The next day, it happened to be Director Qian's resumption.

At the morning meeting, Jiang Yurong looked serious: "Everyone knows that Director Liu needs to undergo half a month of postoperative cultivation, so our emergency department lacks a chief surgeon. Today is Director Qian's resumption again, so our task today is very arduous. Everyone is quick, don't delay doing things, you should increase your speed! Otherwise, you will be too busy at that time!"

"Yes." Everyone nodded.

Starting from nine o'clock, the surgeons in the emergency department started to get busy, and it was ten o'clock in the morning in a flash!

Ruan Bin, who had just finished an operation, just came out of the operating room and was about to drink water. Intern Liu Ming came over with a woman holding a baby.

"Doctor Ruan, are you free? Can you help me see this baby?" Liu Ming said hurriedly.

"Hello doctor, my son started to feel nauseous and vomit at around nine o'clock in the morning, and drooled a lot. I also found bloodshot in the saliva occasionally, which made me frightened. He was unwilling to eat anymore! Please help me see what was going on." The woman said anxiously.

"How many months old?" Ruan Bin glanced at the baby in the woman's arms. He was crying weakly and was having difficulty breathing, and he looked a little suffocating.

"2 months old!" the woman said hurriedly.

"Why don't you go to pediatrics?" Ruan Bin frowned. Generally, such a young baby or child chooses to go to pediatrics.

"There are too many people in line over there, and there are more than twenty people in front of me. Seeing that my son was uncomfortable, I hurried over to the emergency department. Doctor, please, let me see my son." The woman begged. In fact, she was also anxious. There were multiple patients in front of me. Even if the doctor only took five minutes to see a patient, he had to go in the afternoon. Not to mention that he could not get one patient in five minutes.

Ruan Bin heard the other party say this and he was speechless. Even if you come to the emergency department for treatment, you have to register and queue up. Unless you need first aid immediately, you can open a green channel.

Come on, it seems that Liu Ming is thin-skinned and must have brought the patient to him by this woman.

"The intern who just interns is just enthusiastic, but I am quite supportive of this enthusiasm." Ruan Bin sighed in his heart. When did he not do this when he first started his internship?

"Okay, let's see." Ruan Bin also agreed readily. Isn't it just a matter of general emergency surgery?

"diagnosis!"

Patient: Liu Hao

Age: 2 months

Medical records: esophageal foreign body, mild respiratory failure, and mild burns of the esophageal mucosa!

After reading this medical record, Ruan Bin's scalp became numb in an instant.

It is normal for foreign objects in the esophageal tract to cause mild respiratory failure. There is no big problem with foreign objects in the esophageal tract, so just take it out. Although Ruan Bin didn’t know if the woman had fed something for the child to eat, or other reasons.

Anyway, a 2-month-old child will definitely not catch things and feed them themselves!

But none of the above is important. What is important is the problem of slight burns in the esophageal mucosa! It must be because the foreign objects in the esophageal tube cause slight burns to the esophageal mucosa.

"Overall foreign objects will definitely not cause burns to the mucosa. It must be because this foreign object has some chemical object that can cause burns!" Ruan Bin guessed in his heart.

In this way, the problem is huge!

The child is so young and only 2 months old, foreign objects will burn the mucosa. If the foreign objects leak more chemical drugs, the more life-threatening it may be!

It can cause tracheoesophageal fistula or severe pneumonia!

Such a young child has these two difficult problems and the chance of being rescued is very small.

Too young.

"We must immediately remove foreign objects in the esophageal tube. If there are more chemicals leaking from the foreign object, the greater the danger." Ruan Bin analyzed in his heart.

"Did you feed your son some harder food today or last night? Or did you accidentally fall into your son's mouth?" Ruan Bin asked in a deep voice.

"Ah? I, I have always been feeding milk powder, and nothing fell into his mouth." The woman was confused when asked.

Ruan Bin frowned after hearing this. It seemed that this woman didn't know that there was a foreign object in her son's esophagus!

"Liu Ming, do breast x-rays for the child immediately!" Ruan Bin said without hesitation.

Fortunately, he has a general diagnosis and does not need to make complicated guesses about the cause of the child's condition, nor does he need to do too many other tests.

As soon as the chest x-ray is released, he will immediately perform the surgery to remove the esophageal foreign body!

"Take a chest radiograph?" Liu Ming was stunned. The baby was vomiting and drooling, and the saliva was bloodshot. Generally speaking, it should have a big connection with gastrointestinal diseases, right? Gastrointestinal discomfort and indigestion?

Don't do relevant examinations, but do a chest radiograph?

What is the operation?

But he was his superior doctor, so he dared to talk too much and immediately took the woman to do these things.

Seeing Liu Ming taking people to check, Ruan Bin walked to the front desk and asked Xiaoli, "Help check if there are any empty beds in ICU!"

He knew that the baby's esophagus already had unknown chemicals that burned the esophageal mucosa, so the tracheoesophageal fistula and pneumonia must be settled.

Fortunately, the diagnosis showed that the esophageal mucosa was only mild, which means that there were not many chemicals leaks. If the operation was later, the more leakage it would definitely be. At that time, the large area of ​​esophageal mucosa would burn, which would cause severe pneumonia and severe tracheoesophageal fistula, which would also cause respiratory failure. At that time, it would be estimated that 90% of them would not be able to be rescued.

But now it's just a slight leak, and then ICU treatment should be sent. There should be no major problems.

"Okay." Xiaoli immediately went to check it out.

“There is a bed!”

"Okay, thank you."

More than ten minutes later, Liu Ming came with the result and the woman.

Liu Ming's expression was still a little shocked at this moment.

"Ruan, Doctor Ruan, the chest radiograph shows that there is a foreign object stuck in the baby's esophagus!" Liu Ming looked at Ruan Bin with admiration.

He is worthy of being a superior doctor, and his clinical practice is accurate.

"I, I didn't feed my son anything!" The woman was still thinking hard at this moment. She seemed to be unable to do such stupid things!

"Can he hold his mouth tight?" Liu Ming said.

"Impossible, there are no toys in the crib, and he is only two months old and will not turn over. It is impossible for him to catch things by himself." The woman shook her head suddenly and continued: "My parents-in-law also went back to the countryside a few days ago, and it must be their reason!"

Ruan Bin looked at the chest radiographs and saw a round dense shadow about 1.3cm in the esophagus of the child.

"It's very likely that it's metal." Ruan Bin said lightly.

"Ah? Metal! This, this...who would put metal into his mouth?" the woman was shocked.

"This happened to your son around the morning, and that was the one he should have swallowed in the morning. Apart from you, who has ever contacted your child?" Ruan Bin felt that there were only a few other possibilities.

"My husband, um... My husband is going to work at 8 o'clock today, so he can't cheat his son!" said the woman.

"Who else in your family?" Ruan Bin continued to ask.

"And my 3-year-old eldest daughter, only she has contacted her brother with me..." The woman said, and suddenly exclaimed: "I went to the kitchen to make breakfast at around 8 o'clock today. I asked my daughter to tease my brother, right?"

My three-year-old daughter is not sensible at all, so it is not impossible to put things into her son's mouth!!!

"Okay, the surgery is the best right away! The faster the better, you sign it." Ruan Bin had no intention of guessing. The first thing now is to take out the foreign objects in the esophagus is the king.

Time is life!

The more time delays, the more chemical substances of this metal foreign body leak out, the more serious the cauterization of the esophageal mucosa, and the more serious the cause of a series of complications!

"Yes, yes, I'll sign it right away." The woman nodded sweating profusely.

Pull it into the operating room and start the operation.

Liu Ming is an assistant.

Total anesthesia!

This is the first-level emergency department for the basic emergency department of esophageal foreign body removal surgery, and of course Ruan Bin will do it.

However, the operation is quite difficult now.

After all, this surgery is performed on a 2-month-old baby. At this time, the baby's esophagus is small, so it is very difficult to operate.

"Give oxygen inhalation and get a customized version of the children's esophageal lens!"

In order to prevent the aggravation of breathing during the operation, use smaller esophageal lenses as much as possible. For example, the Great Hospital of Magic City, they have customized versions of children's special esophageal lenses.

"Yes." Liu Ming nodded.

Then, Ruan Bin introduced the esophageal lens according to the conventional esophageal lens method. After finding the foreign object, he made the distal opening of the esophageal lens close to the foreign object, and sucked away secretions near the foreign object, so that the foreign object was fully exposed, observed the position of the foreign object and its relationship with the surrounding tissue, and inserted forceps along the gap. Since this is a flat, wide-diameter foreign object, he brought the esophageal lens close to the foreign object when taking the forceps, held the flat surface with the crocodile pliers, and took it out with the esophageal lens.

The removal time took a little longer, but it was still taken out smoothly.

When he took it out, Ruan Bin immediately became solemn. This foreign object turned out to be a button battery!

"It seems that the chemical liquid leakage in the battery causes the chemical liquid to burn and corrode the esophageal mucosa by the chemical liquid! Fortunately, the time is not long, and if it exceeds 12 hours, the consequences will be unimaginable!" Ruan Bin said in his heart.

Some time ago, he heard Director Qian gossip about gossip, saying that the Modu 404 Hospital also treated a month-old-year-old baby a few months ago and swallowed the button battery for some reason. Due to a check-up, the x-ray examination was postponed to the next morning and the surgery. This resulted in a serious leakage of battery chemical substances. In the end, the child was treated for a week and could not be rescued.

That hospital was compensated 200,000 yuan for delaying the best operation time! The hospital and its family shared 50% of the responsibility.

Now that the woman has arrived at the emergency department, he will get it done within half an hour. If there is any problem, it will have nothing to do with their hospital. They have already treated it as quickly as possible.

After walking out of the operating room, Ruan Bin handed the button battery to the woman, and the woman turned pale due to fright.
Chapter completed!