Chapter 1655 The Spoon in the Esophagus

Subdural hematoma bleeding is slow, and the early clinical symptoms are not obvious or even asymptomatic, so that the time for early diagnosis and treatment is missed.

When clinical symptoms appear, the hematoma has been formed for a long time, mainly manifested as atypical symptoms such as chronic intracranial hypertension and cerebral ischemia.

Da Liu has no trauma, and Zheng Ren thinks it is the result of vascular decline, increased fragility and permeability, and chronic leakage caused by long-term heavy drinking.

It is estimated that after his brother came, he didn't say anything nice to him. After a series of blows, Da Liu finally couldn't hold on anymore.

This man is a little pitiful.

It's just that there must be something hateful about poor people, and Zheng Ren doesn't know how to say such a thing. A large part of the current situation of Da Liu is caused by himself.

It has nothing to do with himself, let's put it aside, Zheng Ren smiled bitterly, thinking to himself.

"Boss Zheng, the students at Imperial Medical University had nausea and vomiting two days ago. What was the final diagnosis?" Zhou Litao then asked.

"My consideration is collective hysteria." Zheng Ren said.

Su Yun and Zhou Litao both had doubts about this diagnosis. After all, there is no clear substantive change in hysteria, no evidence can be produced, and the credibility has dropped a lot.

"Boss Zheng, there is a case that I solved two days ago. Give it a shot." Zhou Litao put the mass hysteria aside and began to show it off.

"Huh? What's wrong?" Zheng Ren immediately became interested when he heard Zhou Litao's words.

"A spoon was taken out of the esophagus." Zhou Litao smiled smugly.

Esophagus...spoon...

"Come on, I kept one of the films. The spoon patient said no, so I kept it." Zhou Litao said.

Esophageal foreign bodies refer to foreign bodies, such as small bones of animals, root foods such as peach pits, sweet potato pieces, corn bone sticks, etc., as well as children's toys, iron wires, fish hooks, plastic products, etc. staying in the esophagus.

Zheng Ren recalled a case report that a man swallowed 40 knives and left them in his esophagus.

This is a bit too much, and Zheng Ren doesn't really believe it. 40 knives, is it magic? If you can take it out casually, it becomes a trick of swallowing a sword.

Seeing that Zhou Litao was not busy, he took Zheng Ren and Su Yun to his duty room.

He installed a plastic hook on the side of the cabinet with a dozen or so film bags hanging from it.

After finding the film and handing it to Zheng Ren, Zhou Litao said, "The patient came to see a doctor because he had an argument with someone at night and was punched in the chest, and then developed symptoms such as chest tightness and nausea."

"You can see it after you take a picture." Su Yun said.

Zheng Ren took out the film and looked at the window.

There is an obvious image of a spoon in the esophagus, and there is no esophageal diverticulum.

It's really hard to imagine how the spoon could stay in the esophagus.

It is estimated that it is relatively large and cannot enter the stomach along the cardia, so it swims in the esophagus and is finally wrapped in fibers.

"Tsk tsk, it's so big." Su Yun looked at the film and praised.

"No." Zhou Litao took out a plastic bag with a spoon in it, about 10cm long, and the surface was covered with food residue, pus and other things.

"You don't even wash it." Su Yun said.

"Looking at it this way, it's more eye-catching." Zhou Litao said with a smile: "It's clean, and the children should wonder if there is such a thing. Did I just buy a spoon to deceive people or is it true? Even if there were films at that time , is not very believable.”

What Zhou Litao said made sense. This guy has been thinking about teaching the students of the Affiliated Hospital of Medical University in the future.

I don't know where all the messy things he collected were put in the end.

According to Su Yun, this is a collection addiction.

This is a disease that needs to be cured.

"How did you get it out?" Zheng Ren asked.

"Sent to the endoscopy room, Director Luo used a gastroscope to take it." Zhou Litao said: "Director Luo also said that if you were there, the patient might suffer less damage."

Zheng Ren smiled.

Just take a foreign body in the esophagus, no matter who does it, the damage will definitely not be too big.

Spoons are relatively rare, foreign bodies in the esophagus of adults, generally dentures and the like.

I forgot to remove my dentures at night and swallowed them when I went to sleep. After waking up, some careless people can't feel the dentures in the esophagus, just think they forgot to put the dentures somewhere.

Finally, a foreign body in the esophagus is caused.

"It's so big, it's a lot of trouble to take it out." Zheng Ren sighed.

"It was taken out after general anesthesia. At that time, I went to the thoracic department. If the endoscopy failed, I was ready to open the chest."

What Zhou Litao said is right, make all kinds of preparations to avoid problems.

If one way doesn't work, try another way. This is also in 912. If you change the local hospital, it is estimated that the esophagus will be cut through the chest.

Just cutting the esophagus to remove the foreign body is a very troublesome and risky operation.

Unlike open lipoma, postoperative ischemia may occur, and the incision cannot be healed, leading to the possibility of thoracic infection, lung infection, lung abscess, and empyema.

It is the best if it can be taken out with an endoscope.

After watching the film, I looked at the spoon that was taken out. Seeing that Zhou Litao carefully put the spoon away, Zheng Ren thought he was really an interesting person.

But when he has a home in the future, he doesn't know if his lover can accept these things.

After chatting for a while, Zhou Litao received a call from the doctor who sent Da Liu for examination.

Head CT showed that Da Liu was diagnosed with subacute right frontotemporal subdural hematoma, and he was immediately transferred to surgery for craniotomy for hematoma removal.

Although the risk of craniotomy is high, it is definitely a "minor" operation in neurosurgery.

As long as early detection, early diagnosis and treatment are possible, postoperative coma and long-term bed rest are unlikely.

"I'll take a look at the neurosurgery." Su Yun glanced at Zheng Ren and asked, "Don't you want to go?"

Zheng Ren nodded.

He was instinctively resistant to this kind of patient with messy housework. As long as the disease is cured, the heart disease...

Forget it, leave it to Su Yun to deal with it.

Leaving the emergency department, the two parted ways.

Su Yun went to the neurosurgery, and Zheng Ren went directly back to the interventional department.

Sitting in the sun, Zheng Ren headed into the system library to read a book. Although it was almost unforgettable, the system library was updated too much, and new journals came one after another, and it was impossible for Zheng Ren to read them.

After watching for a while, Xie Yi sent a WeChat message asking what to eat for the evening.

In the evening, Qin Tang also said that he wanted to treat guests. As for the specific matter, Zheng Ren did not know.

Flipping through the phone, Zheng Ren suddenly felt a move in his heart.

I haven't read the QQ of the little boy with cancer for a long time, and I don't know how he is now.

Open QQ, and see that the little boy's avatar is bright, but his signature has not been updated, and it stayed nearly a month ago.