2322 Am I dead?
In the corridor of the operating room, everyone was shocked. The head nurse was carrying a rescue box and squatting on the ground to find various rescue medicines.
"Raise Director Mao's head, push omeprazole quietly, and put two sets of hemostatic drugs on it." Zheng Ren said calmly.
The intravenous channels have been established long ago and all kinds of drugs are ready, so I just wait for the injection.
A bottle of omeprazole was drawn into the syringe and pushed in.
Everyone is waiting for Boss Zheng’s subsequent rescue orders.
However, Boss Zheng didn't say a word. He was holding a CT video in his hand and watching the lights.
"Boss Zheng, hurry up and take the surgery." The professor in the vascular surgery department said anxiously.
"It's not an aortic dissection." Zheng Ren said.
“…”
Except for a few nurses who were still busy adding medicine and catching some drips, everyone was quietly watching Boss Zheng.
After calming down, everyone will look at Director Mao again.
The blood pressure is still stable, and there is no case where the blood pressure is directly zeroed out after a mouthful of blood.
I was stunned before, but now if the descending aorta dissection is ruptured, I will not vomit blood directly.
Varicocele in the fundus of the stomach? Or is it a ruptured blood supply artery in the esophagus? But if a sharp object pierces the esophagus and then pierces the aorta? It can also spurt blood out in one mouthful.
Countless possibilities appeared in the minds of the doctors present.
"What does it look like an esophageal problem?" Su Yun frowned, "It feels like the possibility of esophageal space-occupying lesions cannot be ruled out."
Although the sound is small, it looks like thunder.
If this is esophageal cancer, it will reach the point of vomiting blood... Director Mao is afraid that the operation will not be saved.
"If CT reconstruction is used, you can see the abnormal density foci of the inner trachea of the left mediastinum, the heart and descending aorta space, the maximum level is 34 mm × 28 mm, and the length is about 180 mm. It really looks like a tumor..." Zheng Ren squinted his eyes and said lightly.
"But not." Su Yun took the words of his boss and made a conclusion.
"Contact Director Luo and go to the laparoscopy room to take a look with the laparoscopy." Zheng Ren said.
The professor in the vascular surgery department was stunned. As soon as he arrived at the interventional operating room, he thought Director Mao’s life would be saved.
Who would have thought that Boss Zheng would actually push the laparoscopic room without surgery or interventional surgery?
At this moment, he understood the feelings of the patients' families too much.
While watching my relatives vomit blood, I was running around in the hospital... This feeling was simply deadly.
No wonder so many patients' families start to pick on the harshness when they encounter a little problem. They have a bad temper. Now the professor in the Vascular Department leads the team to curse people.
"Boss Zheng, don't you need to do an angiography first to take a look?" The professor in the group insisted at last.
"No, it does look like descending aortic dissection on the film, but if it is rebuilt, you will find it..." Zheng Ren said, pausing, and realizing that now is not the time to talk about the film.
"Considering inflammation in the esophagus, Director Mao, have you eaten any hard objects recently?" Zheng Ren asked.
Director Mao was already in a semi-coma and was frightened by the mouth of blood he spit out.
He was about to die, which was the only thought in Director Mao’s mind. As for what Boss Zheng said after watching the movie, he didn’t listen to a word. His ears were buzzing and he was confused.
Everyone looked at the ECG monitoring on the flat car and their blood pressure was still stable. Director Mao's head was raised, and even if he vomited blood, he would not have choked or coughed.
Go to the laparoscope room? So far away, what if something happens?
Even if it is not an aortic dissection, varicose veins in the fundus are also a serious disease, and they will be fatal if they are severe.
"Boss, Director Luo was doing an examination in the laparoscopy room, and he asked him to push the person over immediately." Su Yun said.
Someone was confident in commanding the rescue, but Boss Xiao Zheng was still there, and even if everyone had any questions, they swallowed it back.
No one dares to question Boss Zheng, especially during emergency rescue. Boss Zheng usually looks good and kind, but he will beat people during rescue. Professor Zhang, who is in a scheming manner, is an example.
He pushed Director Mao and ran to the laparoscopic room again.
Zheng Ren changed his clothes as fast as possible and walked in, followed by a group of people, with a serious expression.
"Boss Zheng, what's wrong with Director Mao?" Director Luo asked loudly at the door of an operation room in an isolation suit.
"I suspect there is a hematoma in the esophagus, so I have a laparoscopic look and make a clear diagnosis." Zheng Ren said.
When Director Mao was put on the stage of the examination bed, Director Luo felt a little sorry for his eyes as he saw the blood still hanging on the corner of his mouth.
"Boss Zheng, is it okay?" Director Luo asked in a low voice.
"It should be fine." Zheng Ren said, "I'll do it?"
"Hurry up and do not be polite to me." Director Luo moved out of the operation position and handed over the right to inspect to Boss Zheng.
I was afraid that the stimulation was too severe, which would lead to complications such as agitation, increased stress, and hematoma rupture, so I was given basic anesthesia medicine.
The electronic fiber gastroscopy lens was inserted under the lens, and the left wall of the esophagus was 20 cm away from the incisor to the cardia. The esophageal cavity was narrowed and there was no obvious active bleeding.
"Such a big hematoma..." Director Luo sighed.
"It's okay, it's nothing, it's just a hematoma." Zheng Ren said.
Seeing the hematoma in the esophageal cavity, everyone in the Vascular Department was not as impatient as before.
Zhao Yunlong looked at the image and asked: "Selective esophagitis?"
"Well, I think it's exfoliating esophagitis." Zheng Ren said, "Be conservative first. I'll send Fang Lin to your ward."
Zheng Ren's last sentence was said to Director Luo.
Director Luo also knew that if conservative treatment was ineffective and blood was sprayed out at a mouthful, surgical treatment would be required.
"Add a set of Zhengshenice salt water, fasting water, don't eat these days." Zheng Ren continued.
"Does the gastrointestinal pressure be reduced?"
"No," Zheng Ren said, "Repeated stimulation of the gastric tube may cause hematoma to rupture. Just use acid-suppressing drugs to control it."
"Director Mao has eaten something hard, grinding the esophagus like this." Director Luo said with emotion when he saw that Boss Zheng had already pulled out the camera.
"I guess it is a hard object, which is to promote food, and forcibly swallowing dry hard food causes damage to the esophageal mucosa or submucosal hematoma. The symptoms are atypical, typical... you can spit out a long membrane-like object." Zheng Ren said, "That would be scary."
"It won't be infected, right?" asked the professor in the Vascular Department carefully.
"No, the hematoma of the esophageal wall changes, and the late stage is the mucosal defect and exudate of the esophageal wall. The prognosis of this disease is good, and the lesions only affect the mucosal epidermis and generally do not invade the lamina propria, so infections rarely occur."
"Boss Zheng, do you have any medical advice?"
"Use some medicines that promote cell regeneration to quickly repair the mucosal epidermis to avoid esophageal stenosis in the future." Zheng Ren said.
At this time, the anesthetic effect had passed and Director Mao woke up. He seemed to be drunk just now, looking around with sleepy eyes.
Chapter completed!