Lu Xiaojun has to say that he is an experienced old doctor.
He has rich experience in endoscopy and clinical experience. After seeing this situation, he immediately stopped Chen Cang''s idea of pulling out fish bones.
The patient is obviously a little puzzled. Isn''t it just a fish bone? Just pull it out!
So the man asked directly, "doctor, why don''t you pull it out directly!"
Chen Cang was reminded by Lu Xiaojun and immediately understood what the situation was!
It''s very simple. You don''t know what''s going on outside the esophagus!
The complex blood vessels in the thoracic cavity take shape, and are accompanied by various organs and tissues. This position and direction... It''s bad to say, in case the fish bone penetrates the blood vessels... The consequences are unimaginable.
Thinking of this, Chen Cang looked at the man and carefully explained: "this position is very special, and... You haven''t determined the size and length of the fish bone. If you pull it out rashly, it''s easy to have problems!"
The man was stunned for a moment. Obviously, he didn''t believe it!
"Not really? I''ve been stuck before... I swallowed after a few mouthfuls of rice..."
Indeed, the folk method is like this. When the fishbone is stuck in the throat, it forcibly swallows the imported rice according to the local method, and then forcibly presses the fishbone down.
But!
After hearing these words, Lu Xiaojun and Chen Cang changed their faces even more.
Because the fishbone is not something else. If you say a small fishbone, it can be pressed down by the food and the peristalsis of the esophagus.
But do you think of another possibility?
That is, the fish bone has pierced into the esophageal wall. When your food is pressed down, the fish bone is like a nail, which is pierced into the esophageal wall like a nail nailed by food!
Even, will this "nail" go deep into the next door "neighbors", such as trachea and large blood vessels!
This is a problem.
Thinking of this, Lu Xiaojun quickly pulled the patient, pointed to the film and said, "look, this is the film of your fishbone. Now the fishbone exposed in the esophagus is less than 4mm. Do you know what this means?"
Lu Xiaojun looked dignified and said seriously, "this means that a long part may have passed through the esophageal wall and entered the chest!"
"The reason why I don''t pull it out is because the place where the fishbone goes deep is the thoracic aorta! That is to say, if, if you say, your fishbone has entered the thoracic aorta, once pulled out, it will be like a fountain, and there may be no chance of rescue!"
The man suddenly changed his face.
He looked at Chen Cang and Lu Xiaojun with a cautious face, which didn''t seem to be joking at all.
"What is the thoracic aorta?" the man still seems unwilling.
He knows what CT is. A CT examination costs hundreds of dollars!
Lu Xiaojun couldn''t help but say, "let me tell you, the thoracic aorta is the largest and thickest artery in the human body. The pressure here is the largest, just like a high-pressure water gun. Once a breach is formed, the bleeding will spray out in a jet shape, just like the dam burst. You can''t help it if you want to repair it!"
It seems that although Lu Xiaojun exaggerates, this is the truth.
Chen Cang also knows that this situation must not be delayed!
He thanked Lu Xiaojun, got up and left.
……
……
The man was frightened when Lu Xiaojun said so.
After arriving at the emergency department, he hurried to prepare for an examination.
Seeing this, the man''s wife hurriedly asked, "doctor... Is it all right? My husband... Won''t there be a problem?"
Chen Cang shook his head: "no one can guarantee the current situation. Next, improve the inspection and see what the situation looks like."
After that, he took the man to the radiology department. After learning about the man, he immediately prepared for an examination.
To tell the truth, Chen Cang has no bottom in his heart. After all, as a doctor, he is not a God. He has no perspective eyes!
I don''t know what will happen!
We can only wait until the inspection results come out.
Sure enough, a few minutes later, the radiology doctor called Chen Cang in directly.
"Dr. Chen, the situation... Is not optimistic!"
In a word, Chen Cang said foolishly.
"What''s going on?"
At this time, the film has not come out!
The radiologist pointed to the film on the computer screen, his face was dignified, and even said seriously, "do you see? This is this fish bone, which has pierced the esophageal wall and plunged into the thoracic aorta!"
Chen Cang''s chest image reading full score!
Nature sees clearly and plainly!
"Next floor, I''m looking!"
One after another, after watching several layers of films, Chen Cang was stunned.
The situation is more dangerous than you want!
It can even be said to be extremely dangerous.
Chen Cang''s perfect film reading ability directly formed a picture of the patient''s fishbone stabbing into the chest in his mind.
At this time, the fishbone is still as simple as an ordinary pollution-free fishbone. At this time, under the image results.
Chen Cang feels more like a murder weapon!
Like a full moon machete, it is inserted horizontally near the esophagus and thoracic aorta!
Once pulled out blindly!
There must be an aortic break, and there will definitely be massive bleeding.
At that time, even the rescue may not be in time!
Chen Cang suddenly felt shortness of breath.
Hurry to be hospitalized, and go to the ICU intensive care unit for close monitoring, stabilize vital signs, actively organize expert consultation and prepare for surgery!
The current situation is not as simple as Chen Cang imagined.
Because the situation will continue to develop. Does the fishbone that has pierced the thoracic aorta change with the strong arterial blood pressure?
Who knows if it will shift with the internal peristalsis of the esophagus!
Once offset.
Consequences
Don''t even think about it.
It''s definitely very dangerous.
At this time, the man has come out of the CT room.
Chen Cang went forward and explained the situation. Then he said, "let your wife be hospitalized. You go to the observation room and have a rest first!"
The man suddenly turned pale.
To tell the truth, at this time, he was stunned.
I never thought it would be so dangerous to get stuck in a fishbone!
Even life-threatening?
It''s impossible in the novel. It happened in real life!
He wanted to ask Chen Cang if he was joking.
However, looking at Chen Cang''s serious face, he didn''t understand what had happened!
After arriving at the emergency room, Chen Cang told the man''s wife to go through the formalities, and then hurried to prepare the doctor''s order.
After a busy time, it was more than three o''clock, and the doctors in the office had come one after another.
Chen Cang woke up at this time!
How can the system give such a big reward with a small fishbone?
Chen Cang couldn''t help shaking his head!
I almost lost my sight.
Emergency! Emergency!
There are really no small things.
You can''t be careless at all!
Who could have thought that a small fish bone could be life-threatening?
……
……
PS: in the third watch, it''s winter soon. The children who eat fish pay attention. This story is not a joke. It''s an adaptation of a real case. Fish bones can really cause life danger.
Remember a sentence: don''t eat sashimi when you are hungry!
In fact, although this novel is a novel, more than 90% of the cases are true, and the knowledge of popular science is also true, including many common sense of life such as washing socks and underwear at the same time. This is also the reason why this book is written slowly. I basically have to write five chapters for a day, and I can''t do anything!
I will continue to popularize some medical knowledge to you in the later stage. I hope you will not only feel good after reading this book, but also make money!
Finally, we should habitually sell sprouts for support.