bookpower Chapter 718
Chapter 718
Without waiting for the patient's son to finish.
Lin Feng immediately interrupted and said, "Your mother's current condition is indeed a bit serious, but it is not sure that it is liver cancer!" If it is really liver cancer, it is advanced liver cancer, then I will not let you choose to continue treatment, but also choose to let you take the patient home, there is no need to make people and money. "
"But the current situation is that your mother is probably not liver cancer, it is more likely to be a serious infection caused by liver abscess, liver abscess is just an inflammation, it is inflammation and suppuration in the liver, that is a bacterial infection, such inflammation has a chance to be treated."
"If your mother really just has a liver abscess and you choose to go home like this, you are giving up your mother's life!"
Lin Feng said while looking into the eyes of the patient's son.
"Is that really the case? Is there still salvation for liver abscesses? Listening to Lin Feng's words, the patient's son immediately widened his eyes and stared at Lin Feng and asked.
Lin Feng nodded and said softly, "Yes!" That's right! "
Then he said: "Most liver abscesses are treatable, but it is not 100%, but if you choose to go home without treatment, the patient will definitely die!" "
A sentence instantly poked the patient's son's heart socket, making his eyes instantly moist.
After a moment of silence, his voice trembled a little and said: "Doctor, I'll discuss with them again, and I'll reply to you later, okay?" "
It seems that the patient's son was still moved by Lin Feng's words.
Lin Feng nodded and said, "Good!" But you can't wait too long, your mother's situation can't drag on! "
"Understood, understood!" The patient's son immediately nodded in response.
Then trotted away.
A few minutes later.
He appeared in front of Lin Feng again, with a relaxed smile on his face, and said, "Doctor, we have discussed!" It has been decided to stay here for treatment and not go home. "
Hearsay.
Lin Feng also showed a satisfied smile, and then said: "Good!" Later, we will go for a non-contrast CT scan of the abdomen and chest plus enhancement, so that we can see clearly whether it is a liver abscess. "
After a pause, he continued: "If the diagnosis is liver cancer, especially liver cancer that has metastasized to the lungs, then you should go home!" "
Hearing this, the patient's son nodded.
Subsequently.
Arrange for the patient's family to sign it.
Lin Feng specially arranged an expedited CT.
In the afternoon, the results came out.
Liver abscess!
This time it was finally confirmed that it was a liver abscess.
With the contrast scan, it is clearer, and the report says that it is not like liver cancer, not liver cyst, but liver abscess with high consideration.
It's the same with the lungs.
There is also inflammation, there is an abscess.
Several small lung abscesses and cavities.
Thus it was concluded that the patient had not only liver abscess, but also lung abscess.
The moment you see the result.
Lin Feng thought of a terrible disease - invasive Klebsiella pneumoniae liver abscess syndrome.
Originally, liver abscess is a disease with mostly bacterial infections, and there are mostly gram-negative bacilli among bacteria, and Klebsiella pneumoniae is the main gram-negative bacilli.
Therefore, it is empirically speculated that the patient's liver abscess bacteria should be Klebsiella pneumoniae.
In some groups of diabetic patients, it is more likely to be infected with the very virulent Klebsiella pneumoniae strain, in addition to liver abscess, the bacteria may also spread to the lungs to cause lung abscess, spread to the eyeballs to cause thick eyes, may also spread to the brain to cause intracranial abscess and so on...
This is different from ordinary liver abscess, ordinary bacterial liver abscess is just a liver abscess, will not invade the lungs or other organs.
The exception is Klebsiella pneumoniae, which causes a series of injuries, so it is called invasive syndrome.
All in all, the firepower of this bacterium is still very strong, otherwise the patient would not be so sick all the way.
But.
These were all speculated by Lin Feng based on his own experience.
This specific bacterium was not caught.
And the blood culture is still negative.
Of course, not all blood cultures will be positive.
Lin Feng finally thought that the liver abscess should be punctured directly, and the abscess fluid should be taken to be cultured to determine whether it was Klebsiella pneumoniae.
After the inspection plan is determined.
Lin Feng found the patient's children and informed them of the CT results.
After learning that their mother did not have liver cancer, but only a liver abscess, they were all very happy.
The patient's son held Lin Feng's hands even more excitedly and thanked him: "Doctor, thank you so much!" If it weren't for your persuasion, we might have brought our mother home, and we might have regretted it for the rest of our lives! "
"This is what I should do." Lin Feng nodded, and then said: "Now that your mother has been diagnosed with liver abscess and lung abscess, there are two ways to treat it, one is to use antibiotics all over the body, and the other is to puncture the pus, and the pus can be cured only by releasing the pus, the reason is very simple." "
Hear this.
The patient's son hurriedly said, "Okay, okay. Doctor, we all listen to you. "
"Well, my suggestion is to puncture pus!" Lin Feng said softly.
The patient's son immediately agreed.
Sign.
Consent to puncture and drainage of liver abscess.
Subsequently.
Lin Feng began to treat the patient.
Under the guidance of B-ultrasound, Lin Feng punctured the patient's liver abscess.
The needle had entered the liver abscess and a tube of dark pus was withdrawn.
Good guys, serious indeed.
Lin Feng immediately packed up part of the pus and said to the assistant on the side: "Send it for testing to see what bacteria are cultured." See if it's Klebsiella pneumoniae that we're speculating. "
Finish speaking.
Lin Feng put a drainage tube into the liver abscess to continuously drain out the pus to reduce the pressure in the abscess cavity, so as to reduce the bacteria in the pus entering the blood and reduce inflammation.
If intravenous antibiotics are the pressure attack of the army, then liver abscess puncture drainage is the invasion of the enemy camp by special forces to assassinate the enemy's leader, and the inside and outside should be combined to win quickly.
After Lin Feng's treatment, the patient's condition gradually improved.
After returning to the ward, the infection indicators of the re-examination gradually decreased, the body temperature also dropped, and the breathing began to gradually stabilize.
Lin Feng then told the family that the patient's condition had improved.
The patient's family hurriedly thanked Lin Feng.
One by one, a happy smile appeared on their faces.
The children of the patients were so excited that their bodies could not help but tremble.
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PS: Once again, I wish everyone a Happy New Year, earn a lot of money in the new year, and study well!!
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