Chapter 2390 Roundworm Egg Capsules

The liver and gallbladder hospital always rushed down for consultation, and was dumbfounded after watching the film.

The patient had obvious pain in the upper abdomen and rolled on the flat car. But the more I moved, the more painful it became, and the more painful I became, the more I couldn't calm down.

"I'll check with the second line." Zhou Litao, the general manager of the hospital, said, "It's probably going to be an emergency operation."

Zhou Litao also thought the same way. The patient's biliary tract was blocked, coupled with severe pain in the upper abdomen, emergency laparotomy was a must. He estimated that conservative treatment would not be effective, and he did not dare to give analgesics casually, for fear that complications such as perforation would not be discovered.

Seeing the patient rolling on the flat car, Zhou Litao felt pain, what a pain.

"Okay, I'll find someone to take the patient to the ward with you." Zhou Litao said.

Then he put the B-ultrasound report and the CT film of the upper abdomen into a film bag and handed it over to the liver and gallbladder hospital director. The two strode towards the emergency room, preparing to send the patient to the hepatobiliary surgery department.

While waiting for the report of the emergency test results, the nurses in the emergency department had already placed a gastric tube and a urinary catheter on the patient, and left an intravenous line in place. If you are preparing for surgery, it is enough to go back and prepare the skin. The efficiency of the emergency department is always so high.

When he came to the emergency room, the patient was retching.

Zhou Litao briefly asked about the medical history before, but because the situation was too urgent, he didn't ask too much detail.

The patient was a 24-year-old recent college graduate, home from school, who had recently started looking for a job. But I didn't expect to suddenly have a stomachache at night, and the family didn't know about the other circumstances.

Vomit...vomit...the patient is retching. Because the vomiting was too violent, the stomach and intestines were already empty, and only some acidic water could be vomited out.

She did not vomit blood, and no food was found in the vomit. Even after gastrointestinal decompression, the vomiting still didn't get better.

The nurse was helping her turn her head to prevent aspiration of vomit, which would lead to more serious complications.

"Send liver and gallbladder!" Zhou Litao said loudly, and began to help push the flat car out.

The movement of the flat car seemed to involve the stomach and intestines. The girl poked her head out on the flat car, and almost missed the door of the emergency room.

Zhou Litao hurriedly stopped the flat car, feeling scared for a while.

If this is bumped and bumped, and there is a head trauma, which is an iatrogenic trauma, then it will be fucked.

Vomit... Before Zhou Litao's thoughts disappeared, the girl began to vomit more violently.

At this time, there was no gastric juice, and she continued to retch violently with tears streaming down her eyes.

What kind of disease is this? It doesn't look like a stone, Zhou Litao is still pondering over the film, while instructing the patient's family members to be optimistic about the patient, so as not to cause trauma.

But the patient was holding on to the guardrail of the flat car tightly, her body convulsed, and she was vomiting violently. No matter how much the family persuaded her, her head was always outside.

Zhou Litao just wanted someone to protect him, so he could take the patient to the hepatobiliary surgery as soon as possible. Before he could speak, the daring hospital manager suddenly said loudly: "Wait a minute!"

"Mr. Chen, what's the matter?" Zhou Litao asked in surprise.

Mr. Chen strode to the front of the gastrointestinal decompression and picked up the negative pressure bottle.

Zhou Litao watched intently, then was stunned.

A worm was sucked out by the negative pressure, half of its body was in the pipe, and the other half was struggling in the negative pressure bottle.

I'm going... what the hell is this? !

Zhou Litao is well-informed, but seeing bugs in the gastrointestinal decompression... I have never seen it before.

Mr. Chen's face turned green. He was still holding the phone in his hand, and was communicating with the second-line Professor Yang. At this time, he immediately said: "I saw worms in the patient's gastrointestinal decompression, white, about 6cm!"

"Ouch..." The patient vomited violently, and finally vomited something.

Another yellow and white bug!

It's just that there is no gastric juice, and the worms are not spit out, but hang at the corner of the patient's mouth, as if there are countless worms in her body, crawling out...

"Professor Yang, there are worms in his mouth..." Mr. Chen was also a little puzzled, "It looks like a roundworm, yellow and white, and earthworm-shaped."

"Okay, I'll do the preoperative preparation right away!"

After speaking, he hung up the phone.

"Send it away, send it away!" Mr. Chen roared anxiously, "Go to the liver and gallbladder, prepare for emergency surgery!"

Watching the group of people go away, their backs disappeared around the corner, and Zhou Litao still saw the image of the decompression of the stomach and intestines and the wriggling worms that appeared in the innermost part.

If it's roundworms... Human ascariasis is a common parasitic disease caused by roundworms parasitic in the small intestine of the human body, and the incidence rate is relatively high in children.

Roundworm adults are cylindrical, like earthworms; eggs are oval, with a layer of rough and uneven protein film often attached to the surface of the egg shell, which is brownish yellow because of being stained by bile.

Roundworms are more common in children than in adults.

But for an adult, how can there be so many bugs that they "pop"? Zhou Litao was a little confused.

"Mr. Zhou, what is that?" A little nurse asked while cleaning the emergency room.

"I look like a roundworm."

"Don't roundworms always come out, why do they come out of the mouth countercurrently?" the little nurse asked.

Zhou Litao shrugged, he didn't know what was going on.

Generally speaking, roundworms should not be very heavy, just take some anti-worm medicine. It is said that people who grind their teeth have roundworms, and it will be fine to eat a few pieces of intestinal worms.

This thing doesn't look like a pig's head tapeworm. It's rare to see a fatal one, but it's just a disgusting person. Who is not afraid to see bugs in the feces?

"When I was visiting an online store a few days ago, I saw someone selling roundworm egg capsules. They said they were for weight loss, plus money and insect repellent." The little nurse said with lingering fear: "At that time, I was thinking about buying some during my annual vacation. eat."

"How dare you eat anything, it's so disgusting." Zhou Litao reprimanded with a straight face.

"Mr. Zhou, you don't know if you don't find a girlfriend..."

In a word, Zhou Litao's scarred heart was stabbed viciously again, and he didn't hear clearly what the little nurse said next.

"Why wait for the holiday?" Zhou Litao asked absently.

"It is said that one week after eating the roundworm egg capsules, there will be low-grade fever and general discomfort. Some people will also have nausea and vomiting. Seeing her vomit too much! It's a bit scary, I'd better think about something else. The little nurse quickly cleaned the emergency room, turned on the ultraviolet light and started disinfection.

Zhou Litao thought for a while, picked up his mobile phone, and called Mr. Chen from the Department of Hepatobiliary Surgery.

What the little nurse in the emergency department said just now is an important clue, otherwise there is no way to explain that there are many roundworms that "come out" from the innermost part.

After hanging up the phone, Zhou Litao began to read the CT of the patient's upper abdomen on the computer.

If the roundworm penetrates into the biliary tract, imaging studies still support it. It's just that biliary ascariasis in adults is very rare, so Zhou Litao studied it bit by bit to enrich his clinical experience.