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

At the morning meeting, Jiang Yurong looked serious: "Everyone knows that Director Liu needs to recuperate for half a month after surgery, so our emergency department lacks a director-level chief surgeon. Today is Director Qian's rotation again, so our task today is very arduous. Everyone should be quick, don't procrastinate, you should increase your speed a little! Otherwise, you will be too busy by then!"

"Yes. Everyone nodded.

From 9 o'clock, the surgeons in the emergency department started to get busy, and it was 10 o'clock in the morning!

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

"Dr. Ruan, are you free? Can you help me take a look at this baby?" Liu Ming hurriedly said.

"Hello doctor, my son started nausea and vomiting around 9 o'clock in the morning, and drooled profusely, and I also noticed occasional blood streaks in the saliva, I was terrified. He doesn't want to eat anymore! Please help me see what is going on. The woman said anxiously.

"How many months old?" Ruan Bin glanced at the baby in the woman's arms, who was crying weakly at this time, and it was difficult to breathe, and it looked a little suffocating.

"2 months old!" the woman said quickly.

"Why don't you go to the pediatrician?" Ruan Bin frowned. Generally, such a small baby or child chooses to see a pediatrician.

"There were too many people in the queue over there, there were more than 20 people in front of me, and I saw that my son was uncomfortable and hurried to the emergency department. Please, doctor, show my son. The woman begged. In fact, she was also in a hurry. There are multiple patients in the front row, and even if it only takes five minutes for a doctor to see a patient, it will have to go in the afternoon. Not to mention that you can't do a patient in five minutes at all.

Ruan Bin heard what the other party said, and he was a little speechless. Even if you come to the emergency department, you have to register and queue. Unless you need first aid right away, you can open the green channel.

Come on, it seems that this Liu Ming is thin-skinned, and he must have been pestered and begged by this woman to bring the patient to him.

"The interns who just interned are enthusiastic, but I support this kind of enthusiasm. Ruan Bin sighed in his heart. When was it not like this when he first started his internship?

"Okay, I'll see. Ruan Bin also readily agreed, isn't it just a matter of general emergency surgery.

"Diagnosis!"

Patient: Liu Hao

Age: 2 months

Medical records: esophageal foreign body, slight respiratory failure, minor burns of the esophageal mucosa!

After reading this medical record, Ruan Bin's scalp instantly went numb.

It is normal for a foreign body in the esophagus to cause mild respiratory failure, and it is not a big problem to have a foreign body in the esophagus, just take it out. Although Ruan Bin did not know if the woman had fed the child something or for other reasons.

Anyway, a 2-month-old child will definitely not grab something to feed himself!

But none of the above is important, what matters is a slight burn to the esophageal mucosa! It must be because of the slight burn caused by the foreign body in the esophagus.

"Ordinary foreign bodies will definitely not cause burns to the mucous membranes, it must be because this foreign body has some kind of chemical that can cause burns!" Ruan Bin guessed in his heart.

In this way, the problem is big!

The child is so young, only 2 months old, the foreign body causes burns to the mucous membranes, and if the foreign body leaks more chemicals, it is likely to be life-threatening!

It can cause tracheoesophageal fistula or severe pneumonia!

With these two thorny problems at such a young age, the chances of being saved are slim.

Too young.

"You have to have surgery right away to remove the esophageal foreign body, because if the foreign body leaks more chemicals, the greater the risk. Ruan Bin analyzed in his heart.

"Did you feed your son any hard food today or last night, or did something fall into your son's mouth by accident?" asked Ruan Bin in a deep voice.

"Me, I've always been fed milk powder, and I haven't dropped anything into his mouth. The woman looked confused when asked.

Ruan Bin frowned after hearing this, it seems that this woman didn't know that her son had a foreign body in his esophagus!

"Liu Ming, immediately give the child a chest X-ray!" Ruan Bin said without hesitation.

Fortunately, he has a general diagnosis, so there is no need to guess the cause of the child's condition, and there is no need to do many other tests.

As soon as the chest X-ray came out, he immediately performed esophageal foreign body removal!

"Take a chest X-ray?" Liu Ming was stunned. This baby is vomiting and drooling, saliva is bloodshot, generally speaking, it should be related to gastrointestinal diseases, right?

Do not do the relevant tests, but do a chest x-ray?

What is this operation?

However, he was his senior doctor, and he dared to talk more, so he immediately took the women to do these things.

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

He knew that the baby's esophagus had been burned by an unknown chemical that had caused burns to the esophageal mucosa, so tracheoesophageal fistula and pneumonia must have been determined.

Fortunately, the diagnostic surgery saw that the cautery of the esophageal mucosa was only slight, that is, there was not much chemical leakage, and if the operation was delayed, the more leakage would be, and then it would cause a large area of esophageal mucosal burning, and then it would be severe pneumonia and severe tracheoesophageal fistula, and it would also cause respiratory failure. By then, it is estimated that 90% of them will not be saved.

But now it's just a minor leak, and when the time comes, it's time to send it to the ICU for treatment. There shouldn't be any major problems.

"Good. Xiaoli immediately went to check.

"There are beds!"

"Okay, thanks. ”

Ten minutes later, Liu Ming came over with the results and the woman.

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

"Ruan, Dr. Ruan, chest x-ray shows that there is a foreign body stuck in the baby's esophagus!" Liu Ming looked at Ruan Bin with admiration.

It is worthy of being a senior doctor, and the clinical is accurate.

"I, I didn't feed my son anything!" the woman was still meditating at this moment, she didn't seem to be going to do such a stupid thing!

"Could it be that he grabbed his mouth by himself?" Liu Ming said.

"No way, there are no toys in the crib, and he can't roll over at only 2 months, it's impossible for him to catch something on his own. The woman shook her head violently, and then continued: "My parents-in-law also went back to the countryside a few days ago, and it must not be their reason!"

Ruan Bin looked at the chest X-ray taken and saw a circular dense shadow of about 1.3cm in the child's esophagus.

"It's probably metal. Ruan Bin said lightly.

"Ahh......h Who's going to put metal in his mouth?" the woman was stunned.

"Your son had this around the morning, and that was supposed to be swallowed around the morning. Who else has come into contact with your child besides you?" Ruan Bin felt that there were only a few other possibilities.

"My husband, uh...... My husband is at work at eight o'clock today, and he can't cheat on his son!" the woman said.

"Who else is in your family?" Ruan Bin continued.

"And my eldest daughter, who is 3 years old, and she and I have come into contact with her younger brother...... "The woman said, and suddenly exclaimed, "I went to the kitchen to make breakfast at eight o'clock today, and I asked my daughter to play with my brother, is it ......?"

The three-year-old daughter is not sensible at all, and it is not impossible to put something in her son's mouth!!

"Okay, we have to do it right away! The sooner the better, you can sign it." Ruan Bin didn't have the heart to guess. Now the first important thing is to remove the foreign body from the esophagus.

Time is of the essence!

The longer the time is delayed, the more the chemicals of this metal foreign body leak out, the more serious the burning of the esophageal mucosa, and the more serious the series of complications will be caused by then!

"Yes, yes, I signed it right away. The woman nodded profusely.

Pull into the operating room and start the operation.

Liu Ming is an assistant.

General anesthesia!

This esophageal foreign body removal surgery is basically a resident doctor in the emergency department, and of course Ruan Bin will also.

However, the surgery is not easy now.

After all, this operation is performed on a 2-month-old baby, and the baby's esophagus is small at this time, and it is quite difficult to operate.

"Give oxygen, get a customized version of the pediatric esophagoscope!"

In order to prevent the aggravation of dyspnea during the operation, use a smaller esophagoscope as much as possible, such as Modu Hospital, which has a customized version of the esophagoscope for children.

"Yes. Liu Ming nodded.

Then, Ruan Bin introduced the esophagoscope according to the conventional esophagoscope method, after finding the foreign body, he made the distal end of the esophagoscope close to the foreign body, and sucked out the secretions near the foreign body, so that the foreign body was fully exposed, observed the position of the foreign body and its relationship with the surrounding tissues, and inserted forceps along the gap.

It took a bit of time to remove, but it was still taken out smoothly.

When he took it out and looked at it, Ruan Bin suddenly became solemn, this foreign object turned out to be a button battery!

"It seems that the leakage of the chemical liquid in the battery caused the chemical liquid to burn and corrode the mucosa of the esophagus! Fortunately, the time is not long, if it exceeds 12 hours, the consequences are unimaginable!" Ruan Bin said secretly in his heart.

Some time ago, he also listened to Director Qian gossip, saying that a month ago, the 404 Hospital of Modu also received a one-and-a-half-month-old baby who swallowed a button battery for unknown reasons, and postponed the X-ray examination to the next morning for examination and then surgery due to a check-up. As a result, the next day, the battery chemical leakage was serious, and finally the child could not be saved after a week of treatment.

The hospital was compensated 200,000 yuan for delaying the optimal time for surgery! The hospital and the family shared 50% of the responsibility.

Now that the woman came to the emergency department, he could do it within half an hour, and when the time came, it had nothing to do with their hospital, and they had already treated it as quickly as possible.

Walking out of the operating room, Ruan Bin handed the button battery to the woman, and the woman's face turned white with fright.

"There was a minor chemical leak and the child had to be hospitalized, and rest assured that the situation was tricky, but it wasn't very serious. Ruan Bin comforted a few words.

：。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~