v3 Chapter 2819： Leaves fall to roots

Soon, the information Su Yun passed on the received image data to Zheng Ren.

I was just a few films and test sheets, but I can see that the elderly's physical condition is really very poor, and the condition is very difficult.

When I was admitted to the hospital, the ion disorder was quite serious, and now it is basically back to normal, but combined with the imaging, the surgery is not just done.

KerZenker diverticulum is a type of pharyngeal esophageal diverticulum. Different from ordinary esophageal diverticulum, German pathologist Zenker made a correct analysis and observation of pharyngeal esophageal diverticulum in 1874, so it was named Zenker diverticulum.

Pharyngopharyngeal diverticulum accounts for about 60% of esophageal diverticulum, more common in patients aged 50 to 80 years.

This kind of pharyngeal esophageal diverticulum that occurs at the junction of pharyngeal esophagus is Zenker's diverticulum, and its occurrence is related to dysphagia of esophageal muscles, increased pressure in the esophageal cavity caused by dysfunction of the cyclopharyngeal muscle, and weakness of the local muscle anatomy .

There is no doubt about diagnosis. Gastroscopy has proved that what this old patient needs is not diagnosis and differential diagnosis. The difficulty lies in treatment.

"Boss, I see that the indicators are well maintained, and there is a possibility of surgery. But it is only possible, and the possibility of not coming to Taiwan is even greater. With this body, it is difficult to resist the impact of surgery and anesthesia." Su Yun looked at the test sheet again. Then said.

"I think about it." Zheng Ren put the phone down and looked at the neon flashing distance, thinking about the patient's condition.

The elderly is 84 years old and found progressive dysphagia 6 years ago. The diagnosis was Zenker diverticulum. At that time, because of his age, the patient's family decided to refuse surgery.

That was six years ago, and they refused then, let alone now.

Before entering the hospital, the elderly can only eat half-fluid diets and have intermittent vomiting.

After admission, upper gastrointestinal angiography showed a huge diverticulum on the right side of the esophagus from the neck to the upper thorax. The lower end reached a level of bulge, about 10cm × 6cm in size. The base of the diverticulum was about 7cm wide. The length between the diverticulum and the thoracic esophagus was about 3cm.

A CT scan of the chest showed that the pharyngeal diverticulum in the chest narrowed the trachea and esophagus.

Electronic gastroscopy revealed a huge diverticulum at the right wall of the esophagus 16 to 23 cm from the incisors. The mucosa of the diverticulum wall was significantly congested, and the esophageal cavity was narrowed into intermittent open holes, which could not pass through the gastroscope.

"Because the base of the diverticulum is in the esophagus of the neck and upper esophagus, neither the neck incision nor the thoracotomy can completely expose the base of the diverticulum, and there is no way to completely remove the diverticulum." Zheng Ren recalled, and Su Yun said.

"Yes." Su Yun frowned. "The diverticulum is too large to be suitable for diverticulum suspension. At this age, it is definitely impossible to perform a combined neck and chest incision."

"Well, definitely not. If the joint is cut, I'm afraid that I can step down and I can't produce icu. It is estimated that the side of Shuaifu also considered this way, and the patient's family also made sense to refuse treatment." Zheng Ren groaned.

After the car was silent, Zhou Chunyong felt quite embarrassed. Boss Zheng and Su Yun were both thinking, but he was unwilling and did not dare to disturb the thinking of the two.

I came to the hotel in silence, Zheng Ren got out of the car, and Zhou Chunyong walked into the private room and asked the waiter, "Is there any pen and paper in trouble?"

"Uh ... yes, sir, please wait a moment." The waiter was polite to get the paper and pen.

"Boss, do you have an idea?" Su Yun asked.

"It's a bit vague, but it's not quite clear. Let me draw it for you to see." Zheng Ren simply didn't go to the table, sat directly on the sofa next to him, put his elbows on his knees, his eyes narrowed slightly, and looked at the one in front of him. coffee table.

"What are they?" Dean Bao whispered to Zhou Chunyong.

"I told Boss Peng about my lover's affair. I was just chatting and I didn't expect Boss Zheng to take it seriously." Zhou Chunyong said helplessly.

"Can there be a way?" Dean Bao asked in disbelief.

"I don't know, just take a look." Although Zhou Chunyong saw Boss Zheng having performed numerous difficult operations, he still refused to believe it.

The old man lives in Shuaifu. Xiehe claims to be the last stop in the domestic medical industry. Shuaifu is the strongest point in technology. There is nothing to do there. Boss Zheng should not be able to solve the problem like Feixian.

Is it necessary to do it by intervention? Zhou Chunyong suddenly thought of such a possibility. When the bullet was plugged, Boss Zheng used intervention to remove the bullet. This idea is like flying fairy in the sky, and now I think it is amazing.

It's also possible that you can't guess Boss Zheng with your own level. Zhou Chunyong knelt down in front of Boss Zheng, kneeling quite thoroughly.

The waiter brought in the pen and paper, and Zheng Ren began to draw a sketch. Zhou Chunyong looked down from afar and was a schematic diagram of the anatomy of the neck and chest. Although it is only a sketch, it has a realistic shape, and the 3D three-dimensional structure is clearly displayed with shadows.

Boss Zheng Zheng and Su Yun began to talk about the idea of ​​surgery. Dean Bao was particularly helpless.

I suppose that sitting here, whether out of politeness or inferiority, should be fully respected. Come to chat and talk about the time of a meal, everyone has a better understanding of each other, and it is not convenient to do things in the future.

This is the most basic idea. It seems that with a little bit of EQ, we will do it. UU reading books www.uukanshu. com

But boss Zheng and Su Yun didn't even look at themselves, they chatted wildly, and occasionally made a few noises, which was very intense.

"Dean Bao, boss Zheng has this temper." Zhou Chunyong sighed and said, "Would we like to order first?"

"Wait a while." Although Bao Longtao was a little bit angry, he could not tell what was wrong. People want to treat their own masters and mothers, even if he feels that the family has given up treatment, there is no need to think about these things, but it is not easy to interrupt.

In fact, it doesn't matter what you want, even if you interrupt Boss Zheng, you have to take care of yourself. It is said that Boss Zheng has a strong fighting force. When he was rescued in the emergency department, his eyes were really dare to hit people.

I ca n’t make it, I ca n’t make it, Bao Longtao shook his head, “Wait a while.”

He found a place to sit down, took out his mobile phone and turned on a small group, and when he saw the news in the group, his expression was dim.

"The two elderly people discussed it and they have been discharged automatically." Bao Longtao said, "is preparing to return to his hometown."

"Uh ..." Zhou Chunyong looked at Boss Zheng and Su Yun, who were talking about the enthusiasm.

Do their discussions still make sense? It makes no sense at all.

The Lao people pay attention to the roots, and many people go home when they die, especially those who are older.

"President Bao, where is your hometown?"

"Fenhe, it's time to drive," Bao Longtao said softly. "I'm still preparing for the car. It is estimated that I will leave early in the morning and arrive in the evening. Let's see and see the elderly tomorrow."