Gastroscopy shows: chronic, atrophic, superficial gastritis. You can see signs of obstruction in the duodenum segment of the patient.

There is also a video of digestive tract contrast, which suggests obstruction in the duodenum segment, and the imaging manifestations are very typical.

The diagnosis should be very clear. Zhou Litao looked at the patient's various examination values ​​and was evaluating whether the surgery could be performed.

Just as I was watching, the hospitalization of the gastrointestinal tract always rushed down.

Zhou Litao always told the information he obtained and the hospitalization of gastrointestinal surgery. There is nothing to hesitate. Take the emergency surgery as soon as possible.

Even without intestinal perforation, local tissues have undergone inflammatory changes. Moreover, depending on the patient's condition, the changes will be very long and the inflammation will be severe.

If internal medicine is used, there is no way to solve this problem.

Just surgery, only emergency surgery can solve the problem.

This is a consensus.

The hospitalization of the gastrointestinal surgery department always hurriedly pushed the patient away, and the families of the patients who arrived one after another followed.

Zhou Litao looked at the relieved emergency doctor from other places and smiled and said a few gossips.

"I'm so scared to run a long distance." The doctor from another place smiled bitterly and said, "I'm afraid there is a short time and there is temporary rescue medicine in the car..."

If you say too much, you will be tears, and it is meaningless.

It is a serious matter to rush back from the imperial capital.

Zhou Litao watched the 120 emergency personnel leave, thinking about the patient just now.

Duodenal-jejunal anastomosis should be performed to expose the problematic intestinal tract.

Depending on the severity of the disease, you can choose to be left unavailable or removed.

Because it involves the duodenum, even if you choose to resection, you must be very careful.

The gastrointestinal surgery department of 912 has a very high level of surgery, so it should be no problem.

Zhou Litao immediately forgot about the patient.

In the emergency department, if you remember every patient, you will probably collapse soon.

...

In the Department of Gastroenterology, Feng Jianguo and the hospitalized chief, Quan Xiaocao urgently conducted a physical examination and diagnosis.

There are ct movies, medical history, and signs. If you have no doubts, go up and open them to read them.

No matter whether the obstruction is light or severe, you must open it before thinking about the next step of treatment.

The treatment measures are nothing more than just a few techniques.

For Feng Jianguo, it is not difficult at all. What is really difficult is that you have to make choices based on your condition during surgery.

The nurse hurriedly made pre-operative preparations and the family members went through the hospitalization procedures. Out of caution, Feng Jianguo did not ask Quan Xiaocao to give pre-operative explanations to the patient's family, but instead explained the condition himself.

Feng Jianguo made clear the choice of several techniques. The specific choice must also be decided intraoperatively.

Because he is unfamiliar with the patient's family, Feng Jianguo carefully told the patient's family that he would come out and communicate with the patient's family after seeing the situation, and would discuss with them as soon as possible if he chooses.

The family members were so grateful.

Unexpectedly, the doctors in the imperial capital were more considerate than the doctors in their hometown.

Although Feng Jianguo emphasized that the possibility of a patient not being able to get off the operating table is very high, the family members still expressed their gratitude again and again.

After all, this is one of the most technical hospitals in the country. If it cannot be cured, it will be fate.

After 22′, the preoperative preparations were completed, Quan Xiaocao pushed the patient to the stage.

If there is a general intestinal obstruction, it must be the hospitalization.

But when it comes to the duodenum, Feng Jianguo was still pulled up and helped him take a look.

"Teacher Feng, what do you think do the surgery?" asked the hospital when changing clothes.

"Duodenal-jejunal anastomosis." Feng Jianguo said with certainty: "The patient has been delayed a little long, and I hope there will be no too many intestinal tracts."

The hospitalized officer was about to continue asking when he suddenly heard Quan Xiaocao's voice coming from outside.

"Teacher Feng, are you here?"

"What's wrong?" Feng Jianguo was a little surprised. At this time, shouldn't Quan Xiaocao change his clothes and watch the patient in the surgery room? Looking for him at the door of the Running Man locker room. Is there any change in the patient's condition?

Thinking of this, his blood pressure suddenly increased by 10 mm Hg.

"That..." Quan Xiaocao hesitated a little, and Feng Jianguo was a little angry.

If you have something to say, you will go to work if you have nothing to do. You will need emergency surgery soon. Why are you stammering here?

Xiaocao is good at all, she works hard and works hard, but she is just too cowardly.

When encountering any unexpected situation, I feel a little timid.

Feng Jianguo was a little anxious, so 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 stepping down. He said that the patient was not intestinal obstruction and would not allow surgery." Quan Xiaocao whispered.

"..." Feng Jianguo was stunned.

Not allowed to operate? This seems a bit big.

Not to mention Boss Zheng, even Director Wei has to consider it again and again if he wants to stop an emergency surgery.

If the existing diagnosis can be overturned, it seems that you can consider it.

However, the patient's diagnosis is quite clear, with abdominal CT and digestive tract angiography as the basis for diagnosis.

"Let's go and have a look." Feng Jianguo recalled the film and physical examination process in his heart, and strode towards the emergency operating room.

"Teacher Feng, don't be angry, Boss Zheng...Boss Zheng..." Quan Xiaocao was obviously helping Zheng Ren talk, but he didn't know how to say it when he was talking.

"What the hell is going on?" Feng Jianguo asked.

"I sent the patient up, told the emergency anesthesiologist and went to change clothes. When I changed my clothes, Boss Zheng and Brother Yun watched the film in the surgery room." Quan Xiaocao said: "Then Boss Zheng said that the patient is not intestinal obstruction, so I told you not to have surgery."

"He didn't say anything else?"

"Yes." Quan Xiaocao said: "I just said a few words. The anesthesiologist asked if I wanted anesthesia. The patient was in poor condition and I ran down."

Feng Jianguo knew that Boss Zheng was not a fool, but the patient's diagnosis should not be too clear.

Why can't surgery be impossible with such a typical intestinal obstruction?

Subconsciously, he believed in Zheng Ren's character, but he did not believe in Zheng Ren's judgment.

This entangled mentality is a bit complicated.

Walking quickly to the emergency room, Feng Jianguo saw that Zheng Ren and the boss Zheng were still in a familiar posture and a familiar formula, and was reading the film.

"Boss Zheng, what's going on?" Feng Jianguo asked directly without being polite.

"I suspect that the patient has myasthenia gravis and intestinal smooth muscle weakness." Zheng Ren also answered directly.

The patient was lying on the operating table and was in a bad state. All hypocritical and polite masks were torn off. It was serious to seize the time to diagnose and treat them quickly.

Don't be polite to the two of you here. In the end, the patient died on the operating table, and that would be a complete destiny.

"Mysas gravis?" Feng Jianguo was stunned for a moment.

Myasthenia gravis is an autoimmune disease caused by dysfunction in the transmission at the nerve-muscle junction.

The clinical manifestations are mainly manifested as partial or general skeletal muscle weakness, easy fatigue, worsen after activity, and symptoms are reduced after rest.
Chapter completed!