Is there a way? Cutting out the belly won’t work!” Uncle Gold Tooth said to the doctors while holding his gold tooth.

He was also afraid. When he was in their country, for various reasons, the doctors in the hospital were working hard, not working, and treating them roughly. At that time, he told him to cut off his stomach, but the old man was terrified. It was just a good day, and he was about to cut his stomach, so he hurried to China with his family.

Zhang Fan looked at the old man with a smile. Originally, he was going to discuss the treatment plan with the doctors outside the door. Because the gastroscopy room needs to see the monitor, it is usually relatively dark.

Seeing the anxious look of the old man, Zhang Fan and the others didn't leave, they just stood in front of him, waiting for the old man, not worrying about anything else, only worrying that the old man would swallow the gold teeth into his stomach in a hurry.

"If you don't cut your stomach, treat it first, and then have a look. If it doesn't work, open your stomach, just like taking out a doll, and take out the round lump in your stomach. Then sew it up, just like sewing clothes. Just sew it up. Alright." Zhang Fan explained patiently.

"Sew it better, it won't leak! There are some who are fooling around." The old man is also a strange person.

"No, no, it won't leak." Zhang Fan smiled and waited for the old man to press his teeth, then turned and left the gastroscopy room.

"Come on, let's go to the conference room to discuss." Ouyang brought a group of doctors to the conference room.

"Director Li and several directors have not received the transfer order, but there will be no major problems. It's really embarrassing to ask Director Li to work before we have a welcome meeting!" Ouyang smiled to everyone said the doctor.

"Dean who is not afraid of being late for a good meal, we are not in a hurry." Director Li said with a smile.

"Haha, that's right. From now on, I will be a comrade in the trenches. Let's talk about the patient's condition today. The government has also specially explained it. He needs to be treated carefully. Director Li will talk about it first."

A doctor who is an old digestive doctor has nothing to be timid about this. Director Li said after a little thought: "This stomach stone is very hard and has complex components. It is estimated that the conservative treatment effect is not very satisfactory. Surgery is still needed."

"Can you make it smaller? This shape is too big, almost the size of the entire stomach cavity. The damage from the operation is too great." After Director Li finished speaking, Ouyang looked at Zhang Fan.

"Try to drink some enzyme preparation or sodium bicarbonate solution." Another deputy director who came from the hospital of traditional Chinese medicine said.

"How did this hair-like object form?" A female doctor who had asked in the gastroscopy room asked again at this time.

It's not that she is curious, but this uncle, with gold teeth and wrinkled face, looks a bit like Grandma Wolf, and the stone in his stomach is like a child's head. Thinking about it, it seems too scary. If you don't ask clearly, she probably I dare not come to the hospital.

"The formation of conventional gastrolithiasis is generally due to the fact that after eating a large amount of food rich in tannin, it coagulates into a jelly-like shape in the gastric acid environment, and then combines with the protein in the food to form water-insoluble tannin protein, which is then combined with the food After the adhesion, it started to grow bigger and bigger." Director Li explained with a smile.

"Where's the hair!"

"Hehe, I think Dean Zhang seems to have asked the key point, or else Dean Zhang will talk about it." When Director Li Xiang was in the gastroscopy room, he was also very curious about Zhang Fan, a young dean. She also felt that this young doctor was unusual.

"Okay, let me say a few words." The doctors of the two hospitals merged together, and it was impossible for them to be very tacit at the beginning. It was all from the slow trial, you know my length, I know your depth, and then become harmonious.

Zhang Fan started to say without thinking: "From the roughness of this patient's facial skin, it can be clearly seen that he has many years of outdoor work experience exposed to wind and sun.

Combined with the consultation, it can be judged that the patient's early living environment and nutritional status were average, which led to his nutritional imbalance, and because of the particularity of his work.

Herding sheep and hunting are almost all done by one person. In the uninhabited wilderness, a lonely person will unconsciously hold something in his mouth,

This is the so-called sense of inner security.

Nor does it require anything special, like his own hair. After a long time, it becomes a habit, and then there may be a phenomenon of swallowing hair.

Combined with the consultation, the patient likes to eat acidic wild fruits containing tannic acid, and in pastoral areas, three meals a day cannot do without a large amount of dairy products. Over the years, protein is wrapped in protein, mixed with hair and food residues, wrapped layer by layer, forming the current form. "

As soon as Zhang Fan finished speaking, Director Li said with a smile: "Excellent, Zhang Yuan is very careful in observation, and also very good in consultation."

"Hehe, everyone will be a family in the future, so we don't need to be courteous to each other. What should we do now." Ouyang smiled and said to Director Li. Of course, Zhang Fan's analysis can be recognized by Director Li, so she is of course happy.

"Oh!~" After Zhang Fan explained this, the young female doctor who had doubts just now started not to be afraid, "eating hair, pica!"

"Director Li, try conservative treatment first? Is the risk high?" Secretary Ren Li asked, although she is not in gastroenterology, she also saw what happened under the endoscope just now.

"You can try it, but because the stone in the patient's stomach irritates the stomach wall all the year round, a certain area of ​​ulcer has formed. If you use enzyme preparations or weak bases, it may aggravate the patient's symptoms, or cause bleeding. Even perforation." Li The director, holding the pen in his hand, frowned.

"You can take a small dose and observe. If it works, you can take the medicine to protect the gastric mucosa first, let the ulcer heal, and then dissolve the gastrolith. The damage of direct surgery is too great." Zhang Fan recalled the thoughts in his mind. While talking about the situation under the gastroscope.

Although the depth of the ulcer is not deep, no one can guarantee this kind of thing. The gastric mucosa is very strange. Sometimes a little ulcer may cause perforation due to idiopathic effects.

"Okay, let's start to try."

Treatment, especially many medical treatments, because of the specificity of the human body, it is necessary to find a suitable treatment method for the patient, but...

"Sweet!" Uncle Jinya took a sip of the enzyme preparation with sweetener.

Waiting, probably before the stone changed, the old man started holding his stomach and screaming. "Let him drink milk!" Director Li, who was on the side, quickly instructed the nurse.

"No! Even enzyme preparations can't resist it, so don't even think about using a weak base." Zhang Fan shook his head and left the ward.

"Surgery, explain the condition to the patient and family members, and prepare for surgery to take it out!"

"we can only do this."

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