Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

The old lady nodded hastily.

"Good doctor, I will listen to you. You must save my old man."

After all, the edge of the tin foil is very sharp, like a knife, who would not worry if it was eaten into the stomach?
Half an hour later, the old lady returned to Lin Yi's consulting room with the plain film of the abdomen and the old man.

Lin Yi looked at the film and found that the piece of tin foil was still in his stomach.

He also let out a sigh of relief.

If the tin foil enters the intestine, it will be troublesome, and it may be necessary to perform laparotomy.

As long as it's in the stomach, there's a way to get it out.

Lin Yi pointed to a bright spot on the X-ray film and said to the old lady:
"Ma'am, look, the tinfoil the old man ate is still in his stomach. Now we can do a gastroscope on him, and it will be safe to take out the tinfoil."

The old lady nodded like a pounding garlic.

"Doctor, then quickly perform a gastroscopy on my wife and take out the things."

"If I don't take this thing out as soon as possible, I can't feel at ease for a moment!"

Of course Lin Yi could understand the old lady's mood.

The two old people have been together for decades and have a deep relationship.

The old man has a health problem, and of course the old lady is most anxious.

Soon, Lin Yi asked the old lady to lead the old man to the gastroscopy room to pick up foreign objects under the microscope.

As long as the foil is still in the stomach, it can be removed with a gastroscope.

For this kind of operation, Lin Yi could only let him go to the gastroscopy room.

Although he can also perform gastroscopy, after all, there is no equipment in the emergency department, so he can't do it.

It is really unnecessary to push the endoscope in the gastroscope room to remove foreign bodies under the microscope.

After all, the old man's condition is not that serious, so he can walk over by himself.

Only when critically ill patients are unable to move can the endoscope in the gastroscopy room be pushed over.

Lin Yi continued to see patients. Less than half an hour later, he suddenly received a call from Zhao Xianfei, the deputy director of the gastroscopy room.

Lin Yi was a little puzzled, but still connected to the phone.

"Dr. Lin, the tinfoil in this patient's stomach is one centimeter in size with very sharp edges.

If you insist on taking it out, it is easy to scratch the esophagus and cause massive bleeding. "

"Doctor Lin, take it or not?"

Lin Yi frowned.

There is a sharp piece of tin foil in the patient's stomach, and if it is not taken out, it will definitely go down.

If it enters the intestinal tract, it will inevitably cut the intestinal tract and cause massive bleeding in the lower gastrointestinal tract.

At that point, the patient had to undergo a laparotomy in order to survive.

If it is not taken out in time, the patient will face even greater trouble.

What Zhao Xianfei obviously meant was that it would be very troublesome to take out the tin foil, and there was a high possibility of scratching the esophagus.

This really puts him in a dilemma.

Lin Yi thought for a while and said, "Director Zhao, wait a moment, I'll go over and have a look right away."

Lin Yi hung up the phone and hurried to the endoscopy room.

Even if the tinfoil is too difficult to remove, it must be removed.

Otherwise, the patient will face the risk of surgery.

Lin Yi rushed to the gastroscopy room and found that Zhao Xianfei was holding a gastroscope, looking helpless at the monitor, and the patient was also under anesthesia.

Seeing Lin Yi approaching, Zhao Xianfei forced a smile on his face.

"Doctor Lin, take a look at the condition of this patient."

As Zhao Xianfei said, he slowly re-entered the endoscope into the patient's esophagus.

As the endoscopic lens slowly deepened, the patient's entire upper gastrointestinal tract also appeared on the display.

Under the microscope, Lin Yi found that the patient's throat and esophageal mucosa had multiple minor scratches.

There are even dark brown blood scabs attached to the surface.

When the endoscope entered the gastric cavity, it was found that the "provoking" tablet was "lying" in front of the pyloric entrance.

At this time, multiple hyperemia and erosions had appeared in the gastric mucosa.

And with the peristalsis of the gastric mucosa, the sharp edges of the foreign body may still continue to cause new wounds.

The situation is already very dangerous.

Fortunately, this tinfoil tablet is relatively large, and it just squirms near the pyloric entrance, and cannot enter the intestinal tract for a while.

But after a long time, it's hard to say.

Usually ordinary foreign bodies in the stomach can be directly observed under the gastroscope and grasped with foreign body forceps.

But the tinfoil-shelled tablet that was swallowed by the patient had three sharp corners on the edge.

The esophagus of a normal human body has three physiological narrowings, and the submucosal blood supply is rich.

Forcibly grasping with foreign body forceps, when passing through the esophagus, the sharp edges are bound to scratch the mucous membrane, which may cause massive bleeding.

For this reason, Zhao Xianfei dared not take out the pills directly.

If it is taken out forcibly, there is a high probability that the sharp horn will directly scratch the esophagus and cause massive bleeding.

And he can't take this responsibility.

Zhao Xianfei manipulated the endoscope, checked the inside of the stomach in detail, and then stopped.

Looking at Lin Yi, he said:

"Doctor Lin, you have also seen the situation. This tin foil tablet is too big."

"If it is taken out by force, I can't guarantee that it won't hurt the inner wall of the esophagus. What do you think should I do?"

In fact, Zhao Xianfei also struggled in his heart when faced with this situation at the beginning.

I don't want Lin Yi to come over.

He knew that Lin Yi's endoscopy skills were also very good, higher than his own.

But after all, the patient's life is important, and he didn't dare take the risk of taking it out, so he had to ask Lin Yi to come over to see if there was any other way.

Lin Yi looked at the tinfoil pill lying quietly at the door of Weiyou, thought for a while, and a flash of light came to his mind.

"Have it!"

"Have you figured out a way?"

Zhao Xianfei asked in surprise.

Lin Yi nodded.

"Well, but this method requires the cooperation of family members."

"any solution?"

"Let me communicate with the family first, and you will know later."

Before he finished speaking, Lin Yi hurried out of the endoscopy room and went to find the patient's wife.

Zhao Xianfei stared blankly at Lin Yi who left in a hurry.

It is impossible to guess what clever solution Lin Yi came up with.

However, he did not withdraw the endoscope, but left the endoscope in the stomach to monitor the whereabouts of the pills.

In case it passes through the pyloric opening and enters the intestinal tract.

Lin Yi came to the door of the gastroscopy room and saw the old lady.

Pulling her to a remote place, he whispered: "Ma'am, now the tablet in Grandpa's stomach has been found.

It's a bit tricky to remove though, because it has three sharp corners.

If it is taken out directly, it is easy to scratch the esophagus and cause massive bleeding. "

Hearing this, the old lady turned pale.

"Doctor, what should we do then? You must save my old man's life."

Lin Yi hurriedly comforted the old lady.

"Old lady, don't be nervous, I have thought of a way, but I need your cooperation."

"any solution?"

"Now go to the pharmacy outside the hospital, buy a box of condoms and bring it back."

"Condoms?"

The old lady was surprised at first, and then angry.

"I'm so old, why do you ask me to buy this thing? You little doctor is so young, how can you think impure!"

Lin Yi was a little dumbfounded.