"Boss Zheng, you are here." The doctor in the CT room greeted Zheng Ren politely.
Zheng Ren smiled and saw him getting up to operate the machine to exit and lift the patient, and then glanced at the patient's system panel to confirm the diagnosis.
Then he sat directly in front of the operating table and began to watch the CT films.
The patient's brain CT showed diffuse areas of increased density involving gray matter.
The cistern space between the brain and cerebral peduncles is occluded, and the submicroscopic structures surrounding the midbrain and arachnoid space in the upper part of the cerebral hemisphere begin to show signs of disappearing.
Zheng Ren finally got the final confirmation of the very typical imaging features of primary amoebic meningoencephalitis.
I just took a look and found that the patient's system panel was very red, but not the hopeless red color.
It was probably discovered relatively early. Although the condition progressed quickly, and the second and third stages of nausea, vomiting and epilepsy were combined, after all, it only lasted a few days, so it seemed that he could be cured.
Zheng Ren, the director of the Department of Neurology, didn't know him, but he immediately judged that it was primary amoebic meningoencephalitis, and treatment should be fine.
Zheng Ren let out a sigh of relief, stood up and turned to leave.
"Boss Zheng, don't you go to the neurology department?" Zhou Litao asked.
"There is nothing to see. The diagnosis has been given. The CT images are standard images of primary amoebic meningoencephalitis. There is no problem with the treatment. There is at least a 50% chance of recovery."
50%…
Zhou Litao was a little depressed.
He hoped that everyone could be treated and discharged from the hospital in good health. Even if they will forget all the efforts made by everyone in the hospital after being discharged from the hospital, Zhou Litao still hopes that everyone will be well.
The probability that Boss Zheng said is a little too low.
"What's wrong? 50% cure rate is still too low for you?" Su Yun could guess what was going on in Zhou Litao's head just by looking at his expression.
"Uh... Brother Yun, I know this is a serious illness, but the 50/50 chance is too low."
"Be content. The mortality rate of primary amoebic meningoencephalitis is extremely high, the course of the disease is very short, and death usually occurs within a week, and the prognosis is extremely poor. Early diagnosis and timely treatment are very necessary. There is currently no certain effective drug." Su Yundao: "There is a half chance that it will be discovered early."
"How to treat it? With anti-amoebic drugs?"
"No." Zheng Rendao: "The combination of intravenous drip and intrathecal injection of high-dose amphotericin B and miconazole may be effective. It also needs to be combined with oral drugs such as rifampicin. The effectiveness... That's it." Bar."
A strange thought suddenly came to Zheng Ren's mind. Is amoeba a parasite
If so, can Chunu Angsai drive the parasite to leave the human body on its own initiative
But this is just an idea, almost like a joke.
If Chu Nuangsai could do this, he would monopolize the global parasite drug market.
If you are more evil-minded, you can actively create a large-scale parasitic disease epidemic and then sell drugs.
Of course, if Chu Nuangse did such a thing, it would probably result in an iron fist blow that even he couldn't afford, leaving no bones or scum left.
I guess he can't do it. I'll ask him if he has time and opportunity. Don't look for Chu Nu to cause a parasitic disease epidemic in the imperial capital.
Zheng Ren walked out of the CT room, and Zhou Litao followed and asked about the diagnosis and differential diagnosis of amoeba.
However, the two of them did not return to the emergency department with Zhou Litao. There was no need to go back. At least what Su Yun wanted to say had been said.
"Let's go to the chest department to see the patients who will be operated on tomorrow." Zheng Ren said: "Is the operation time arranged?"
"Double esophageal malformation? It has been arranged. The patient will be taken to the stage at 11 o'clock on time. People from the chest department will do it. We can just stand down and watch." Su Yundao said.
"Have you done it?" Zheng Ren was curious.
Normally, Su Yun should be very interested in all kinds of weird problems in cardiothoracic surgery. Why didn't he come on stage without any fanfare this time
"I have done two cases, nothing special." Su Yundao said: "It is usually discovered in children, and it is relatively rare in adults."
"Two cases have been done!" Zheng Ren was a little surprised.
"Boss, you are just a young doctor from Haicheng. How can you have more clinical experience than me?" At this point, Su Yun felt a little proud.
Zheng Ren didn't care. The double esophageal malformation was just a surgery, so it wasn't difficult. It is only because of the special physiological structure and blood supply problems of the esophagus that we worry about postoperative complications.
Seek consultation from the interventional department and watch during the operation. The chest doctor will feel more at ease.
Just a quick glance, Zheng Ren had no intention of following him on stage.
If the operation is unstable and you are worried about anastomotic leakage after the operation, then make a big move.
The two came to the Thoracic Surgery Department and saw Fang Lin standing in front of the reader in a daze.
"Fang Lin, what are you doing? Hiding in front of the wall to hide from the guests?" Su Yun came in and patted Fang Lin on the shoulder.
"Uh, Brother Yun, Boss Zheng, why are you here?" Fang Lin was stunned, obviously very distracted, still thinking about the film.
Zheng Ren smiled and was about to speak when he glanced at the film and let out a sigh.
"What patient?" Zheng Ren strode to the reader, like a running giant beast, squeezing Fang Lin and Su Yun away from the reader.
"The hospital below cannot understand patients from out of town who come to the imperial capital for medical treatment." Fang Lin said: "The family members of the patients are going to check in and pick them up. I will take a look at the film first."
"Oh?" Su Yun also glanced at the film at this time, was startled, twisted his shoulders, and pushed Fang Lin further away.
Fang Lin smiled bitterly.
The first film is an upright chest radiograph.
The anteroposterior radiograph showed that the right lung had a mound-like mass dense shadow near the hilus, the lateral border was partially clear, and the right hilar angle disappeared.
Through the shadow of the lesion, the lung texture behind it is disordered, and there seems to be a crossover phenomenon, and the boundary of the right lower pulmonary artery trunk is unclear; the shadow on the right side film is located in the front and lower part, equivalent to the position of the middle lobe of the right lung, and the lung texture shadow can be seen in it, with uniform density.
The right upper lung texture is slightly sparse, and the right diaphragm roof is slightly elevated.
This... Zheng Ren found it interesting and his eyes widened.
Crossover phenomenon? This means that the patient's lungs overlap.
The three lobes of the right lung are intertwined, are they the same as the intestines
It is said to be impossible. The human lung lobes are fixed by ligaments to ensure normal breathing and blood oxygen exchange. It is absolutely impossible for images to overlap or overlap.
"The patient has never had any surgery?" Zheng Ren asked.
Looking at the image, it didn't look like a lung lobe had been cut, but Zheng Ren still asked out of caution.
"Well, I haven't done it before," Fang Lin said. "It was because of chronic bronchitis, coughing up sputum, and blood in the sputum, so I went to the local hospital for a checkup."
Zheng Ren nodded and started looking for the film bag.
After reading the patient's name clearly, I found the lung CT film and inserted it.