1532 Boss Zheng has stopped the emergency surgery.
The gastroscopy showed that there were chronic, atrophy, and superficial gastritis. The patient’s abdominal CT scan showed that there were signs of obstruction in the duodenostomy section.
There was also an x – ray of jiede, which showed that there was obstruction in the duodenostomy section, and the imaging manifestation was very typical.
The diagnosis should be very clear. Zhou Litao looked at the patient’s various test values and mentally assessed whether surgery was possible.
While he was reading, the chief resident of the gastrointestinal department rushed down.
Zhou Litao shared the information he obtained with the chief resident of the gastrointestinal surgery department. There was nothing to hesitate about. Emergency surgery was the right thing to do.
Even if there was no intestinal perforation, there were already some inflamed changes in the local tissue. Also, depending on the patient’s condition, the change would be very long and the inflammation would be very serious.
Internal Medicine wouldn’t be able to solve this problem.
Surgery. Only emergency surgery could solve the problem.
This was a common understanding.
The chief resident of the gastrointestinal surgery department pushed the patient away in a hurry, and the patient’s family members who arrived one after another followed behind him.
Zhou Litao looked at the foreign emergency doctor Who seemed to be relieved of a heavy burden, smiled, and made a few small talk.
“It’s so scary to travel long distances. ” The doctor smiled bitterly and said,”I’m just afraid that something bad might happen. There’s some Emergency Medicine in the car …”
It would be meaningless to say more than tears.
Rushing back from the capital was a serious matter.
Zhou Litao looked at the 120 emergency personnel leaving and thought about the patient just now.
Duodenjunostomy should be performed to expose the problematic intestine.
Depending on the severity of the illness, the patient could choose to remove it or undergo resection.
Since it involved the duodenum, even if he chose to perform a resection, he had to be very careful.
The gastrointestinal surgery department of 912 was highly skilled, so it should not be a problem.
Zhou Litao immediately forgot about the patient.
In the emergency department, if one were to remember every single patient, they would probably break down very quickly.
……
In the Department of Gastrointestinal Surgery, Feng Jianguo led the chief resident and Quan xiaocao to do an emergency physical examination and diagnosis.
There were CT scans, medical history, and physical signs. If there was nothing to doubt, he would go up and open it without delay!
Regardless of whether the obstruction was light or heavy, they had to open it before thinking about the next step of treatment.
There were only a few treatment methods.
To Feng Jianguo, it was not difficult at all. The truly difficult part was to make the choice according to the patient’s condition during the surgery.
The nurses hurriedly made the preoperative preparations while the family members went through the admission procedures. Out of caution, Feng Jianguo did not let Quan xiaocao give the patient’s family a preoperative explanation. Instead, he personally explained the condition.
Feng Jianguo explained the surgical choices clearly. The specific choice would also have to be decided during the surgery.
As he was relatively 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. He would also discuss with them the first time he made a decision.
The family members were grateful.
He didn’t expect the doctors in the capital to be more considerate than the doctors in his hometown.
Although Feng Jianguo emphasized that there was a high possibility that the patient would not be able to get off the operating table, the family members still expressed their gratitude again and again.
After all, this was one of the most skilled hospitals in the country. If the patient couldn’t be cured, it would be his life.
Twenty-two’ later, the preoperative preparation was completed, and Quan xiaocao pushed the patient onto the operating table.
If it was a normal intestinal obstruction, a chief resident would definitely be able to handle it.
But when it came to the duodenum, the chief resident still asked Feng Jianguo to help him with the palm.
“Teacher Feng, what do you think the surgery should be done?” The chief resident asked when they were changing.
“Duodenostomy of the spine and colon,” “The patient took a long time, so I hope he doesn’t cut too many intestines,” Feng Jianguo said with certainty.
The chief resident was about to continue asking when he suddenly heard Quan xiaocao’s voice coming from outside.
“Teacher Feng, are you there?”
“What’s wrong?” Feng Jianguo felt a little strange. At this time, shouldn’t Quan xiaocao have changed her clothes and been watching the patient in the operating room? Looking for me at the entrance of the runner’s changing room? is there a change in the patient’s condition?
When he thought of this, his blood pressure suddenly rose by 10 millimeters.
“That …” Quan xiaocao was a little hesitant. Feng Jianguo was a little angry.
If you have something to say, say it. If you have nothing to say, go to work. It’s about to be an emergency surgery, so why did you come here and stammer?
Xiaocao was good in every way. She was diligent and hardworking, but she was just too stubborn.
They were a little timid when they encountered any unexpected situations.
Feng Jianguo was a little anxious. He immediately put on his clothes and walked out.
“What is it?” Feng Jianguo asked with a serious expression.
“Teacher Feng, I just saw boss Zheng stepping down from the stage. He said that the patient doesn’t have intestinal obstruction, so he doesn’t want surgery.” Quan xiaocao said in a low voice.
Feng Jianguo was stunned.
Don’t allow surgery? This seemed to be a big deal.
Even chief Wei would have to think twice before stopping an emergency surgery, let alone boss Zheng.
If he could overthrow the current diagnosis, he might consider it.
However, the patient’s diagnosis was quite clear, and he had an abdominal CT scan and gastrointestinal angiography done as the basis for diagnosis.
“Let’s go and take a look. ” Feng Jianguo recalled the process of the x – ray and physical examination in his heart and strode to the emergency operating theater.
“Teacher Feng, please don’t be angry. Boss Zheng … Boss Zheng …” Quan xiaocao was obviously speaking up for Zheng Ren, but she didn’t know what to say.
“What’s going on?” Feng Jianguo asked.
“I sent the patient up, told the emergency anesthetist, and then went to change his clothes. After I change my clothes, boss Zheng and Brother Yun will be watching the x – ray in the operating room. ” “Then boss Zheng said that the patient didn’t have an intestinal obstruction,” Quan xiaocao said.”He told me to tell you not to go for surgery.”
“He didn’t say anything else?”
“Yes.” “I just said a few words,” Quan xiaocao said.”The anesthetist asked if he needed anesthesia, but the patient’s condition wasn’t good, so I ran down.”
Feng Jianguo knew that boss Zheng was not a person who liked to cause trouble, but the patient’s diagnosis should not be too clear.
Why couldn’t he perform surgery for such a typical case of intestinal obstruction?
Subconsciously, he trusted Zheng Ren’s character, but he did not trust Zheng Ren’s judgment.
This kind of tangled state of mind was a little complicated.
He walked quickly to the emergency operating room. Feng Jianguo saw that boss Zheng, Zheng Ren, was still in the same familiar position and was still reading the scans with the same familiar formula.
“Boss Zheng, what’s going on?” Feng Jianguo didn’t have time to be polite and asked directly.
“The patient is suspected to be suffering from muscle deficiency of the patient’s acute muscular deficiency, which is also a symptom of muscular slid – off intestinal tract.” Zheng Ren replied directly.
The patient was lying on the operating table, and he was not in a good state. All the hypocritical and polite masks had been torn off. The most important thing was to make the best use of the time to diagnose and treat him.
If the patient were to die on the operating table, they would be done for.
“Muscular deficiency?” Feng Jianguo was stunned.
“Muscular deficiency is an autologous – immune disease caused by transmission problems at the joints of the nerves, bones, and muscles.
The main clinical symptoms were partial or whole body muscular deficiency and easy fatigue. The symptoms would intensify after exercise and ease after rest.
Under normal circumstances, it was mainly manifested in the spinal muscle. However, smooth muscle tissue symptoms were rare.