Chapter 1878 Impossible Diagnosis

"Spontaneous esophageal rupture?" Xia Hua was taken aback for a moment, and then felt strange feelings in his heart.

He immediately said: "Boss Zheng, the patient did not vomit blood after drinking alcohol. When the family members told the medical history, they said that they were half asleep at night and suddenly coughed up blood."

Spontaneous esophageal rupture is generally rare, and Xia Hua has only seen one case in more than ten years of medical practice. According to the book, it is generally caused by drinking and vomiting.

"Oh, when the patient's family narrates the medical history, sometimes we have to look at it dialectically. It may not be correct, so we need to analyze it again." Zheng Ren said: "When will the patient have surgery? If the patient's condition is a normal thoracotomy, it is estimated that one stage If it doesn’t match, we’ll talk about it in the second issue.”

Xia Hua is a little tired, is this pointing fingers at his own work?

Generally, outside experts have no time to look around at all, and some even don't even look at the patient before the operation. After getting off the plane and getting on the car, the hospital starts to send the patient to the operating room.

When they came to the hospital, the professor went directly to the stage.

After a few hours of surgery, they left with money, and some even skipped meals to catch a flight.

If it weren't for the strong request of the familiar doctor here, no one would find trouble and talk about it in another hospital.

After all, this person is young and doesn't even know the rules.

On top of that, his diagnosis...was problematic.

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

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

Associated with vomiting is drinking, and most of the types of patients who vomit are caused by overeating and drinking.

Other causes of spontaneous esophageal rupture include childbirth, car accidents, brain surgery, and epilepsy.

The patient coughed up blood during sleep and had no history of alcohol consumption, which basically ruled out the possibility of spontaneous esophageal rupture.

Xia Hua was a little unconvinced, and then worried about his old man's operation.

What level are these.

Too young, it really is not very reliable.

"Boss, it's a typical spontaneous rupture of the esophagus. Can't you stitch it up?" Su Yun asked from the side.

"Well, it can't be sutured. If it is a complicated trauma with abdominal injury, it is possible to open the stomach and take out the omentum for outer suturing." Zheng Ren said: "But this is all in the scope of surgery. If Combine surgery with interventional surgery, and just make a big show of it.”

"..." Xia Hua was speechless.

How to say the same as the real thing.

There is also a combination of surgery + interventional surgery, there is no such surgical method in clinical practice, is it good!

This Boss Zheng looks honest and honest, how can he talk and act so unreliably!

Xia Hua's heart was a little tired.

But he is aware of Gao Shaojie's character, Xia Hua admires his refined and scholarly demeanor.

The matter was inconsistent, Xia Hua felt that his mind was a little messed up.

"Xia Hua, show the old man's film to Boss Zheng." Gao Shaojie felt that the atmosphere was a bit awkward, so he said hastily.

"Oh, oh." Xia Hua moved a little slower.

In the new upper gastrointestinal radiography yesterday, the esophageal tumor has almost blocked the esophageal cavity. After drinking compound diatrizoate meglumine, the liquid stayed above the tumor for more than ten seconds before a line slowly flowed down.

The tumor was still growing than before, and the side wall almost touched the heart.

Zheng Ren watched the film seriously with his arms folded.

"Boss Zheng, will you take me up today?" Gao Shaojie whispered.

"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, Mr. Gao, rushed to give this little doctor a short story.

Nobel Prize? It's so far away, Xia Hua has no concept at all.

But seeing Gao Shaojie's excited face, Xia Hua's doubts became a little more serious.

Shouldn't you be very angry in the face of cold reception? Why is Teacher Gao so excited.

It took a full five minutes before Zheng Ren said, "Old Gao, this method can be used for combined treatment with two interventions."

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

"However, today I can only open a small opening in the esophagus, and then the stent will need to be opened 2-3 times." Zheng Ren said: "I don't have time, you can do the rest."

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

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

Xia Hua was taken aback.

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

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

Although my heart is tired and crooked, but at this time the arrow is on the string. If he refuses at this time, the relationship with Gao Shaojie will be useless in the future.

People came to help, but I changed my mind in the end, so there is no reason to do things like this.

Xia Hua felt a little regretful.

"By the way, Dr. Xia, the patient with a spontaneous rupture of the esophagus just now, hurry up and have surgery." Zheng Ren said: "The later the time, the more severe the edema at the rupture site, and the worse the recovery after surgery."

"..." Xia Hua didn't speak, but 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 the physical examination, lightly patted Xia Hua's back, and gave him a wink, motioning him to go out with him.

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

"Mr. Gao..." Xia Hua hesitated, paused, and finally said: "Is this Boss Zheng really very good?"

"Of course it's tall, not just ordinary." Gao Shaojie said with a smile, "Whether it's surgery or diagnosis, it's beyond our imagination. Do you think he's young, so you have other ideas?"

Xia Hua was silent.

Gao Shaojie smiled, "Lao Liu is now working as a little doctor under his hands. It is said that he is as tired as a dog every day."

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

"Mr. Gao, let me tell you the truth. I don't know the level of Boss Zheng's intervention. But in the film just now, the patient did not have any predisposing factors for spontaneous esophageal rupture. I think it is a bronchopleural leak caused by tumor erosion."

"Then your diagnosis is wrong." Gao Shaojie whispered.

Looking at Xia Hua's expression, he knew that he had a knot in his heart. Gao Shaojie is humble, but he is not the kind of person with a single mind.

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

"There was an emergency car accident in the operating room, and it is estimated that I will not be able to get off the operating table before four o'clock in the afternoon."

"Then you just find a doctor, and you two go on stage to open the chest for exploration. Can the operation be done?" Gao Shaojie asked.

Xia Hua nodded, thinking that this method is good.

My father's condition is not an emergency, and he can still wait for a few hours.

"Let Boss Zheng watch the stage?"

"You can also ask him to help you." Gao Shaojie smiled.