Medical road

"Doctor, is there a way? I can't cut off my stomach!" Uncle Golden Tooth said to the doctors while holding his gold tooth.

He was also scared. In his country, for various reasons, the doctors in the hospital worked hard, didn't work, and treated them roughly.At that time, he told him that it would be better to cut off his stomach. The old man was frightened. It was just a good day and he had to cut his stomach and hurriedly brought his family to China.

Zhang Fan looked at the old man with a smile. He was going to go out and discuss the treatment plan with the doctors outside the door. Because the gastroscope room had to look at the monitor, it was usually dark.

When they saw the old man in a hurry, Zhang Fan and the others didn't leave either. They just stood in front of him, waiting for the old man, not worried about other things, but worried that the old man swallowed the golden teeth in his stomach in a hurry.

"If you don't cut your belly, treat it first, and then take a look. If it doesn't work, open your belly and take out the roundness in your belly as if you were taking a doll. Then sew it up and sew it up like clothes. Alright." Zhang Fan explained patiently.

"Sew a little better, you can't leak it! Someone who smashes (money)." The old man is also a strange person.

"No, no, it won't leak." Zhang Fan smiled and waited for the old man to press his teeth, then turned and left the gastroscope room.

"Come on, let's go to the conference room and talk about it." Ouyang brought a group of doctors to the conference room.

"Director Li and the other directors have not yet come down, but there will be no major problems. But let's let Director Li do the work before the welcome party, really embarrassed!" Ouyang smiled to everyone. Said the doctor.

"The dean who is not afraid of late dinner, we are not in a hurry." Director Li said with a smile.

"Haha, that is, I will be a comrade in the trenches from now on. Let's talk about the patient's condition first. The government has also specifically explained that he must be treated with care. Director Li will talk about it first."

There is nothing to be shy about this for the old and digestive doctor. Director Li said after a little thought: "This gastrolith has a very hard texture and complex composition. It is estimated that the conservative treatment effect is not very satisfactory. Surgical treatment is still needed."

"Can you make it smaller? This shape is too big, almost the same as the entire stomach cavity. The operation damage is too great." After Director Li finished speaking, Ouyang looked at Zhang Fan.

"Try some enzyme preparation or sodium bicarbonate solution." Another deputy director from the Chinese Medicine Hospital said.

"How did this hair-like object form?" A female doctor who had asked in the gastroscopy room asked again at this time.

It's not that she is curious, but this uncle, with golden teeth and wrinkles on her face, looks a bit like a wolf grandmother, and the stone in her belly is like a baby's head. It seems too terrible to think about it. If you don't ask, I guess she Dare to come to the hospital.

"Conventional gastrolithiasis is generally caused by eating a lot of foods rich in tannins, and condensing jelly-like samples in a gastric acid environment, and then combining with food proteins into water-insoluble tannin proteins, and then combining with foods. After the adhesion, it began to grow bigger and bigger." Director Li explained with a smile.

"Which hair is it!"

"Hehe, I think Dean Zhang has asked the key, otherwise Dean Zhang will talk about it." When Director Li Xiang was in the gastroscopy room, he was also very curious about the young Dean Zhang Fan. Following Zhang Fan's question She also felt that this young doctor was extraordinary.

"Okay, let me say a few words." The doctors of the two hospitals are fused together. It is impossible to have a tacit understanding at the beginning. They are all from the slow test. You know my length, I know your depth, and then Become harmonious.

Without even thinking, Zhang Fan began to say: "From the roughness of the skin on this patient's face, it is obvious that he has years of outdoor work experience in the sun.

Combined with the consultation, it can be judged that the patient's early life environment and nutritional status were average, which led to his nutritional imbalance, and because of the particularity of the job.

Sheep and hunting are almost all alone.In a deserted wilderness, a lonely person will unconsciously put something in his mouth, which is also called a sense of security in the heart.

No need for special things, such as his own hair.After a long time it becomes a habit, and then maybe there will be the phenomenon of swallowing hair.

Combined with the consultation, the patient likes to eat acidic wild fruits containing tannic acid, and in pastoral areas, three meals a day cannot do without a large amount of dairy products.Over the years, the egg whites were wrapped in egg whites, mixed with hair and food residues, and wrapped layer by layer to form the current form."

As soon as Zhang Fan finished speaking, Director Li said with a smile: "Awesome, the hospital Zhang observed carefully and the consultation was also very good."

"Hehe, everyone will be a family from now on, so there is no need to be polite to each other. What do you do now." Ouyang smiled and said to Director Li. Zhang Fan's analysis can be approved by Director Li, and she is of course happy.

"Oh!~" Zhang Fan explained. The young female doctor who just had questions began to not be afraid, "Hair-eating, pica!"

"Director Li, try conservative treatment first? Is the risk high?" Secretary Ren Li asked. Although she is not engaged in gastroenterology, she also saw the situation under the endoscopy just now.

"You can try, but because the stone in the patient's stomach stimulates the stomach wall all the year round, a certain area of ​​ulcer has been formed. If enzyme preparation or weak alkali is used, it may aggravate the patient's symptoms or produce bleeding. Even perforation." Li Li The director, holding the pen in his hand, frowned.

"You can take a small dose for observation. If it works, you can take the medicine that protects the gastric mucosa first to restore the ulcer, and then dissolve the gastric stone. The direct operation damage is still too great." Zhang Fan recalled what was in his mind. The situation under the gastroscope said.

Although the depth of the ulcer is not great, no one can guarantee this kind of thing. The gastric mucosa is very strange, sometimes a little ulcer, because of idiopathic effects, may lead to perforation.

"Yes, just give it a try."

Treatment, especially many medical treatments, because of the specificity of the human body, it is necessary to find a suitable treatment for patients, but...

"Sweet!" Uncle Jinya took a sip of the enzyme preparation with sweetener.

Wait, it is estimated that before the stone has changed, the old man began to hold his belly and cry."Let him drink milk!" Director Li, who was on our side, quickly directed the nurse.

"No! Enzyme preparations can't resist, so don't think about using weak alkali." Zhang Fan shook his head and left the ward.

"Operate, explain the condition to the patient and family members, prepare for surgery!"

"It can only be the."