Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

The power of a person twitching during convulsions is still considerable.

3 4 It took a lot of effort to control the old man!

Soon, the role of stability began to play out.

Patient is quiet here.

However, this does not mean that it is safe.

Here, a Doctor in Group 2 keeps explaining Patient’s condition.

“Patient, male, 72 years old, recovery period after gastrectomy, unexplained causes of convulsions, previous history of hypertension, diabetes… Oral…”

Hearing Patient’s words, Hou Rong looked low.

Patient has a history of hypertension, but the blood pressure is less than 80mmHg at this time, which means that such blood pressure is difficult to provide the Patient with sufficient blood supply.

The human body has a tolerance function for many situations.

Some people’s blood pressure is as high as 1700, 180, and they don’t feel any discomfort at all, and some people don’t see abnormalities when their blood sugar exceeds 33.3.

This is how the human body has tolerated this abnormal environment.

So at this time, after the Patient’s systolic pressure is only 80, it has brought shock!

Here, after the Patient’s condition is stable, Hou Rong quickly took the Patient to the Operation Theatre and completed the esophageal repair operation in time. After all, the esophagus ruptured and there must be a lot of bleeding into the chest cavity.

Stop bleeding!

Repair esophagus and trachea.

Clean up the blood in the chest cavity to prevent further infections.

This is what should be done at present.

On this side, Hou Rong is still thinking about a question continuously. Why does Patient suffer from epilepsy?

Where is the reason?

However, the situation is urgent and the time is limited.

Patient originally had stomach cancer, is it brain metastasis?

Thinking of this, Hou Rong had a headache.

And Chen Cang said at this time: “Director Hou, will it be cerebral hemorrhage?”

In a word, Hou Rong suddenly woke up.

correct!

Patient has a history of previous hypertension, will it be cerebral hemorrhage?

It is certainly too late to do CT. The time to do CT may be lost. In that case…it is definitely not suitable.

Thinking of this, Hou Rong performed a meningeal irritation check, and sure enough!

Positive!

Of course, a positive meningeal irritation sign does not necessarily mean cerebral hemorrhage, but it is possible.

But now, the Patient must have surgery, or let alone cerebral hemorrhage, the ischemia will be gone!

Here, the blood transfusion department has completed the delivery of blood and sent it directly.

The entire group pushed the Patient moved towards Operation Theatre.

Chen Cang also followed along directly.

After all, it’s about your mission, you can’t care less.

Moreover, Chen Cang felt that this Patient did not seem to be as simple as imagined.

After anesthesia, surgery begins.

After passing through the neck opening, the esophagus, trachea, nerves, etc. are all exposed to everyone’s vision.

However, precisely because of this, everyone looked at the bad neck condition, it was a little horrible to see!

Patient’s esophagus was damaged at this time, the wound was irregular, and the whole esophagus was in poor condition!

Generally speaking, the success or failure of the treatment of esophageal perforation depends on the location of the perforation, the size of the crack, the time of diagnosis and the appropriate treatment.

And the situation of this old man is obviously very poor!

Not only are there many cracks, but the damage is still irregular. If it is not time to send to the emergency center, once it exceeds 12 hours, there is basically no need for treatment!

Hou Rong is also unable to bear, a little sorry.

For now, the probability that a patient can be cured is low enough.

During the period after Patient’s onset, accompanied by seizures, oral secretions must have been swallowed into the stomach, so that secretions containing a large number of bacteria from the broken into the mediastinum or chest cavity, will increase the infection!

“Broad-spectrum antibiotics!”

“Big dose!”

Hou Rong continued to issue medical orders. At this time, blood transfusion and fluid replacement were taking place at the same time. The electrolyte disorder was also corrected, and the patient’s condition was stable.

At this moment, all that is needed is to separate the esophagus and repair it.

Patient’s surgical incision is at the front edge of the left sternocleidomastoid muscle, and the thyroid is exposed.

Hou Rong cautiously cut off the scapular hyoid muscle.

Then free the middle thyroid vein.

Pull the thyroid and common carotid artery sheaths to the 2 sides to free the esophagus!

The perforated area is so obvious that you can see it without looking for it.

Fortunately, there is no damage to the airway, otherwise, the operation is more troublesome.

The next step is to repair the esophagus.

but!

At this time, a problem appeared in front of everyone.

There are too many cracks and irregularities. It is definitely not possible to use absorbable thread to Suture directly.

How to fix it?

After resection, the broken ends are anastomosed?

This is not realistic at all, because the Patient itself has stomach cancer and has undergone Gastrectomy, and the length of the digestive tract is simply not enough.

Suture after resection is not realistic at all.

However, if not removed, forcible anastomosis is more dangerous.

After forcible anastomosis, most of them even have reflux esophagitis, anastomotic leakage and so on.

Looking at the inflammatory manifestation around the breach, Hou Rong hesitated.

How to do?

By this time, the operation was no longer possible.

Hou Rong quickly said to the nurse on the side: “Call Director Yu, and there are three group leader Chang.”

Director Chang is the Dana of the Department of Thoracic Surgery, and Hou Rong can only hope on them at this time.

Esophageal rupture, and there is no way to operate, Suture is fundamentally impossible, and anastomosis does not have probability,

At this time, several Doctors in Group 2 were also agitated.

These situations are often encountered in the emergency department, because the operation is more urgent, and it is too late to make sufficient preparations. If you encounter these emergencies, you need to discuss it on stage!

Yu Yonggang and Chang Xiong arrived in the Operation Theatre soon.

Seeing the situation of Patient, all 3 people fell into a silence.

Hou Rong impossible to bear asked: “Is it feasible to replace the esophagus with the autologous colon?”

Replacing the esophagus with abdominal organs such as autologous stomach and colon is still the most commonly used method.

Chang Xiong shook his head directly: “No!”

“There is Gastrectomy itself. I watched the film at the expense of the digestive tract. It hit the Patient digestive system too much, and there are many surgical complications. The Patient itself is a postoperative gastric cancer. In this case, the postoperative quality is too poor, even… …The basic digestive function cannot be maintained.”

At this time, Yu Yonggang carefully separated the neck tissue with tweezers, and suddenly said, “Can you use the cervical spine skin Graft to reconstruct and repair the cervical esophagus?”

As soon as this sentence came out, the eyes of the people around him suddenly lit up!

This is a good way!

But Chang Xiong looked closely at the Skin Graft of the latissimus dorsi, and suddenly frowned, “It may be possible, but… this way, blood flow is a problem. After a long time, scar tissue will definitely form, causing esophageal wall contracture. , There is basically no possibility of success next time!”