Chapter 376 A Bloody Case Caused by a Fishbone!
Lu Xiaojun has to say that he is an experienced doctor.
He has rich experience in endoscopy, and his clinical experience is even more remarkable. After seeing this situation, he stopped Chen Cang from pulling out the fishbone.
And the patient is obviously a little puzzled, isn't it just a fishbone? Just pull it out!
So, the man asked directly: "Doctor, why don't you just pull it out!"
Chen Cang was reminded by Lu Xiaojun and instantly 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 go out of shape, and are accompanied by various organs and tissues. This position and direction... To put it badly, in case the fishbone pierces the blood vessel... the consequences are unimaginable.
Thinking of this, Chen Cang looked at the man and explained seriously: "This position is very special, and...you are not sure about the size and length of the fishbone right now. Pulling it out hastily will easily cause problems!"
The man was stunned for a moment, obviously not quite convinced!
"Isn't it? I've been stuck before... I swallowed after a few mouthfuls..."
Indeed, the folk local method is like this. When the fishbone is stuck in the throat, according to the local method, the food is forcibly swallowed, and then the fishbone is forcibly pressed down.
But!
After hearing this sentence, Lu Xiaojun and Chen Cang's expressions changed even more.
Because the fishbone is not something else, if it is a small fishbone, it can indeed be pressed down by the food, along with the peristalsis of the esophagus.
However, do you think of another possibility?
That is, the fishbone has penetrated the wall of the esophagus, and when your food is pressed down, the fishbone is like a nail, pierced into the wall of the esophagus like a nail by the food!
Even, will this "nail" go deep into the "neighbors" next door, such as the trachea and large blood vessels!
This is all a problem.
Thinking of this, Lu Xiaojun quickly pulled the patient, pointed to the film and said, "Look, this is a film of your fishbone. Now the fishbone exposed inside the esophagus is less than 4 mm. Do you know what this means?"
Lu Xiaojun looked solemn and said seriously: "This means that a long part may have passed through the wall of the esophagus and entered the chest cavity!"
"And the reason why I didn't pull it out is because where the fishbone goes deep, the back is the thoracic aorta! That is, if, say, your fishbone has entered the thoracic aorta, once it is pulled out, it's like a fountain. , there may be no chance of rescue!"
When the man heard this, his expression changed.
He looked at Chen Cang and Lu Xiaojun with a cautious look, it didn't look like he was joking at all.
"What is the thoracic aorta?" The man still seemed a little unwilling.
He knows what CT is, and a CT examination costs hundreds of dollars!
Lu Xiaojun couldn't help but said: "Let me tell you, the thoracic aorta is the largest and thickest arterial blood vessel in the human body, and the pressure here is the greatest, just like a high-pressure water gun. Come out, it's like a dam bursting, if you want to remedy it, there is nothing you can do!"
It seems that Lu Xiaojun is exaggerating, but this is the truth.
Chen Cang also understands that this situation must not be delayed!
Said thank you to Lu Xiaojun, got up and left.
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The man was also frightened by what Lu Xiaojun said at this time.
After arriving at the emergency room, I hurriedly started to prepare for the examination.
Seeing this, the man's wife also quickly asked, "Doctor...Is this all right? My husband...isn't there any problem?"
Chen Cang shook his head: "No one can guarantee the current situation. Let's complete the inspection first and see what the situation looks like."
After speaking, he took the man to the radiology department. After learning about the man's condition, he immediately prepared for an examination.
To tell the truth, Chen Cang has no idea in his heart. After all, as a doctor, he is not a god, and he has no vision!
I don't even know what will happen!
Just have to wait for the test results to come out.
Sure enough, a few minutes later, the radiology doctor called Chen Cang in directly.
"Doctor Chen, the situation... is not optimistic!"
In a word, Chen Cang was dumbfounded.
"what happened?"
At this point, the film has not come out!
The radiologist pointed to the film on the computer screen, his face was solemn, and he even said seriously: "Did you see it? This is this fishbone, which has pierced the esophagus wall and plunged into the thoracic aorta. !"
Chen Cang's chest image has a full score!
Naturally see clearly and clearly!
"The next floor, I'm taking a look!"
After watching several films one after another, 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 reading ability directly formed a picture in his mind of the patient's fishbone piercing the chest cavity.
At this time, the fishbone is still as simple as an ordinary pollution-free fishbone. At this time, it is under the image results.
Chen Cang felt more like a murder weapon!
Just like a full moon scimitar, it is inserted horizontally near the esophagus and thoracic aorta!
Once blindly unplugged!
Aortic rupture is bound to form, and massive hemorrhage will definitely occur.
At that time, even if it is rescue, it may not be in time!
Chen Cang suddenly felt short of breath.
Hurry up 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, the fishbone that has been pierced into the thoracic aorta, the ghost knows will it change with the strong arterial blood pressure?
The ghost knows if it will shift with the internal peristalsis of the esophagus!
Once offset.
as a result of……
Don't even think about it.
Absolutely very dangerous.
At this point, the man had come out of the CT room.
Chen Cang walked forward, explained the situation, and then said: "Let your wife be hospitalized, you go to the observation room and rest first!"
The man's face turned ashen.
To be honest, he was already dumbfounded at this time.
Never thought that getting stuck with a fishbone would be so dangerous!
Even life-threatening?
This is unlikely in the novel, but 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 happened!
After arriving at the emergency room, Chen Cang instructed the man's wife to go through the formalities, and then hurried to prepare the doctor's order.
After some busy work, it was already past three o'clock, and the doctors in the office had come one after another.
It was only at this time that Chen Cang woke up!
How could the system give such a big reward from a small fishbone?
Chen Cang couldn't help shaking his head!
I almost lost sight of it myself.
Emergency, emergency!
Really no small thing.
Not a single bit of negligence!
Who would have thought that a tiny fishbone could be life-threatening?
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ps: For the time being, winter is coming soon. Children who eat fish pay attention. This story is not a joke. It is an adaptation of a real case. Fishbone can really cause life-threatening.
Remember one sentence: don't eat barbed fish when you are hungry!
In fact, also, although this novel is a novel, more than 90% of the cases are true, and popular science knowledge is also true, including many common sense of life such as washing socks and underwear at the same time, which is why this book is written The reason for the slowness, I basically wrote five chapters in a day, and I can't do anything!
I will also continue to popularize some medical knowledge for you in the later period. I hope that after reading this book, you will not only enjoy it, but also make money!
In the end, it is still necessary to habitually sell cuteness for support.