1879 An impossible diagnosis
“Spontaneous esophageal rupture?” Xia Hua was stunned for a moment, and then she felt a strange feeling in her heart.
He immediately said,”boss Zheng, the patient did not vomit blood after drinking alcohol. When the family members told him about the medical history, they said that he suddenly coughed up blood in the middle of his sleep.”
Spontaneous rupture of the esophagus was very rare. Xia Hua had been a doctor for more than ten years, but she had only seen one case. According to the book, the general situation was caused by vomiting caused by drinking.
“Oh, when the patient’s family members describe the medical history, sometimes we have to reconcile and look at it. It may not be correct, we need to analyze it again. ” Zheng Ren asked,”when is the patient going for the surgery?” Judging from the patient’s condition, if he were to open up the chest normally, I don’t think the first stage will be able to anastomose the chest. We’ll have to wait until the second stage. “
Xia Hua was a little sick of this. Was he pointing fingers at his own work?
Usually, the invited experts would not have time to care about the patient at all. Some of them would not even take a look at the patient before the operation. The moment the patient got off the plane and got on the car, the hospital began to send the patient to the operating theater.
When they arrived at the hospital, the professor went on stage directly.
After the surgeries were completed in a few hours, they left with the money. Some of them did not even eat in order to catch their flight.
If it were not for the strong request of a familiar doctor, no one would look for trouble and perform a consultation in other hospitals.
This person was still young and didn’t even know the rules.
The most important thing was that his diagnosis … Was also problematic.
The cause and mechanism of the spontaneous rupture of the esophagus were still not completely clear.
Most patients would first vomit before having esophageal perforation, so vomiting was still the most important cause of illness. Therefore, there was another theory. Many doctors said that it was a ruptured esophagus after vomiting.
Alcohol consumption was related to vomiting, and most of the patients who vomited were caused by overeating and drinking.
The other causes of spontaneous esophageal rupture were labor, car accidents, brain surgery, epilepsy, and so on.
The patient coughed up blood while sleeping and had no history of drinking alcohol. These two points basically ruled out the possibility of spontaneous esophageal rupture.
Xia Hua was a little unconvinced, and she was a little worried about her father’s surgery.
What kind of standard was this?
He was too young and unreliable.
“Boss, it’s a typical case of spontaneous esophageal rupture. Can you not suture it at the first stage?” Su Yun asked.
“Yes, I can’t suture it. If it’s a complicated external injury that is accompanied by abdominal injuries, it’s possible to open the abdomen, take out the greater omentum, and suture the outer layer. ” “But this is only within the scope of surgery,” Zheng Ren said.”If surgery is combined with interventional surgery, it’ll be fine.”
Xia Hua was speechless.
Why did he say it like it was the truth?
Combined surgery and interventional surgery treatment? there was no such surgical method in clinical medicine!
This boss Zheng looked simple and honest, but why was he so unreliable?
Xia Hua’s heart was a little tired.
However, he knew Gao Shaojie’s character. He was a refined scholar, and Xia Hua admired him very much.
The whole thing was contradictory, and Xia Hua felt that her mind was a little confused.
“Xia Hua, let boss Zheng see the old man’s video.” Gao Shaojie felt that the atmosphere was a little awkward, so he quickly said.
“Oh, oh.” Xia Hua’s movements slowed down.
He had just performed an upper gastrointestinal angiography yesterday, and the esophageal tumor had almost completely blocked the esophageal cavity. After he drank the compound quagiline, the liquid stayed above the tumor for more than ten seconds before it slowly flowed down in a line.
The tumor had grown longer than before, and the side wall almost touched the heart.
Zheng Ren crossed his arms and looked at the x – ray seriously.
“Boss Zheng, are you bringing me today?” Gao Shaojie said in a low voice.
“Yes.” Zheng Ren just nodded, as if he didn’t care about Gao Shaojie’s attitude.
Xia Hua was even more unhappy.
He really didn’t know why teacher Gao, Gao Shaojie, was in such a hurry to whisper to this young doctor.
Nobel Prize? It was such a distant matter that Xia Hua had no idea.
However, looking at Gao Shaojie’s excited face, Xia Hua’s doubts deepened.
Shouldn’t he be angry at the cold treatment? Why was teacher Gao so excited?
After a full five minutes, Zheng Ren finally said,”director Gao, we can use this method for dual interventional therapy.”
“I knew you could do it!” Gao Shaojie said loudly.
“However, we can only make a small incision on the esophagus today. After that, the stent will need to be opened two or three times.” “I’m running out of time, you’ll do the rest,”Zheng Ren said.
“Alright!” Gao Shaojie agreed readily.”Then can you take a look at the patient’s condition and we’ll go right away?”
“Alright,” he said. Zheng Ren turned around and reached out his hand.
Xia Hua was stunned.
“Oh, Doctor Xia, please let me use the stethoscope.” Zheng Ren said with a smile.
Xia Hua passed her stethoscope to Zheng Ren and brought it to the ward.
Although he was annoyed, the arrow was already on the bow. If he refused now, his relationship with Gao Shaojie would be useless in the future.
The other party was here to help, but he changed his mind in the end. There was no reason to do things this way.
Xia Hua felt some regret.
“By the way, doctor Xia, please hurry up and perform the surgery on the patient who suffered from spontaneous esophageal rupture just now.” “The later the surgery, the more severe the edema at the rupture area, and the worse the postoperative recovery will be,” Zheng Ren said.
“…” Xia Hua didn’t speak. She lowered her head and tried to hide all her dissatisfaction.
Gao Shaojie noticed something was wrong. He waited for Zheng Ren to enter the ward and began the physical examination. He patted Xia Hua’s back and gave him a look, signaling him to go out with him.
“Xia Hua, are you too tired?” Gao Shaojie asked in a low voice after they left the ward.
“Teacher Gao …” Xia Hua hesitated for a moment, then finally said,””Is this boss Zheng really that good?”
“Of course it’s high, and it’s not just any high.” Gao Shaojie laughed and said in a low voice,”whether it’s the surgery or the diagnosis, it’s something that we can’t imagine.” Do you have other thoughts because he’s young?”
Xia Hua was silent.
Gao Shaojie laughed,”old Liu is now a doctor under someone else. I heard that he is as tired as a dog every day.”
Xia Hua knew about this, but he just couldn’t understand.
“Teacher Gao, I’ll tell you the truth. I don’t know what boss Zheng’s level of intervention is like. However, from the x – ray just now, the patient did not show any trigger for spontaneous esophageal rupture. I think it’s tumor erosion that caused bronchracothoracic leakage. “
“Then you’re wrong.” Gao Shaojie said in a low voice.
He looked at Xia Hua’s expression and knew that he had a knot in his heart. Gao Shaojie was a modest person, but he wasn’t a one – Track minded person.
“Where are your people on duty?” asked Gao Shaojie with a smile after some thought.
“There’s an emergency car accident in the operating room. I don’t think he’ll be able to get off the operating table before four in the afternoon. “
“Then, find a random doctor and both of you can open the chest for exploration. Can the surgery be done?” Gao Shaojie asked.
Xia Hua nodded and felt that this was a good idea.
His grandfather’s condition was not an emergency, so he could still wait for a few hours.
“Let boss Zheng watch the stage?”
“You can also ask him to help you out.” Gao Shaojie smiled.