Chapter 375: : A murder caused by a fishbone!
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When the Doctor Opened the Plug-in
- Holding inch off ruler
- 1317 characters
- 2021-01-29 08:00:02
Lu Xiaojun has to say that he is an experienced doctor.
Endoscopic experience is rich, and clinical experience is even more remarkable. After seeing this situation, Chen Cang immediately stopped the idea of pulling out fishbone.
The patient is obviously puzzled, isn't it just a fishbone? Just pull it!
So the man asked directly, "Doctor, why not just pull it out!"
Chen Cang was reminded by Lu Xiaojun and instantly understood what was happening!
Quite simply, you don't know what's going on outside the esophagus!
The complex shape of blood vessels in the chest cavity is accompanied by various organs and tissues. This position and direction ... Speaking of which is unpleasant, in case a fishbone penetrates into a blood vessel ... the consequences are unimaginable.
Thinking of this, Chen Cang looked at the man and explained carefully: "This position is very special, and ... you haven't determined the size and length of the fishbone now, if you pull it out, it's easy to go wrong!"
The man froze for a while, and it was obvious that he didn't believe it!
"Don't you? I've stuck before ... swallowed after a few bites ..."
Indeed, the folk soil method is like this. When the fishbone is stuck in the throat, it will be swallowed into the rice according to the soil method, and then the fishbone will be forced down.
but!
After hearing this sentence, Lu Xiaojun and Chen Cang changed their faces even more.
Because fishbone is not something else, if it is a small fishbone, it can indeed be squeezed by the food, accompanied by the peristalsis of the esophagus.
But do you think of another possibility?
It means that the fishbone has penetrated into the wall of the esophagus. When your food is pressed down, the fishbone is like a nail, and the food is pierced into the wall of the esophagus by nails!
Even this "nail" will not penetrate into the "neighbors" next door such as trachea and large blood vessels!
This is all a problem.
Thinking of this, Lu Xiaojun quickly pulled the patient and pointed at the film and said, "Look, this is your fishbone film. The fishbone that is exposed inside the esophagus is less than 4 mm. Do you know what this means?"
Lu Xiaojun looked dignified and said seriously: "This means that a long part may have passed through the esophagus wall and entered the chest!"
"And the reason why I did n’t pull it out was because the fishbone penetrated deep and the thoracic aorta was behind! That is, if, for example, your fishbone has entered the thoracic aorta, once pulled out, it is like a fountain. , There may be no chance of rescue! "
When the man heard it, his face suddenly changed.
He looked at Chen Cang and Lu Xiaojun with a cautious look, not at all joking.
"What is the thoracic aorta?" The man still seemed uneasy.
He knows what CT is, a CT examination costs hundreds of dollars!
Lu Xiaojun couldn't help but say, "Let me tell you this, the thoracic aorta is the largest and thickest arterial blood vessel in the human body. The pressure here is the highest, just like the high-pressure water gun. Once a breach is formed, the bleeding will spray out. Come out, just like the dam breaks, you can't help it if you want to remedy it! "
Although it seems that Lu Xiaojun is exaggerating, this is all true.
Chen Cang also understands that this situation must not be delayed!
I thanked Lu Xiaojun and got up and left.
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The man was frightened when Lu Xiaojun said so.
After arriving at the emergency department, he hurriedly started preparing for the examination.
Seeing this, the man's wife quickly asked: "Doctor ... is this all right? My husband ... will there be no problem?"
Chen Cang shook his head: "No one can guarantee the current situation. Let's check it first and let's see what the situation looks like."
After speaking, he took the man to the radiology department, and after getting information about the man, he was ready to have an examination.
To tell the truth, Chen Cang didn't know the truth. After all, as a doctor, he is not a god, he has no perspective!
I don't know what will happen!
You can only wait until the test results come out.
Sure enough, a few minutes later, the doctor of the radiology department called Chen Cang directly.
"Doctor Chen, the situation ... can't be optimistic!"
In a word, Chen Cang was dumbfounded.
"what happened?"
At this point, the film has not come out!
The radiologist pointed at the film on the computer screen, looking dignified, and even said seriously: "Did you see? This is the fishbone that has penetrated the esophagus wall and penetrated into the thoracic aorta. ! "
Chen Cang's chest video reading full score!
Naturally see clearly and clearly!
"Next level, I'm looking!"
After one after another, after watching several films, Chen Cang was dumbfounded.
The situation is more dangerous than you want!
It can even be said to be extremely dangerous.
Chen Cang's perfect grade reading ability directly formed a picture of the patient's fishbone stabbing into the chest in his mind.
Where is the fishbone at this time? Ordinary pollution-free fishbone is so simple. At this time under the image results.
Chen Cang feels more like a weapon!
Just like a full moon scimitar, inserted horizontally near the esophagus and thoracic aorta!
Once blindly pulled out!
An aortic breach must be formed, and a major bleeding will definitely occur.
At that time, even rescue is not always possible!
Chen Cang suddenly felt shortness of breath.
Hurry up for hospitalization, and pay close attention to the ICU intensive care unit to stabilize vital signs, actively organize expert consultations, and prepare for surgery!
The current situation is not as simple as Chen Cang imagined.
Because the situation is still developing, the fishbone that has penetrated the thoracic aorta, the ghost knows whether it will change with the strong arterial blood pressure?
The ghost knows whether it will accompany the internal peristalsis of the esophagus!
Once offset.
as a result of……
Don't even think about it.
Definitely very dangerous.
At this point, the man was out of the CT room.
Chen Cang walked forward, explained the situation, and then said, "Let your wife be hospitalized, you should rest in the observation room first!"
All of a sudden the man's face was ashes.
To be honest, he was already frightened by this time.
I did not expect that a fishbone would be so dangerous!
Is it even life-threatening?
This is unlikely in the novel, it actually happened in real life!
He wanted to ask Chen Cang if he was joking.
However, looking at Chen Cang's serious face, he couldn't understand what happened!
After arriving at the emergency department, Chen Cang told the man's wife to go through the formalities, and then hurriedly prepared a doctor's order.
After a busy period, it was more than three o'clock, and the doctors in the office had already arrived.
Chen Cang suddenly realized this time!
How could the system give such a big reward with a small fishbone?
Chen Cang could not help but shook his head!
I almost looked away.
Emergency, emergency!
There is really no trivial matter ~ EbookFREE.me ~ A little carelessness cannot come!
Who would have thought that a small fishbone could be life threatening?
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ps: For the time being, it ’s winter, and the children who eat fish pay attention. This story is not a joke. This is an adaptation of a real case. Fishbone really can be life-threatening.
Remember one word: do n’t eat spiny fish when you are hungry!
In fact, there is also this novel, although it is a novel, but more than 90% of the cases are true, and the scientific knowledge is also true, including many common sense of life such as washing socks and underwear at the same time, which is why this writing The reason for the slowness, I basically write five chapters a day, and nothing can be done!
I will also continue to popularize some medical knowledge for everyone in the later period. I hope that everyone will not only feel good after reading this book, but also make money!
In the end, it is still necessary to be habitually selling for support.