xia Hua admired his refined and scholarly demeanor.
Xia Hua felt that his mind was in a mess.
"Xia Hua, show Boss Zheng the old master's radiographic films," Gao Shaojie quickly said, sensing that the atmosphere was a little awkward.
"Oh, oh." Xia Hua's movements slowed down.
The new upper gastrointestinal angiography yesterday showed that the esophageal tumor had almost blocked the esophageal cavity. After drinking the compound meglumine diatrizoate, the liquid stayed above the tumor for more than ten seconds before a line slowly flowed down.
The tumor was even bigger than before, and the side wall was almost touching the heart.
Zheng Ren crossed his arms and looked at the radiographic films seriously.
"Boss Zheng, will you take me with you today?" Gao Shaojie asked in a low voice.
"Okay." Zheng Ren just nodded, as if he did not care about Gao Shaojie's attitude.
Xia Hua was even more displeased.
He really did not know why Gao Shaojie, Teacher Gao, was in a hurry to help this junior doctor.
Nobel Prize? It was something so far away that Xia Hua had no idea at all.
However, looking at Gao Shaojie's excited face, the doubts in Xia Hua's heart increased.
Shouldn't he be very angry when faced with a cold reception? Why was Teacher Gao so excited?
After a full five minutes, Zheng Ren said, "Old Gao, we can use this method for the combined treatment of two interventional treatments."
"I guessed you could do it!" Gao Shaojie said loudly.
"However, I can only make a small opening in the esophagus today. After that, the stent will have to be opened two to three more times," Zheng Ren said. "I don't have time. You do the rest."
"Okay!" Gao Shaojie agreed. "Then, take a look at the patient's condition. Shall we go now?"
"Okay." Zheng Ren turned around and reached out his hand.
Xia Hua was stunned.
"Oh, Doctor Xia, please give me your stethoscope," Zheng Ren said with a smile.
Xia Hua handed his stethoscope to Zheng Ren and brought it to the ward.
Although he was annoyed in his heart, the arrow was already nocked. If he refused now, he would not be able to maintain his relationship with Gao Shaojie in the future.
He was here to help, but he changed his mind at the last moment. There was no reason to do things like that.
Xia Hua was a little regretful.
"By the way, Doctor Xia, the patient with the spontaneous rupture of the esophagus just now should hurry up and undergo surgery," Zheng Ren said. "The later it is, the more edematous the rupture will be, and the worse the postoperative recovery will be."
Xia Hua did not say anything. He lowered his head and tried his best to hide all his dissatisfaction.
Gao Shaojie saw some clues. He waited for Zheng Ren to enter the ward and begin the physical examination. He gently patted Xia Hua's back and gave him a look, signaling him to follow him out.
"Xia Hua, are you too tired?" Gao Shaojie asked in a low voice after leaving the ward.
"Teacher Gao …" Xia Hua was a little hesitant. He paused for a moment and finally said, "Is this Boss Zheng's standard really that high?"
"Of course it's high. It's not just an ordinary high," Gao Shaojie said in a low voice with a smile. "Whether it's the surgery or the diagnosis, it's something we can't imagine. Do you have other ideas because he's young? "
Xia Hua was silent.
Gao Shaojie smiled. "Old Liu is now working as a junior doctor under someone else. I heard that he's as tired as a dog every day."
Xia Hua knew about this, but he just did not understand.
"Teacher Gao, I'll tell you the truth. I don't know how good Boss Zheng's intervention is. However, the radiographic films just now did not show any triggering factors for spontaneous esophageal rupture. I think it's because of tumor erosion, causing bronchopleural leakage. "
"Then your diagnosis is wrong," Gao Shaojie said in a low voice.
He looked at Xia Hua's expression and knew that he had a knot in his heart. Gao Shaojie was a modest person, but he was not the kind of person who had a one-track mind.
After thinking for a moment, Gao Shaojie smiled and said, "Where are the people on duty?"
"There's an emergency car accident in the operating theater. I don't think they'll be able to get off the operating table before four in the afternoon."
"Then you can find any doctor. The two of you can go on stage and do an exploratory thoracotomy. Can the surgery be done? "Gao Shaojie asked.
Xia Hua nodded and thought that this was a good idea.
His old man's condition was not an emergency. They could still wait for a few hours.
"Let Boss Zheng watch the surgery?"
"You can also let him give you a hand." Gao Shaojie smiled.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
