bookpower Chapter 503
Chapter 503
"Alpha-fetoprotein" is a specific marker for the diagnosis of hepatocellular carcinoma.
Alpha-fetoprotein 400ng/ml is one of the conditions for diagnosing liver cancer.
According to the "Guidelines": as long as it meets alpha-fetoprotein 400ng/ml + nodule 2cm, it can be determined as liver cancer.
"Let's get hospitalized..." Lin Feng arranged.
The patient was hospitalized...
......
The next morning, blood is drawn, urine is tested, and alpha-fetoprotein is tested.
At this point,
Chen Ruizhu's father also rushed back from the provinces, nervously waiting for the results.
Half a day later,
The results of the examination are in anticipation.
Alpha-fetoprotein: 580!
Blood and urine tests, significantly increased by more than 1 times!
Now it's OK!
Definitely liver cancer!
Definitely Cushing syndrome!
When Lin Feng informed the patient Chen Ruizhu's family of this result.
The family cried on the spot!
Even the manly father of the head of the family quietly wiped his tears.
But
They started worrying about liver cancer again...
It's a very complicated feeling.
But obviously, the girl Chen Ruizhu hates "schizophrenia" even more.
Very happy!
Moreover, Lin Feng also quickly told them the good news, initially it seems that liver cancer is still very small, there is no metastasis, and surgery to cut it out can have a chance to heal.
This made the family happy again.
"Thank you Dr. Lin!!"
A thousand words, half a year of sadness, all in this sentence of gratitude.
......
Summary: Cushing syndrome: leg hair, full moon face, thin skin, buffalo back... As well as the pituitary, adrenal glands, ectopy ...
......
For the next two days,
Lin Feng went to the obstetrics department and gave birth to the pregnant woman with excessive amniotic fluid.
Mother and child are safe.
Then several high-risk obstetrics patients came to Lin Feng, wanting Lin Feng to deliver the baby, Lin Feng did not directly agree in the end, only said that he would help on the side, the main force is still high-level obstetrics colleagues are doing.
In addition, Lin Feng also went to school to attend classes and continue to complete graduate school, although the teachers called him a teacher.
......
A new day,
Lin Feng continued to return to the clinic to work.
It's basically fever, headache, stomachache... and so on patients with common diseases.
There are also obstetrics, orthopedic and other patients ...
When the 16th patient arrives,
Here comes a special monster... No, it's a special patient.
The patient is a young beauty in her 20s, fashionably dressed.
Name, Xie Yao.
"Doctor Lin, look at my hand, it seems that something is wrong..."
"What's wrong?"
"Here I am (right wrist, palm facing person, outside)... It's a little swollen..."
Lin Feng glanced at it.
This should be the location of the radial artery, right?
There are only two arteries in the palm and wrist of the human hand, one is the radial artery (the outside of the right hand, palm facing the person) and the other is the ulnar artery (the left side of the right hand, palm facing the person).
These two arteries are the positions of the "pulse" in Chinese medicine.
Lin Feng: "Why is it swollen?" Have you had an injection here? "
Patient Xie Yao was distressed: "Yes, a week ago, I had an operation, and then I left a needle there during the operation... It took 3 days to pull it out, and after pulling it out, it started to swell. "
"Show me your hand..."
The patient Xie Yao handed his hand to Lin Feng.
I have to say that this Xie Yao's hand is very white and tender, and the blood vessels are more obvious.
Xiao Ai, a nurse behind Lin Feng, glanced at it and couldn't help but feel the urge to give it a shot.
Because of this arm, it is very good to inject.
Lin Feng: "This section of your radial artery may be blocked, I will give you a test first to judge." "
Xie Yao nodded obediently: "Okay." "
Lin Feng pinched the positions of the radial artery and ulnar artery at both ends of Xie Yao's right hand.
Hold on.
Compression of blood vessels.
Then, Lin Feng ordered: "You shake your claws, hold them a few times..."
Xie Yao clenched her claws according to her words.
Soon, through the action of clawing, Xie Yao expelled the blood from the palm of his right hand out of his palm.
The palm turned white all of a sudden.
Bleak white, no blood.
(Interested book lovers, you can try, it's interesting.) ）
Next, the point comes.
Lin Feng let go of that radial artery.
Under normal circumstances, when the radial artery is released, arterial blood rushes into the palm of the hand.
Then the palm will quickly become rosy within 1 second.
But Xie Yao in front of him, after letting go of the radial artery, the pale palm was turning red at a very slow rate, and if it was to spread the entire palm, it would take at least 30s or more.
Lin Feng let go of the ulnar artery.
Brush~~
The whole pale palm turned red all of a sudden!
"Obviously, the blood flow to your radial artery is not working, it should be that the radial artery is occluded..."
"Huh? Occlusion? ...... No, Dr. Lin, I have good blood vessels, how did it become like this? "
The usual look of panic, Lin Feng saw too many patients like this.
"The reason is very simple, you just said that a week ago, in order to do surgery, the radial artery of your right wrist was arterial catheterization, and the needle (hose) was left in the artery, which may be blood drawn, or arterial blood pressure test..."
"The longer the blood is placed for a long time, the more serious the damage to the tube endothelium, and the initial injury will initiate coagulation function and platelet activation, and then further repair of the vascular endothelium can form "thrombus", accompanied by inflammatory reactions, and stimulate the "endothelial proliferation" of blood vessels."
"Moreover, because the catheter has been placed for several days (from the beginning of admission to the end of the operation), the indwelling arterial sheath as a foreign body can also aggravate the inflammatory response of the injury repair process, resulting in local thrombosis, excessive scarring, etc., resulting in a high acute occlusion occur."
Lin Feng analyzed it.
The patient Xie Yao was stunned.
I thought the operation was successful, but I told her that piercing a needle can also cause big problems!
In fact, there is still a little Lin Feng did not say.
Radial artery puncture is a commonly used method of surgery, which has the advantages of simple operation and patient comfort, but compared with femoral artery puncture, it has higher technical requirements for surgeons (nurses) and a long learning period.
Especially in female patients, because the radial artery is smaller than that of men, easy to spasm, and more sensitive to painful stimuli, not only the success rate of radial artery puncture is lower than that of men, but the risk of acute occlusion after radial artery puncture is also significantly higher than that of men.
Cause?
It may be related to the vasoprotective effect of estrogen levels decreasing after withdrawal as women age.
"Doctor Lin, then my hand... What to do? If there is one less artery, won't it be abolished? "
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ps: Update complete...
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