Professor Yang rushed over from home. Chief Chen had already asked about his medical history. The patient had indeed bought the roundworm egg capsules half a year ago and consumed them to lose weight.
It was said that the effect was not bad. The patient had lost quite a lot of weight in the past six months.
However, 12 days ago, she began to experience pain in her upper abdomen. Because the patient was on her period, she thought it was radiation-like pain and did not pay much attention to it at that time. However, her period had passed, and her upper abdomen was still in pain. She still did not go to the hospital for treatment.
Due to her nausea and retching, she had always thought that it was a stomach flu. She took the appropriate medicine and prepared her resume to look for a job.
Who would have thought that his condition would suddenly worsen today, to the point that he was vomiting worms.
Professor Yang looked at the radiographic films. According to the medical history, the bile duct should have a roundworm obstruction. It is the roundworm that burrows into the biliary tract from the greater part of the duodenum, causing biliary obstruction.
It was different from other parasitic worms. The roundworm was longer and thinner, and it burrowed deeper.
This surgery … was troublesome. Professor Yang was speechless.
Nowadays, biliary roundworms were not very common. After all, there were so many insecticides available. If one felt that something was wrong, they could just take the insecticides.
Moreover, the most likely symptom caused by roundworms was intestinal obstruction, not biliary obstruction.
Cut open? The location was very deep. Removing the liver to remove the roundworm … To be honest, Professor Yang really did not dare to make this surgery.
If they were to cut it open, it would be very difficult to accurately find the location of the roundworm, but this was not a problem for the 912's leading professor. Any professor in the Department of Hepatobiliary and Pancreatic Surgery could find the position.
But the difficult part was how to take the worm out without any damage.
Furthermore … the intestines and intestines are filled with roundworms. Who knows how many roundworms there are in the intestines and intestines?
Professor Yang looked at the time. It was 1: 35 am.
Forget it, I'll get the whole hospital for a consultation!
Immediately!
Immediately!
In his opinion, the ERCP method of retrograde stone removal to remove roundworms could also be considered. Moreover, the damage was small and it was considered a minimally invasive surgery.
He just did not know if the people in the endoscopy room dared to do it.
Regardless of whether he dared to do it or not, the worms in the bile duct were one thing, and the worms in the stomach and intestines also had to be removed, right? He couldn't just cut open his stomach and reach in to dig out the worms, right? It was hard to say whether or not they could clean it out, and the patient would be severely injured.
Make a phone call for an emergency consultation.
Although it was quite annoying to request for a full consultation at this time, the patient was rolling on the stretcher trolley in pain, and it could not be delayed.
There was no one on duty at night for gastroenteroscopy. This kind of emergency might not be encountered even once in a year or two. If there were related surgeries, he would still have to call and rush over from home.
Thirty-five minutes later, a second-rate professor from the endoscopy room arrived. He looked at the image as if he was a fortune teller and did not say a word.
After looking at it for ten minutes, he sighed and discussed it with Professor Yang before calling Chief Luo over from his home.
There was nothing to be afraid of talking and laughing after going on stage. If the doctor said that it was fine without a care in the world, it meant that it was fine. It did not mean that they did not take it seriously.
The scariest thing was to have doctors called in from home one after another in the middle of the night. Their ranks were getting higher, they were getting older, and their expressions were getting more and more serious. Everyone knew what this meant.
However, Zheng Ren and Su Yun were the last to receive the call. It was quite rare for someone to suddenly become younger.
"Who would call you in the middle of the night? If there's an emergency, just go. Why did you wake me up? "Su Yun was full of anger after he was woken up.
"It's said that there's a patient with biliary roundworm. The location is relatively deep." Zheng Ren was already ready to set off. He urged, "Hurry up."
"Isn't it enough for you to do it alone? Are you going to prepare the ERCP? Let me sleep for a while more. "Su Yun said no, but his body was very honest.
He nagged unhappily as he put on his clothes.
"I'm thinking about using a balloon and a pair of grasping forceps. I need two surgeons to operate. I can't do it alone, "Zheng Ren said very seriously." Hurry up. "
"Big brother, biliary roundworm isn't fatal!" Su Yun was indeed very angry when he woke up. He did not even call him boss and started calling him big brother.
However, even though he said that, Su Yun quickly put on his clothes and the two of them tiptoed downstairs.
Hei Zi squatted at the stairs and stared at the two of them with wide eyes. In the dark night, Hei Zi's eyes glowed with a green light and looked a little fierce.
"Shh." Zheng Ren went downstairs and patted the dog's head. "We're going to work. You should sleep well."
"Hurry up. Emergency treatment and you're still stroking the dog?" Su Yun retorted.
"Keep your voice down. The two of them are sleeping." Zheng Ren put on his shoes and opened the door.
"How long has it been since you were woken up in the middle of the night?" Su Yun asked with a yawn.
"It's been two months," Zheng Ren said. "It's been so comfortable without the emergency department."
"Speaking of which, I haven't seen a patient with biliary roundworm for many years. This disease is usually taken to kill the worm first. In the future, I'll take it out if I can't. If I can't, I'll just wait for the calcification of the stone. What's going on today? "Su Yun thought about the condition from the beginning. There were many doubtful points to complain about.
"Maybe the patient's condition is a little special? Or Chief Luo tried, but in the end, he broke the roundworm and left half of it in the bile duct, "Zheng Ren casually guessed.
They took the elevator downstairs and the two of them ran into the night of the Imperial Capital.
Zheng Ren still did not buy an electric car. Although the public security was much better now, he did not use it often. Just charging it was troublesome enough. It was better to run. That was what he thought.
Simple and direct was Zheng Ren's aesthetic.
He quickly arrived at the endoscopy room. Zheng Ren changed his clothes and walked in. He saw a figure flashing at the door of the ERCP room. Just as he had guessed, he was preparing to use the ERCP to solve the problem.
Zheng Ren strode over but did not see the ERCP operation. Chief Luo was operating the gastroscope and taking things out bit by bit.
When he looked at the screen, Zheng Ren was stunned.
What the f * ck was this! Zheng Ren cursed in his heart.
Under the gastroscope, he could see the white things in the stomach faintly discernible. Why was it in the stomach?! Zheng Ren was also a little puzzled.
Generally speaking, although roundworms were not afraid, they would not live in gastric acid. Too high acid was not their 'livable' environment.
However, in the blink of an eye, Zheng Ren thought of several possibilities. For example, intense vomiting, reduced gastric acid, and reflux of things in the jejunum, through the pylorus, into the stomach, could cause the situation in front of him.
But no matter what, so many roundworms were rare, very rare. Zheng Ren made a prediction in his heart.
"Boss Zheng, you're here," Professor Yang greeted.
"Yes, take the stomach first?" Zheng Ren nodded. "Chief Luo, what about the preparation of the biliary tract later?"
"Take out the worms in the stomach and colon first. If there's a problem with the ERCP, we'll discuss it again. "Chief Luo focused on the operation and briefly explained his thoughts to Zheng Ren.
Zheng Ren walked in and was surprised to see a red trash can beside Chief Luo. There were more than ten yellow and white roundworms wriggling inside.
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