1759 Esophageal expansion
“It’s fine, old man. ” Zheng Ren pulled out the old man’s vein and helped him up from the ground.
“Sit down and rest for a while. Your illness has been diagnosed.” Zheng Ren chuckled.
“What’s the diagnosis?” The old man was a little cautious and also a little puzzled.
From the looks of it, he was really afraid that he would be diagnosed with a mental illness. It was to the extent that the way he looked at Zheng Ren was not right, and there was a faint hostility in his eyes.
“Swallowing or swallowing fainting is a rare type of nerve – induced fainting. It is related to life – threatening slow arrhythmia and low blood pressure, and is usually difficult to diagnose in time.” “The tilted test has proven that it’s a problem with the vacuous nerve,” Zheng Ren said.
The old man didn’t understand a word.
“Let’s not talk about what the illness is, but how to treat it first. ” Zheng Ren said.
“Old Yan, are you hurt?” Su Yun came to Luan Yingjie’s side and helped him up. She said in a complaining tone,””I’m diagnosing your old man. Why are you causing trouble?”
“Uh …” Luan Yingjie covered his wound in pain, not knowing whether to laugh or cry.
“You almost killed your father. It’s not like you didn’t see the situation just now. Seriously, you’re just making trouble for no reason.” Su Yun continued to stab him.
“That … I’m sorry.” Luan Yingjie did not know why he had to say sorry when he was kicked.
However, his own old man was sitting there perfectly fine, while his own actions just now seemed a little strange.
It was not a problem to lower one’s head and admit defeat!
“For this illness, we need a pacemaker.” “It’s a dual – cavity pacemaker. You can eat anything you want after it’s done,” Zheng Ren said.
“There’s nothing wrong with my heart,” The old man was puzzled.”The electrocardiogram is over there. Why should I put a pacemaker in?”
“There’s no problem with your heart, but when you eat, your esophagus will expand, and it will affect your ecstatic nerves. You will have a cardiac arrest for a few seconds. ” Zheng Ren said with a smile.
The old man still didn’t believe him, but since Zheng Ren didn’t say that he was mentally ill, his attitude was much better.
For old people at this age, some believed in everything, and some did not believe in anything. Obviously, Luan Yingjie’s father belonged to the latter.
After all, it was a surgery, and no matter how small a pacemaker operation was, it was still a surgery.
Zheng Ren laughed. He had clearly considered this.
“Old man, why don’t we do this?” “It’s fine if you don’t agree to use a pacemaker. Tomorrow, boss Shao will take you to the hospital and memorize the 24 – hour dynamic electrocardiogram for you,”Zheng Ren said gently.
“What?”
“The problem can be found in one day.” Zheng Ren said,”when the time comes, we’ll look for a few experts to take a look before you make a decision. How about it?”
These words made the old man feel extremely comfortable.
He gave his opinion on the diagnosis with certainty, but he did not force himself to make a decision. Instead, he asked her to do another examination and carefully look for other people to see. This little doctor really knew how to be a person.
“Yes, I think that’s better.” The old man immediately agreed with Zheng Ren’s suggestion.
“If there’s nothing else, we’ll be leaving.” Zheng Ren said,”boss Shao, if you’ve decided to have surgery, come and look for me. Unlike normal surgery, we need to test the effect of the expansion of the esophagus on the heart during the surgery. “
“Good, good.” When Luan Yingjie saw Zheng Ren and Su Yun stand up, he quickly stood up.
His legs gave way and he fell to the ground.
“Look at you, can’t you be more careful? He’s so old, what if he falls and breaks his bones?” Su Yun didn’t help him up and instead spat.
Luan Yingjie smiled bitterly. Wasn’t this because he was kicked by you?
“You’re welcome. We’re leaving. ” Zheng Ren saw the nanny helping Luan Yingjie up and turned to leave.
“Boss Zheng, what happened just now?” Zhou Litao asked.
“Chief Zhou, take your ambulance back to the hospital. Give us a ride.” Su Yun chuckled.
“I’m fine, I’m fine. What happened just now?” Zhou Litao had been struggling with the patient’s illness, which caused him to faint after eating.
“The suppressive reaction of esophageal expansion to the heart is the potential pathological and physiological mechanism for the patient to faint. This case was reported in the BMC carediovasc Disord. ” “The author also made a summary of the 101 cases of fainting caused by swallowing or swallowing,” Zheng Ren said.”Since 1793, the author has reported on 101 cases of fainting caused by swallowing.”
1793…101 medical cases. Zhou Litao was speechless.
“This kind of fainting is more common in men and elderly people. The average reported age is 57.5 years old. 54.5% of the patients would faint no matter what they ate, be it water or solid food. ” “Most of the time, it’s caused by food poisoning,” Zheng Ren said.
“So that’s how it is.” Zhou Litao silently wrote down the patient’s condition. He felt that the piece of paper in front of his chest that recorded boss Zheng’s treatment just now was emitting heat, making him a little excited.
“Pacemaker implantation is the most commonly used treatment method. 98.1% of patients have been implanted with a pacemaker and reported that their fainting symptoms have been alleviated. More than half of the patients have been implanted with permanent pacemaker devices.” “So, there’s a high probability that the pacemaker is still useful,” Zheng Ren said.
“Implant a pacemaker …” Zhou Litao pondered the function of the pacemaker.
“The second is the treatment for gastrointestinal diseases. For example, four patients have ruptured hernias repaired. There were also patients who received successful vyssal nerve resection, long – term use of proton pump suppressant, and surgery for their esophageal cancer. “
“I was scared just now.” At this time, Zhou Litao reacted and touched his chest, still having lingering fears.
“I’m not afraid. ” “There’s atropine in your first aid kit,” Zheng Ren said with a smile.”With this medicine, there shouldn’t be any major problems.”
“What?”
“Atropine was a common drug used before the invention of the pacemaker. Limited data shows that it can still achieve a 90% effectiveness.” Zheng Ren said,”if it weren’t for the fact that we wanted to observe the patient for five minutes and see how low the patient’s blood pressure would drop, we could have just injected atropine and the effect would have been seen in 15 seconds.”
“But his blood pressure is too low.” Zhou Litao said.
“Yes, my bottom line is a 35mm mercury column. If it’s lower than that, I’ll have to administer atropine.” Zheng Ren said,”the patient’s condition is quite cooperative. She’s doing pretty well.”
“Boss, you’re really patient. My bottom line is a 40mm mercury column. Since you didn’t say anything, I endured it. ” Su Yun said,”but I was anxious, so I kicked old Luan. I feel much better now.”
“Don’t be so violent,” Zheng Ren said unhurriedly,”aren’t you afraid that something will happen?”
“I saw atropine too. With atropine, how could anything happen? Besides, I’m a cardiologist. There are a hundred ways to save him, so what’s there to be afraid of?” Su Yun said.
Zhou Litao was a little ashamed.
At that time, he was really a little flustered.
Although he knew that there might be danger if the tilted test turned out to be positive, he had never encountered such a situation before. Moreover, his diagnosis was much worse than boss Zheng and Brother Yun ‘s.
‘It’s still because my basic level isn’t enough. I’ll have to read more when I get back,’ Zhou Litao thought to himself.