Chapter 2391 When Everyone Talks Less and Less, Their Expressions Become More and More Serious

Professor Yang rushed over from home, and Mr. Chen had already asked about the medical history. The patient did buy roundworm egg capsules half a year ago and took them orally for weight loss.

It is said that the effect is not bad, and the patient has lost weight significantly in the past six months.

But 12 days ago, she started to have epigastric pain. The patient thought it was radial pain because she was in her menstrual period, so she didn't pay much attention at that time. But after her menstrual period passed, she still had a dull pain in her upper abdomen, so she still didn't come to the hospital for treatment.

Because of nausea and retching, she always thought it was a stomach flu, took the corresponding medicine, and prepared a resume to find a job.

Unexpectedly, the condition suddenly worsened today, to the point where I vomited insects.

It was a big deal, Professor Yang watched the film. According to the medical history, the biliary tract should be blocked by roundworms. It is the roundworm that drills into the biliary tract from the position of the large rt of the duodenum, forming biliary obstruction.

It is different from other parasites. Roundworms are longer and thinner, and they drill deeper in the film.

This operation...is troublesome, Professor Yang has a black line on his forehead.

Now biliary roundworms are not very common. After all, there are so many anthelmintics, and you can just take anthelmintics if you feel something is wrong.

Moreover, the most likely symptom induced by roundworms is intestinal obstruction, not biliary obstruction.

cut? The location is very deep, and the liver is cut to take the roundworms... To be honest, Professor Yang really dare not use this knife.

If it is cut open, it is very difficult to find the exact location of the roundworm, but this is not a problem for the 912 professor. Any professor of hepatobiliary surgery can find a position.

But the difficulty lies in the next step, how to take out the bugs without damage and intact.

And... the stomach and intestines are full of roundworms, and they can come out of the mouth, so there may not be many worms.

Professor Yang glanced at the time, it was one thirty-five in the morning.

No matter, seek consultation with the whole hospital!

immediately!

immediately!

In his opinion, ERCP can also be considered to remove roundworms by retrograde stone extraction, and the damage is small, which is a minimally invasive operation.

I just don't know if people in the endoscopy room dare to do it or not.

Regardless of whether you dare or not, the worms in the gallbladder are one thing, but the worms in the stomach and intestines have to be taken out, right? You can't cut open all the stomach and intestines, just reach in and pick out the worms. It's hard to say whether it can be cleaned up, and the patient will be extremely traumatized.

Call for emergency consultation.

Although it is quite annoying to ask the whole hospital for consultation at this point, the patient is rolling in pain on the flat car, but there is no delay.

There is no staff on duty at night for gastrointestinal endoscopy, and this kind of emergency may not be encountered once in a year or two years. If there is a related operation, you still have to call and come from home.

After 35 minutes, the second-line professor from the endoscopy room rushed over. He looked at the video data like a face to face, but didn't say a word.

I watched it for 10 minutes before I sighed, discussed with Professor Yang, and called Director Luo from home.

I’m not afraid of joking and laughing when I’m on stage. The doctor said it’s nothing to worry about. Usually, it’s nothing to worry about.

What I am most afraid of is that one doctor after another will be called from home on such a big night. The rank is getting higher and older, and the expression is getting more and more serious. Everyone knows what it means.

But it was Zheng Ren and Su Yun who received the call last. It is quite rare to experience a sudden reduction in age.

"In the middle of the night, someone will call you. If there is an emergency, you can go to the emergency department. What are you calling me for?" Su Yun got up full of anger after being woken up.

"It is said that there is a patient with biliary ascariasis, and the location is relatively deep." Zheng Ren was ready to set off, and urged: "Hurry up."

"Isn't it enough for you alone, are you ready for ERCP? Let me sleep for a while." Su Yun said no, but his body was very honest.

He was very unhappy and chattered while getting dressed.

"I'm thinking about using the balloon and the grasping forceps at the same time. It needs to be operated by a double operator, and it can't be done by one person." Zheng Ren said seriously: "Hurry up."

"Brother, roundworms in the biliary tract are not fatal!" Su Yun got up very angry, and he stopped calling the boss to call Big Brother.

But that being said, Su Yun quickly put on his clothes, and the two tiptoed downstairs.

Heizi crouched on the stairs, staring at the two with wide-eyed eyes. In the dark night, Heizi's eyes glowed green, a little fierce.

"Hush." ​​Zheng Ren went downstairs and stroked the dog's head, "We're going to work, you sleep well."

"Hurry up, come to the emergency room, and pet the dog?" Su Yun said directly.

"Keep down, the two of them are sleeping." Zheng Ren put on his shoes and opened the door.

"How long has it been since you were woken up in the middle of the night?" Su Yun asked with a sigh.

"It's been two months." Zheng Ren said, "It's really comfortable to have no emergency room."

"It's been many years since I've seen a patient with biliary ascariasis. This disease is usually treated with anthelmintics, which should be killed first. In the future, you can take it if you can, and if you can't take it, you can wait for calcified stones. What's going on today?" Su Yun scratched the surface of his condition from the beginning, and there were many doubts that could be complained about.

"Maybe the patient's condition is special? Or Director Luo tried it, but the roundworm was pulled off, and the remaining half was in the biliary tract." Zheng Ren guessed casually.

Taking the elevator downstairs, the two ran in the night of the imperial capital.

Zheng Ren still didn't buy an electric car. Although the public security is much better now, he doesn't use it often, and just charging it is troublesome enough. It might as well be more convenient to run, anyway, he thought so.

Simplicity and directness are Zheng Ren's aesthetics.

Quickly coming to the endoscopy room, Zheng Ren changed his clothes and walked in. He saw a figure flickering at the door of the ERCP room. Just like guessing, it was really planned to use ERCP to solve the problem.

Zheng Ren strode over, but he didn't see the ERCP operation. Director Luo is operating the gastroscope, picking up things bit by bit.

Glancing at the screen, Zheng Ren was stunned.

What the hell are these things! Zheng Ren cursed a dirty word in his heart.

Under the gastroscope, you can see the white things in the stomach looming. How could it be in the stomach? ! Zheng Ren was also a little puzzled.

Generally speaking, although roundworms are not afraid, they will not survive in stomach acid. Too acidic, not a "livable" environment for them.

However, Zheng Ren thought of several possibilities in an instant. For example, severe vomiting, decreased gastric acid and reflux of things in the jejunum passed through the pylorus and entered the stomach. This situation can occur.

But in any case, so many roundworms are rare, very rare, Zheng Ren made a prediction in his heart.

"Boss Zheng, you are here." Professor Yang greeted.

"Well, take the ones in the stomach first?" Zheng Ren nodded, "Director Luo, what should I do if I'm so daring to prepare?"

"Take out the worms in the stomach and colon first. If there is a problem with the ERCP, let's discuss it later." Director Luo concentrated on the operation, and briefly shared his thoughts with Zheng Ren.

When Zheng Ren walked in, he was surprised to see a red trash can next to Director Luo, with more than a dozen yellow and white roundworms wriggling inside.