Chapter 2321 Am I... Dead?
In the corridor of the operating room, everyone was shocked. The head nurse carried the first-aid kit and squatted on the ground to look for various first-aid medicines.
"Elevate Director Mao's head, push omeprazole statically, and apply two sets of hemostatic drugs." Zheng Ren said calmly.
The intravenous access has already been established, and all kinds of medicines are ready, waiting to be injected.
A vial of omeprazole was drawn into the syringe, then pushed in.
Everyone is waiting, waiting for Boss Zheng's subsequent rescue order.
However, Boss Zheng didn't say a word extra. He was holding a CT film in his hand and looking at it against the light.
"Boss Zheng, hurry up and do the surgery." The professor of the Department of Vascular Surgery said anxiously.
"It's not aortic dissection." Zheng Ren said.
"..."
Except for a few nurses who were still busy adding medicines and putting on IV drips, everyone looked at Boss Zheng quietly.
After calming down, everyone looked at Director Mao again.
The blood pressure is still stable, and there is no situation where the blood pressure directly returns to zero when a mouthful of blood is spurted out.
I was in a panic before, but now I would not vomit blood directly if the descending aortic dissection ruptured.
Gastric varicose veins? Or rupture of the artery supplying the esophagus? But what if a sharp object punctures the esophagus and punctures the aorta? It can also squirt out a mouthful of blood.
Countless possibilities appeared in the minds of the doctors present.
"It looks like a problem with the esophagus?" Su Yun frowned and said, "It seems that the possibility of space-occupying lesions in the esophagus cannot be ruled out."
Although the sound was small, it sounded like thunder.
If this is esophageal cancer, to the point of vomiting blood... Director Mao is afraid that surgery will not save him.
"If CT reconstruction is performed, abnormal density lesions can be seen in the space between the trachea, heart and descending aorta in the left mediastinum. The largest layer is 34 mm × 28 mm, and the length is about 180 mm. It really looks like a tumor..." Zheng Ren squinted his eyes and looked at the film. Said lightly.
"But no." Su Yun accepted his boss's words and made a conclusion.
"Contact Director Luo and go to the endoscopy room to have a look with the endoscopy." Zheng Ren said.
The professor leading the vascular surgery group was stunned. When he first arrived in the interventional operating room, he thought that Director Mao's life was saved.
Who would have imagined that Boss Zheng thought that there was no need for surgery or interventional surgery, and he would push it to the endoscopy room.
At this moment, he understands the feelings of the families of those patients too well.
Watching a loved one vomit blood while running around in the hospital... This feeling is simply horrific.
It's no wonder that so many family members of the patients started to criticize when they encountered a little problem, and they looked like something grumpy. Now the professor of the Department of Vascular Department wants to curse.
"Boss Zheng, don't you need to have an angiogram first?" Professor Dai finally insisted.
"No, it does look like a descending aortic dissection on the film, but if it is reconstructed, it will be found..." Zheng Ren said, paused, he realized that now is not the time to talk about the film.
"Considering the inflammation of the esophagus, Director Mao, have you eaten anything hard recently?" Zheng Ren asked.
Director Mao was already in a semi-comatose state, and he was terrified by the blood he spit out.
I am going to die, this is the only thought in Director Mao's mind. As for what Boss Zheng said after watching the film, he didn't listen to a word. There was buzzing in the ears, and the whole person was dumbfounded.
Everyone looked at the ECG monitoring on the flat car, and the blood pressure was still stable. Director Mao's head was raised, even if he vomited blood again, he shouldn't be coughing.
Go to the mirror room? So far away, what if something happens.
Even if it is not aortic dissection, gastric varicose veins are also a serious disease, and it can be fatal if it is serious.
"Boss, Director Luo is doing an examination in the endoscopy room, and he asked to push the person over immediately." Su Yun said.
Someone confidently commanded the rescue, and it was Boss Xiao Zheng. Even if they had doubts, everyone swallowed it back.
No one dared to question Boss Zheng, especially during the emergency. Boss Zheng usually looks good-tempered and kind. But they will beat people during rescue, the kind-hearted Professor Zhang is an example.
Pushing Director Mao to the endoscopy room.
Zheng Ren changed clothes as fast as he could and walked in, followed by a group of people with solemn expressions.
"Boss Zheng, what's wrong with Director Mao?" Director Luo asked loudly at the door of an operation room wearing an isolation suit.
"It is suspected that there is a hematoma in the esophagus, and a laparoscopy will be performed to confirm the diagnosis." Zheng Ren said.
Putting Director Mao on the examination bed, Director Luo looked at the blood still hanging from the corner of his mouth, and felt a little sympathetic.
"Boss Zheng, are you okay?" Director Luo asked in a low voice.
"It should be fine." Zheng Ren said, "I'm coming?"
"Hurry up and do it, don't be polite to me." Director Luo stepped aside from the operating position and handed over the right of inspection to Boss Zheng.
I was afraid that the stimulation would be too severe, which would lead to restlessness, increased pressure, hematoma rupture and other complications, so I was given basic anesthesia drugs.
Under the lens of the electronic fiber gastroscope, a huge longitudinal dark red hematoma was seen on the left wall of the esophagus from 20 cm from the incisors to the cardia, resulting in stenosis of the esophageal lumen, and no obvious active bleeding was seen.
"Such a large hematoma..." Director Luo sighed.
"It's okay, it's okay, it's just a hematoma." Zheng Ren said.
Seeing the hematoma in the esophageal cavity, everyone in the angiology department was not as impatient as before.
Looking at the video, Zhao Yunlong asked, "Exfoliative esophagitis?"
"Well, I think it's exfoliative esophagitis." Zheng Ren said, "Let's keep it safe and send it to Fang Lin. I won't send you to the ward."
Zheng Ren's last sentence was with Director Luo.
Director Luo also knows that if conservative treatment fails and blood spurts out mouthfuls, surgical treatment is required.
"Add a set of Zhengshen ice salt water, fast water, and don't eat for a few days." Zheng Ren continued.
"Decompression of the stomach and intestines?"
"No need." Zheng Ren said, "Repeated stimulation of the gastric tube may cause the hematoma to rupture. Just use acid-suppressing drugs to control it."
"Director Mao has eaten something hard, which has ground the esophagus like this." Director Luo said with emotion when he saw that Boss Zheng had pulled out the camera.
"It's probably some kind of hard object. Esophageal mucosal injury or submucosal hematoma caused by hasty food intake or forced swallowing of dry hard food. Symptoms are not typical, typical... a long strip of membranous substance can be spit out." Zheng Ren said, "In that case That's scary."
"Is it not infected?" Professor Dai Group from the Department of Vascularology asked cautiously.
"No, hematoma-like changes in the esophageal wall. In the late stage, there are mucosal defects and exudative changes in the esophageal wall. The prognosis of this disease is good, and the lesions only involve the mucosal epidermis, and generally do not invade the lamina propria, so infection rarely occurs."
"Boss Zheng, do you have any other medical orders?"
"Use some drugs that promote cell regeneration to quickly repair the mucosal epidermis, so as to avoid esophageal stricture in the future." Zheng Ren said.
At this time, the anesthetic had passed, and Director Mao woke up. He seemed just drunk, looking around with sleepy eyes.
"Am I... dead?"