Chapter 386 The saddest words in the hospital
When Xu Qiu arrived, a large group of people had gathered outside Zhang San's ward.
Two policemen on second shift, two or three nurses, and many villagers from the same village.
The elevator rang, and Director Lin hurried over. When he saw Xu Qiu, his eyes lit up and he asked breathlessly, "What's the situation now?"
"Just arrived." Xu Qiu shook his head.
However, with the arrival of the two, a path was finally opened in the ward, and Xu Qiu finally saw the patient surrounded in the middle.
It was not Zhang San.
It was the six-year-old boy who had been locked in the basement for more than half a month.
"Ugh!"
The boy's face was pale, his pupils were unfocused as if he had lost his soul, and he fell to the ground and vomited violently.
"Doctor Xu, come and see what's going on with this child!" The little nurse saw that the savior had finally arrived, and her hanging heart finally let go.
Director Lin also breathed a sigh of relief.
Fortunately, it was not Zhang San...
Xu Qiu's operation would definitely not go wrong. If Zhang San had an accident at this time, it must be because he did not do a good job of cleaning up the mess.
That was why he came in a hurry.
Seeing that Zhang San was fine for the time being, he was relieved.
"Vomiting? And it was jet-like vomiting... central?" Director Lin glanced at the boy and made a first judgment.
This hit his specialty.
Xu Qiu did not jump to conclusions. He walked through the crowd and came to the patient.
"Doctor, save my child. My wife is dead, and my second child was also kidnapped. He is the only relative I have left!" The rough man's eyes shot out a light of fear, and he wanted to grab Xu Qiu's life-saving straw.
"I am a doctor, I will save him." Xu Qiu's palm pressed on the man's shoulder.
These eight words, like a beam of warm light, made the man quiet all of a sudden, and his rapid breathing slowly slowed down.
Xu Qiu looked at the boy.
Due to more than half a month of hunger, the six-year-old child has become skinny, with ribs protruding under his clothes, arms dry as if only a layer of skin is attached to the skeleton, and eye sockets are sunken.
The bright eyes that should have belonged to the child were now dim.
After a simple physical examination, nothing abnormal was found.
He was just very thin.
He continued to ask about his medical history. The vomiting occurred after eating, and there were no symptoms of discomfort before.
"Push an ultrasound over here." Xu Qiu said.
Soon, he gave the boy an ultrasound on the spot.
He scanned the entire abdomen, but found nothing abnormal.
Could it be a disease of the central nervous system?
However, Xu Qiu did not stop, but repeatedly scanned between the stomach and the jejunum.
"What is this... for?" Director Lin was stunned.
The doctor who came later was also a little puzzled.
"Everything is fine, there is no abnormal echo..." Everyone was very confused.
Xu Qiu was about to put away the instrument, but when he heard this, he paused and pressed the probe on the right upper abdomen again.
"There is no duodenum here."
This reminder finally made Director Lin and others wake up.
"Yes, there is a duodenum missing in the middle!"
Xu Qiu nodded and said: "Duodenum absence, or compression, should be the superior mesenteric artery syndrome"
"Absent?" Sweat beads appeared on the rough man's face.
"It's missing, gone."
The man's face suddenly changed: "What will happen if this disease is not treated..."
But, he suddenly fell silent halfway through his words, and said: "How much money will it cost? I can get it together, I will definitely get it together!"
The medical staff present were silent.
What will happen if this disease is not treated...
This sentence is one of the most sad questions in the hospital.
If it weren't for poverty, who would be willing to endure the pain of illness?
However, after asking subconsciously, the man realized that this was his last child. He gritted his teeth and said that no matter how serious the disease was, he would make his child healthy.
Xu Qiu shook his head; "No need to spend money."
The man's face changed again and again. He thought of a possibility and suddenly said: "Doctor, we can't let you spend money... I will save money to save the baby!"
Xu Qiu: "This disease does not need treatment."
"What?"
The man's emotions were interrupted and he couldn't understand it.
If you don't need to treat the disease, then what kind of disease is it?
Xu Qiu patiently explained.
Superior mesenteric artery syndrome, also known as duodenal stasis.
The pathogenesis is unique in clinical practice.
When people lose weight, the fat in the duodenum will decrease or even disappear.
And the role of these fats is to support the angle between the abdominal aorta and the superior mesenteric artery.
Once the fat disappears, the duodenum is like an empty glove that has been taken off. Without the support of the fingers, it will easily shrink and compress.
At this time, although the duodenum still exists, it has shrunk into a very small ball. In various imaging examinations such as ultrasound, it is no different from disappearing.
The symptoms are that because the food cannot pass from the stomach to the duodenum and be absorbed by the small intestine, it will cause severe vomiting with extremely strong pressure.
This is why Director Lin mistakenly thought it was jet vomiting.
Vomiting, weight loss, more severe duodenum compression, more severe vomiting, more weight loss... This is a fatal vicious cycle.
Many women who pursue a morbid body shape have more or less compression problems in the duodenum, so they are very prone to vomiting.
The treatment of this disease is also quite simple.
Just add more nutrients and the lost fat will come back.
Generally speaking, ingesting food by mouth is not feasible because the food cannot pass through the duodenum and will cause more severe vomiting.
A common practice in clinical practice is to provide parenteral or enteral high nutrition, persist for a period of time, and the patient will recover after gaining weight.
However, there is also a conservative treatment.
In other words, a way to save money.
Eat while lying down!
Lying on your back or stomach will allow the duodenum to expand, allowing food to pass through.
After listening to the explanation, the man was still a little doubtful.
The intestines actually disappear when you lose weight and grow back when you gain weight?
"To be precise, it's fat that plays a supporting role." Xu Qiu explained.
The man was confused. He didn't understand this. He glanced at his son distressedly and said, "Doctor, I believe you. If you say it's okay, it's okay!"
After that, he took out a crumpled towel from his pocket, squatted on the ground, and wiped the ground carefully.
"No, no, the cleaning lady will come over and clean it up." The nurse quickly stopped her.
The man shook his head reproachfully: "I'm sorry, it's all my fault. Originally, the cleaning lady didn't have to work so hard. I just wiped it casually so as not to cause any trouble to her."
Although he said it was casual, the man still threw all the vomit into the trash can and wiped the ground clean.
This move made everyone stand in awe.
Maybe this rough man is not rich, but his spirit is richer than many people.
On the way back, the little nurse looked confused.
This was the first time she had heard of this disease.
She looked at Xu Qiu, who was walking in front, and asked tentatively: "Dr. Xu, why is this thing so easily affected?"
Xu Qiu replied calmly: "It's cruel."
"Crutal?"
What's the meaning……
There was a question mark on the little nurse's head.
