Chapter 2405: 2322 I... am I dead?

2322 I... am I dead?

In the operating room corridor, everyone was shocked; the head nurse grabbed the crash cart, crouched on the ground and began to look for various rescue medicines.

"Raise Director Mao's head, give omeprazole IV push, administer two sets of hemostatic drugs." Zheng Ren said calmly.

The venous line had already been set up, all kinds of drugs were ready, just waiting to be injected.

A bottle of omeprazole was drawn into a syringe and then pushed in.

Everyone was waiting, waiting for Zheng Lao Ban's subsequent rescue orders.

However, Zheng Lao Ban didn't say a word. He held the CT film in his hand, looking at it against the light.

"Zheng Lao Ban, hurry up and do the surgery." The vascular surgery team-leading professor said anxiously.

"Not an aortic dissection." Zheng Ren said.

……

Apart from a few nurses still busy adding medicine and hanging IVs, everyone else silently watched Zheng Lao Ban.

After calming down, everyone looked at Director Mao again.

Blood pressure was still relatively stable, without the situation of spitting out a mouthful of blood and blood pressure dropping straight to zero.

Earlier we were panicked; now if it were a descending aortic dissection rupture, it wouldn't directly cause vomiting blood.

Gastric fundus varices? Or rupture of the esophageal feeding artery? If a sharp object pierces the esophagus and also hits the aorta, it could also spurt a mouthful of blood.

Countless possibilities appeared in the doctors' minds present.

"Does it look like an esophageal problem?" Su Yun frowned and said, "I feel we cannot rule out the possibility of an esophageal space-occupying lesion."

Although the voice was soft, it was like a thunderclap.

If it were esophageal cancer, having reached the point of vomiting blood... Director Mao probably couldn't be saved even by surgery.

"If CT reconstruction is done, one can see an abnormal density focus in the left mediastinum between the trachea, heart, and descending aorta, with a maximum cross-section of 34mm×28mm and length about 180mm. It indeed looks like a tumor..." Zheng Ren narrowed his eyes at the film and said lightly.

"But no." Su Yun took up her boss's words and drew a conclusion.

"Contact Director Luo, go to the endoscopy room and take a look with the endoscope." Zheng Ren said.

The vascular surgery team-leading professor was dazed; having just arrived at the interventional surgery suite, he still thought Director Mao's life was saved.

Who would have thought Zheng Lao Ban actually believed that neither surgical nor interventional surgery was needed, and still wanted to push him to the endoscopy room.

At this moment, he too understood the feelings of those patients' families.

One side watching relatives vomit blood, the other side having to run around the hospital... this feeling is simply deadly.

No wonder so many patients' families, upon encountering a tiny problem, start nitpicking, tempers flaring like crazy; now the vascular surgery team-leading professor just wants to curse people.

"Zheng Lao Ban, shouldn't we first do an angiography to take a look?" The team-leading professor insisted at the end.

"No, the film indeed looks like a descending aortic dissection, but if we reconstruct we would discover..." Zheng Ren said, pausing, he realized now was not the time to discuss the film.

"Considering esophageal inflammation, Director Mao, have you eaten any hard objects recently?" Zheng Ren asked.

Director Mao was already in a semi-conscious state; he was frightened by the mouthful of blood he himself had vomited.

"I'm going to die," that was the only thought in Director Mao's mind. As for what Zheng Lao Ban said after looking at the film, he didn't hear a word. His ears rang, his whole person was dazed.

Everyone watched the ECG monitor on the stretcher; blood pressure was still fairly stable. With Director Mao's head elevated, even if he vomited blood again, there should be no choking cough.

Going to the endoscopy room? It's so far; what if something happens?

Even if it's not an aortic dissection, gastric fundus varices is a serious illness; severe cases can be fatal.

"Boss, Director Luo is examining in the endoscopy room; he told us to push the patient over immediately." Su Yun said.

Someone was commanding the rescue with full confidence, still the young Zheng Lao Ban; even if people had doubts, they swallowed them back.

No one dared to question Zheng Lao Ban, especially during emergency resuscitation. Zheng Lao Ban usually looks good-tempered and kind, but during resuscitation he will strike people; the thoracic professor Zhang Jiaoshou is an example.

Pushing Director Mao, they ran again to the endoscopy room.

Zheng Ren changed clothes at top speed and walked in, with a group of people following, his expression solemn.

"Zheng Lao Ban, what's wrong with Director Mao?" Director Luo, wearing an isolation gown, loudly asked at the door of an operating room.

"Suspecting an esophageal hematoma, do an endoscopy to take a look and make a clear diagnosis." Zheng Ren said.

Placing Director Mao on the examination table, Director Luo saw blood still hanging at the corner of his mouth and felt somewhat sympathetic.

"Zheng Lao Ban, are you okay?" Director Luo asked softly.

"Should be fine." Zheng Ren said, "Shall I do it?"

"Just get it done quickly, don't stand on ceremony with me." Director Luo made way for the operating position and handed over the examination authority to Zheng Lao Ban.

Fearing that too strong stimulation would cause agitation, increased pressure, hematoma rupture and other complications, they gave basic anesthetic drugs.

Under the electronic fiber gastroscope, the left esophageal wall from 20 cm from the incisors to the cardia shows a huge longitudinal dark red hematoma, narrowing the esophageal lumen, with no obvious active bleeding seen.

"Such a large hematoma..." Director Luo sighed.

"It's fine, it's fine, just a hematoma." Zheng Ren said.

Seeing the hematoma inside the esophageal lumen, the vascular surgery staff were no longer as anxious as before.

Zhao Yunlong looked at the image and asked: "Esophageal detachment inflammation?"

"Hmm, consider it esophageal detachment inflammation." Zheng Ren said, "Let's treat conservatively first, send him to Fang Lin's side, not to your ward."

Zheng Ren's last words were said to Director Luo.

Director Luo also knew that if conservative treatment failed, with mouthfuls of blood spraying out, surgical treatment would be needed.

"Add a set of Zhengbing ice saline, NPO water, these days don't eat anything." Zheng Ren continued to say.

"Should we do gastrointestinal decompression?"

"No." Zheng Ren said, "Repeated stimulation with a gastric tube could possibly cause hematoma rupture. Just control it with acid-suppressing drugs."

"Director Mao, what hard thing did you eat that wore your esophagus like this?" Director Luo watched Zheng Lao Ban already pulling out the scope, feeling deeply moved.

"Probably some hard object, hastily ingested, forcibly swallowing dry hard food causing esophageal mucosal injury or submucosal hematoma. Symptoms are not typical; typical... one could vomit up a long strip of membranous material." Zheng Ren said, "That would be scary."

「Will it not get infected? 」 the Blood Vessel department's Team-leading Professor asked cautiously.

「No, it's an esophageal wall hematoma-like change; in the late stage it becomes esophageal wall mucosal defect and exudative-like change. The prognosis of this disease is good, the lesion only involves the mucosal epithelium, generally not invading the proper layer, so infection rarely occurs. 」

「Zheng Lao Ban, any other medical advice? 」

「Use some medicine that promotes cell regeneration to quickly repair the mucosal epithelium, so as to avoid esophageal stenosis later. 」 Zheng Ren said.

At this moment, the effects of the anesthetic had worn off, and Director Mao woke up. He looked around as if he had just gotten drunk, his eyes half-lidded.

「I…… am I dead? 」