My medical skills are a billion points

About the honor of the hospital?

What meeting will honor the hospital?

Xiao Chu couldn't figure out why the leader sent such a meeting notice.

But after he goes to work in the afternoon, he still needs to attend the meeting on time.

Since Xiao Chu was announced as the deputy director of the emergency department, he has become a middle-level cadre of the provincial hospital.

So he was pulled into the group of department heads early.

Except for a few hospital leaders, this group is the principal and deputy director of each department, and no other personnel are allowed to enter.

Speaking of the groups in the hospital, there are simply too many.

On Xiao Chu's mobile phone, there are more than a dozen work groups about provincial doctors.

There are a group of department heads, a group of head nurses, a group of nosocomial infections, a group of medical departments, and a group of medical records. There are more than a dozen large and small groups.

Sometimes there may be various notifications in more than a dozen groups.

However, most of these groups, Xiao Chu chose Do Not Disturb.

Of course, although he set some groups as Do Not Disturb messages.

But if he has free time, he will also open WeChat to check, so as not to miss any important notifications.

After all, he blocked all the groups, and it would be troublesome if he couldn't receive any important notifications.

So Xiao Chu developed the habit of opening WeChat after surgery.

It is now past eleven o'clock in the afternoon, and the number of emergency patients is gradually decreasing.

Sitting in the consultation room, Xiao Chu was thinking about where to go romantically with Lin Wanqing for the National Day.

He saw two elderly people rushing in from the door of the emergency department.

The two looked to be in their 60s and should be an old couple.

Because Xiao Chu's consultation room is the closest to the gate of the emergency department.

The first time the patient came in, he saw Xiao Chu's consulting room.

So the two old men hurried in.

When Wang Panpan saw the patient coming in, he hurriedly stepped aside and asked them to sit down.

Looking at the two old men with tense expressions, Xiao Chu said softly, "Who are you two feeling uncomfortable?"

The old lady hurriedly said, "It's my wife."

Xiao Chu looked at the old man.

He was found to be breathing normally, with no chest tightness or dyspnea.

And there was no pain on his face, as if nothing happened.

Not like a patient at all.

On the contrary, the most nervous one is the old lady.

The old lady took a breath, and then continued: "My wife has eaten something in his stomach, doctor, what do you think should I do?"

"Don't be nervous, ma'am, tell me clearly, what exactly did your wife eat in his stomach?"

The old lady took out a box of medicine from her handbag.

It's aspirin enteric-coated tablets.

Then with trembling hands, he pulled out the medicine tablet inside.

It's just that this medicine board is incomplete, and a corner is missing, which should have been cut by scissors.

The missing place happened to be an aspirin tablet.

The old lady handed the medicine tablet to Xiao Chu, and said nervously: "My wife has mild dementia, but he also has high blood pressure and cerebral arteriosclerosis,

So the doctor prescribed aspirin enteric-coated tablets for us, but when my wife took the medicine, he cut off a piece of medicinal scissors and ate it directly with the tinfoil tablet without pulling it apart. "

The old lady took another breath, her face full of tension.

"My wife cut the medicine into squares with tin foil. The four corners are very sharp. If he eats it in his stomach, will it puncture his stomach?"

Aspirin enteric-coated tablets are commonly used drugs for the prevention of cardiovascular and cerebrovascular diseases and atherosclerosis.

It is common for older people to take this medicine.

But it was the first time Xiao Chu saw this old man eating it with tinfoil attached.

And looking at the missing corner of the whole medicine board, cut squarely, we can see how sharp the piece of tinfoil the old man ate.

If the tin foil cuts the stomach wall, even cuts the small gastric artery, or enters the intestinal tract, it is easy to cause massive bleeding in the digestive tract.

If it is serious, the old man will die.

Even a small piece of tinfoil containing pills can be fatal.

Because the old man suffers from mild Alzheimer's disease, he has no concept of the harm of eating tin foil into his stomach.

Instead, he sat there calmly, unhurried, with a natural expression.

The most nervous thing is the old lady.

Of course she could imagine what would happen if she ate the sharp tinfoil in her stomach?

So when she found out that her husband had eaten the tinfoil, she immediately took him to the hospital.

Xiao Chu hurriedly comforted the extremely nervous old lady.

"Grandma, don't worry too much. Take an X-ray for the old man in a while to see where the tin foil is, so we can proceed to the next step of treatment."

The old lady nodded hastily.

"Good doctor, I will listen to you. You must save my old man."

The edge of the tin foil is very sharp, like a knife, who would not worry if it was eaten into the stomach?

Half an hour later, the old lady returned to Xiao Chu's consulting room with the old man taking the plain film of the abdomen.

Xiao Chu looked at the film and found that piece of tin foil was still in his stomach.

He also let out a sigh of relief.

If the tin foil enters the intestine, it will be troublesome, and it may be necessary to perform laparotomy.

As long as it's in the stomach, there's a way to get it out.

Xiao Chu pointed to a bright spot on the X-ray film, and said to the old lady: "Old lady, look, the tinfoil that the old man ate is still in the stomach. Now we can make a gastroscope on him and take the tinfoil It's safe to take it out."

The old lady nodded like a pounding garlic.

"Doctor, then quickly perform a gastroscopy on my wife and take out the things.

If I don't take this thing out as soon as possible, I can't feel at ease for a moment! "

Of course Xiao Chu could understand the old lady's mood.

The two old people have been together for decades and have a deep relationship.

The old man has a health problem, and of course the old lady is most anxious.

Soon, Xiao Chu asked the old lady to lead the old man to the gastroscopy room to take out foreign objects under the microscope.

As long as the foil is still in the stomach, it can be removed with a gastroscope.

And for this kind of operation, Xiao Chu could only let him go to the endoscopy room.

Although he can also perform gastroscopy, after all, there is no equipment in the emergency department, so he can't do it.

If it is still the same as last time, push the endoscope in the gastroscopy room to remove foreign objects under the microscope.

This is not necessary.

Because this old man can walk over by himself.

Only when critically ill patients are unable to move can the endoscope in the gastroscopy room be pushed over.

Xiao Chu continued to see patients. Less than half an hour later, he suddenly received a call from Tang Ming, the deputy director of the gastroscopy room.

Xiao Chu was a little puzzled, but still connected to the phone.

"Director Xiao, the tinfoil in this patient's stomach is one centimeter in size with very sharp edges.

If you insist on taking it out, it is easy to scratch the esophagus and cause massive bleeding. "

"Director Xiao, take it or not?"

Chapter 308 The Magical Use of Condoms

Xiao Chu frowned.

There is a sharp piece of tin foil in the patient's stomach, and if it is not taken out, it will definitely go down.

If it enters the intestinal tract, it will inevitably cut the intestinal tract and cause massive bleeding in the lower gastrointestinal tract.

At that point, the patient had to undergo a laparotomy in order to survive.

If it is not taken out in time, the patient will face even greater trouble.

What Tang Ming obviously meant was that it would be very troublesome to take out the tin foil, and there was a high possibility of scratching the esophagus.

This really puts him in a dilemma.

Xiao Chu thought for a while and said, "Director Tang, wait a moment, I'll go over right away to have a look."

Xiao Chu hung up the phone and hurried to the endoscopy room.

Even if the tinfoil is too difficult to remove, it must be removed.

Otherwise, the patient will face the risk of surgery.

Xiao Chu rushed to the gastroscopy room and found Tang Ming was holding a gastroscope, looking helpless at the monitor, and the patient was also under anesthesia.

Seeing Xiao Chu approaching, Tang Ming forced a smile on his face.

"Director Xiao, take a look at the condition of this patient."

As Tang Ming spoke, he slowly re-entered the endoscope into the patient's esophagus.

As the endoscopic lens slowly deepened, the patient's entire upper gastrointestinal tract also appeared on the display.

Under the microscope, Xiao Chu discovered that the patient's throat and esophageal mucous membrane had multiple minor scratches.

There are even dark brown blood scabs attached to the surface.

When the endoscope entered the gastric cavity, it was found that the "provoking" tablet was "lying" in front of the pyloric entrance.

At this time, multiple hyperemia and erosions had appeared in the gastric mucosa.

And with the peristalsis of the gastric mucosa, the sharp edges of the foreign body may still continue to cause new wounds.

The situation is already very dangerous.

Fortunately, this tinfoil tablet is relatively large, and it just squirms near the pyloric entrance, and cannot enter the intestinal tract for a while.

But after a long time, it's hard to say.

Usually ordinary foreign bodies in the stomach can be directly observed under the gastroscope and grasped with foreign body forceps.

But the tinfoil-shelled tablet that was swallowed by the patient had three sharp corners on the edge.

The esophagus of a normal human body has three physiological narrowings, and the submucosal blood supply is rich.

Forcibly grasping with foreign body forceps, when passing through the esophagus, the sharp edges are bound to scratch the mucous membrane, which may cause massive bleeding.

For this reason, Tang Ming did not dare to take out the pills directly.

If it is taken out forcibly, there is a high probability that the sharp horn will directly scratch the esophagus and cause massive bleeding.

And he can't take this responsibility.

Tang Ming manipulated the endoscope, checked the stomach again in detail, and then stopped.

Looking at Xiao Chu, he said, "Director Xiao, you have seen the situation, this tinfoil tablet is really too big.

If it is taken out by force, I can't guarantee that the inner wall of the esophagus will not be injured. What do you think should be done? "