Since 1981 Health School
Chapter 587: Rapid shock for esophageal perforation
Chapter 587 Esophageal perforation and rapid shock
See Bridge outside the airport.
Chen Qi looked at his watch after getting out of the car. It was already 2 o'clock in the morning.
In the middle of the night, Jianqiao Airport was as deserted as before. Today, there were still cars coming and going, which seemed particularly lively. A circle of green clothes stood there straight outside, and the atmosphere seemed a bit solemn.
On the tarmac, a white ambulance was particularly obvious. This was just imported from the United States by the First Provincial Affiliated Hospital, and it was also pulled out today.
When Chen Qi took out his work card, went through various security checks and arrived directly on the apron, he found that it was already full of people.
The weather in the early morning of early summer is cool, but there are so many mosquitoes, especially in the middle of the night when all the search lights are fully turned on, it is estimated that insects from more than ten miles in the direction are attracted.
Anyway, the people waiting on the tarmac are all ADHD-like, patting their bodies or stepping on them from time to time.
Chang Fan and Principal Li have been waiting at the entrance of the apron. When they saw Chen Qi coming, they really jumped at Chen Qi like a tiger.
Chen Qi was so frightened that he took a few steps back: "Ai ai ai, what are you two big leaders doing? We have something to talk about."
Chief Fan T held Chen Qi's left hand, Principal Li held Chen Qi's right hand, and the two quickly took Chen Qi to the next security room.
"Speak up, hurry up, here is the patient's full set of information, here is the X-ray, after reading it, sort out your thoughts, how to treat it. Let me tell you, this patient has been transferred to Todai Hospital in Japan. After a circle, it was sent back to our Huaguo.
Besides, the parents of the children and Dongda Hospital asked you, Chen Qi, to come out by name. I don't know what's tricky about it, and I don't know how they found you. I only know that you can only succeed in this rescue mission. Don't fail. "
Chen Qi swallowed while holding the medical record: "Mr. Fan T, what will happen if I fail?"
If he fails, he wants to drag Chen Qi to the entrance of the Guxuan Pavilion in Yuezhong City and have him slashed at the entrance of Guxuan Pavilion in Yuezhong City, and end up with Martyr Qiu Jin, then he will definitely not do it, and he will not make a move.
What kind of prince or princess is he? If you love him to death, don't care about someone like Chen?
Fan Tchang became popular when he heard it:
"If you **** fail, I will hang myself in front of your Yuezhong People's Hospital!"
Chen Qi quietly took a step back after hearing this, and said to Principal Li next to him:
"Principal, you persuade Mr. Fan T, this look is wrong, what stimulated you?"
Principal Li also sat down on the stool next to him:
"Don't talk about Lao Fan, if you fail, it's a trivial matter for me to be dismissed, but our country's WJ will suffer a major blow. At that time, I will have no face to see Jiang Dong's elders, so I might as well hang myself with Lao Fan."
Chen Qi saw that the expressions of the two little old men did not seem to be joking, so he became serious. I found a stool and sat down, facing the dim light and began to read the medical records.
In the first film, there is an obvious foreign body in the stomach, which looks like a coin.
This situation is a trivial matter for doctors. It is a very common accident for children to swallow foreign objects by mistake. Most of them will be excreted with feces.
Chen Qi couldn't figure it out, how could such a small incident cause unrest in the three countries?
When he picked up the second X-ray, he was surprised to find that there was another coin-like foreign body in the child's esophagus.
"No, there is only one foreign body in the first picture, and two foreign bodies in the second picture. It is obvious that the child swallowed something later. This cannot be regarded as a misdiagnosis."
woo woo woo~~~~
Suddenly, a little old man next to him began to cry, and he was extremely frightened in this silent night.
Principal Li sighed and introduced:
"This is Director Cao of our Children's Hospital Affiliated to Haidong Medical University. Because of this incident, the superiors and foreign guests all believe that we were misdiagnosed. Lao Cao feels wronged and stressed."
At this time, Dean Cao sobbed and said:
"Dean Chen, you have to explain it for us. This is not a misdiagnosis. We really don't have much responsibility. Foreign guests can't be unreasonable. It's okay for me to be the dean, but it will affect the reputation of our country. , How can this make me reconciled, woo woo woo~~~"
Chang Fan and Principal Li both sighed.
Compared to the great pressure of the leaders, as experts in the diagnosis and treatment team, Director He and Director Xu curled their lips at the same time, with obvious expressions of dissatisfaction.
"Dean Chen, you can see it too. It's obvious that the parents didn't take good care of the child and let him touch dangerous objects. In the end, they blamed us for misdiagnosing and didn't trust us and ran to Japan. This is a slap in the face. .”
Chen Qi nodded heavily: "This teacher is right, we can't just suffer this wrong!"
Fan T became anxious:
"Let's not care about being wronged or not. If this disease is cured, we can wash away any grievances. But if the child can't be cured today, everyone should wash up and go to sleep. Tomorrow, we will go to Sixth Park to play Tai Chi to recuperate the day. year."
Chen Qi watched the film, full of doubts in his heart:
"That's not right. If these two are coins, it is impossible for the miracle of going abroad and returning. I have been to the University of Tokyo Medical Center. Their clinical level is definitely the top in the world. It is impossible to connect two Even the foreign matter can’t be removed, there must be a big trouble inside that we don’t know about.”
Director He clapped his hands excitedly when he heard this:
"President Chen, you don't know that the foreign object in the esophagus is not a coin, but a button-like battery. The problem must be here."
"Approximately how long has it been since the child swallowed the battery?"
“It’s been more than 24 hours. We took the first film last night at about 7:00 pm, and the second film at 8:00 am. The child must have swallowed the battery within 10 hours.”
Chen Qi said regretfully upon hearing this: "This patient is sent back and forth, isn't this a waste of time?"
"Who said no, alas..."
In the 1980s, the battery technology was not up to standard. The material was made of stainless steel, and the insulation of the sealing ring was made of nylon. During use, the electrolyte in the battery often leaked out.
In addition, in the 1980s, the electrolyte in the battery was "mercury oxide". Mercury is a heavy metal that is very harmful to the human body.
A swallowed battery can burn a hole in the lining of the esophagus within two hours.
In severe cases, damage can lead to a passage between the esophagus and trachea, swallowed button batteries can damage the vocal cords, and they can even burn blood vessels in the chest area, including the aorta.
After Chen Qi's analysis, everyone at the scene slapped their thighs:
"So that's the case, that's the reason, the Japanese doctors are really, even if the esophagus is corroded and perforated, they can't cure it?"
Chen Qi was also thinking about this question. The operation is troublesome, but it is not an incurable disease. Why would Dongda Hospital push the patient back to Huaguo? Also recommend him as Chen Qi?
Is there a trap here?
Chen Qi thinks about the topic he is working on recently. Perhaps Dongda Hospital and parents think that non-invasive or minimally invasive endoscopy can be used for treatment?
Thinking of his own speculation, Chen Qi began to think about how to treat this esophageal perforation with an endoscope while holding the medical records.
While Chen Qi was thinking, the sound of an airplane engine sounded in the air, and more than ten minutes later, a Boeing special plane stopped on the tarmac.
Before the plane stopped, the door was opened, and a foreign bearded man protruded from the inside and shouted loudly:
"Is the ambulance here? Let the ambulance come up quickly, the prince's condition is very critical."
The administrators at all levels who originally wanted to hold a simple welcome ceremony also panicked and shouted anxiously: "The ambulance is coming, hurry up, and is that Dr. Chen Qi here?"
Chang Fan and Principal Li pulled Chen Qi and shouted loudly while running:
"Chen Qi is here, Chen Qi is here~~~"
The leader of the on-site command shouted loudly again:
"After the plane stopped, Dr. Chen Qi boarded the plane first, and the stretcher team followed. Everyone else should not get on the plane, and don't cause trouble for the foreign guests. They are all waiting below!"
Chen Qi just ran to the side of the plane, and the engine of the plane hadn't stopped yet, buzzing, looking like a mess, he was pushed onto the gangway.
The elevator and the car haven’t come to a complete stop yet, they are still moving, almost falling to his death.
Whether on the plane or on the tarmac, everyone is in a hurry.
Let’s put it this way, the little prince’s esophagus is currently being corroded by “dilute lye”. The pain caused by this chemical substance burns and burns through the esophagus is really unbearable for most people.
The crying of the little prince can be heard by everyone even outside the plane.
Chen Qi took a deep breath. At this time, he was neither a deputy departmental cadre nor a dean. He was just a simple doctor, and a doctor was there to save people.
So after he stabilized his mind, he quickly ran to the aircraft cabin.
Then at the door, they bumped into the chief couple who were crying and snotting.
Seeing a doctor in a white coat coming up, the usually personable Sheikh Abdullah even took off his turban, and shouted anxiously:
"Are you Dr. Chen Qi?"
Chen Qi nodded, and quickly replied: "I am Chen Qi, Yuezhong Chen Qi! How is the little prince doing now?"
"I kept crying, and kept saying that my chest hurts, and the painkiller injections didn't help. Dr. Chen, please save my son. I swear in the name of a father, as long as you can save my son, no matter you I will promise you whatever you ask for!"
This is the last and heaviest promise a desperate father can give.
Chen Qi hugged the little prince, put it in his arms, and quickly took the pulse.
The pulse rate is very fast, the breathing is very short, the body is very hot, and the vital signs are not very good.
The doctor accompanying the group was also shouting: "Doctor Chen, the prince's body temperature has reached 39°C, and his blood pressure is 80/40."
The precursor to septic shock is indeed not optimistic.
Chen Qi knew that now was not the time to be polite, and he didn't need any stretcher, so he directly hugged the little prince, turned around and walked out of the plane:
"Sir, ma'am, the battery in the little prince's esophagus is still causing him great damage, so I need emergency surgery. If you allow me, I will take the little prince back to my hospital as quickly as possible. "
Sheikh Abdullah and the weeping sheikh nodded again and again:
"Everything is up to Dr. Chen, you are our last hope, you can do whatever you say!"
Chen Qi was relieved when he heard that, he also didn't like to see a doctor for the rich and powerful, didn't he see that Mr. Fan T, Mr. Li, Mr. Cao were all on the verge of collapse?
I didn't get this benefit, so I scared myself half to death first.
But when Chen Qi saw the child in his arms, he thought of his precious son and daughter again, "The old is the old and the old is the old, the young is the young and the young is the young."
Put yourself in the situation and think about it with your own heart. If your child has an emergency, how can you be a parent?
So saving him will definitely save him. Even before saving him, he has to give the Japanese doctor some eye drops:
"Ah, the little prince's condition is so unstable, why didn't the Japanese doctor infuse anti-inflammatory and anti-infective treatment in advance, the flight back and forth didn't delay his condition."
The doctor accompanying the regiment thumped in his heart. In fact, it was his dereliction of duty.
Because he was afraid that he might not be sure about the treatment plan, he would rather wait for the experts to come to rescue him than dare to give medicines indiscriminately. He was afraid that the little prince would die on the plane after the infusion, and he would be more responsible.
Now I heard Doctor Hua Guo "questioning" his Japanese colleagues, so he quickly echoed:
"That's right, we should give our little prince an infusion to stabilize his vital signs, and then use antibiotics to prevent possible infections in advance. Now he is almost in shock. These Japanese doctors are too irresponsible."
Chen Qi took a meaningful look at the Baotou doctor.
Sure enough, the chief and his wife became angry when they heard it. People are most likely to listen to "slander" when they lose their minds.
"Fake Jiepan, Fake Jiepan Dao Kewu, their level is too bad, their responsibility is not there yet, they almost killed my son, what is the best hospital in the world, it is clearly shit!"
The furious chief began to swear.
He·Chen Qi·shen smiled lightly, quickly walked out of the plane with the little prince in his arms, and ran to the ambulance, hiding his achievements and fame...
It is about 60 kilometers from Jianqiao Airport to Yuezhong People's Hospital. Police cars clear the way, and there are no cars and carts in the early morning.
The convoy roared all the way, and arrived at Yuezhong People's Hospital in more than an hour.
The Yuezhong People's Hospital was brightly lit at this time, and all the staff headed by Guo Yuanhang were already on duty.
This is the first time in the history of the Vietnam People's Hospital that a foreign leader has visited. Comrade Guo, who is the life of the old man, has already attached great importance to it. He personally inspected the departments one by one.
"Is the laboratory all here?"
"The Imaging Department has turned on all the X-ray machines and CT machines and is on standby at any time!"
"Aren't all the doctors with sub-senior titles or above in the internal medicine, surgery, pediatrics, and emergency departments here? Okay, you are on standby in the VIP ward on the third floor!"
"Is the endoscopic operating room ready? Hey, why isn't Chen Qi here? Oh no, Chen Qi is going to the airport. Damn, I'm so busy!"
The vice-president Cao Dongsheng and Hu Yaguang, the chief of the medical department Zuo Liwei, and the director Liu Huichun couldn't laugh, and their hearts beat faster because of their nervousness.
As for Wu Weiguo, deputy secretary of the hospital's third-in-command, it seems that he has been forgotten, and he was not notified to be there.
(end of this chapter)
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