The patient has diabetes.

Moreover, before this time, he had a diabetic hyperosmotic coma.

Xu Qiu said with a calm face: "When you went to ventilate, the patient was already in a coma?"

Zhong Wen nodded and said, "No, he was still conscious when I was on non-invasive ventilation. I judged it to be pneumothorax."

Xu Qiu said mercilessly: "You made a wrong judgment!"

Zhong Wen's face immediately became ugly. He said unconvincedly: "How is it possible! The patient's pneumothorax is very typical."

At this time, the attending physician of the respiratory department suddenly remembered something and said hurriedly: "Doctor Xu, do you suspect that the patient had a diabetic hyperosmotic coma?"

Xu Qiu nodded.

However, Zhong Wen's face turned pale in an instant.

Diabetic hyperosmotic coma is a contraindication for non-invasive ventilation!

Non-invasive ventilation is performed at this time, which is likely to cause pneumothorax.

Even more serious, it can even be related to atelectasis!

"I... the patient's consciousness had not been completely lost at that time!" Zhong Wen had already started to panic.

Xu Qiu ignored him and quickly dealt with him.

He had long been used to this situation.

It is normal for emergency departments, or the entire hospital to wipe each other's butts.

With ideas, the next treatment will not be very difficult.

After stabilizing the patient's condition, Xu Qiu breathed a sigh of relief and said:

"The patient is likely to have an esophageal tracheal fistula."

"Take a laryngoscopy later and make up for a ct."

Laryngoscope is to rule out the gastric tube problem.

This is the ending that everyone least wants to see-

If it is a gastric tube, the hospital will have to pay the main responsibility for this rescue.

but……

Zhong Wen stopped Xu Qiu and said, "The laryngoscope is OK, don't do ct."

Xu Qiu was stunned for a moment, "Why?"

Zhong Wen looked at the patient on the bed and said after a long time of silence: "Image information will be left."

Xu Qiu's face became strange.

At this moment, he looked at Zhong Wen again.

When the patient has problems.

Xu Qiu subconsciously considered what test would be the most helpful for the diagnosis.

The diagnosis can be drawn as quickly as possible and the patient can be healed.

but……

Zhong Wen was considering that ct's video data would become a factor that was unfavorable to them.

If the patient has problems in the later stage, the family members will have an additional piece of evidence to protect their rights.

Xu Qiu's face sank and said unquestionably: "I am in charge of the patient now. If something happens, I will be responsible for it. Do it."

This sentence seemed to be a few slaps on Zhong Wen's face.

He stood there, staring blankly at the unconscious patient on the bed, and suddenly felt ashamed.

...

Twenty minutes later, the CT result of the expedited emerged.

There is fluid in the patient's left lung, mediastinum, etc.

And there is gas in the mediastinum.

Diagnosis: Tracheoesophageal fistula.

At the same time, Xu Qiu also had the cause of pneumothorax and atelectasis in the patient's brain.

Zhong Wen violated the contraindications and underwent tracheal intubation while in a coma.

The catheter is not fixed properly.

therefore,

During the movement, the catheter penetrates the trachea, causing the mediastinal pneumothorax.

At this time, the patient's symptoms are: the oxygen partial pressure drops rapidly and the oxygen supply is insufficient.

Zhong Wen was panicked and subconsciously thought that it was insufficient oxygen supply, so he increased the pressure on the ventilator.

As a result, the alveoli were broken, and while the pneumothorax was also triggered atelectasis.

Primary disease/main disorder: tracheoesophageal fistula.

Complications: pneumothorax, atelectasis.

Now, the complications have been resolved.

Now only the primary disease needs to be solved.

After learning of the final diagnosis, the respiratory department quickly held a joint consultation.

The first doctor Zhong Wen is also there.

The family members also participated.

The director of the respiratory department looked at Xu Qiu and asked quietly: "Xu Qiu, can you do Leonardo da Vinci?"

Xu Qiu nodded.

He obtained this surgery in his previous sign-in.

Cooperating with the master-level intervention experience, it is enough to win easily.

Seeing Xu Qiu's confident expression, the director of the respiratory department's back straightened unconsciously.

Soon, the meeting began.

First, we will introduce the basic situation and discuss it.

After more than ten minutes, the final treatment plan finally came.

The director of the respiratory department said: "From the patient's situation, it is best to have a Da Vinci surgery, which has little trauma and high accuracy!"

The family members lowered their heads and asked in a low voice: "Doctor, what is Da Vinci surgery?"

The director gave a brief explanation.

The so-called Da Vinci surgery consists of a console, a robotic arm and an imaging system.

It can be understood as a medical mecha.

The surgeon manipulated the robotic arm and completed a series of precise movements.

Since the core is mechanical,

The precision of Da Vinci surgery is extremely high, the trauma is very small, and the recovery is fast after the operation, and the healing effect will be better than that of ordinary surgery.

The family understood and asked tentatively: "Is it very expensive?"

The director hesitated for a moment and said, "About 150,000."

Hearing this number, the family members' faces turned pale.

She said tremblingly: "Doctor, we don't have that much money anymore... our family is already in debt, and our relatives also owe more than 100,000 yuan..."

The conference room suddenly became extremely quiet.

Everyone lowered their heads, and they all made a sound, and sighed in their hearts.

No money—

This is a "disease" that no doctor can save.

At this moment, a voice sounded, "You can try a regular surgery to repair it. About 5,000 to 10,000."

The doctor present changed his expression.

But the family members suddenly raised their heads, as if they were grabbing the last life-saving straw, and looked at Xu Qiu in surprise: "Really, is it really OK?"

Xu Qiu nodded: "Yes."

Master-level esophageal tracheal fistula repair surgery is also within his ability.

On the other hand, the family members who heard this sentence immediately stood up, held Xu Qiu's hand tightly, and wiping their tears while kneeling down.
To be continued...