Chapter 408: Catching a Live Worm

The next morning, Liu Qingqing first sent the specimen left by Yuan Yu to the central laboratory, and especially explained that it needed to be detected by the saturated saline flotation method.

Qian Jianghong had already arranged a gastroscopy for Yuan Yu, just at noon that day.

Because the gastroscopy room is usually very busy, I have to do seventeen or eighteen gastroscopies in one morning, and it is difficult to insert them in the emergency department, so I can only take advantage of the noon time to let the nurses work overtime.

It is operated by Qian Jianghong himself.

The gastroscope is a slender tube about 1 cm in diameter with black plastic wrapped around the light guide fibers, and the front end is equipped with an endoscope.

Liu Qingqing asked Yuan Yu to lie down on his side, bent his legs, put a cushion on his mouth, and bit it gently.

Qian Jianghong held a mirror and inserted it into the mouth, through the esophagus, and into the stomach.

The thickness of the gastroscope is about three chopsticks, and the tube irritates the throat, causing the patient to retch, and at the same time secretes a large amount of saliva.

Although Liu Qingqing constantly reminded patients not to swallow saliva, Yuan Yu still subconsciously swallowed saliva in order to prevent choking, causing the vision of the stomach to be blurred.

Fortunately, Qian Jianghong's observation focus is not on the stomach.

The tube passes through the pylorus and into the duodenum.

At that time, the bleeding in the duodenum was less intense, and multiple ulcers on the intestinal wall could be seen.

"Director Qian, go down a little, there's a bug there!" Liu Qingqing reminded.

The gastroscope continued to move forward, and sure enough, a pink bug appeared in the field of vision, adsorbed on the intestinal wall, and the activity seemed a little clumsy, probably because the compound mebendazole had been eaten, and some bugs had been killed.

"it!" Qian Jianghong couldn't help but scream.

And the little nurse next to her had already vomited out.

"Oh my God, it's terrifying!" This must have been the first time she had seen a live parasite in a patient's body. "It's like an alien invasion."

"That's right." Qian Jianghong was also a little proud, "Have you ever seen the picture of a hookworm, its mouthparts have two pairs of hook teeth, and it relies on these two pairs of hook teeth to bite through the intestinal wall." When you zoom in, it really looks like an alien monster. ”

Yuan Yu's mind was clear, and when he heard the conversation between the doctors and nurses, he tried his best to ask something, but because he had a tube stuffed in his mouth, he couldn't say anything, and he just kept swallowing his saliva.

Qian Jianghong changed a small clip and took out the worm, put it in the tray, and asked Liu Qingqing to show it to Yuan Yue.

Okay, but when Yuan Yue saw this disgusting bug, his expression was really complicated at that time, and he couldn't tell whether he was afraid or happy, because this bug was too disgusting, but he also knew that finding this bug was equivalent to his sister's disease being diagnosed, and he could prescribe the right medicine, so he was also relieved.

"Thank you! Thank you! His bloodshot eyes finally saw a glimmer of light.

Qian Jianghong electrocoagulated a few points that were still bleeding, and then withdrew the tube.

Yuan Yu seemed to have experienced life and death again, wiped his saliva with a napkin, and said weakly: "I hope I don't have a gastroscopy in my life." ”

Qian Jianghong said: "There are five bleeding spots in the duodenum, all of which have been stopped for you, and the worms have also been found, and they will be treated according to the original plan after going back." After the bugs are killed, your illness will be cured, and you will no longer need to do a gastroscopy. ”

Liu Qingqing sent Yuan Yu back to the ward, and then rushed to the operating room.

There was another operation in the afternoon, well, it was Jiang Weifen's cholecystectomy.

As usual, the chief surgeon of the operation was Qian Jianghong, but most of the operations were done by Liu Qingqing.

Liu Qingqing is already very skilled in this kind of operation.

In the afternoon, Yuan Yu's stool results also came out, and the eggs were detected.

As a result, Yuan Yu's diagnosis has been very clear.

Jin Zhen from the Department of Gastroenterology came to visit Yuan Yu, because the First Hospital of Z Hospital pursues the first diagnosis responsibility system, and this patient was admitted to the hospital by Jin Zhen.

But Jin Zhen never expected that in just one day, Yuan Yu's spirit had improved a lot, looking at the monitor at the bedside, UU reading books and all vital signs were maintained in a relatively stable state.

Vasopressors have also been discontinued.

Yuan Yue said happily, "Director Jin, I found out the reason, it's a parasite!" It's a very thin one, I did a gastroscopy at noon today, and the bugs have been caught by Director Qian! ”

Jin Zhen was a little embarrassed, even a little unwilling.

How is it a parasite?

In other words, why didn't he find bugs when he did a gastroscopy two days ago?

Qian Jianghong said: "This thing is difficult to talk about, insects are alive, take a bite here today, take a bite there tomorrow, and it will be bloody inside, if you don't look carefully, it will be difficult to find." ”

Jin Zhen said: "Yes, yes, who would have thought that it was a parasite, I tested the eggs at that time, but I didn't detect it." ”

Qian Jianghong said: "The central laboratory uses the normal saline direct smear method, which has a low detection rate, and the patient is relieved of bloody stool, which is basically blood, and there is no stool, which makes it more difficult to find eggs." ”

However, Qian Jianghong also thought that if it weren't for Liu Qingqing's insistence, he would be more inclined to suspect that the patient was hemophilia.

However, now that the full set of coagulation factor test results has come out, Yuan Yu's coagulation function is normal.

Fortunately, he has Liu Qingqing.

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