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1879 Impossible Diagnosis

"Spontaneous esophageal rupture?" Xia Hua was stunned for a moment, and then he felt a little strange in his heart.

He immediately said: "Boss Zheng, the patient did not vomit blood after drinking. When his family told his medical history, he said he was sleeping halfway through the night and suddenly coughed up blood."

Spontaneous esophageal rupture is generally rare. Xia Hua has been in medicine for more than ten years and has seen one case. The book says that generally it is caused by vomiting caused by drinking alcohol.

"Oh, the patient's family members describe their medical history. Sometimes we need to look at it dialectically. It may not be correct, but we need to analyze it again." Zheng Ren said: "When will the patient undergo surgery? If the patient is usually open to the chest, it is estimated that the first phase will not match, and the second phase will be discussed."

Xia Hua is a little tired of being accustomed to his own work?

Generally, experts are invited to take care of each other, and some people don’t even look at patients before the operation. After getting off the plane and getting on the vehicle, the hospital starts to send patients to the operating room.

When he arrived at the hospital, the professor went straight to the stage.

After the operation for a few hours, I left with my money, and some even didn't even eat to catch a plane.

If it weren't for the strong demand from this familiar doctor, no one would have asked for trouble and interfered in other hospitals.

This person is young and doesn't even understand the rules.

The most important thing is his diagnosis... there are also problems.

The causes and mechanisms of spontaneous esophageal rupture are not yet fully understood.

Most patients first vomit and then have esophageal perforation, so vomiting is still the most important cause of the disease. There is also a saying that many doctors call it ruptured after vomiting.

Related to vomiting is drinking alcohol. Most of the patients with vomiting are overeating, which is caused by drinking alcohol.

Other causes of spontaneous esophageal rupture include childbirth, car accidents, post-cranial surgery, epilepsy, etc.

The patient coughed up blood during sleep and had no history of drinking. These two points basically ruled out the possibility of spontaneous esophageal rupture.

Xia Hua was a little dissatisfied, and then he was a little worried about his old man's surgery.

What is this level?

Too young, it's really not very reliable.

"Boss, it's a typical spontaneous esophageal rupture. Can't you sew it in one phase?" Su Yun asked.

"Well, it can't be stitched. If it is a complicated trauma, accompanied by abdominal injury, it can open the stomach and take the omentum out for external suture." Zheng Ren said: "But this is all the scope of surgical operations. If it is a surgical operation combined with interventional surgery, it's enough to just put a big rack."

"..." Xia Hua was speechless.

What's the same as the truth.

There is also a combination of surgical and interventional surgery. Is this surgery not good at all in clinical practice?

This boss Zheng looked honest and honest, how could he speak so unreliable!

Xia Hua felt a little fucked.

But he knew Gao Shaojie's character, and Xia Hua admired him very much.

Things were inconsistent, and Xia Hua felt that his mind was a little confused.

"Xia Hua, show Boss Zheng the old man's film." Gao Shaojie felt a little embarrassed when he felt the atmosphere was a little awkward, and he quickly said.

"Oh, oh." Xia Hua's movements were a little slower.

The newly performed upper gastrointestinal tract imaging yesterday, the esophageal tumor had almost blocked the esophageal cavity. After drinking the compound gluamine, the liquid stayed above the tumor for more than ten seconds before a line slowly flowed down.

The tumor has increased even more than before, and the side wall almost touched the heart.

Zheng Ren watched the movie seriously with his arms around him.

"Boss Zheng, are you taking me with 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 Gao Shaojie and Teacher Gao were rushing to hand over the little doctor's words.

Nobel Prize? What a distant thing, Xia Hua has no idea at all.

However, seeing Gao Shaojie's excited look, Xia Hua's doubts became a little heavier.

Shouldn’t you be very angry when facing the cold reception? Why would Teacher Gao be excited?

After five minutes, Zheng Rencai said, "Lao Gao, this method can be used for the combination of double interventional treatment."

"I guess you can do it!" Gao Shaojie said loudly.

"But today I can only open a small opening to the esophagus, and then the bracket will be opened 2-3 times." Zheng Ren said: "I have no time, you can do the rest."

"Okay!" Gao Shaojie agreed, "Then take a look at the patient's condition, let's go now?"

"Okay." Zheng Ren turned around and stretched out his hand.

Xia Hua was stunned for a moment.

"Oh, Dr. Xia, please use the stethoscope for me." Zheng Ren said with a smile.

Xia Hua handed over his stethoscope to Zheng Ren and took it to the ward.

Although I was fucked, I was already on the string at this time. If I refused at this time, the relationship with Gao Shaojie would not be necessary in the future.

People came to help, but in the end they changed their minds and there was no reason to do things like this.

Xia Hua regretted it a little.

"By the way, Dr. Xia, a patient with spontaneous rupture of the esophageal rupture just now, hurry up and take the surgery." Zheng Ren said: "The later the time, the more edema the rupture position is, the worse the recovery after the operation."

"..." Xia Hua didn't say anything, lowered his head, trying to hide all his dissatisfaction.

Gao Shaojie saw a clue. He waited for Zheng Ren to enter the ward to start a physical examination. He gently patted Xia Hua on the back, gave a wink, and signaled him to go out with him.

"Xia Hua, are you too tired?" Gao Shaojie asked in a low voice after leaving the ward.

"Teacher Gao..." Xia Hua hesitated for a while, and finally said: "Is this boss Zheng really of high standards?"

"Of course, Gao is not the same high." Gao Shaojie said with a smile: "Whether it is surgery or diagnosis, it is something we can't imagine. Do you have other ideas when you see him young?"

Xia Hua was silent.

Gao Shaojie smiled, "Old Liu is now working as a young doctor under his command. It is said that he is as tired as a dog every day."

Xia Hua knew about this, but he just didn't understand it.

"Teacher Gao, let me tell you the truth. I don't know how good Boss Zheng's intervention is. However, in the film just now, the patient did not have any inducing factors of spontaneous esophageal rupture. I consider that it is tumor erosion, which causes bronchial pleural leakage."

"Then you diagnosed the wrong thing." Gao Shaojie whispered.

He looked at Xia Hua's expression and knew that he had a knot in his heart. Gao Shaojie was humble, but he was not the kind of person who had a stubborn mind.

After thinking about it, Gao Shaojie smiled and said, "Where are you on duty?"

"There is a major emergency car accident in the operating room, and I guess I can't get off the operating table before 4 pm."

"Then you just find a doctor, and you two go on stage to open your chest to investigate. Can the surgery be performed?" Gao Shaojie asked.

Xia Hua nodded, thinking that this method is good.

My old man’s condition is not an emergency, he can still wait for a few hours.

"Let Boss Zheng watch the stage?"
Chapter completed!
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