Chapter 458: With Xiao Chen, it shouldn't be a big problem!
Although Qin Xiaoyuan is not an endoscopic doctor, his years of clinical experience is no joke.
After hearing Xiao He's words, he frowned.
Xiao He continued: "Director Qin, I am worried that it is an esophageal fistula, but... it is difficult to guarantee whether it hurts the aorta, so it is better to have a little more insurance!"
Those who have tumors themselves belong to a relatively complicated type of disease.
Especially for older generation tumor doctors like Qin Xiaoyuan, this is even more so.
At the beginning, the Department of Oncology at the Second Provincial Hospital was called "Internal Comprehensive Department". It was because the tumor involved a lot of systems, so it was called a comprehensive internal medicine department. However, after it was officially renamed the Oncology Department, these small departments gradually developed swelling one, swelling two...
However, when talking to patients now, they are still talking about "internal comprehensive departments" rather than "oncology departments".
Because many families don’t want patients to know that they have a tumor.
Therefore, basically, the hospital is called the Oncology Department, and the patients are called the Internal Comprehensive Department.
Qin Xiaoyuan had already reacted when he heard Xiao He say that there was an injury esophageal fistula.
Injury esophageal fistula is the most likely to damage the aorta and even cause aortic fistula!
Once the aorta rupture is induced, the situation will be critical.
Thinking of this, Qin Xiaoyuan quickly reminded Huang Weiyan: "Weiyan, first get a hospitalization and go to the cardiac surgery department. Let's have a detailed examination."
When Huang Weiyan heard that Qin Xiaoyuan was so solemn, he had to take it seriously.
Unexpectedly, before I could breathe a sigh of relief, another disease that seemed to be quite serious came!
Thinking of this, Huang Weiyan did not dare to relax, so he nodded quickly and followed Qin Xiaoyuan to go through the procedures.
Ji Ruyun stayed to accompany the old man.
As Qin Xiaoyuan walked, he picked up the phone and asked Tao Mi and Chen Cang to come to the hospital quickly.
Tao Mi was in the family building, and it was easy to say that she arrived at the emergency hall in less than ten minutes.
At this time, Chen Cang and Qin Yue were watching TV with their mobile phones. After receiving the call from Qin Xiaoyuan, they quickly changed their clothes and got up.
Even Qin Yue came with him.
When Chen Cang arrived, Huang Yongyi had completed the hospitalization procedures and sent him to the radiology department for examination.
Qin Yue saw her mother waiting outside the radiology department and followed her
When Chen Cang saw Xiao He, he hurried over and asked, "Director Xiao, what's the matter?"
Xiao He saw Chen Cang, thought for a while and said, "It may be an illegitimate esophageal aortic fistula."
As soon as these words were said, even Chen Cang was stunned!
This disease is not a small problem. It can cause severe bleeding in the upper gastrointestinal tract and endanger life!
Basically, as long as the diagnosis is confirmed, surgery must be organized as soon as possible.
So after hearing this, Chen Cang had to pay attention: "Is it confirmed?"
Xiao He shook his head: "I've sent it for a chest x-ray."
After hearing this, Chen Cang walked directly to the operation room of the radiology department.
These days, Chen Cang and Radiology are also very familiar with each other because everyone is on the first floor and often meets each other.
So when he saw Chen Cang coming in, Yang Lin, a radiology doctor, didn't care.
After Chen Cang passed by: "Old Yang, please pay attention to whether there is any damage to the aorta."
Yang Lin nodded.
Chest radiographs are of great significance for the early detection and early diagnosis of lesions of lesions of lesions and aortic fistula.
The film was shot, and Yang Lin frowned: "Damn, Cang'er, you might have guessed it right!"
"Look, there is emphysema in the mediastinum, the density of the descending aorta near the left cardiac phrenic angle increases, and the contour of the descending aorta disappears..."
Chen Cang's heart suddenly felt a little shocked!
It should be inseparable.
Create conditions as soon as possible and operate as soon as possible!
Thinking of this, Chen Cang quickly got up and happened to meet Ji Ruyun and the other two when he went out.
Chen Cang hurriedly said, "Auntie, it's an injured esophageal aortic fistula. You have to prepare for the operation as soon as possible."
Huang Weiyan was really shocked when he saw Chen Cang so serious and couldn't help asking: "Doctor, what's going on with my dad?"
Chen Cang didn't have time to say it, so he turned around and looked at Qin Yue: "You can explain, I will go to the cardiac surgery department first and ask Director Tao to arrange the operation as soon as possible."
After saying that, he didn't bother to explain and got up and left.
Huang Weiyan was left with a moment of surprise and turned around to look at Ji Ruyun: "Sister Ji, is that serious?"
Ji Ruyun has never encountered Lin Cang for so many years, so he is naturally a little puzzled.
But Qin Yue was in the emergency department and knew that this was a critical and severe disease. He quickly said: "Uncle Huang is very dangerous. Every time one minute delay, it may cause uncertain heavy bleeding. Once the bleeding occurs, the situation... is very dangerous."
Ji Ruyun turned around and looked at Qin Yue: "How did it cause it?"
Qin Yue gave a detailed explanation: "Esophageal aortic fistula is a gradual development process. The esophagus and the aorta are very close. When there is foreign body damage to the esophagus, first of all, it is the ischemia and necrosis of the local mucosa of the esophagus, which gradually penetrates the esophagus wall, and then further damage the aorta, causing the mucosal layer on the aorta. At this time, blood will appear in the aorta."
"In the early stages, there is relatively little bleeding, which is a signal of a small amount of bleeding, and may feel uncomfortable in the chest, or even asymptomatic, but once the aorta ruptures, it will be fatal heavy bleeding!"
"So, at this time, we must strengthen prevention. If there is a small amount of bleeding, we must pay more attention."
As soon as these words were said, the two of them looked frightened!
At this moment, they also understood why Chen Cang was so anxious and panicked.
...
...
At this time, Qin Xiaoyuan and Tao Mi were waiting anxiously in the doctor's office.
Chen Cang hurriedly ran in with the film.
After seeing the two, he quickly said hello, then took out the film and walked to Tao Mi: "Director Tao, this is a chest radiograph, it should be confirmed that it is an illegitimate esophageal aortic fistula! Arrange the surgery as soon as possible."
When Tao Mi heard Chen Cang's words, her face changed immediately, and even Qin Xiaoyuan became nervous suddenly!
I quickly took the film and after watching it, I immediately frowned.
Sure enough, the situation is not optimistic!
In this situation, it is really a tightrope walking on a cliff and taking life as a bet!
Because no one knows what causes heavy bleeding.
The damage to the aorta is invisible at all. Who can guarantee what Huang Lao’s situation is now?
Thinking of this, Tao Mi quickly got up, and the nurse, Ji Ruyun and others had already pushed Mr. Huang up.
After Tao Mi went out, she quickly called the doctor on duty Zhang Wenfu to make preparations before the operation and arrange the operation as soon as possible.
Qin Xiaoyuan looked at Tao Mi: "Director Tao, do you need to hire other experts?"
Tao Mi was a little stunned and understood Qin Xiaoyuan's words: "No need, it shouldn't be a big problem with me and Xiao Chen."
When Qin Xiaoyuan heard Tao Mi say this, he looked at Chen Cang curiously. Is this kid so powerful?
...
Chapter completed!