263 Emergencies (Silver League Linyuan He Xianyu 21)
Thoughts? What other ideas can you have? As long as you have consumables, Zhou Congwen thought about it, but he honestly started answering.
"The People's Hospital does not have a DSA machine. Now the heart intervention is just about to be opened, and there is no hybrid operating table. But this is not a problem. If I choose, I can do esophageal stent implantation under direct thoracoscopy."
"The patient has a small nodule in his lungs, and he can also cut it off."
Mr. Huang closed his eyes and his thumbs were circling around with his hands, not neglecting Zhou Congwen's suggestions.
"Okay, Dr. Zhou." Deng Ming smiled, "Tell me about your understanding of esophageal anastomosis."
"Thoracic gastrotracheal fistula is a rare and poor prognosis after esophageal cancer resection, with an incidence of 0.3% to 1.9%.
Zhou Congwen turned around and looked at the elder brother's eyes... and a bearded face, and said very seriously.
"The clinical symptoms of fistula depend on the location and size of the fistula, which are often manifested as repeated respiratory infections. Typical symptoms of choking and coughing food are rare, and sometimes they are ignored because of mild symptoms."
"Director Zhu asked about the medical history without details. I guess the patient had already developed symptoms of anastomotic fistula a few years ago."
"If it were in the past, the sooner you knew, the better, and there is a chance of suture. Once the patient is in the current situation, it means that he will definitely die. But the boss is mighty!"
Zhou Congwen shamelessly flattered.
Liu Xiaobie was a little surprised. This was not the doctor Zhou Congwen who she knew. Zhou Congwen in her heart was dull, serious, and sulky. The flattery just now was too stiff and didn't look like what Zhou Congwen could say at all.
Huang Lao said lightly, "I have seen too many patients in my life who are related to anastomotic fistula. I have been thinking about what to do. If I can find a way, at least increase the average postoperative survival time of the patient by more than one week."
"I started researching in 1995. At that time, the film-carrying stent was too hard and the effect was not good. And buying this thing requires foreign exchange, which is foreign exchange."
"..." Zhou Congwen was stunned for a moment.
In his consciousness, there is no concept of foreign exchange at all.
"After joining the WTO, foreign device vendors came to my door. The first thing I wanted was a membrane stent. Although there was no DSA system, I could do it even when I went to the radiology department. What should I do if I wanted that thing."
"You can still look directly." Zhou Congwen added.
Old Huang nodded.
"Like the patient in front of her, if it were like this a few years ago, I would like to comfort her and ask her to go home to prepare for her funeral. But now, she can live for another 20 years."
Although Mr. Huang kept his eyes closed, when he was living for another 20 years, his eyebrows were as if he was savoring boneless chicken feet.
Liu Xiaobing followed Zhu Jun's car and came to the inpatient department of the People's Hospital. When the car stopped, she got down and opened the door for Mr. Huang as soon as possible.
Zhou Congwen felt that Liu Xiaobie was so considerate that she was the closed disciple of Mr. Huang.
"Old Huang, please do this." Director Zhu Jun did not go to see Zhou Congwen, so he led Mr. Huang to the elevator.
The thoracic surgery department of the People's Hospital is a bit noisy, and the corridors are densely packed with patients' families.
Zhu Jun had no choice. He couldn't just clear the scene just because Huang Lao came. He had to stand in the emergency department with so many patients.
However, they are all doctors, and Mr. Huang has experienced several years, so he should have been accustomed to him. Zhu Jun bowed and looked at Mr. Huang secretly.
Sure enough, Mr. Huang was not at all unhappy and moved away from the patient's family and followed him in.
As a clinician, I have long been accustomed to the situation in front of me, and I cannot be bored. If I have to say that I have emotions, I am curious, and I am curious about what kind of patient it is. Have I encountered similar patients?
"I am the patient's uncle, I want to go in and see." A man said, standing at the door of the treatment room.
"It's enough to have a patient's family member, so many people come in are prone to infection."
"My sister knows nothing. I'm afraid you'll fool her. I'm going to go in and see!"
The patient's family insisted.
Zhu Jun passed by and didn't say much.
These are all small things and have been common in clinical practice.
People who eat grains and grains have all kinds of tempers, and it is difficult to get involved and know what they are thinking about.
I glanced at the treatment room and saw a chest x-ray hanging from the window, which was vaguely spontaneous pneumothorax.
Zhu Jun didn't say anything, and took Huang Lao and his group into his office first. What made him feel a little disgusted was that Zhou Congwen from the Third Hospital actually followed in casually, without any awareness.
This person is really annoying, but Zhu Jun did not drive Zhou Congwen out.
What a joke, this person was named by Director Deng himself. Zhu Jun did not want to make Mr. Huang and Director Deng of 912 unhappy because of Zhou Congwen.
"Old Huang, Director Deng, you two, I'll go get the film. Let's watch the film first, and then go see the patient." Zhu Junke said politely, and saw that Mr Huang had no objection, so he turned around and went out.
The noise outside calmed down. It was probably because the doctor compromised and let the patient's uncle enter the treatment room.
This is inevitable, and there is actually no need to persist, and it is not a matter of principle.
A few minutes later, before Zhu Jun came back, a shrill shout suddenly came from outside, "Help!"
Zhou Congwen subconsciously stood up and ran out. At the same time, Deng Ming also made the same move, and the two of them collided with each other on their shoulders.
Before he could say anything else, Zhou Congwen squeezed Deng Ming aside, opened the door of the director's office and ran out.
The family of the patient outside the disposal room was a little confused. The door of the disposal room was shaking gently, and crying sounds came from inside.
Aren't you a spontaneous pneumothorax patient? Is it because of the rare mediastinal flutter when the tube is removed!?
In an instant, Zhou Congwen had his own guess.
If it's a mediastinum fluttering, it's troublesome!
Fortunately, the patient seems to be not very old and there should be a possibility of being rescued.
It’s so unlucky. Although the mediastinum flutter and cardiac arrest are an item that must be explained in the closed lower chest drainage, Zhou Congwen has only seen a few cases in terms of the number of patients he received.
I didn't expect today...
While running in quickly, Zhou Congwen thought about it.
At the same time, the task prompt sound of "Ding Dong~" sounded in my ears, and the system seized the opportunity to pull Zhou Congwen's wool.
But after entering the disposal room, Zhou Congwen was stunned and completely thought about the wrong direction.
The patient was still lying on the bed in the treatment room, looking at him in a strange position. The doctor was holding a knife in his hand, and there was a trace of blood on the knife.
I just opened my skin and didn’t even do blunt separation. It wasn’t a problem with the patient.
He lowered his head, a man lay on the ground, his face pale and his breathing was faint.
The uncle who was still alive and clamoring to come in to see the operation was already... half dead on the ground. He saw that he was venting more air and inhaling less air, and he was about to die.
Chapter completed!