Chapter 1842: 2 esophagus

"There is nothing to hesitate about this, and the next shelf will be alive." Su Yun said after watching the film on the side.
Zheng Ren nodded and agreed with Su Yun’s statement.
In this case, if the esophageal stent is not placed, the patient will soon die due to inability to eat, and will die within 1-2 weeks.
The reason why I am not sure, because of the time when everyone is dying, each person can have a long time.
Under the esophageal stent, either successful, can eat, will not be starved to death. Either fail, the heart stops, and the death is simply on the operating table.
Of course, this is just the logic of diagnosis and treatment. Speaking of life and death, it is a big event, and it is rare to calmly judge according to logic.
The patient slowly died, without any treatment, the family may recognize it. These are all diseases, this is life.
But if you take the risk of surgery, because the sudden death on the operating table, the doctor must follow the responsibility. Miao Director...
This is part of the medical risk.
"Old Liu, who?" Zheng Ren then asked.
"Zheng boss, the patient's son is the doctor of this hospital." Liu Zewei said: "It is said that you have seen."
"Well?" Zheng Ren stunned.
"On one occasion, on the plane, I encountered a patient with a dissection of the aorta. Do you remember?" Liu Zewei asked.
"Remember." This experience, once again, Zheng Ren will certainly not forget. And when leaving Haicheng, the Xie Yi people celebrated their birthday, Cui Heming's people came to help.
"The person who gave you antihypertensive drugs and sphygmomanometer on the plane, called Xia Hua, is the son of the patient."
"Oh, that is the old man." Zheng Ren did not remember Xia Hua at all. He only remembered that he had encountered a late-stage lung cancer doctor when he boarded the plane.
"Lung cancer is complicated by esophageal cancer, and the chance is not high." Su Yundao: "But it's time to do this. You can try an operation. If your doctor is the best, you can understand."
Liu Zewei laughed and said nothing.
Zheng Ren felt that the film had nothing to look at. He saw Liu Zewei's smile and stunned. Then he asked: "What does Lao Gao mean? Looking for me to go to surgery?"
"Yeah." Liu Zewei nodded. "Lao Gao wants you to go to the flying knife to give the esophagus stent."
This operation is not big, Zheng Ren has no interest.
"Zheng boss, Lao Gao means to see if you can do double intervention treatment." Liu Zewei asked.
Double interventional therapy refers to the lower esophageal stent, plus interventional embolization.
While restoring the esophageal patency, there is also some control over esophageal tumors.
"Can do it." Zheng Ren had thought of this possibility for a long time. He did not hesitate to say: "But Lao Gao can do it."
"There is a section that may involve the spinal cord blood supply artery. Lao Gao is not afraid to move." Liu Zewei said: "If he does, it is estimated to be the simple next esophageal stent."
After finishing the situation, Liu Zewei smiled. "Zheng boss, I guess Lao Gao wants you to go and knock on his surgery."
Zheng Ren smiled a little.
Lao Gao also wanted to come to the emperor at the time, but there was something in the house that could not be put down. Go back a trip? By the way, look at the director of the old Pan?
As soon as I thought of the director of the old Pan, Zheng Ren thought about it.
This operation is not difficult, and it should be no problem. If you are worried, you can do an interventional embolization first, and then do a second-stage stent surgery after the tumor has undergone a period of necrotic congestion and edema.
These are not all things for Zheng Ren.
"Well, then let's talk to Lao Gao." Zheng Rendao: "If he talks with Xia Hua, he can bear the risk of surgery."
"Good." Liu Zewei said cleanly, then one hand touched his head, one hand holding a mobile phone, ready to call Gao Shaojie.
"Old Liu, I feel tired and tired when I look at you every day." Su Yundao: "Do you mean that you are particularly envious of your home floor?"
"Ah?" Liu Zewei did not understand.
"The hair on the floor is more than the head." Su Yun smiled.
"..." Liu Zewei smiled bitterly.
This Yun Geer, and Zheng Boss are very different styles. If you seize the opportunity, you have to talk about your baldness. You are used to it.
[They said to write a love song soon...]
Zheng Ren took a look and was the phone of Director Kong.
"director."
"I am, you wait a moment."
After that, Zheng Ren hung up the phone.
"What is it?" Su Yun asked.
"It is said that there is a patient who gives me a look." Zheng Rendao.
Su Yun was curious, followed by Zheng Ren, and the two came to the office of Director Kong.
Knocking on the door, Director Kong is watching a film.
"Zheng boss, take a look." Director Kong said.
Zheng Ren glanced at it and saw that it was a film of upper gastrointestinal angiography. It seemed to be a problem. He immediately scraped it.
The angiographic film showed that the esophageal mucosa was not smooth, and the upper segment of the t4 vertebral body was limited in stenosis. The upper segment was dilated, and the lower segment of the esophagus was seen as a line filling defect.
After swallowing, the tincture is divided into two parts into the fundus in the lower part of the esophagus; there is a small tubular sputum shadow on the right side of the esophagus, which is bent from the bottom to the top and then flows into the small opening and enters the esophagus~EbookFREE.me ~咦? Double esophageal malformation? "Zheng Ren came to interest at once."
"Yeah." Director Kong said: "It is a chance of one in ten thousand, but I think the incidence rate is at least one in a million. I have seen 6 cases in my life. This is the seventh case."

Do you want to have a surgery?
Su Yun rubbed his hand.
"People outside the chest look for me to consult, which means to find a pocket." Director Kong smiled: "If you miss, you have to go to the bracket."
"The surgery is not difficult." Zheng Ren said, while picking up the chest ct film placed on the side.
Chest ct shows a thin tubular structure visible in the esophagus, the degree of enhancement is similar to the esophageal wall, the upper part of the flat t2 vertebral body is at the level of the esophagus, and the lower part is close to the esophagus.
Very typical image of a double esophageal malformation.
"When do you have surgery?" Zheng Ren asked.
"Say it is tomorrow." Director Kong said with a smile: "Zheng boss, if you have time, take a look at the palm?"
This kind of disease, Zheng Ren to see the most suitable. Surgery in the thoracic surgery and surgery in the interventional department can be taken up. Intraoperative judgment, there is no risk of esophageal fistula after esophageal repair, whether it is necessary to lower the stent during surgery.

What is Fang Lin doing?
Su Yun laughed.
"Professor Li's patient, I don't know if Fang Lin can't get on."
"Well, I called Professor Li. I will arrange this operation in the hybrid operation room tomorrow." Zheng Rendao, "The time is estimated to be later. I looked at Fuguier and they finished the tips surgery."
Zheng Ren is cautious. He wants to see Professor Rudolf Wagner finish the operation. Director Kong will not say anything.
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