radicalducati Chapter 302
Chapter 302
To summarize the results of Lin Feng's consultation with the elderly and patients just now.
Symptoms: chest pain, chest tightness
Medical history: 3 years history of coronary heart disease, regular drug taking history, 2 heart stents 1 year ago
Physical examination: the liver is beyond the position of the average person; The location of pain is in the liver area + the right side of the heart
Lin Feng analyzed the approximate possibility of the condition:
Worsening of coronary heart disease (atherosclerosis), narrowing of part of the blood vessels ...
The position of the stent causes thrombosis, narrowing the blood vessels...
Liver problems...
Lin Feng pondered for a moment,
"Did you have liver disease before?" For example, hepatitis (hepatitis B, hepatitis C) or something..."
"I don't know..."
"The position of your liver is a little wrong, either it has become larger or displaced, if it is enlarged, it may be caused by some diseases, go for a blood draw liver function test..."
"Then, go for a CTA, angiography, to see if the coronary arteries are narrowed..."
"Also, go for a CT of the liver and see what's wrong with the liver... What do you think? "
Lin Feng looked at the old man and patient Jiang Tiecheng.
Old man: "Okay, no problem. "
Years of history of coronary heart disease make the elderly full of trust in doctors.
What Lin Feng said to do, he would not have any objections.
Brush brush brush ~~~~
Lin Feng opened "liver function", "heart CTA", "chest CTA"...
ps: "Cardiac CTA": intravenous injection of contrast agent, coronary imaging through CT, non-invasive risk is small, is the gold standard for the diagnosis of coronary heart disease.
Lin Feng looked at the old man's sick appearance, thought about it and said:
"I'll call the imaging department and ask them to cut in line for you to do it first..."
When the old man heard this, he was immediately grateful.
"Thank you doctor."
......
Lin Feng continued to receive treatment,
In less than 30 minutes, the old man's "heart CTA" and "chest CTA" came out.
Printer there,
The old man skillfully printed out the CT film, and then went to another machine to print the checklist.
When I saw it, I was suddenly cold!!
Chest CT results: 6cmX8cm high-density opacities can be seen, considering liver tumors!!
"Tumor!!"
Like a thunderbolt on a sunny day!
The head was confused all at once.
Then the world turned.
Bang Bang ~~~~~~~~
The old man fell to the ground at once!
The surrounding patients and family members were taken aback.
"Someone fell!"
"Nurse, come on!"
For a while, the entire hall was in chaos at once.
Soon the nurse ran over.
After checking it, there was no problem with breathing, no bleeding or anything like that.
"Uncle, what's wrong with you? Wake up..."
The uncle woke up slowly, revealing a sad look.
"Why am I so miserable, coronary heart disease in the front, and now give me another tumor..."
Burst into tears.
The nurse girl looked at the old man like this, and her heart was relieved, it seemed that there was nothing wrong with the fall (especially the brain disease).
Seeing the old man so sad, the kind nurse girl comforted:
"Uncle, there is no need to be afraid of tumors, many tumors can be treated now, and if liver cancer has not metastasized, the hope of cure is greater than other tumors."
"Really?"
The old man's eyes lit up all of a sudden.
"Really, there are a lot of tumors that can be cut out and then not come back or anything..."
Under the comfort of the nurse, the old man finally recovered his anger, but he was still worried.
After all, this is a tumor!
Smell discoloration!
......
Emergency Department,
Lin Feng prescribed some medicine to a patient with a fever.
Then he saw the old man Jiang Tiecheng walk in with a pale face.
"Uncle, what's wrong?"
"Tumor..."
"Huh? Tumor? "
Lin Feng took the CT examination and looked at it.
Cardiac CTA: The coronary arteries are in good condition, the stent is good, and there is no problem.
Chest CT: 6cmX8cm high-density opacities can be seen, consider liver tumors!
Lin Feng looked serious,
Take the chest CT film and put it on the CT light box (light box: the thing on the wall used to watch the CT film in TV movies).
10 minutes later...
Lin Feng looked at most of the CT films very carefully and further diagnosed it!
This is - liver cancer!
Big, 6cmX8cm!
It's as big as a fist!
But fortunately, it didn't spread!
Fortunately, it's also located in a location that avoids the aorta-rich hepatic portal!
At this time,
Lin Feng looked at the hospital's system.
Brushed the old man's personal case page Jiang Tiecheng, and found that the old man's blood drawing liver gong test just now had come out.
Liver function results: hepatitis B index increased, alpha-fetoprotein 10 times...
Hepatitis B aside,
That "alpha-fetoprotein" is worth noting.
Alpha-fetoprotein is a protein that is usually produced by liver cancer cells, or it can be elevated in some chronic hepatitis B patients, as well as in some reproductive system tumors.
The results of the CT examination were verified.
"Dr. Lin, I... Will it die? "
The old man has lost his original vitality.
When he stepped into the consultation room for the first time today, although he was unwell, he looked at ease and full of confidence in the doctor, feeling that it was difficult for the doctor to suffer from coronary heart disease.
And now,
The tumor was like a thunderbolt on a sunny day, draining his spirit.
Lin Feng considered his tone, not only to have a comforting effect, but also to make the patient pay attention, and not to report good news or worry.
"Your disease is a bit serious at present..."
"A tumor is the size of a fist..."
Old man mood - 10000!!
"The good news is that it's safe, surgical removal doesn't require major surgery, and fortunately, it shows no signs of spreading."
The old man was pleasantly surprised.
Good mood +10000!
Lin Feng continued: "2 years ago, I had an operation on a more serious liver cancer patient than you, her liver cancer was also the size of a fist, and what was more troublesome was that his tumor was located in the liver door..." (Chapter 58 seems to be)
"Do you know what a liver gate is? It is the most dangerous location of the liver, with a lot of arteries, veins, liver vessels, lymphatic vessels and much more...! "
When the old man heard this, he quickly asked: "Finally, how is she?" "
Lin Feng: "Finally, I gave her a liver ex vivo resection, that is, the liver was taken outside, removed, and then put back in... Now the healing is very good, except for taking medicine, there is no difference from ordinary people..."
Old man surprise.
Good mood +20000!!
So dangerous position, directly cut out the liver, the operation can be successful?
Wouldn't it be easier for oneself, a 'mild patient', to succeed?
Restore confidence!
Still, he had doubts.
The old man asked curiously: "If the liver as big as a fist is cut off, won't there be any damage to the body?" "
Lin Feng explained: "The regenerative ability of the liver is very strong, even if most of the liver is removed, after a few years, the liver will gradually grow, even close to the normal liver size..."
When the old man heard this, he breathed a sigh of relief...
Completely relieved!
Feel like you don't have to die!
Good mood +10000!!
At this time, Lin Feng said again:
"But uncle, you are a little older, and you have coronary atherosclerosis (coronary heart disease), and the risk of surgery is not small..."
Old man: "..........................."
Turned by Lin Feng, he flashed directly!
Good mood - 10000!!
Lin Feng smiled: "Uncle, you go home first, discuss it with your family... But what I want to say is: you are a malignant tumor, if not removed, it is easy to spread to the whole body, and then it will be more troublesome! "
Old man: ".................."
Doctor, can't you comfort me more?
You return my good mood!
Good mood - 10000!!
。