In the corridor of the operating theater, everyone was shocked. The head nurse carried the first aid kit and squatted on the floor to search for various medicines.
"Raise Chief Mao's head. Inject omeprazole and apply two sets of hemostatic drugs," Zheng Ren said calmly.
The intravenous channel had already been established, and all kinds of drugs were prepared, just waiting to be injected.
A bottle of omeprazole was inserted into the syringe and pushed in.
Everyone was waiting for Boss Zheng's subsequent rescue order.
However, Boss Zheng did not say anything extra. He held the CT scan in his hand and looked at it under the light.
"Boss Zheng, hurry up and perform the surgery," the vascular surgery professor said anxiously.
"It's not an aortic dissection," Zheng Ren said.
"…"
Other than a few nurses who were still busy adding medicine and intravenous drips, everyone looked at Boss Zheng quietly.
After a moment of silence, everyone looked at Chief Mao again.
His blood pressure was still stable. He did not spit out a mouthful of blood and his blood pressure would drop to zero.
Previously, he had been too anxious. Now that he thought about it, if the descending aorta had ruptured, he would not have vomited blood.
Gastric varicose veins? Or rupture of the artery supplying blood to the esophagus? But what if a sharp object pierced the esophagus and pierced the aorta? He could also spit out a mouthful of blood.
Countless possibilities appeared in the minds of the doctors present.
"It looks like a problem with the esophagus," Su Yun said with a frown. "I don't think we can rule out the possibility of a space-occupying lesion of the esophagus."
Although the voice was soft, it sounded like a clap of thunder.
If this was esophageal cancer, to the extent of vomiting blood … Chief Mao might not be able to be saved even with surgery.
"If we do CT reconstruction, we can see abnormal density in the space between the left mediastinal trachea, heart, and aorta.
×28
Mm, approx. 180
mm。 It does look like a tumor … "Zheng Ren squinted at the radiographic films and said lightly.
"But no." Su Yun followed his boss's words and came to a conclusion.
"Contact Chief Luo and ask him to go to the endoscopy room to take a look," Zheng Ren said.
The vascular surgery team's professor was stunned. They had just arrived at the interventional surgery room and thought that Chief Mao's life was saved.
Who would have thought that Boss Zheng would not need surgery or interventional surgery? He even wanted to push it to the endoscopy room.
At this moment, he understood the feelings of the patients' families too well.
She had to run around the hospital while watching her loved ones vomit blood … This kind of feeling was simply terrible.
It was no wonder that so many patients' family members would start to find fault with even the slightest problem. They were so grumpy. Now, the professor in charge of the vascular department wanted to curse.
"Boss Zheng, don't you need to do an angiogram to take a look first?" the leading professor insisted.
"There's no need. The radiographic films do look like descending aorta dissection, but if we reconstruct it, we'll find …" As Zheng Ren spoke, he paused for a moment. He realized that now was not the time to talk about radiographic films.
"Considering the inflammation of the esophagus, have you eaten anything hard recently, Chief Mao?" Zheng Ren asked.
Director Mao was already in a semi-conscious state. He was frightened by the mouthful of blood that he had vomited.
I'm going to die. This was the only thought in Chief Mao's mind. As for what Boss Zheng said after watching the radiographic films, he did not listen to a single word. His ears were ringing, and he was completely stunned.
Everyone looked at the ECG monitor on the stretcher trolley. The blood pressure was still stable. Chief Mao raised his head. Even if he vomited blood again, he should not choke and cough.
Go to the endoscopy room? It was so far away. What if something happened?
Even if it was not an aortic dissection, gastric varicose veins were still a serious disease. If it was serious, it would be fatal.
"Boss, Chief Luo is doing an examination in the endoscopy room. He asked us to push him over immediately," Su Yun said.
Someone was confidently directing the rescue. It was Little Zheng. Even if everyone had questions, they swallowed them.
No one dared to question Boss Zheng, especially during the emergency treatment. Boss Zheng usually seemed to have a good temper and was very kind. However, he would beat people up during the rescue. The broad-minded Professor Zhang was an example.
He pushed Chief Mao to the endoscopy room.
Zheng Ren changed his clothes as quickly as possible and walked in. He was followed by a group of people with solemn expressions.
"Boss Zheng, what's wrong with Chief Mao?" Chief Luo asked loudly at the door of an operating room in an isolation suit.
"I suspect there's a hematoma in the esophagus. Do an endoscopy to take a look and make a clear diagnosis," Zheng Ren said.
Chief Mao was put on the stage to examine the bed. Chief Luo looked at the corner of his mouth and felt a little sad.
"Boss Zheng, are you alright?" Chief Luo asked in a low voice.
"He should be fine," Zheng Ren said. "Shall I do it?"
"Hurry up and do it. Don't stand on ceremony with me." Chief Luo stepped aside from the operating position and handed the right to inspect to Boss Zheng.
He was afraid that the stimulation would be too intense, leading to complications such as agitation, increased pressure, and rupture of the hematoma, so he gave basic anesthesia drugs.
The electronic fiber gastroscope lens went in. The left wall of the esophagus was 20
A huge longitudinal dark red hematoma could be seen at the cardia, causing the esophageal lumen to narrow. There was no obvious active bleeding.
"Such a big hematoma …" Chief Luo sighed.
"It's okay, it's okay. It's just a hematoma," Zheng Ren said.
Seeing the hematoma in the esophageal cavity, everyone in the vascular department was not as anxious as before.
Zhao Yunlong looked at the image and asked, "Exfoliative esophagitis?"
"Yes, I think it's exfoliative esophagitis," Zheng Ren said. "Let's be conservative first. Send him to Fang Lin's side. I won't send him to your ward."
Zheng Ren's last sentence was to Chief Luo.
Chief Luo also knew that if conservative treatment was ineffective and he spat out mouthfuls of blood, then he would need surgical treatment.
"Add a set of kidney ice saline and fasting water. Don't eat anything for the next few days," Zheng Ren continued.
"Lower gastrointestinal decompression?"
"No need," Zheng Ren said. "Repeated stimulation of the gastric tube may cause the hematoma to rupture. Just use acid-suppressing drugs to control it. "
"Chief Mao must have eaten something hard to grind his esophagus like this," Chief Luo said with emotion when he saw that Boss Zheng had already pulled out the camera.
"It's probably some hard object. Eating in a hurry and forcefully swallowing dry and hard food caused esophageal mucosal damage or submucosal hematoma. The symptoms are not typical. Typically … you can spit out a long film-like object, "Zheng Ren said." That would be scary. "
"It won't be infected, right?" the professor in charge of the vascular department asked carefully.
"No, the esophageal wall has a hematomatous change. In the later stage, the esophageal wall has a mucosal defect and exudation-like change. The prognosis of this disease is good. The lesion only involves the mucosal epidermis and generally does not invade the lamina propria, so infection is rare. "
"Boss Zheng, do you have any other medical advice?"
"Use some drugs to promote cell regeneration and quickly repair the mucosal epidermis to prevent esophageal stenosis in the future," Zheng Ren said.
At this time, the anesthetic effect had passed and Chief Mao woke up. He looked around as if he had just been drunk.
"Am I … dead?"
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