2694 Postoperative anastomotic leakage
"Oh." Zheng Ren replied, but he didn't seem to have any interest. He just had analgesic fistula, so there was no need to go up and see it. If 912 cannot even solve this problem, it will not be the top tertiary hospital in China.
Linge said, "Then I'll go up to Boss Zheng."
After saying that, he turned around and left.
Walking on the road, Lin Ge's mind was filled with images of Boss Zheng weaving red ropes. This person is really interesting. Every time he had surgery, he could see him holding his arms and watching movies over and over again.
Not to mention anything else, just this seriousness is admirable.
And he won the Nobel Prize, and it seemed that he was not ready to take a break and was energetic to work in clinical practice for the rest of his life.
I really can't understand him, but it's good, it's good, it's good for me. I have arrived at the Science and Education Department and saw that the position of vice president waved to me a few years later.
When Lin Ge thought of this, he became happy. The chaotic feeling that was caused by the inexplicable wrong surgery just now gradually faded away, and he went to the thoracic surgery department with light steps.
Linge felt that the consultation of thoracic surgery was nothing special. For example, the hospital below had surgery and transferred to 912 to continue treatment almost every day. I don’t know what the thoracic surgery was thinking, so I even had to the medical department to attend the consultation.
However, he was unwilling to put his mind too much on this. He thought more about Boss Zheng’s needs and how to benefit himself.
The consultation time was three o'clock in the afternoon, a few minutes earlier, which was also Linger's habit. For this consultation, he left for a while in the Medical Commission for Discipline Inspection.
After entering the doctor's office, Lin Ge saw Feng Jianguo and Director Luo were both there.
Well? Why are there so many people? Linger was a little surprised. When the medical clerk saw Linger come in, he immediately gave him a seat.
"Director Luo, why are you here?" Linge asked in surprise.
"Haha." Director Luo smiled and said, "I'm not here to consult, I'm just watching the fun."
Linger sat straight all of a sudden, and he felt a faint smell of something wrong. Chest surgery, gastroenterology, it seemed that only in the esophagus and cardia sections could intersect. Feng Jianguo was also there, and there was a female doctor sitting next to him with her head down.
It was Quan Xiaocao, Linge smiled and asked in a low voice, "There is no one in the Corinthians. Director Ye is going to deal with a medical dispute. Everyone is busy. I got the news and rushed back from the Medical Mediation Committee. I don't know the situation yet."
"There is a patient with lower esophageal genital, gastric fundus, and gastric body cancer. After neoadjuvant chemotherapy for gastric cancer, the patient underwent radical total gastrectomy + esophageal-jejunal roux-en-y anastomosis. After the surgery, the patient has been suffering from fever and considering that there may be anastomotic fistula, isn't that coming?" Director Luo said.
If it is a little bit more forced, it has something to do with gastroenterology, but this is too forced.
Linger still didn't understand the problem, but he didn't ask and continued to listen.
"The chest department has been doing chest irrigation and drainage, thinking about the second phase of surgery. Later, the student of Lao Feng said that he could have endoscopic treatment. Xiao Fang asked me, so I came and took a look."
Endoscopy? Director Wei’s gastrointestinal surgery department has recently applied for some scientific research projects, including endoscopy. Now Linger is in charge of science and education, so he knows this.
However, scientific research projects are just projects, and it takes a long time to implement them in detail. Linger doesn't believe that the blink of an eye can be used in clinical practice.
"Director Luo, what do you think?"
"Director Lin, I just took a look at the patient's condition and was in a bad condition." Director Luo said, "CT prompted that the left pleural effusion was accompanied by the formation of abscess cavity, and the left pleural puncture drainage was used to guide the left pleural puncture drainage + left diaphragm diversion operation. About 10ml of light blue sputum-like liquid was drawn out of the left pleural abscess cavity, and about 20ml of yellow-green liquid was drawn out of the left diaphragm."
"Light blue? Yellow-green?" Linger's eyebrows frowned.
This infection is too severe.
Being color means bacterial infection, yellow-green is more common, and light blue is rare. What bacteria are light blue? After thinking about it for a long time, Linge couldn't figure it out.
"I had a gastroscopy in the morning..." Director Luo said, "At first, I felt the risk was high, so I refused. Later, Mr. Gu looked for me, but there was no way, so he bit the bullet."
"Gastrophotography showed that the esophageal jejunal anastomosis was 38cm away from the incisor. A fistula was seen on the left anterior wall of the anastomosis, and anastomosis staples were seen at the edge, with a diameter of about 0.8cm."
"What should I do if this situation is?" Linger asked.
"If I had been in the past, I could only strengthen nutrition and try to avoid infection, so that the patient's esophageal fistula heals as soon as possible. As for whether it grows, it depends on your luck. Do you also know that the biggest problem lies in the fistula."
Linger nodded.
"Now you can get a stent to avoid gastric juice reflux. But if the stent is light, it is also a problem to grow. Professor Feng's student said that it can be treated with endoscopy." Director Luo once again mentioned Quan Xiaocao.
It's interesting. The gastrointestinal surgery department is going to take some business scope snatched away by the gastrointestinal department. Linge made a judgment in his mind.
No wonder Director Luo took the initiative to check the situation.
What these directors are thinking in their minds is the same as Lin Ge. As long as he does not delay treatment, he will definitely not care who will be responsible for the specific business.
It has nothing to do with me. Anyway, it is all the meat in the big pot of 912. You can do whatever you want, as long as you don’t cause trouble for me.
But this time it involves Quan Xiaocao. Lin Ge knew that Quan Xiaocao had published several SCI articles in the past six months, and Su Yun had no name left.
He smiled slightly and decided to just read and say less.
Fang Lin came in sweating and saw that Lin Ge had arrived, so he came over and said hello very seriously. He should not smile with the people in the medical department, especially if there is serious matter.
The patient is Professor Lu. Fang Lin was just arrested for a strong man to work. After he greeted him, he hid in the corner and waited for the consultation to begin.
The doctors under Professor Lu began to introduce the condition, which was no different from what Director Luo said, but it was a little more detailed.
"This is the case for the patient," said Professor Lu. "After 10 days of thoracic closed drainage catheter flushing, the esophageal fistula did not improve at all. I think the next stent is better for the next treatment, and the rest can be slowly healed after the patient returns home."
"It's very difficult to get off the stent. Why didn't the person involved in the intervention department come?" Linge asked.
"I asked Director Kong to come for consultation and said that there was an emergency surgery on that side, and Director Kong came on stage." Professor Lu said: "Mr. Gu and I discussed it. The best way is to take a certain risk to do a stent. In fact, less than a month after the operation, there is too much possibility of problems with stent surgery."
Chapter completed!