Chapter 459 With Xiao Chen, It Shouldn't Be a Big Problem!

Although Qin Xiaoyuan is not an endoscopist, his years of clinical experience are no joke.

After hearing Xiao He's words, he frowned.

Xiao He continued: "President Qin, I'm worried about the esophageal fistula, but... it's hard to guarantee whether the aorta is injured, so it's better to be on the safe side!"

Cancer itself is a relatively complex type of disease.

This is especially true for Qin Xiaoyuan, an older generation tumor doctor.

At the beginning, the Department of Oncology of the Second Provincial Hospital was called "Internal Comprehensive Department", because tumors involved more systems, so it was called a comprehensive internal medicine department. It was only later that it was officially renamed the Department of Oncology, and it was gradually derived from the Department of Oncology. Out of swollen 1, swollen 2... these small departments.

However, when talking to patients now, it is still "internal comprehensive department", not "oncology department".

Because many family members do not want patients to know that they have cancer.

Therefore, basically, the people inside the hospital are called the oncology department, and the patients are called the internal medicine department.

Qin Xiaoyuan had already reacted when he heard Xiao He talk about the traumatic esophageal fistula.

Injury esophageal fistula is the most likely to injure the aorta, and even cause aortic fistula!

Once induced aortic rupture, the situation is critical.

Thinking of this, Qin Xiaoyuan hurriedly told Huang Weiyan: "Weiyan, go to hospital first, go to cardiac surgery, let's check in detail."

Huang Weiyan heard that Qin Xiaoyuan was so solemn and had to take it seriously.

This is unexpected, just before I could breathe a sigh of relief, another seemingly serious disease came!

Thinking of this, Huang Weiyan didn't dare to relax, nodded quickly, and followed Qin Xiaoyuan to go through the formalities.

Ji Ruyun stayed to accompany the old man.

While Qin Xiaoyuan was walking, he picked up the phone and asked Tao Mi and Chen Cang to come to the hospital quickly.

Tao Mi was in the family building, so it was easy to say that he arrived at the emergency room in less than ten minutes.

At this time, Chen Cang and Qin Yue were watching TV on their mobile phones together. After receiving a call from Qin Xiaoyuan, they quickly changed their clothes and got up.

Even Qin Yue came with him.

When Chen Cang arrived, Huang Yongyi had already completed the hospitalization procedures and was sent to the radiology department for examination.

Qin Yue saw her mother waiting outside the radiology department and followed

When Chen Cang saw Xiao He, he quickly leaned over and asked, "Director Xiao, what's the situation?"

When Xiao He saw Chen Cang, he thought about it and said, "It may be a traumatic esophago-aortic fistula."

As soon as these words came out, even Chen Cang was dumbfounded!

This disease is not trivial, it can cause severe upper gastrointestinal bleeding, life-threatening!

Basically, as long as the diagnosis is made, surgery must be organized as soon as possible.

So after Chen Cang heard it, he had to pay attention: "Have you been diagnosed?"

Xiao He shook his head: "Send it for a chest X-ray."

After Chen Cang heard it, he walked directly to the operating room of the radiology department.

These days, Chen Cang and the radiology department are also very familiar with each other, because everyone is on the first floor and they see each other often.

So seeing Chen Cang coming in, Yang Lin, a doctor in the radiology department, didn't care.

After Chen Cang passed by: "Old Yang, pay attention to whether there is any damage to the aorta."

Yang Lin nodded.

Chest radiograph is of great significance for the early detection and early diagnosis of traumatic esophago-aortic fistula injury.

After the film was shot, Yang Lin frowned: "Damn it, Cang'er, maybe you really guessed it right!"

"Look, there is emphysema in the mediastinum, the density of the left cardiophrenic angle near the descending aorta increases, and the outline of the descending aorta disappears..."

Chen Cang's heart suddenly stunned!

It should be close to ten.

Create conditions as soon as possible and operate as soon as possible!

Thinking of this, Chen Cang got up quickly and went out to meet Ji Ruyun and the others.

Chen Cang said quickly, "Auntie, it's a traumatic esophago-aortic fistula. We need to prepare for surgery as soon as possible."

Seeing Chen Cang so solemn, Huang Weiyan was really taken aback, and couldn't help asking, "Doctor, what's wrong with my dad?"

Before Chen Cang could speak, he turned around and glanced at Qin Yue: "Please explain, I will go to the cardiac surgery first, and ask Director Tao to arrange the operation as soon as possible."

After he finished speaking, he got up and left without any explanation.

Huang Weiyan was left stunned for a while, then turned to look at Ji Ruyun: "Sister Ji, is it so serious?"

Ji Ruyun has not been involved in clinical practice for so many years, so naturally he is a little puzzled.

But Qin Yue was in the emergency room. Knowing that it was a critical illness, she quickly said, "Uncle Huang, it's very dangerous. Every minute of delay may cause an indeterminate hemorrhage. Once the bleeding occurs, the situation... is very dangerous. ."

Ji Ruyun turned to look at Qin Yue: "what caused it?"

Qin Yue gave a detailed explanation here: "Esophageal-aortic fistula is a gradual development process. The esophagus and the aorta are very close. When there is foreign body damage to the esophagus, the first is the ischemia of the local mucosa of the esophagus. Necrosis, which gradually penetrates the wall of the esophagus, and then further damages the aorta, causing the mucosal layer on the aorta to break down, and at this time, the aorta will have blood."

"In the early stage, the bleeding is relatively small, it is a small amount of bleeding with a signal, the chest is uncomfortable, and it may even be asymptomatic, but once the aorta ruptures, it is a fatal bleeding!"

"So, at this time, we must strengthen prevention. If there is a small amount of bleeding, we must pay more attention."

As soon as these words came out, the two suddenly looked terrified!

At this moment, they also understood why Chen Cang was so anxious and flustered.

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At this time, Qin Xiaoyuan and Tao Mi were in the doctor's office, waiting anxiously.

Chen Cang hurried in with the film.

After seeing the two of them, he hurriedly said hello, then took out the film and walked to Tao Mi's side: "Director Tao, this is a chest X-ray, which should confirm the diagnosis of traumatic esophago-aortic fistula! Arrange for surgery as soon as possible."

Hearing Chen Cang's words, Tao Mi's expression changed suddenly, and even Qin Xiaoyuan became nervous!

I quickly took over the film, and after watching it, I immediately frowned.

Sure enough, the situation is not optimistic!

In this situation, you are really walking a tightrope on a cliff, taking your life as a bet!

Because no one knows when it will cause massive bleeding.

The damage of the aorta cannot be seen at all. Who can guarantee what the current situation of Huang and Lao will look like?

Thinking of this, Tao Mi got up quickly, the nurse and Ji Ruyun had already pushed Elder Huang up.

After Tao Mi went out, she hurriedly greeted Zhang Wenfu, the doctor on duty, to prepare for the operation and arrange the operation as soon as possible.

Qin Xiaoyuan looked at Tao Mi: "Director Tao, do you need to hire another expert?"

Tao Mi was stunned for a moment, and understood Qin Xiaoyuan's words: "No need, with me and Xiao Chen, it shouldn't be a problem."

Hearing Tao Mi say this, Qin Xiaoyuan also glanced at Chen Cang curiously, this kid is so powerful?

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