Subdural hematoma has slow bleeding, early clinical symptoms are not obvious, or even asymptomatic, resulting in missed early diagnosis and treatment time.

When clinical symptoms appear, hematoma has been formed for a long time, mainly manifesting atypical symptoms such as chronic cranial hypertension and cerebral ischemia.

Liu did not have any external trauma. Zheng Ren considered that it was the result of long-term drinking of alcohol caused by vascular decline, increased brittleness and permeability, chronic leakage, which was induced, aggravated, and worsened by emotional excitement.

I guess after his brother came, he didn't say anything good to him. After a series of blows, Liu finally couldn't stand it.

This person is a little pitiful.

But there must be something hateful about poor people, and Zheng Ren doesn't know how to say such things. A large part of Liu's current situation is caused by himself.

It has nothing to do with me, so let's put it aside. Zheng Ren smiled bitterly and thought to himself.

"Boss Zheng, the students of the Imperial Capital Medical University were nauseous and vomited two days ago. What was the final diagnosis?" Zhou Litao asked later.

"My consideration is collective hysteria." Zheng Ren said.

Su Yun and Zhou Litao both have doubts about this diagnosis. After all, there is no clear and substantial change in hysteria, and no evidence is produced, so the credibility has decreased a lot.

"Boss Zheng, there is a case that I solved it two days ago. You can take a look." Zhou Litao put the mass hysteria aside and began to show off.

"Hmm? What disease?" Zheng Ren immediately became interested when he heard Zhou Litao's words.

"A spoon was taken out of the esophagus." Zhou Litao smiled and looked proud.

Esophagus...spoon...

"Come on, I left one of the films. The patient of the spoon said he didn't want it, so I kept it." Zhou Litao said.

Esophageal foreign objects refer to foreign objects, such as small bones of animals, root foods such as peach pits, sweet potato pieces, corn bone rods, etc., as well as children's toys, wires, fish hooks, plastic products, etc., stay in the esophagus.

Zheng Ren remembers a case report that a man swallowed 40 knives and left them in his esophagus.

This is a bit too much, and Zheng Ren doesn't believe it very much. Is it a magic trick for 40 swords? If it can be taken out at will, it will become a sword-swallowing trick.

Seeing that he was not busy, Zhou Litao took Zheng Ren and Su Yun to his duty room.

He installed a plastic hook on the side of the cabinet, with more than a dozen pieces of bags hanging on it.

After finding the film, he handed it to Zheng Ren, Zhou Litao said: "The patient came to the hospital because he had an argument with someone at night and was punched in the chest, and then he developed symptoms such as chest tightness and nausea."

"You'll see it when you shoot a movie." Su Yun said.

Zheng Ren took out the film and looked at the window.

There was a very obvious image of a spoon in the esophagus, and no esophageal diverticulum was seen.

It's really hard to imagine how the spoon stays in the esophagus.

It is probably quite large and cannot enter the stomach along the cardia, so it wanders in the esophagus and finally wraps the fibers.

"Tsk tsk, so big." Su Yun exclaimed as he watched the movie.

"Not." Zhou Litao took out a plastic bag with a spoon inside, which was about 10m long and was covered with food residues and pus moss on the surface.

"You don't even wash it." Su Yun said.

"That's how I look at it, it's even more eye-catching." Zhou Litao smiled and said, "It's clean. Children should doubt whether this is the case. Did I just buy a spoon to cheat people or is it true? Even if there were movies at that time, it was not very credible."

What Zhou Litao said makes sense. This guy has always been thinking about teaching students from the Affiliated Hospital of Medical University in the future.

I don’t know where he collected so many messy things in the end.

According to Su Yun, this is a collecting habit.

This is a disease and needs to be cured.

"How did you take it out?" Zheng Ren asked.

"Sent to the laparoscopy room, Director Luo used a gastroscopy to retrieve it." Zhou Litao said: "Director Luo also said that if you were there, the patient might have a smaller injury."

Zheng Ren smiled.

Just take a foreign object in the esophageal tract. No matter who does it, the damage will definitely not be much greater.

Spoons are relatively rare. Adult foreign esophageal objects are generally desserts and other things.

I forgot to take off my dentures at night and swallowed them when I was sleeping. After waking up, some careless people couldn't feel the dentures in their esophagus, but just thought they had forgotten to put their dentures in some places.

Finally, it causes foreign esophageal objects.

"It's so big, it's quite troublesome to take it out." Zheng Ren sighed.

"I took it all out after using general anesthesia. At that time, the chest department was all gone. If the endoscopy failed, I would be prepared to open my chest."

Zhou Litao is right, make all kinds of preparations to avoid problems.

If one method cannot be solved, change to another method. This is in 912. If you change to a local hospital, you will probably have to open your chest and cut your esophagus.

Just cutting the esophagus and taking foreign objects is a very troublesome and risky operation.

Unlike lipomas with precutaneous leukomas, there may be ischemia after the operation and the incision cannot heal, resulting in thoracic infection, lung infection, lung abscess, and empyema.

It is best to be taken out with an endoscope.

After watching the movie, I watched the spoon I took out again. Seeing Zhou Litao carefully put the spoon away, Zheng Ren thought he was really interesting.

However, when he has a home in the future, he doesn't know whether his lover can accept these things.

After chatting for a few more words, Zhou Litao received a call from the doctor who sent Da Liu for examination.

The head CT showed that Liu was diagnosed with subacute right frontotemporal lobe subdural hematoma, and immediately transferred to the surgical department for craniotomy hematoma removal.

Although the risk of craniotomy is very high, it is definitely a "small" operation in neurosurgery.

As long as it can be detected early, diagnosed and treated early, and then there is little possibility of long-term bed rest.

"I'll go to the neurosurgery department to take a look." Su Yun glanced at Zheng Ren and asked, "Do you don't want to go?"

Zheng Ren nodded.

He instinctively resists such patients with messy housework. As long as he treats the disease, he is cured, and his heart disease...

Forget it, let’s leave it to Su Yun to handle it.

After leaving the emergency department, the two parted ways.

Su Yun went to the neurosurgery department, while Zheng Ren went back to the interventional department directly.

Sitting in the sun, Zheng Ren entered the system library to read books. Although he was almost unforgettable, the system library was updated too much, and new journals were one after another, so Zheng Ren could not finish reading them.

After reading for a while, Xie Yiren sent a WeChat message asking what to eat tonight.

In the evening, Qin Tang also said he wanted to treat him, but Zheng Ren didn't know what it was.

Flipping through the phone, Zheng Ren suddenly felt a sense of emotion.

The little boy with cancer hasn't seen it for a long time, and I don't know how he is now.
Chapter completed!