Gastroscope showed: chronic, atrophic, superficial gastritis. Abdominal CT can be seen, the patient's duodenal segment has signs of obstruction.

There is also a film of digestive tract angiography, suggesting that there is obstruction in the duodenal segment, and the imaging performance is typical.

The diagnosis should be very clear. Zhou Litao looked at the patient's various examination values ??and assessed whether he could have surgery.

I was watching, and the hospitalization of the gastrointestinal rushed down in a hurry.

Zhou Litao said that he had obtained the information he had received and the hospitalization of gastrointestinal surgery. There is nothing to hesitate. It is serious to hurry up for emergency surgery.

Even without intestinal perforation, local tissue has an inflammatory change. And looking at the patient's condition, the changed part will be very long and the inflammation will be heavy.

If you use internal medicine, there is no way to solve this problem.

Surgery, only emergency surgery can solve the problem.

This is the consensus.

The hospitalization of gastrointestinal surgery has been rushing to push the patients away, and the family members of the patients who have arrived in succession are hugged behind.

Zhou Litao looked at the relieved 120 emergency doctors in the field and smiled and said a few gossips.

"It’s too scary to run long distances." The foreign doctor smiled and said: "I am afraid that there are three long and two short, there are temporary rescue drugs on the car..."

It’s tears to say more, and it doesn’t make sense.

It is a serious matter to go back from the emperor.

Zhou Litao watched the 120 first-aid personnel leave, thinking about the patient just now.

Duodenum-jejunum anastomosis should be performed to expose the problematic bowel.

Look at the severity of the disease, you can choose to set or remove.

Because it involves the duodenum, even if you choose to remove the surgery, you should be very careful.

912 gastrointestinal surgery, the level of surgery is very high, should be no problem.

Zhou Litao immediately forgot this patient.

In the emergency department, if you remember every patient, it is estimated that the whole person will collapse soon.

......

Gastrointestinal surgery, Feng Jianguo took the hospitalization and Quan Xiaocao urgently to do physical examination and diagnosis.

There are CT films, history, and signs. No doubt, go up and open, you can't wait!

Regardless of whether the obstructive segment is light or heavy, open it and then think about the next treatment.

And the treatment measures are nothing more than a few types of surgery.

For Feng Jianguo, there is no difficulty at all. What is really difficult is to choose according to the condition during the operation.

The nurse is in a hurry to prepare for the operation, and the family members go through the hospitalization procedure. Feng Jianguo was out of caution, did not let the right grass to give the patient's family to pre-operative explanation, but to personally explain the condition.

The choice of several surgical methods, Feng Jianguo said clearly. Specific choices must also be determined intraoperatively.

Because she is stranger to the patient's family, Feng Jianguo is very careful to tell the patient's family members that he will come out and communicate with the patient's family after seeing the situation. How to choose will also discuss with them for the first time.

The family members are grateful.

I did not expect the doctors of the Imperial Capital to be more intimate than the doctors of the home.

Although Feng Jianguo emphasized that the possibility of patients not coming to the operating table is very high, the family members expressed their gratitude again and again.

After all, this is one of the most technically advanced hospitals in the country. If it is not cured, it is a life.

After 22', the preoperative preparation was completed, and Quan Xiaocao pushed the patient to the stage.

If the general intestinal obstruction, it must be done in the hospital.

But when it comes to the duodenum, the hospitalization always pulls Feng Jianguo up and gives him a look.

"Mr. Feng, how do you estimate the operation?" When the clothes were changed, the hospital always asked.

"Duodenum-jejunum anastomosis." Feng Jianguo said with certainty: "The patient's delay is a bit long, and I hope that the intestines should not be cut too much."

The hospitalization was just about to continue to ask, and suddenly I heard the voice of the right grass.

"Mr. Feng, are you there?"

"What's wrong?" Feng Jianguo was a bit strange. At this time, the right grass should not change clothes. Looking at the patients in the surgery? Run the men's locker room to find yourself at the door. Is this a change in the patient's condition?

Thinking of this, his blood pressure "brush" was 10 mm Hg higher.

"That..." Quan Xiaocao was hesitant, and Feng Jianguo was somewhat angry.

Something to say things, it’s okay to go to work, I’m going to have an emergency operation, and running here to support me?

This little child is good, working hard, and working hard, but it is too embarrassing.

I am a bit timid when I encounter something unexpected.

Feng Jianguo was a little anxious. He immediately put on his clothes and walked out quickly.

"What is it?" Feng Jianguo asked with a serious look.

"Mr. Feng, just met Zheng boss to step down, he said that the patient is not an intestinal obstruction, not to allow surgery." Quan Xiaocao whispered.

"..." Feng Jianguo stunned.

Do not allow surgery? This seems to be a bit big.

Not to mention Zheng boss, even if Director Wei, to stop an emergency surgery, you have to count again and again.

If you can overturn the existing diagnosis, it seems that you can consider it.

However, the patient's diagnosis is quite clear, with abdominal CT and gastrointestinal angiography as the basis for diagnosis.

"Go, go and see." Feng Jianguo recalled the process of filming and checking, and strode to the emergency operating room.

"Mr. Feng, don't be angry, Zheng boss... Zheng boss..." Quan Xiaocao is obviously helping Zheng Ren to talk But I don't know how to say it.

"What the **** is going on?" asked Feng Jianguo.

"I sent the patient up and went to the emergency anesthesiologist to change clothes. When I changed clothes, Zheng Bo and Yun Geer watched the film in the surgery room." Quan Xiaocao said: "Then Zheng boss said, The patient is not an intestinal obstruction, let me tell you not to have surgery."

"He didn't say anything else?"

"Yeah." Quan Xiaocao said: "There was two sentences. The anesthesiologist asked if you should anesthetize. If the patient is in a bad state, I will run down."

Feng Jianguo knows that Zheng Bo is not a fool, but the diagnosis of this patient should not be too clear.

How can you not operate with such a typical intestinal obstruction?

In the subconscious, he believed that Zheng Ren was a man, but he did not believe in Zheng Ren’s judgment.

This tangled mentality is somewhat complicated.

Quickly walked to the emergency room, Feng Jianguo saw that Zheng Renzheng boss is still familiar with the posture, or familiar formula, is reading.

"Zheng boss, what happened?" Feng Jianguo was too polite to ask directly.

"It is suspected that the patient is myasthenia gravis and the intestinal smooth muscle is weak." Zheng Ren also replied directly.

The patient is lying on the operating table, the state is not good, all the false masks are torn off, and the time is diagnosed. It is serious to take time to treat.

Don't bother be polite here, and finally the patient will die on the operating table, then it will be finished.

"Myasthenia gravis?" Feng Jianguo stunned.

Myasthenia gravis is an autoimmune disease caused by a dysfunction transmitted by a neuromuscular junction.

The main clinical manifestations are partial or skeletal muscle weakness, fatigue, increased after exercise, and reduced symptoms after rest.

In general, it is mainly manifested in skeletal muscle. Smooth muscle symptoms are rare.