Chapter 2819

Soon, the message Su Yun sent all the video data received to Zheng Ren.

It's just a few films and test sheets, but it can be seen that the old man's physical condition is really very poor, and the condition is quite difficult.

When I was admitted to the hospital, the ion disorder was quite serious, and now it is basically back to normal, but judging from the images, the operation is not just done.

Zenker's diverticulum is a kind of pharyngoesophageal diverticulum. It is different from ordinary esophageal diverticulum. In 1874, German pathologist Zenker made a correct analysis and observation of pharyngoesophageal diverticulum, so it was named Zenker's diverticulum.

Pharyngoesophageal diverticulum accounts for about 60% of esophageal diverticulum, and it is more common in patients aged 50 to 80.

The pharyngoesophageal diverticulum that occurs at the junction of the pharyngoesophagus is the Zenker diverticulum, and its occurrence is related to the ataxia of the pharyngoesophageal muscle, the increase in the pressure in the esophageal cavity caused by the cricopharyngeal muscle atrophy, and the weakness of the local muscle anatomy .

There is no doubt about the diagnosis. Gastroscopy has proved that what this old patient needs is not diagnosis and differential diagnosis. The difficulty lies in treatment.

"Boss, I think all the indicators are maintained well, and there is a possibility of surgery. But it is only possible, and the possibility of not being able to get off the stage is even greater. With this body, it is difficult to resist the blow of surgery and anesthesia." Su Yun looked over the test sheet said later.

"I've thought about it." Zheng Ren put down his phone, looked at the neon-blinking distance, and thought about the patient's condition.

The old man is 84 years old. He found progressive dysphagia 6 years ago and was diagnosed with Zenker's diverticulum. At that time, it was because of his older age that the patient's family members decided to refuse surgery after discussion.

That was 6 years ago, and they all refused at that time, let alone now.

Before being admitted to the hospital, the old man could only eat a half-flow diet, accompanied by intermittent vomiting.

Angiography of the upper gastrointestinal tract after admission showed a huge diverticulum from the neck to the right wall of the upper thoracic esophagus, the lower end reached the level of the carina, about 10cm×6cm in size, the base of the diverticulum was about 7cm wide, and the ridge between the diverticulum and the thoracic esophagus was about 3cm long.

Chest CT scan showed intrathoracic pharyngoesophageal diverticulum squeezing the trachea and esophagus.

Electronic gastroscopy showed a huge diverticulum on the right wall of the esophagus 16 to 23 cm away from the incisors. The mucosa of the diverticulum wall was obviously congested, and the esophageal lumen was compressed and narrowed into intermittent open holes.

"Because the base of the diverticulum is in the cervical esophagus and upper thoracic esophagus, the base of the diverticulum cannot be fully exposed no matter whether the incision is made through the neck or through the chest incision, and there is no way to completely resect the diverticulum." Zheng Ren recalled and said to Su Yun.

"Yes." Su Yun frowned, "The diverticulum is too large, and it is not suitable for diverticulum suspension. At such an advanced age, it is definitely not possible to perform combined neck and thoracic incision."

"Well, definitely not. If the incision is combined, I'm afraid I can step down and not get out of the ICU. I guess the commander's office also considers this way, and the patient's family members have reason to refuse treatment." Zheng Ren pondered.

Then the car fell silent, Zhou Chunyong felt quite embarrassed, Boss Zheng and Su Yun were both deep in thought, and he didn't want or dare to disturb their thoughts.

Arriving at the restaurant in silence, Zheng Ren got off the car, walked into the private room with Zhou Chunyong, and asked the waiter, "Excuse me, do you have a pen and paper?"

"Uh... Yes, sir, please wait a moment." The waiter politely went to get the paper and pen.

"Boss, do you have an idea?" Su Yun asked.

"It's a bit of a vague idea, but it's not clear yet. I'll draw it for you to see." Zheng Ren didn't go to the table at all, and sat directly on the sofa next to him, with his elbows on his knees, his eyes narrowed slightly, and looked at the person in front of him. coffee table.

"They are?" Dean Bao asked Zhou Chunyong in a low voice.

"I told Boss Zheng about Mr. Peng's lover. It was just a small talk, but Boss Zheng took it seriously." Zhou Chunyong said helplessly.

"Is there a way?" Dean Bao asked in disbelief.

"I don't know, let's have a look." Although Zhou Chunyong saw that Boss Zheng had undergone countless difficult operations, he still refused to believe it.

The old man lives in the Shuai Mansion, Xiehe is known as the last stop in the domestic medical field, the Shuai Mansion is the point with the strongest technical force, there is nothing to do there, Boss Zheng should not be able to solve the problem like a flying fairy.

Is it necessary to use intervention methods again? Zhou Chunyong suddenly thought of such a possibility. The bullet was embolized, and Boss Zheng used intervention to remove the bullet. This idea is like a flying fairy from the sky, and now thinking about it, I still feel amazing.

It's also possible that you can't use your own level to speculate on Boss Zheng. Zhou Chunyong knelt down in front of Boss Zheng very early, quite thoroughly.

The waiter brought up the pen and paper, and Zheng Ren immediately began to draw a sketch. Zhou Chunyong looked down from a high position and looked from a distance. It was a schematic diagram of the human anatomy of the neck and chest. Although it is just a sketch, its shape is realistic, and the 3D three-dimensional structure is clearly displayed with shadows.

Boss Zheng and Su Yun began to talk about the concept of surgery, and Dean Bao was very helpless.

Ordinarily, sitting here, whether it is out of politeness or seniority, should be fully respected. Come up to chat, talk, laugh and have a meal, everyone has a deeper understanding of each other, and it will be convenient to do things in the future, isn't it?

This is the most basic idea, and it seems like anyone with a modicum of emotional intelligence will do it.

But Boss Zheng and Su Yun didn't even look at themselves. They chatted over there in full swing, occasionally quarreling a few words, which was very intense.

"President Bao, Boss Zheng has such a temper." Zhou Chunyong said with a sigh, "How about we order first?"

"Wait." Although Bao Longtao was a little angry, he couldn't tell what was wrong. He was thinking of a treatment plan for his teacher's wife. Even if he felt that the family had given up treatment and didn't need to think about these things at all, it was not easy to interrupt.

In fact, it doesn't matter whether you want to or not, even if you interrupt Boss Zheng, you have to take care of yourself. It is said that Boss Zheng is very powerful in combat, and he really dared to hit someone when he rolled his eyes when he was in the emergency room.

No, no, Bao Longtao shook his head, "Wait a while."

He found a place to sit down, took out his mobile phone and clicked on a small group. When he saw the news in the group, his expression was gloomy.

"The two old people discussed it and they have already been discharged from the hospital automatically." Bao Longtao said, "I am preparing to go back to my hometown."

"Uh..." Zhou Chunyong looked at Boss Zheng and Su Yun who were discussing in full swing, with mixed feelings in his heart.

Is their discussion meaningful? It doesn't make any sense at all.

Chinese people pay attention to returning to their roots, and many people have to go back to their hometown when they die, especially the elderly.

"President Bao, where is your hometown?"

"It's time to drive on the Fen River side." Bao Longtao said softly, "I'm still preparing the car. I guess I'll leave tomorrow morning and arrive in the evening. Let's go see the old man tomorrow."