2322 Am I ... Dead?
In the corridor of the operating room, everyone was shocked. The head nurse carried the first aid box and squatted on the ground to look for all kinds of Emergency Medicine.
“Lift instructor Mao’s head up. Administer an intravenous injection with omilrazor and give him two sets of hemostatic agents.” Zheng Ren said calmly.
The venous access tunnel had already been built, and all kinds of medicine had been prepared. They were just waiting for the injection.
He injected a bottle of [ 1],[ 2] a [ 3], into a syringe and pushed it in.
Everyone was waiting for boss Zheng’s order to rescue them.
However, boss Zheng didn’t say anything. He was holding a CT scan in his hand and looking at it under the light.
“Boss Zheng, let’s hurry up and perform the surgery.” The professor leading the vascular Department said anxiously.
“It’s not an aortic dissection,” Zheng Ren said.
“……”
Other than a few nurses who were still busy adding medicine and putting on an IV drip, everyone else was quietly looking at boss Zheng.
After everyone quieted down, they looked at instructor Mao again.
His blood pressure was still stable, and there was no situation where his blood pressure dropped to zero after he spat out a mouthful of blood.
Previously, he was so anxious that he was in a daze. Now, he thought that if it was a descending aortic rupture, he would not vomit blood immediately.
Gastric varicose veins? Or is the blood-supply artery of the esophagus ruptured? However, what if a sharp object pierced through the esophagus and then into the aorta? He could also spit out a mouthful of blood.
Countless possibilities appeared in the minds of the doctors present.
“It looks like a problem with his esophagus?” Su Yun frowned and said,”I don’t think we can rule out the possibility of a pathological change in the esophagus.”
Although his voice was soft, it was like thunder.
If it was gastrointestinal cancer to the extent of vomiting blood … Instructor Mao would not be able to save her even if she were to undergo surgery.
“If we do a CT scan, we can see the abnormal density in the left medicinated trachea, heart, and descending aorta. The largest layer is 34 mm x 28 mm, and it’s about 180 mm in length. “It does look like a tumor …” Zheng Ren narrowed his eyes as he looked at the X-ray and said faintly.
“But it’s not.” Su Yun caught on to her boss’s words and made a conclusion.
“Contact Director Luo and ask him to go to the endoscope room to take a look.” Zheng Ren said.
The leading professor of the Department of Vascular Surgery was dumbfounded. When he first arrived at the interventional operating theater, he thought that instructor Mao’s life was saved.
Who would have thought that boss Zheng would actually think that there was no need for surgery or interventional surgery, and that they would have to push the patient to the endoscope room?
At this moment, he could understand the feelings of the patients ‘family members all too well.
She had to run around the hospital while watching her family members vomit blood … This feeling was simply terrible.
It was no wonder that so many family members of the patients would start to find fault with the slightest problem and have bad tempers. Right now, the professor leading the vascular team wanted to scold someone.
“Boss Zheng, don’t we need to do an angiography to take a look?” The Professor-in-Charge insisted.
“There’s no need for that. The X-ray does look like a patient with descending aortic dissection, but if we rebuild it, we’ll realize …” Zheng Ren said and paused for a moment. He realized that it was not the time to talk about the X-ray.
“Considering that you have inflammation in your esophagus, instructor Mao, have you been eating anything hard recently?” Zheng Ren asked.
Instructor Mao was already in a semi-conscious state. He was frightened by the blood that he had vomited.
“I’m going to die. “That was the only thought in instructor Mao’s mind. As for what boss Zheng said after watching the film, he didn’t hear a word. His ears were buzzing and he was stunned.
Everyone looked at the ECG monitor on the Gurney. The blood pressure was still stable. Instructor Mao raised his head. Even if he vomited blood again, he shouldn’t be coughing.
Go to the endoscope room? It was so far away. What if something happened?
Even if it was not an aortic dissection, gastric varicose veins was still a serious illness. If it was serious, it could be fatal.
“Boss, Department Director Luo is doing an examination in the endoscope room. He wants you to push him over immediately.” Su Yun said.
Someone confidently directed the rescue, and it was little boss Zheng. Even if the crowd had questions, they swallowed them.
No one dared to question boss Zheng, especially during the emergency rescue. Boss Zheng usually looked good-tempered and kind. However, during emergency treatment, they would hit people. Professor Zhang, who had a big heart, was a good example.
He pushed instructor Mao to the endoscope room.
Zheng Ren changed his clothes as fast as he could and walked in. A group of people followed him with solemn expressions.
“Boss Zheng, what’s wrong with instructor Mao?” Director Luo, who was wearing a hazmat suit, asked loudly at the door of an operation room.
“We suspect that there’s a blood clot in his esophagus. Let’s do a laparoscope to take a look and make a clear diagnosis.” Zheng Ren said.
Director Luo placed director Mao on the bed to check on him. He felt a little sad when he saw the blood on the corner of his mouth.
“Boss Zheng, are you alright?” Department Director Luo asked in a low voice.
“He should be fine.” Zheng Ren said,”me?”
“Hurry up and do it, don’t be polite with me.” Director Luo moved away from the operating position and gave the right of inspection to boss Zheng.
They were afraid that the stimulation would be too intense, which would lead to restlessness, increased pressure, blood clot, and other complications, so they gave basic anesthesia.
When the electronic fiber gastroscopy was performed, a huge vertical dark red swelling was seen from the left wall of the esophagus to the heart, which was 20 cm away from the incisor. It caused the esophageal cavity to be narrow, but there was no obvious active bleeding.
“Such a large blood clot …” Department Director Luo sighed.
“I’m fine, I’m fine. It’s just a swelling. ” Zheng Ren said.
When they saw the blood clot in the esophageal tube, the people from the vascular Department were not as anxious as before.
Zhao Yunlong looked at the X-ray and asked,”is it really a stripping pharyngitis?”
“Yes, I think it’s a stripping esophageal nature.” Zheng Ren said,”let’s keep it safe for now. We’ll send it to fanglin and not to your Ward area.”
Zheng Ren’s last sentence was directed at Department Director Luo.
Department Director Luo also knew that if conservative treatment did not work, and he continued to vomit blood, he would need surgery.
“Add a set of kidney-setting iced saline, no water, and don’t eat for the next few days.” Zheng Ren continued.
“Is it gastrointestinal decompression?”
“No need,” Zheng Ren said,”repeated stimulation of the gastric tube may lead to blood clot rupture. Just use anti-acid drugs to control the acid. “
“Instructor Mao, what did you eat that made your esophagus so damaged?” Director Luo said with emotion when he saw boss Zheng pull out the camera.
“It’s probably some hard object. Hasty eating and forcefully swallowing dry and hard food caused esophageal mucous membrane damage or a blood clot. The symptoms are not typical. The typical symptoms are … Vomiting a long, membrane-like object. ” Zheng Ren said,”that’s more frightening.”
“It won’t get infected, right?” The professor from the Department of Vascular asked carefully.
“No, the esophageal wall changes like a hemorrhage, and in the later stages, the esophageal wall mucous membrane defects and oozing changes. The prognosis is good, and the lesion only affects the epidermis and mucous membrane, generally not the intrinsic layer, so infection is rare. “
“Boss Zheng, do you have any other medical advice?”
“Use some drugs that promote cell regeneration to quickly repair the mucous epidermis to avoid esophageal strictness in the future.” Zheng Ren said.
By then, the effects of the anesthesia had worn off and instructor Mao had woken up. He seemed to have just gotten drunk as he looked around with sleepy eyes.
“I … Am I dead?”