1656 The spoon in the esophagus
This was because the bleeding of the subcutaneous hemorrhage was slow, and the early clinical symptoms were not obvious, or even without any symptoms. As a result, they missed the time for early diagnosis and treatment.
When clinical symptoms appeared, blood clot would have been formed for a long time, and the main symptoms were atypical symptoms such as slow intracranial hypertension and cerebral anemic.
Big Liu did not have any external injuries. Zheng Ren considered that long – term excessive drinking had caused blood vessel decline, increased fragility and permeability, and slow leakage, which was induced, aggravated, and deteriorated due to emotional agitation.
He guessed that after his brother came, he didn’t say anything good to him. After being hit one after another, big Liu finally couldn’t take it anymore.
This person was a little pitiful.
However, there must be something detestable about a pitiful person. Zheng Ren did not know how to explain such a thing. Da Liu’s current situation was largely due to his own actions.
“It has nothing to do with me. I’ll just put it aside,” Zheng Ren thought to himself with a bitter smile.
“Boss Zheng, two days ago, the students of the imperial capital Medical University felt nauseated and vomited. What was the final diagnosis?” Zhou Litao asked.
“I’m considering collective hysteria. ” Zheng Ren said.
Regarding this diagnosis, Su Yun and Zhou Litao both had doubts. After all, hysteria did not have a clear and substantial change. Without any evidence, the credibility would drop a lot.
“Boss Zheng, there’s a case that I solved two days ago. Can you take a look?” Zhou Litao put group hysteria aside and started to show off.
“Eh? What illness is it?” Upon hearing Zhou Litao’s words, Zheng Ren immediately became interested.
“He took out a spoon from his esophagus.” Zhou Litao chuckled, his face full of pride.
Food path … Spoon …
“Here, I’ve saved one of the scans. Patient scoop also said that he didn’t want it anymore, so I kept it. ” Zhou Litao said.
Foreign objects in the esophagus referred to foreign objects, such as small bones of animals, pieces of food such as peach pits, sweet potato pieces, corn bone sticks, children’s toys, iron wires, fish hooks, plastic products, etc., That were left in the esophagus.
Zheng Ren remembered a case report that said a man had swallowed 40 knives and left them in his esophagus.
This was a little too much, and Zheng Ren didn’t really believe it. 40 daggers, Could It Be Magic? If it could be taken out casually, it would become a sword swallowing trick.
Zhou Litao saw that he was not in a hurry, so he brought Zheng Ren and Su Yun to his on – call room.
He installed a plastic hook on the side of the cabinet, on which hung a dozen film bags.
He found the film and handed it to Zheng Ren. Zhou Litao said,””The patient had an argument with someone during dinner that night. He was punched in the chest, and then he showed symptoms such as chest tightness and nausea. He came for treatment.”
“You’ll see after taking an x – ray. ” Su Yun said.
Zheng Ren took out the x – ray film and looked at it through the window.
There was an obvious image of a spoon in the esophagus, but there was no such thing as an esophagus lounge.
It was hard to imagine how a spoon could stay in the esophagus.
It was probably too big for it to enter the stomach through the esophagus, so it swam through the esophagus and was eventually wrapped in fiber.
“Tsk, tsk, so big.” Su Yun looked at the film and exclaimed in admiration.
“That’s right,” Zhou Litao took out a plastic bag with a spoon in it. It was about 10 cm long, and the surface was covered with food residue, moss, and the like.
“Why don’t you take a shower?” Su Yun said.
“This way, it’s more eye – catching.” Zhou Litao smiled and said,”it’s been washed clean. The children should be suspecting if this really happened.” Did I just buy a spoon to cheat you or is it true? At that time, even if there were any films, they were not very credible. “
What Zhou Litao said made sense. This guy had been thinking about teaching the students of the University of Medicine in the future.
She wondered where he had put all the random things he had collected.
Based on what Su Yun said, he had a collection habit.
This was an illness that had to be treated.
“How did you get it out?” Zheng Ren asked.
“He was sent to the laparoscope room. Department Director Luo took it out with a endoscope.” “Department Director Luo also said that if you were around, the patient’s injury might be less severe,” Zhou Litao said.
Zheng Ren smiled.
No matter who took out a foreign object from the esophagus, the damage would not be too great.
Spoons were relatively rare. Foreign objects in the esophagus of adults were usually things like dentures.
She had forgotten to take off her fake teeth at night, so she had swallowed them when she went to bed. After waking up, some careless people would not feel that the fake teeth were in their esophagus. They would only think that they had forgotten where they had put the fake teeth.
Finally, it would cause a foreign body in the esophagus.
“It’s so big, it’s quite troublesome to take it out. ” Zheng Ren sighed with emotion.
“I used general anesthesia before I took it out. They even went to the cardiothoracic Department at that time. If the endoscope failed, they were prepared to open up the chest. “
What Zhou Litao said was right. Make all kinds of preparations to avoid any problems.
If one method couldn’t solve it, he would use another method. This was also because they were in Room 912. If they were in a local hospital, they would probably have to perform a thoracic incision and cut their esophagus.
However, the removal of foreign objects from the esophagus was a very troublesome and risky surgery.
It was different from hepatectomy for adipose tissues. After the surgery, there might be regional blood loss, and the incision would not be able to heal, leading to the possibility of chest infection, lung infection, lung abscess, and empyesis.
It would be best if it could be taken out with an inner mirror.
After looking at the x – ray, he looked at the spoon that he had taken out. Seeing that Zhou Litao had carefully put away the spoon, Zheng Ren felt that he was really an interesting person.
However, he didn’t know if his wife would be able to accept these things when they had a family.
After chit – chatting for a while, Zhou Litao received a call from the doctor Who sent big Liu for an examination.
The CT scan of his head showed that Da Liu was diagnosed with a pseudo – duodulla educaemia in the right temporal lobe. He was immediately transferred to the Department of Surgery for cranial swelling removal surgery.
Although opening a skull was very risky, it was definitely a “small” surgery in the field of neurosurgery.
As long as the patient could be detected and treated early, the possibility of postoperative coma and long – term bedridden was not high.
“I’ll go to the neurosurgery department to take a look. ” “You don’t want to go, do you?” Su Yun glanced at Zheng Ren and asked.
Zheng Ren nodded.
He was instinctively resistant to patients who had messy family affairs. As long as he could cure her, she would be fine. As for her heart …
Forget it, I’ll leave it to Su Yun to handle.
After leaving the emergency department, the two of them went their separate ways.
Su Yun went to the neurosurgery department, while Zheng Ren returned to the Department of interventional services.
Sitting under the sun, Zheng Ren went back to the system library to read. Even though he had a photographic memory, the system library had too many updates. New journals came one after another, and Zheng Ren could not finish reading them.
After a while, Xie Yiren sent him a WeChat message, asking him what they were having for dinner.
In the evening, Qin Tang even said that he was going to treat them to a meal. As for what it was exactly, Zheng Ren did not know.
As he was scrolling through his phone, Zheng Ren suddenly had an idea.
He hadn’t checked the little boy’s QQ account for a long time. He wondered how he was doing now.
He opened his QQ and saw that the little boy’s profile picture was lit up, but his signature had not been updated. It had stopped at nearly a month ago.