When a doctor opened a plug-in

The participation of relevant departments has made an event that was not small, but it has made a lot of noise!

More and more people began to pay attention to the situation of Che Zhehua, concerned about the results of this matter, concerned about the situation of the logistics company, concerned about hundreds of victims, and began to care about Che Zhehua’s family. people!

Che Zhehua's medical expenses have been reimbursed by the relevant departments, but this does not seem to reduce his illness at all!

After ingesting sulfuric acid, the damage to the tissues has become more and more serious, and Che Zhehua still underestimated the pain!

What is pain and wanting to live, pethidine is useful now, but it can’t be used all the time, right?

Now that more and more people are paying attention, the pressure on medical staff has suddenly increased.

The higher-level department requested the Capital Emergency Center Hospital to do the rescue work and to do well in the rehabilitation of Che Zhehua. I don't want this incident to cause too serious disturbances and consequences.

This is a good thing, but now the pressure is on the medical staff.

After all, everyone knows the physical condition of Che Zhehua, if he wants to fully recover, the possibility is too small.

After two days of recovery, Che Zhehua’s condition has basically stabilized. Although it hurts, it is not life-threatening. Because of the timely rescue and dialysis treatment, the patient has no serious complications, but there is one important thing. The problem is on the agenda.

On Friday afternoon, in the case discussion room of the Emergency Department of Capital Emergency Center Hospital, seven or eight directors of general surgery gathered together, plus Yu Yonggang, Ma Yuehui, Li Yue, and Chen Cang.

Yu Yonggang frowned and said, "Director He, what do you think?"

He Zhiqian looked at the endoscopic photos on the big screen, really a headache!

"Once the esophagus is restored, the stenosis will exceed 70% or even higher. This does not include the repair of the late perforation in the esophagus. Even if the exogenous repair conditions are used, this esophagus can be retained. It’s also very small! It’s not as good as using manual replacement for all removal."

"But this artificial replacement will also have a trouble, that is, both the stomach and duodenum need to be replaced. In this way, it can only retain its structural functions and does not satisfy physiological functions."

As the director of the University of General Studies, He Zhiqian's words are still very authoritative.

"Look, here, the entire stomach wall must be perforated in less than a few days. Gastric acid secretion is now suppressed. When the gastric acid secretion increases, the serosal layer must be penetrated."

"Surgery can't be delayed, it must be performed today, otherwise, even if it is postponed until tomorrow, the gastrointestinal function will be difficult to recover!"

Everyone sighed, this is a problem.

He Zhiqian looked at Zhang Chahai, the director of thoracic surgery: "Director Zhang, what do you think should be done with this esophagus?"

Zhang Chahai couldn't help but said: "I have a question now, that is, if I have a pedicled jejunal interposition, after your gastrectomy, can you have a smooth anastomosis!"

As soon as this sentence came out, everyone in the room was stunned!

Zhang Chahai continued: "It is now clear that the treatment of severe esophageal stricture is ineffective after dilation, and it cannot be used. It must be cut, but I am worried that after using the jejunum, this gastrectomy will be difficult to follow."

As soon as he said this, the room fell silent again.

This is no longer an operation, from the esophagus to the stomach, duodenum, and jejunum all need to be considered.

More than just an esophagus issue!

The esophagus must be done, but there are so many ulcers on the gastric mucosa and obvious pyloric obstruction. A subtotal gastrectomy is necessary.

How to effectively rebuild the digestive tract has become a big problem!

Everyone is thinking and discussing, thoracic surgery and general surgery are thinking.

Although the esophagus belongs to the digestive tract, most operations are performed by thoracic surgery, and general surgery is very common for esophageal surgery.

The thoracic surgery is also inconsistent with general surgery.

Everyone has been discussing for two full hours.

There is no clear idea now.

At this time, Chen Cang took the initiative to say: "Actually, I think I can use esophagocolon interposition."

Chen Cang's words broke the tranquility of this moment!

Everyone turned to look at the young man, full of doubts.

All of you present here are directors, what do you know as a young man?

We still don’t know about esophagocolon interposition?

The key is how productive the esophagus is?What is needed after this resection is definitely not as simple as a stenosis, you use the colon...

How long is the colon?

The effective length of the colon is limited, so everyone did not consider the colon, but the jejunum first thought of.

The jejunum is the small intestine, which is much longer than the colon, even if it is used to replace the esophagus.

But is your colon OK?

Everyone glanced at Chen Cang and ignored it.

Continue to look at the big screen and think, but Yu Yonggang saw it and said, "Chen Cang, what do you think, introduce to the directors."

When everyone heard the name Chen Cang, their spirits suddenly came to light.

They are familiar with the name Chen Cang.

After all, Chen Cang did so many things back and forth in the hospital. You haven't seen a real person normal, but if you haven't heard the name, you can't justify it.

Now that the Department of Cardiac Surgery is in full swing preparing for the construction of non-stop heart technology, it is also the construction of a new non-stop heart medical research center. Who doesn't envy this?Who is not greedy?

The initiator of all this is Chen Cang.

For a time, everyone looked at it.

This is Chen Cang?

At this time, everyone paid more attention to it.

People are like this, people are light-hearted, if you have done anything, naturally others will look at you with admiration!

"Dr. Chen, what do you think?" Zhang Chahai from the thoracic surgery department asked first. Since it is Chen Cang, no one thinks he is aiming at nothing.

Chen Cang got up and walked forward: "This esophagus does not need to be completely removed. It would be wasteful if it is completely removed, and the reconstruction of the digestive tract will be a very troublesome thing. It is better to choose: esophageal repair + stricture resection. + Interposition of esophagus and colon."

That's right!

Chen Cang plans to complete the reconstruction of the esophagus with three types of operations.

"In this way, there is no need to interfere with the subtotal gastrectomy, nor does it affect the reconstruction of the esophagus."

Gastroenterologist He Zhiqian asked directly: "How many colons do you plan to remove?"

Speaking of which, He Zhiqian has opinions on Chen Cang!

Because Chen Cang also signed up for the Digestive Function Summit Forum hosted by the Mayo Clinic. The hospital looked at the face of Chen Cang's Department of Cardiac Surgery and was definitely unwilling to scan his face.

But He Zhiqian thinks, what kind of gastrointestinal function meeting do you go to if you are engaged in emergency and heart surgery?

Isn't this typical of occupying the pit and not shit?