Chapter 1531 Boss Zheng Stopped the Emergency Surgery

Endoscopy showed: chronic, atrophic, superficial gastritis. Abdominal CT showed signs of obstruction in the patient's duodenal segment.

There is also a film of digestive tract angiography, suggesting that the duodenum is blocked, and the imaging performance is very typical.

The diagnosis should be very clear. Zhou Litao looked at the patient's various test values ​​and assessed whether the operation could be performed.

Just watching, the gastrointestinal hospitalization always hurried down.

Zhou Litao always talked about the information he had obtained and the gastrointestinal surgery hospitalization.

Even in the absence of intestinal perforation, local tissue already has inflammatory changes. And depending on the patient's state, the changed part will be very long and the inflammation will be severe.

There is no way to solve this problem by medical means.

Surgery, only emergency surgery can solve the problem.

This is the consensus.

The inpatients of the gastrointestinal surgery always pushed the patients away in a hurry, and the family members of the patients who arrived one after another followed behind.

Zhou Litao looked at the relieved out-of-town 120 emergency doctor, smiled and said a few words.

"It's really scary to run a long distance." The non-local doctor smiled bitterly and said, "I'm afraid there will be three long and two short, and there are temporary rescue medicines in the car..."

It's all tears, and it's meaningless.

It is a serious matter to rush back from the imperial capital.

Zhou Litao watched the 120 emergency personnel leave, thinking about the patient just now.

A duodeno-jejunostomy should be done to expose the problematic bowel.

Depending on the severity of the disease, you can choose to leave or remove it.

Because the duodenum is involved, so even if you choose to resection, you must be very careful.

912's gastrointestinal surgery, the level of surgery is very high, there should be no problem.

Zhou Litao immediately forgot about the patient.

In the emergency department, if you remember every patient, it is estimated that the whole person will collapse soon.

...

In gastrointestinal surgery, Feng Jianguo took the hospital chief and Quan Xiaocao to do an emergency physical examination and diagnosis.

There are CT films, medical history, and signs. There is no doubt, go up and open it, it is urgent!

No matter whether the obstructed segment is light or heavy, it must be opened before the next treatment is considered.

And the treatment measures are nothing more than several types of surgery.

For Feng Jianguo, there is no difficulty at all. The real difficulty is to make choices according to the condition during the operation.

The nurses hurriedly prepared for the operation, and the family members went through the hospitalization procedures. Out of prudence, Feng Jianguo did not let Quan Xiaocao explain the patient's family before the operation, but explained the condition himself.

The choice of several techniques, Feng Jianguo said clearly. The specific choice will also be decided intraoperatively.

Because he was relatively unfamiliar with the patient's family, Feng Jianguo cautiously told the patient's family that he would come out and communicate with the patient's family after seeing the situation, and he would discuss with them the first time he made a choice.

The family is grateful.

Unexpectedly, the doctor in the imperial capital is more caring than the doctor in his hometown.

Although Feng Jianguo emphasized that there is a high possibility that the patient cannot get off the operating table, the family members expressed their gratitude again and again.

After all, this is one of the most technologically advanced hospitals in the country. If it is not cured, it will be fatal.

After 22′, the preoperative preparations were completed, and Quan Xiaocao pushed the patient to the stage.

If it is a general intestinal obstruction, it must be done in hospital.

But when it comes to the duodenum, the hospital always pulls Feng Jianguo up and gives him a hand.

"Mr. Feng, what do you think the surgery will do?" the hospital manager asked when changing clothes.

"Duodenum-jejunostomy." Feng Jianguo said with certainty: "The patient's delay is a little long, and I hope that the intestines will not be cut too much."

The hospital manager was about to continue asking when he suddenly heard Quan Xiaocao's voice from outside.

"Mr. Feng, are you there?"

"What's wrong?" Feng Jianguo was a little strange. At this time, shouldn't Quan Xiaocao change clothes and watch the patient in the surgery room? Running to find himself at the door of the men's locker room, does this mean that the patient's condition has changed?

Thinking of this, his blood pressure "brushed" suddenly increased by 10 mmHg.

"That..." Quan Xiaocao hesitated, and Feng Jianguo was a little angry.

If you have something to talk about, go to work if you have nothing to do, and you are about to have emergency surgery. Why do you come here to hesitate?

Xiaocao is a good boy, works diligently, and bears no complaints, but he is too cowardly.

When encountering any unexpected situation, I am a little timid.

Feng Jianguo felt a little anxious, put on his clothes immediately, and walked out quickly.

"What's the matter?" Feng Jianguo asked with a serious expression.

"Mr. Feng, I just met Boss Zheng stepping down. He said that the patient is not due to intestinal obstruction, and the operation is not allowed." Quan Xiaocao whispered.

"..." Feng Jianguo was stunned.

Don't allow surgery? This seems to be a big deal.

Not to mention Boss Zheng, even Director Wei would have to think twice about stopping an emergency operation.

If it can overturn the existing diagnosis, it seems that it can be considered.

However, the patient's diagnosis was quite clear, with abdominal CT and gastrointestinal angiography as the basis for diagnosis.

"Let's go and have a look." Feng Jianguo recalled the process of the film and the physical examination, and strode to the emergency operating room.

"Mr. Feng, don't be angry, Boss Zheng... Boss Zheng..." Quan Xiaocao was obviously helping Zheng Ren to speak, but he didn't know what to say.

"What's going on?" Feng Jianguo asked.

"I took the patient up, and after I talked to the emergency anesthesiologist, I went to change my clothes. When I changed my clothes, Boss Zheng and Brother Yun were watching movies in the surgery room." Quan Xiaocao said, "Then Boss Zheng said, The patient is not a bowel obstruction, let me tell you not to have surgery."

"He didn't say anything else?"

"Well." Quan Xiaocao said, "I just said a few words. The anesthesiologist asked if I wanted anesthesia. The patient's condition was not good, so I ran down."

Feng Jianguo knew that Boss Zheng was not a fool, but the diagnosis of this patient should not be too clear.

Such a typical intestinal obstruction, why can't surgery?

Subconsciously, he believed in Zheng Ren's conduct, but he did not believe in Zheng Ren's judgment.

This tangled state of mind is somewhat complicated.

Walking quickly to the emergency room, Feng Jianguo saw that Boss Zheng Renzheng was still in a familiar posture and a familiar formula, reading the film.

"Boss Zheng, what's going on?" Feng Jianguo asked directly before being polite.

"It is suspected that the patient has myasthenia gravis, complicated by intestinal smooth muscle weakness." Zheng Ren also answered directly.

The patient is lying on the operating table, in a bad state, and all the masks of hypocrisy have been torn off. It is serious to seize the time for diagnosis and treatment.

Don't be polite here. In the end, the patient died on the operating table, and it was over.

"Myasthenia gravis?" Feng Jianguo was stunned for a moment.

Myasthenia gravis is an autoimmune disease caused by dysfunction of transmission at the neuro-muscular junction.

The main clinical manifestations are partial or general skeletal muscle weakness, easy fatigue, aggravation after activity, and relief of symptoms after rest.

Under normal circumstances, it is mainly manifested in skeletal muscles. Smooth muscle symptoms are rare.