2819 Leaves fall back to their roots
Soon, Su Yun sent all the received video materials to Zheng Ren.
It was just a few films and test sheets, but it was obvious that the old man's physical condition was really poor and his condition was quite difficult.
When I was admitted to the hospital, the ion disorder was quite serious and it has basically returned to normal now. However, based on the imaging, the operation is not done just by doing it.
Zenker diverticulum is a type of pharyngeal diverticulum. Unlike ordinary esophageal diverticulum, German pathologist Zenker made correct analysis and observation of pharyngeal diverticulum in 1874, so it was named zenker diverticulum.
The pharyngeal diverticulum accounts for about 60% of the esophageal diverticulum, which is more common in patients aged 50 to 80.
This pharyngeal diverticulum that occurs at the junction of the pharyngeal esophageal junction is the zenker diverticulum. Its occurrence is related to the pharyngeal esophageal muscle movement disorder, the increased pressure in the esophageal cavity caused by the cyclopharyngeal muscle anatomy, and the weakness in the anatomy of the local muscle.
There is no doubt about diagnosis. Gastroscopy has proved that this old patient does not need diagnosis and differential diagnosis, but the difficulty lies in treatment.
"Boss, I think all indicators are maintained well, and there is a possibility of surgery. But it is only possible, and those who cannot get off the table may be even bigger. With this body, it is difficult for the body to withstand the surgery and anesthesia attacks." Su Yun said after reading the test form.
"I think about it." Zheng Ren put down his phone, looked at the distance with neon lights flashing, thinking about the patient's situation.
The old man is 84 years old. He found progressive dysphagia 6 years ago and was diagnosed with zenker diverticulum. At that time, because he was older, the patient's family decided to refuse surgical treatment after discussing.
That was 6 years ago, and I refused at that time, let alone now.
The elderly can only eat half-flow before being admitted to the hospital, accompanied by interrupted vomiting.
After admission, upper gastrointestinal tract imaging showed a huge diverticulum on the right wall of the cervical segment to the upper thoracic esophagus, with the lower end reaching a level of 10 cmx6 cm in size, about 7 cm wide at the base of the diverticulum, and about 3 cm long in the length of the esophageal ridge between the diverticulum and the thoracic segment.
Chest CT scans show that the pharyngeal diverticulum located in the chest squeezes and narrows the trachea and esophageal tube.
Electronic gastroscopy showed a huge diverticulum on the right side of the esophagus 16 to 23 cm away from the incisors. The mucosa of the diverticulum wall was obviously congested, and the esophageal cavity was compressed and narrowed into a discontinuously open hole shape, which was unable to pass through the gastroscopy.
"Since the base of the diverticulum is in the cervical esophagus and the upper thoracic esophagus, neither the transcervical incision nor the transthoracic incision can fully expose the base of the diverticulum, and it is impossible to completely remove the diverticulum." Zheng Ren recalled and said to Su Yun.
"Yes." Su Yun frowned, "The diverticulum is too big and it is not suitable for diverticulum suspension. At such an age, it is definitely impossible to perform joint incision of the neck and chest."
"Well, it's definitely not possible. If there is a joint incision, I'm afraid I can't get out of the ICU. I guess the coach's mansion is also considering this. It makes sense that the patient's family members refuse treatment." Zheng Ren pondered.
The car then went silent, and Zhou Chunyong felt quite embarrassed. Boss Zheng and Su Yun were thinking, but he was unwilling to do so and did not dare to disturb their thoughts.
In silence, Zheng Ren got off the car and walked into the private room with Zhou Chunyong, asking the waiter, "Do you have any pens and paper?"
"Uh...yes, sir, please wait." The waiter politely went to get the paper and pen.
"Boss, do you have any ideas?" Su Yun asked.
"I had a little vague idea, but it's not clear yet. I'll draw it and take a look." Zheng Ren simply sat on the sofa next to him, put his elbows on his knees, narrowed his eyes slightly, and looked at the coffee table in front of him.
"What are they?" Dean Bao asked Zhou Chunyong in a low voice.
"I told Boss Zheng about Mr. Peng's lover. It was just a chat, but I didn't expect Boss Zheng to take it seriously." Zhou Chunyong said helplessly.
"Can there be a way?" Dean Bao asked unbelievably.
"I don't know, let's take a look." Although Zhou Chunyong saw that Boss Zheng had undergone countless difficult surgeries, he still refused to believe it.
The old man lives in the Shuai Mansion, UnionPay is known as the last stop in the domestic medical field. The Shuai Mansion is the strongest point in the technical strength. There is no way out there. Boss Zheng should not be able to solve the problem like a flying immortal in the sky.
Should we use intervention methods again? Zhou Chunyong suddenly remembered such a possibility. Bullet embolization, and Boss Zheng used intervention methods to remove the bullets. This idea was like a flying immortal from the sky, and now I still feel extremely stunning when I think about it.
It is also possible that you cannot use your own level to guess Boss Zheng. Zhou Chunyong knelt early in front of Boss Zheng, kneeling quite thoroughly.
The waiter brought the pen and paper up, and Zheng Ren immediately began to draw a sketch. Zhou Chunyong looked from a high point from a distance, which was a human anatomical diagram of the neck and chest. Although it was just a sketch, the shape was realistic, and the 3D three-dimensional structure was clearly displayed with shadows.
Boss Zheng and Su Yun began to talk about the idea of surgery, and Dean Bao was particularly helpless.
It is said that when you sit here, whether it is out of politeness or seniority, you should be fully respected. When you come up to chat, chat and have a meal, everyone has a deeper understanding of each other, and it is not convenient to do things in the future.
This is the most basic idea, and it seems that as long as you have a little emotional intelligence, you will do it.
But Boss Zheng and Su Yun didn't even look at him. They chatted enthusiastically on the other side, and occasionally quarreled a few times, which was very intense.
"Director Bao, Boss Zheng has such a temper." Zhou Chunyong sighed and said, "Why should we order the dishes first?"
"Let's wait." Although Bao Longtao was a little angry, he couldn't tell the problem. He was asking for a treatment plan for his teacher's wife. Even if he felt that his family had given up on treatment, he didn't have to think about these things at all, but it was not easy to interrupt.
In fact, it doesn’t matter whether you think about it or not. Even if you interrupt Boss Zheng, you have to pay attention to him. It is said that Boss Zheng is very powerful and puts his eyes on him during emergency rescue. He really dares to hit people.
If you can't make a mistake, you can't make a mistake. Bao Longtao shook his head, "Let's wait a moment."
He found a seat to sit down, took out his phone and opened a small group, and saw the news in the group, his expression was dim.
"The two old men discussed it and have been discharged from the hospital automatically." Bao Longtao said, "and are about to go back to their hometown."
"Uh..." Zhou Chunyong looked at Boss Zheng and Su Yun who were discussing the hottest, and felt mixed feelings.
Is their discussion meaningful? It has no meaning at all.
Chinese people pay attention to returning to their roots. Many people have to go back to their hometowns when they die, especially for older people.
"Director Bao, where is the hometown?"
Chapter completed!