Fish.
A 29-year-old patient with a bad throat, black defecation.
It was thought that it was edible cancer, and the post-mortem examination gave everyone a cold back.
Before he went to the community hospital, the doctor asked him about his medical history and learned that he had been eating bad food for more than two months, whether bread or congee, which seemed to be difficult, and advised him to go to the big hospital and see if it was edible cancer.
Esophagus cancer? Why is there oesophagus? My family doesn’t have cancer. And I’m so young. Wong himself feels incredible.
He’s a classic “sexual swallowing disorder” and must be alert to the possibility of malignant tumours in the edible.
Think about it, the ducts are a tunnel, the food goes through the ducts to get into the stomach, and if the tumours of the ducts, especially around the ducts, will lead to a smaller duct cavity, then the food will be difficult to pass, at first it may be difficult to eat bread, then it will be hard to drink water…
“You have to go to the big hospital and do a stomach mirror. The community doctor has repeatedly advised.
Wong was scared and was about to go to another hospital. However, somehow, the situation had improved in those days, and he had to work during the day.
It was not until one day that the difficulty of swallowing had increased and the cough had increased, so that it had come to the big hospital.
When he came to the hospital, he hung up on me, and I heard he was having trouble swallowing, I was alert.
Especially when it is said that he likes tea and hot tea, he has to consider the possibility of edible cancer. Hot, hot tea tends to drive up and down the ducts, and can be unexpected for a long time.
Esophagus cancer is per se a high-risk among the elderly, but no one says that young people will never get sick.
“Make a stomach mirror. I quickly opened a check.
The stomach mirrors are designed to pass through the mouth, throat, oesophagus, stomach, and 12-finger intestines, so they can see the oesophagus.
Patients also knew they were going to have stomach glasses, and when they were ready to pay, they were ready for an examination.
I had him do a pectrocardiogram before I did the gastroscope because he still coughed to see if he had pneumonia.
It’s true that the pecs hint is a little pneumonia, not serious.
The EKG is good.
I said to Dr. Frepe: “This patient must do EKGs. After all, there are risks in a stomach mirror, if the patient has a heart condition and is afraid of problems. I’m sorry.
The patient also took blood tests, did blood routines, and the blood routines came out very soon, and hemoglobin was only 70 g/L (reference 120-150), which is a moderate anemia.
“How come you’re anaemic? I asked him.
This may be problematic, as patients are unlikely to suffer from unprovoked anaemia and haemoglobin is so low.
He told me that hemorrhoids were present, but that hemorrhage was not serious, but that he was occasionally bleeding. I’m sorry.
And the patient was wondering, “Does that count as bleeding when I brush my teeth?” I’m sorry.
That’s not what it takes to brush your teeth to make anemia so bad.
And I explained to him, “Well, maybe it’s just duct cancer or stomach ulcer. But if it’s really a digestive hemorrhage, it’s black. Red blood becomes black when it’s absorbed by digestive decomposition. I’m sorry.
I was right, he told me that black shit would occasionally be defecated during the period, initially thinking it was a fire and a lot of cold tea.
“It’s not fire. It’s a sign of digestive bleeding. I’m making him nervous.
Soon he’ll have his stomach glasses.
As I expected, but also beyond my expectations.
There was a swelling in the lower part of the edible tube, the cavity was severely reduced, there was haemorrhage, there was seepage at the time of the examination, and once the lens touched the swollen, it started to bleed.
The stomach mirror doctor had tried to cross the swelling to see the condition of the stomach, but, because of its narrowness and its susceptibility to haemorrhage, did not go hard, but instead suspended the stomach mirror examination.
God damn it, the stomach mirror doctor scolded me with a rough mouth, which seems to be oesophagus, and probably mid- and late-stage oesophagus.
We discussed it, and we had to communicate with the families before deciding, which is more serious than expected.
The parents and brothers and sisters of the patients came and were told that they were helpless after edible cancer.
Do you want to continue? Think about surgery or chemotherapy, or go to the oncology hospital?
Of course I have to. So young. Family boarded up.
Hey!
And that’s when the patient started throwing blood!
Blood sprayed on the bodies of several young doctors.
The scene was very scary, the stomach mirror doctor panicked and the nurse panicked.
Let’s go! Blood pressure dropped to 80/40mmHg and heart rate reached 140 times.
There must be an immediate blood transfusion against shock and a quick stop to the bleeding.
Find a surgeon, find Dr. ICTU, find the chief of blood transfusion, and find the head of the medical department!
It’s a good thing we’ve perfected the blood type before the gastroscopy.
There’s a lot of quick rehydration, so get your blood pressure up or you’ll die. The indigestion chief is here and says he’s never seen a oesophagus like this!
Is there any chance that the cirrhosis of the cirrhosis of the cirrhythmia of the cirrhea?
Or is there a haemorrhage in the stomach ulcer?
Don’t analyze it. The blood pressure is out!
Can you look in the mirror?
No way!
It’s blood. It’s still vomiting. It’s blood in the artery! It’s like a waterfall, and there’s no weakening.
“The patient’s heart rate is slow! “The voice of the nurse is screaming.
“Put adrenaline! The director is in command.
“Someone! Ask the blood bank if it’s coming! I’m sorry.
The surgeons are here, too, to say the least: “This is not going to happen. Looks like the rhythm of a heart to stop. I’m sorry.
They can’t stop the bleeding and they can’t go to surgery. The drug is even more unstoppable, and the sudden-onset waterfall haemorrhage has blinded everyone.
“Stop it! The heart beats! Press the pressure!” There’s a cry.
I don’t know.
From vomiting to cardiac arrest, less than five minutes. There was no blood transfusion, and the patient’s heart stopped.
By the time I got there, they had been pressed for almost an hour, and the patient had left forever.
The chief was faceless and whispered, “Death is declared, and rescue is stopped. I’m sorry.
Family’s a mess. It’s nothing but a stomach mirror.
The family was devastated and the Medical Section came to coordinate.
It’s going too fast, not even a chance to go to the ICT rescue.
The director said, “There’s no way to stop the patient’s bleeding. I’m sorry.
Everyone’s upset, even the old men who came to pull the bodies.
“It should be oesophagus, but it does not rule out the possibility of oesophagus or ulcer bleeding. The director explained to the family: “This case is very dangerous, and please let your family mourn.” I’m sorry.
Of course the family won’t.
It’s suspected of oesophagus cancer, but no pathological diagnosis, no 100% of oesophagus cancer. And the patient is so young that there is no history of oesophagus in the family.
Even more crucial is that we can walk in the morning with good words, and that’s what happens when we get in the hospital and have stomach glasses.
Did your doctor cut a vein or something? The patient’s family sent out such a soul question.
I don’t know what to say.
Then it’s just an autopsy.
The body can still speak, and an autopsy done by a third party institution can maximize the facts.
After all these years of work in the hospital, it is rare for a patient to have his family ask for an autopsy, because the Chinese believe that “all are dead and should be buried.”
And each autopsy means that the case is about to go.
The autopsy results came out unexpectedly!
There’s no oesophagus, no oesophagus, no oesophagus, no haemorrhage, but a fish bone in the lower part of the oesophagus!
Yeah, fish bones, about 1.5 cm long fish bones have punctured the whole end of the oesophagus wall, with a broken tissue around them and a sprouts of meat tissue, which is the result of this dead tissue and the inflammation of the surroundings, and of some of the tissues (chronic inflammation).
Fish bones pierced the oesophagus and a large artery, causing oesophagus and bleeding!
The victim’s consistent with the long-term presence of fish bones on the oeuvre wall, which resulted in a perforated edible, bleeding to death from a haemorrhaging shock!
The truth is clear.
It is estimated that the patient ate the fish a few months ago and that fish bones punctured the ducts, but at that time they were probably not very serious, remained in the insides of the ducts and did not go down completely, so there was a constant insinuation.
But the patient didn’t tell me about it, and I didn’t ask about it, and I never thought there would be fish bones, so I never thought about it.
Experts say this is a rare case.
Finally, following consultations, the family did not have an appeal hospital.
But after this case, I was more careful with every patient, and the clinical patient was really complicated, and you thought it might not work for the next second. You thought the patient was in bad shape, could not catch winter, but he lived for four or five years.
It’s very common for fish bones to be accidentally swallowed, and I’m a very clumsy fish eater, but I’ve had a few stabbings of fish bones every year, but 100 per cent is a small problem, in two days I’ll be ready, or I’ll swallow myself in my stomach.
In fact, it’s not the best, if not the best, or even some of the worst, of the fish bones that I’ve eaten by mistake, whether it’s groin, rice, vinegar, or anything else. The best thing is to go to the hospital’s ear, nose and throat section (five officers) with a clamp.
But we can’t always be so lucky.
Cope class: What about the fish bones?
Zhang Jie, the star, had something to do.
This fish bone really looks amazing:
Almost three centimeters of long fish bones could have caused the tragedy above.
Fortunately, Zhang Jie’s condition is relatively clear, and the fish are mostly boned, so the diagnosis is timely, it is timely and it is very correct.
Whoever underestimates a fish bone is in danger. Of course, the above-mentioned risks are only one probability, not one that is certain to happen, so many people are desperate.
Good thing Zhang Jie finally went to the hospital.
It is the safest way to get a tube out of his mouth, out of his throat, out of his edibles, out of his stomach, and out of his fish bones.
If the fish bone is in a shallow position and can be seen with open mouths, it can also come out of a clamp, as is often done by five medical doctors;
If not, then do a throat mirror;
If it’s deeper, it’s just a stomach mirror.
If the fish bone under the stomach mirror is so deep and so complex, especially if it is so much eaten that it is even more so, and the haemorrhagic oedema is so obvious, the doctor is afraid to continue to try to remove it, it may have to open the abdominal surgery and see the fish bone out in the eye, which is a very traumatic operation.
Some people may find it too uneconomical to go to the hospital and dry up, spend hundreds or even thousands of dollars on removing fish bones.
There are lots of people with such ideas, but that’s not how it works.
We have to be risk-aware. And you can take the risk yourself, that’s not a problem.
Like I’m a fish boner now. I have four practices:
I stopped eating and took a cab to the hospital to see if the doctor could use a sting or a stomach mirror.
This is the surest way, but it is also the most expensive and costly way.
Let the people around you try to see if they can see the fish bones and get them out.
This approach is reasonable, but can only deal with fish bones that can be seen in the mouth, throat and even deeper.
And when people around you stimulate your throat with tweezers or chopsticks, it’s hard to reflect and vomit, and it’s risky to be a little careless and possibly bring fish bones deeper.
Eat your food or drink more soup, if you want to flush the fish bones down.
The risk of eating soup is low, but low.
Eating may be effective, as the weight factor of the rice can indeed touch fish bones and bring them into the stomach, but it may also cause fish bones to be strung deeper, which is unknown, with a high risk, but is indeed the simplest way.
That’s how many people carry their bones down. It’s not dangerous.
But I would like to remind you that it does not mean that there is no risk, that there is no risk, that there is no risk, that there is no security for you, that you understand it, that you make your own choices, and that there is no blame.
I don’t care if he eats, dances, sleeps and sees if he gets up tomorrow.
Don’t say that this is a situation, and it’s not a minority.
The pain in the throat that rises the next day does not mean that the bone is still alive. It may have damaged the mucous membrane, which will last for several days, but the fish bones may have gone down.
But it is also possible that fish bones remain in place, leading to inflammation and even to deaths as described above.
All four of these are being done. Choose which one you want to think about. Take responsibility for yourself.
Here’s my suggestion:
Let’s show them their throats, see if they can see fish bones.
If you can see it, can you try to find it with a sting (if you have it) or a chopstick? If that’s all right, it’ll be a big deal.
If it is not visible, it means that the fish bones are in a relatively low position, at which point they need to go to the hospital for five posts, and professionals may be able to see it more closely and perhaps to pick it up.
If it is still not possible, then it will have to go through the throat or stomach lens and spend money on it.
Many people who do not want to go to the hospital are afraid of trouble and money, and always think that danger does not happen to themselves.
Zhang Jie was wise to go to the hospital to solve this problem.
His fish bones are close to his stomach at the bottom of the oesophagus, and ordinary people must not be able to pull their own clamps and must use their stomach glasses. Ordinary anaesthesia gastroscopes are generally charged around $2,000, with different rates for different regions.
It’s a lot of money for a lot of people, maybe even a month’s income.
But if we can’t, we can make money again, and if something goes wrong, we’ll be upset forever.
The next time you eat fish, if you have an insensitive tongue, you better eat fish with little bone, for example, when I grow up by the sea, I eat only crawfish, catfish, and very little for the rest of the fish.
Why?
Because these two fish are basically non-bones, I eat a lot more.
I can’t buy, I can’t eat, it’s too dangerous. Record number: YXA12eo1r0JCwA5QxoyC3K3Q
I don’t know.
Keep your eyes on the road.
