Zheng Ren felt very tired after seeing the weird video information.
The body is tired and the mind is even more tired.
What a wonderful world it would be if no one got sick.
At that time, I would have nothing to do and just go shopping with Xiao Yiren every day, even if it was a roller coaster ride.
But that was just a dream. He immediately put away the unrealistic thoughts and concentrated on watching the movie.
There was silence in the office.
The patient's situation is very special. At first glance, it looks like more than a dozen spleens are growing in the stomach at the same time. But in fact, in Zheng Ren's eyes, these spleens are like grapes on a bunch of vines, considered a giant spleen.
In terms of area, the spleen occupies about 40-50% of the volume of the abdominal cavity, and the intestines, stomach and even kidneys are displaced to varying degrees.
this…
"Gaucher's disease is more likely. Are there any relevant tests?" Zheng Ren asked.
When Professor Yang heard what he said, he clapped his hands excitedly and said, "I just said it was Gaucher's disease!"
"Have you done the glucocerebrosidase activity test?" Zheng Ren asked, looking at the film.
"Sent for examination." Professor Yang said with a smile: "This kind of rare disease, if you don't tell it from your mouth, I always feel that something is wrong."
"No way." Zheng Ren said lightly, not at all relaxed.
"Are you worried about the surgery?" Professor Yang asked.
Zheng Ren nodded.
Gaucher's disease is less likely to occur in yellow people than in white people. It is estimated that less than 500 people in the country have this disease.
The spleen of the patient in front of him occupies half of the abdominal cavity. Although Zheng Ren did not see the patient, he estimated that the patient looked thin and dry but had a large belly.
Just like the people who ate Guanyin soil during the famine in the old society. There may be bruises and bruises on the body due to low platelets.
Many times, patients also develop pathological fractures. Fractures generally occur at the femoral neck.
Just based on his understanding of Gaucher's disease, Zheng Ren had already sketched out an image of the patient in his mind.
As for surgery, it's even more difficult.
The spleen is an organ that stores blood and is an immune organ. Generally speaking, the spleen stores 40-50ml of blood. Patients with liver cirrhosis and splenomegaly can store up to 1000ml of blood.
As for the patient in front of me... he said that there was less than 3000ml of blood stored in the large spleen.
Half or more of the blood in the human body is in the spleen and does not participate in circulation. If the patient is in good health, he will be damned.
The key to surgery is not the resection, but the appropriate amount of blood return. If it is too much, the patient will definitely develop complications such as heart failure. If it is less, it will affect the future.
And whether to preserve the spleen or not is also a question. As far as the patient's condition is concerned, if all the spleen is removed, the postoperative immunity will be extremely low.
Patients with Gaucher's disease are absolutely different from patients with ordinary trauma or splenic rupture.
Another difficult case.
Zheng Ren looked at the film, took a deep breath, and began to picture in his mind the tragic death of the experimental subject after countless failed surgical trainings.
"Where is the patient? Take a look at the patient." Zheng Ren said.
"I'm going for an auxiliary examination. I'll go up and take a look. I'll let you know if I come back." After Professor Yang finished speaking, he hurried back.
"Zheng Ren, can you do this surgery?" Director Kong felt dizzy when he looked at the spleen.
"Try your best." Zheng Ren said, "Actually, I want to try whether interventional embolization treatment can be performed. But for such a large spleen, embolization must be performed at least ten or twenty times. Whether the patient's family's financial situation can accept it or not is very important. The problem."
Director Kong thought about it, Zheng Ren was indeed thinking about it.
For hypersplenism caused by liver cirrhosis, interventional embolization is an option. However, patients will experience symptoms such as high fever after surgery due to splenic necrosis.
The embolism can be used, but with such a big spleen, it may not be cured even if it is blocked ten or twenty times.
"You go to see the patient later, don't forget to come down early." Director Kong said with a smile: "I'll treat you tonight and give Lao Pei a cleansing."
"Okay, come back as soon as possible." Zheng Ren agreed simply.
"Remember to call your girlfriend. If you don't have time to accompany her during the day, and if you don't take her with you to dinner at night, be careful if your girlfriend has any objections." Director Kong explained to Zheng Ren as a person who has been here before.
"Uh..." It wasn't that Zheng Ren didn't want to take the little girl with him, but he hesitated because of what Director Kong said.
Professor Pei smiled and said: "I heard that you have a device nurse yourself? Is she the little girl who was busy when I went to Haicheng last time?"
Zheng Ren nodded shyly.
"Using local materials, you are just a fool." Professor Pei made a rare joke.
"It's just bad luck." Su Yun said.
"I'm going to see the patient, and I'll come down for dinner later." Zheng Ren was a little unaccustomed to the kind of jokes that people would make on many occasions.
Even as a big man, Zheng Ren is still not very accustomed to this kind of communication.
…
In the ward, a thin, withered little boy was lying on the bed wrapped in a down jacket.
Although the temperature outside is already over 10 degrees Celsius, many people have already put on half-sleeves, and some young girls are even beginning to eagerly reveal their white thighs to increase their chances of turning heads, but for this little boy, life is only winter.
His mother sat beside the bed and looked at the various people in the ward, and a stone finally fell to the ground.
The child has been frail and sickly since he was a child, but no one will do various examinations for the child. When I got a little older, I found that I often came home bruised and purple. At that time, I thought it was a naughty child who accidentally broke it.
But as the child grows older, his illness becomes more and more serious.
Three years ago, after a local examination, the entire CT room became a sensation.
She saw doctors in white coats rushing to the CT room one after another, and she knew she must be seriously ill.
My first thought was leukemia...
But when the doctor explained her condition to her, he said no.
She just said that the child's belly was full of spleen and that the disease had no cure locally, so she was asked to take the child to a higher-level hospital for treatment.
Her husband passed away five years ago. Because the child was always sick, her mother-in-law asked someone to tell her fortune, saying that the child was destined to be a sinner and would harm others. Until all relatives are killed.
Otherwise, why would it grow such a strange thing
The parents-in-law believed it and began to quickly distance themselves from the mother and son. Her family members advised her to leave the child with her grandparents so that she could remarry.
After all, it is difficult to remarry with children.
But as a mother, how could she be willing to abandon her child? Besides, she knew that given the temperament of her parents-in-law, the child would not even be able to have a full meal with them, let alone treatment.
As a result, the mother and son began a long journey to seek medical advice.
But this disease was so weird that local doctors couldn't cure it. I went to three or four hospitals in the provincial capital, but still received a notice that it was inoperable.
She didn't know which day started, but she had the idea of death with her child in her arms.
…
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I'm rushing to finish the manuscript and try to add two days of updates at the end of the month. If I don’t update it, I’m too shameless to publish a single chapter. I’ll give you a brief thought at the end and ask for monthly votes~