bookpower Chapter 700
Chapter 700
2:00 p.m.
Lin Feng woke up.
When I saw the lunch box next to me, I knew it was already afternoon.
Since he was not woken up, it means that the little girl's condition is still relatively stable.
Still that sentence.
The longer it drags on, the more dangerous it becomes.
He didn't care about eating, put on a white coat and went straight to the rescue ward.
Come to the ward.
Seeing what Xiaoru was saying to the little girl's parents.
After walking over, Lin Feng asked, "Is there any situation?" Now notify the operating room and prepare for surgery! "
"Teacher. Are you awake? The patient's condition is relatively stable, there is no problem for the time being, and the pulse and blood pressure can no longer be measured! After Xiaoru answered, she went to contact the operating room.
Very smooth.
The operating theatre is now just open.
Subsequently.
The patient is admitted to the operating room.
Lying on the operating table, the little girl's whole body trembled, and asked Lin Feng: "Doctor, I also checked a lot of information today, is my disease cured?" It is said that this disease is rare, and it is dangerous to involve the heart. There is also whether the cost of this treatment is very high, I have not yet found a job, my parents are farmers, I am afraid I can't afford it! "
Hearing this, Lin Feng understood what the little girl was worried about.
Then he said with relief: "If only you could cooperate with us in the treatment!" You're still so young, you'll definitely get better. I will save you everything I can save on your treatment costs. Not long after you graduated, and there is student health insurance, don't worry! "
I don't know if Lin Feng's words played a role.
The little girl trembled less much.
Surgery begins.
During the operation, Lin Feng found that the patient's left and right coronary arteries were severely narrowed, but one side of the artery was the most narrowed, blocking 90%, and almost no blood could flow through.
In this case.
Lin Feng had to insert a coronary stent to open the narrow blood vessels and restore blood flow, which could save the heart.
The surgery went very smoothly.
The little girl was awake the whole time, and after hearing Lin Feng's words during the operation, the problem seemed to be solved, and her heart relaxed.
Postoperatively.
The little girl was admitted to the intensive care unit.
This will make her obviously feel that the chest pain and chest tightness have eased a lot, and it can be said that the effect of the stent is immediate.
Outside the ward.
The little girl's father asked Lin Feng: "I always thought that only the elderly had myocardial infarction and needed to put a stent in, but I didn't expect my daughter to put a stent at such a young age." "
Lin Feng explained: "The patient's disease is not a myocardial infarction caused by coronary heart disease, but the result is similar. Her heart blood vessels are already very narrow, blocking blood flow, threatening the safety of the heart, and the stent is placed to save the heart. However, stents alone do not solve the problem, because her disease may involve blood vessels throughout the body. "
The results of chest CTA are also out, and the lesions involve the aortic arch, bilateral upper arteries, coronary arteries, etc.
That's why the previous situation happened.
In fact, the little girl's strength in both upper limbs is weakened, but she has always thought that it is caused by physical weakness.
Not for a while.
The test report of the blood draw was sent.
ESR and CRP are very high, and anti-aortic antibodies are positive.
Didn't run.
It is basically multiple Takayasu arteritis.
"Doctor, what do the test results say?" The little girl's father saw that Lin Feng had read a lot of test results and did not speak, so he couldn't help but ask.
Hearing this, Lin Feng said: "The patient was diagnosed with multiple Takayasu arteritis, which is an autoimmune system disease. Due to environmental, immune, infection and other factors caused by the immune system disorder in the body, the immune system specifically attacks the blood vessels in the patient's body, especially the large blood vessels, causing blood vessel inflammation, resulting in narrowing or even occlusion of the blood vessel wall. "
"To treat this disease, the only way to treat this disease is to suppress the immune system and use hormones."
"Hormones can be anti-inflammatory on the one hand, and suppress the immune system on the other hand, which is the best and most guaranteed drug."
Lin Feng has tried to speak very clearly.
The patient's parents should also understand.
Later, Lin Feng walked into the intensive care unit and told the little girl about the situation again.
However, when she heard that hormones must be used, the little girl was very excited.
Her attitude is understandable, but unacceptable.
This surprised Lin Feng.
It turned out that the little girl herself checked on the Internet, long-term use of hormones, people will become fat, will have a lot of acne, even menstrual holidays will be affected, but also affect fertility.
Finally, the little girl asked cautiously: "Can you not take hormones and use other drugs?" "
Looking at this little girl in her early twenties, Lin Feng said with a smile: "Are you ready to get married?" Or are you trying to get pregnant? "
"I'm not married, and I'm not planning to get pregnant?" The little girl said with some doubt.
"Then what are you in a hurry? At that time, the disease is controlled, you can slowly stop the drug, stop the hormones, and you can also have a baby! Everything will be fine! Lin Feng said immediately.
Although the little girl looked reluctant, she still accepted the decision.
Lin Feng immediately began the treatment plan of the little girl.
No way.
If left untreated, the inflammation may further damage other blood vessels. If it continues to worsen, it may damage the blood vessels in the brain, heart, kidneys and other parts, which will be very scary.
So the sooner the better, using hormones and immunosuppressants to suppress inflammation.
Before that.
The little girl also needs to do many tests, mainly tuberculosis, if there is tuberculosis, it is not possible to use hormones.
Soon.
The problem arises.
The results of the examination appeared.
Among them, the tuberculin test (PPD) result is strongly positive.
It is still significant that the result of this PPD test is strongly positive, and patients are likely to have tuberculosis.
Then it is impossible to get hormone therapy.
According to the normal treatment plan, the patient needs to receive tuberculosis treatment for six months, and only after it is controlled, can use hormones, otherwise the use of hormones, suppressing immunity, combination may spread, the result will be fatal.
But there is no way for patients to wait so long here.
It simply won't last that time.
What puzzled Lin Feng the most was where this nodule came from.
Various tests were done, no other signs of tuberculosis infection were found, no pulmonary tuberculosis was seen on the image, and the patient did not show signs of intestinal tuberculosis.
A strong positive PPD test alone cannot give a patient a diagnosis.
。