When a doctor opened a plug-in

Although Qin Xiaoyuan is not an endoscopy doctor, his many years of clinical experience is no joke.

After hearing what Xiao He said, he frowned.

Xiao He continued: "Dean Qin, I am worried that it is a traumatic esophageal fistula, but...it is difficult to guarantee whether it will damage the aorta, so it is better to be insured!"

Those who engage in tumors themselves belong to a relatively complex type of disease.

This is especially true for older tumor doctors like Qin Xiaoyuan.

In the beginning, the Oncology Department of the Second Provincial Hospital was called "Internal Syndrome", because tumors involve more systems, so it was called a comprehensive internal medicine. Only after it was officially renamed the Oncology Department, it was gradually derived from the Oncology Department. There was swollen one, swollen two... these small departments.

However, when I talk to patients now, I still talk about "internal medicine" instead of "oncology".

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

Therefore, basically the insider of the hospital is called the oncology department, and for the patients it is called the general medicine department.

When Qin Xiaoyuan heard Xiao He talk about traumatic esophageal fistula, he had already reacted.

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

Once the aorta is induced to rupture, the situation is critical.

Thinking of this, Qin Xiaoyuan hurriedly told Huang Weiyan: "Weiyan, get a hospitalization first, go to the heart surgery, let's check it in detail."

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

Unexpectedly, before I could breathe a sigh of relief, another disease that seemed to be serious 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 with the elderly.

While Qin Xiaoyuan walked, 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, and it was better to say that he was in the emergency room in less than ten minutes.

At this time, Chen Cang and Qin Yue were watching TV with their mobile phones. After receiving Qin Xiaoyuan's call, they quickly changed their clothes and got up.

Even Qin Yue came with him.

When Chen Cang arrived, Huang Yongyi had 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 hurriedly leaned forward and asked, "Director Xiao, what's the situation?"

Xiao He saw Chen Cang, thought about it, and said, "It may be a traumatic esophageal 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 confirmed, surgery must be organized as soon as possible.

So after Chen Cang heard this, he had to pay attention to it: "Is it diagnosed?"

Xiao He shook his head: "Sent for a chest radiograph."

After Chen Cang heard this, 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 often see each other.

So seeing Chen Cang coming in, Yang Lin, the radiologist, didn't care.

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

Yang Lin nodded.

Chest radiograph is important for the early detection and early diagnosis of traumatic esophageal aortic fistula injury.

When the film came out, Yang Lin frowned: "Damn, Cang'er, you might have guessed it right!"

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

Chen Cang suddenly felt a little in his heart!

It should be no more than ten.

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

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

Chen Cang said quickly: "Auntie, it's a traumatic esophageal aortic fistula, so I have to prepare for surgery as soon as possible."

Huang Weiyan was really taken aback when he saw Chen Cang so solemn, and couldn't help asking: "Doctor, what's the situation with my dad?"

Before Chen Cang had time to say it, he turned and glanced at Qin Yue: "Please explain, I will go to the heart surgery first, and I will find Director Tao to arrange the operation as soon as possible."

After speaking, he got up and left without explaining.

Huang Weiyan was left in a moment of astonishment, and turned to look at Ji Ruyun: "Sister Ji, is this serious?"

Ji Ruyun has not been in the clinic for so many years, so naturally he is a little puzzled.

But Qin Yue was in the emergency department. Knowing that it was a critical illness, he quickly said: "Uncle Huang, it's dangerous. Every minute of delay may cause uncertain bleeding. Once bleeding occurs, the situation... is very dangerous. ."

Ji Ruyun turned and looked at Qin Yue: "How did it cause 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 the esophagus is damaged by a foreign body, the first is the ischemia of the esophageal mucosa. Necrosis gradually penetrates the wall of the esophagus, and then further damages the aorta, causing the mucosal layer on the aorta to be destroyed. At this time, blood will appear in the aorta."

"In the early stage, bleeding is relatively small. It is a small amount of bleeding with a signal. The chest is uncomfortable, or even no symptoms. But once the aorta ruptures, it is fatal bleeding!"

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

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

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

...

...

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

Chen Cang hurried in with the film.

After seeing the two, he greeted him quickly and took out the film and walked to Tao Mi: "Director Tao, this is a chest radiograph. It should be diagnosed as an invasive esophageal aortic fistula! Arrange surgery as soon as possible."

Tao Mi's expression suddenly changed when he heard Chen Cang's words, even Qin Xiaoyuan suddenly became nervous!

He took the film quickly, and after watching it, he frowned.

Sure enough, the situation is not optimistic!

In this case, it's really walking a tightrope on the cliff, taking life as a bet!

Because no one knows when it will cause heavy bleeding.

The damage of the aorta is invisible at all. Who can guarantee what the situation of Huang Lao looks like now?

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

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

Qin Xiaoyuan looked at Tao Mi: "Director Tao, do you need other experts?"

Tao Mi was taken aback for a moment and understood Qin Xiaoyuan's words: "No, there should be no big problem with me and Xiao Chen."

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

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