The participation of relevant departments has made a lot of noise!
More and more people began to pay attention to Che zhehua''s situation, the results of this matter, the situation of the logistics company, hundreds of victims, and Che zhehua''s family!
Che zhehua''s medical expenses have been reimbursed by relevant departments, but it doesn''t seem to reduce his pain at all!
After eating sulfuric acid, the damage to the tissue has become more and more serious. Che zhehua still underestimated the pain!
What is pain? Now pethidine is useful, but it can''t be used all the time?
Now more and more people pay attention to it, which suddenly increases the pressure on medical staff.
The superior department requires the capital emergency center hospital to do a good job in the rescue work and the rehabilitation of Che zhehua. It is not hoped that this matter will cause too serious storm and consequences.
This is a good thing, but now the pressure is on the medical staff.
After all, everyone knows Che zhehua''s physical condition. If you want to fully recover, the possibility is too small.
After two days of rehabilitation, Che zhehua''s condition has basically stabilized. Although it hurts, it is not life-threatening. Because the rescue is timely, coupled with dialysis treatment, the patient has no serious complications, but a very important problem has been put on the agenda.
On Friday afternoon, in the case discussion room of the emergency department of the 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. It was really a headache!
"Once the esophagus recovers, the stenosis will be more than 70%, or even higher. This does not include the repair of late perforation on the esophagus. Even if exogenous repair conditions are used, the chance of retaining the esophagus is very small! It''s better to cut it all and replace it manually."
"But there is also a problem with this artificial replacement, that is, the stomach and duodenum need to be replaced. In this way, it can only retain its structural function and does not meet its physiological function."
As the director of the University of general foreign studies, he Zhiqian''s words are still very authoritative.
"You see, there must be perforation in the whole gastric wall in a few days. Now the gastric acid secretion is inhibited. When the gastric acid secretion is more, the serosa layer must penetrate."
"The operation can''t be delayed. It must be carried out today. Otherwise, even if it is postponed to tomorrow, it will be difficult to recover gastrointestinal function!"
Everyone sighed one after another. This is a problem.
He Zhiqian looked at Zhang Chahai, director of thoracic surgery: "director Zhang, what do you think should be done with this esophagus?"
Zhang Chahai couldn''t help but say, "I have a problem now, that is, if I have pedicled jejunal interposition, can you anastomose smoothly after gastrectomy!"
As soon as this sentence came out, everyone in the room was stunned!
Zhang Chahai continued: "it''s clear now that the dilation treatment for severe esophageal stenosis is ineffective and can''t be used. I have to cut it, but I''m worried that after using the jejunum, it''s not easy to follow up this gastrectomy."
As soon as the words came out, the room fell into silence again.
This is no longer an operation. It needs to be taken into account from the esophagus to the stomach, duodenum and jejunum.
It''s not just a question of esophagus!
The esophagus must be done, but with so many ulcers in the gastric mucosa and obvious pyloric obstruction, subtotal gastrectomy must be done.
How to effectively reconstruct 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 general for esophageal surgery.
Thoracic surgery is also half weight for general surgery, which can not be taken into account at all.
We''ve been talking for two hours.
Now there is no clear concept.
At this time, Chen Cang took the initiative to say: "in fact, I think esophageal colonic interposition can be used."
Chen Cang''s words broke the tranquility of this moment!
Everyone turned and looked at the young man, full of doubts.
All of you are directors. What do you know as a young man?
We don''t know esophageal colonic interposition yet?
The key is how productive the esophagus is? What you need after resection is definitely not a stenosis. You use the colon
How long is the colon?
The effective length of the colon is limited, so we do not consider the colon, but the first thought is the jejunum.
The jejunum is the small intestine, which is much longer than the colon, even if it is used to replace the esophagus.
But are you okay?
Everyone took a look at Chen Cang and ignored him.
Continue to look at the big screen and think, and Yu Yonggang saw it and said, "Chen Cang, what do you think? Introduce it to the directors."
As soon as they heard the name of Chen Cang, they suddenly came to spirit.
They are familiar with the name Chen Cang.
After all, Chen Cang has done so many things back and forth in the hospital. You haven''t seen a real person. It''s normal, but if you haven''t heard the name, you can''t make sense.
At present, cardiac surgery is in full swing to build non-stop heart technology and a new non-stop heart medical research center. Who doesn''t envy this? Who is not greedy?
Chen Cang is the initiator of all this.
For a moment, everyone looked sideways.
Is this Chen Cang?
At this time, everyone paid more attention to it.
People are like this. People speak lightly. If you have made any achievements, naturally others will look at you with new eyes!
"What do you think of Dr. Chen?" Zhang Chahai of thoracic surgery took the lead in asking. Since it was Chen Cang, everyone didn''t think he was shooting at nothing.
Chen Cang got up and went forward: "this esophagus does not need to be completely removed. If it is completely removed, it is very wasteful, and gastrointestinal reconstruction will be a very troublesome thing. Instead of total removal, it is better to choose: esophageal repair + stricture resection + esophageal colonic interposition."
you ''re right!
Chen Cang is going to use three kinds of surgery to complete esophageal reconstruction.
"In this way, there is no need to interfere with subtotal gastrectomy or affect esophageal reconstruction."
He Zhiqian, director of digestive department, directly asked, "how many colon do you plan to remove?"
Speaking of it, he Zhiqian has a problem with Chen Cang!
Because Chen Cang also signed up for the digestive function Summit Forum held by Mayo Medical Center, the hospital must be unwilling to sweep Chen Cang''s face from the face of cardiac surgery.
But he Zhiqian thinks, you are engaged in emergency and cardiac surgery. What gastrointestinal function meeting do you go to!
Isn''t this a typical dog in the manger?