bookpower Chapter 391
Chapter 391
Why does Lin Feng judge pulmonary embolism?
And there is chest tightness, asthma.
As mentioned earlier, patients with "membranous nephropathy" are prone to thrombosis in the body and are prone to thromboembolism, especially pulmonary embolism.
What are the typical manifestations of pulmonary embolism?
Isn't it just coughing, wheezing, chest tightness!
Exactly the same as the patient's performance!
After Lin Feng saw Chen Xu's panting appearance, his heart was half cold.
Quickly pushed to the rescue room.
Connect the ECG monitor,
Seeing that the patient, Chen Xu's vital signs were quite stable, this made Lin Feng slightly relieved...
It seems that there is no need to send it to the operating room right away!
Good news at last.
However, it is still impossible to relax, because there will be death at any time, and the condition needs to be monitored all the time.
"Go for CT enhancement first!"
Lin Feng immediately made a decision.
Now the patient is fine, it is best to send CT immediately, Zeng Qing angiography to see clearly whether there is pulmonary embolism, where embolism, see if thrombolytic treatment...
If you can't dissolve the thrombosis, you need to go to the operating room!
At this point,
Chen Xu covered his chest, his heart full of trepidation.
"Your phone, unlock it, let the nurse call your family..."
"Okay, okay..."
"Don't be so nervous, maybe it's a false alarm or maybe it's a false alarm..." Lin Feng comforted.
"Well..." Chen Xu showed a difficult smile.
Quickly push the CT side, Lin Feng personally did chest CT angiography.
Local anesthesia in the arm, then an injection, contrast from the blood vessel, and then CT.
If the blood vessels look white on CT, the blood will show white...
If a certain blood vessel has embolic embolism, then the contrast agent will not pass and block, then there will be no contrast agent in this place, it will be black.
Where white and black meet, that's where the embolism is!
The results came out right away.
Lin Feng was stunned.
I rub!
Not a pulmonary embolism!
Didn't find the embolic place!
"That's not right..."
Lin Feng breathed a sigh of relief, a little puzzled.
If Chen Xu is not a pulmonary embolism, what is the cause of shortness of breath?
At this time, Chen Xu was still happy about the news.
I don't feel like I have to die.
Lin Feng looked closely...
"Oh, no... So much contrast here? Blood is abundant, tumors?! "
"Huh? Tumor? "
At this moment, Chen Xu's whole brain boomed and was blinded.
Smell cancer and discoloration!!
"I stepped on a horse..."
Crying!
Everything was like a dream.
At first, it was just a lot of urine bubbles, and later I learned that there was edema of the lower limbs, thinking it was a simple kidney problem, but I didn't expect that the kidney puncture result said that it was "membranous nephropathy", and the result was not finished and coughed, shortness of breath, thought that pulmonary embolism, did CT to know that it was lung cancer...
Is this to die yourself?
Chen Xu (╯‵□)╯(┻━┻ Lift the table!)
At this time, Lin Feng's words of comfort came again.
"Rest assured, although it is very likely to be lung cancer, it is not 100%, and there may be pneumonia, lung abscess, tuberculosis and other possibilities. It is still up to the final pathological biopsy. As long as you get the pathological tissue of the mass, you can say that it is 100% lung cancer..."
Or puncture ...
This can be regarded as Chen Xu's second piercing.
"Do it!!"
Chen Xu broke the jar and broke!!
In fact
At this time, Lin Feng thought of a possibility:
"Membranous nephropathy" is most likely caused by lung cancer.
The pathogenesis of malignant tumors is very complex, and some patients will damage the kidneys, resulting in a large number of proteinuria, hypoproteinemia, edema, and then cause "membranous nephropathy".
If it is really "lung cancer" that causes "membranous nephropathy", then if lung cancer is treated, "membranous nephropathy" can be cured by the way.
soon
The patient is pushed to go for a lung puncture ...
Send to pathology ...
......
After 3 days,
The results came out.
That's right!
It's really lung cancer, it's lung adenocarcinoma inside lung cancer.
And the good news is that
After a thorough examination, this lung adenocarcinoma showed no signs of distant metastasis.
"Dr. Lin, what should I do now?"
This time
It was the patient Chen Xu, and his parents who came together.
Lin Feng suggested: "Consider surgery to cut off the lung mass. "
"Good, cut!" Chen Xu had already regarded himself as pork on a cutting board at this time, and Lin Feng said whatever it was, and he would definitely not object.
The parents were a little cold, and asked carefully: "Doctor, open chest, will it be dangerous?" "
Lin Feng shook his head and explained: "Now open heart surgery has gone through countless surgeries to accumulate experience, and it is generally very safe, and most of the surgeries are now minimally invasive, and there is no need to open the chest." Just poke a few small holes in the chest and do it with a thoracoscopy, with less damage and faster recovery. "
Hear this,
The parents nodded.
"Then cut it..."
Lin Feng: "Then pay for hospitalization now, and then arrange surgery the night after tomorrow, and fasting for two days..."
Chen Xu and his parents nodded repeatedly.
There is a haze in my heart.
It's still too scary for them.
......
On the third day,
Chen Xu was pushed into the operating room.
General anesthesia......
Minimally invasive chest opening...
Lin Feng spent 3 hours, cut off the lung cancer tissue from the back of the lung, and then sutured it to stop the bleeding...
Close the chest...
The operation went well, the lump in the lung was cut off...
Fortunately, after exploration, this lung cancer did not metastasize far away.
The patient is pushed back to the ward and begins recuperation treatment...
(PS: don't want to write about surgery ... ）
The next half a month, after cutting out the lung cancer, and then after the drug symptomatic treatment,
Chen Xu's kidney condition is getting better day by day, urine protein is reduced, and edema is reduced.
As Lin Feng said, 'cured' lung cancer is conducive to the recovery of the kidneys...
......
......
A backward county.
A rental house,
"Dad... I'm sorry, I can't accompany you anymore..."
A little girl who was only 8 years old, lying on the bed, wiped the bright red nosebleed, a pair of bright big eyes, said to Zhang Zhu, the adoptive father by the bed.
Her words sounded as mature as an adult.
All because she was abandoned by her biological parents as a child, then taken in by her adoptive father, and then raised.
What is even more heart-wrenching is that when she was 6 years old, she suddenly had nosebleeds, and finally diagnosed leukemia patients, which has become more and more serious after 2 years, and now often nosebleeds.
The hardships of life made her mature at the age of 8.
"Woo~~~ You'll be fine..."
The adoptive father Zhang Zhu has not married his daughter-in-law in recent years, and he has been taking care of the little girl wholeheartedly.
In order to save the little girl, adoptive father Zhang Zhu has exhausted all his savings and sold all his old house.
And now, the money is gone.
But the little girl's illness is also worse.
"Daddy don't cry..."
"Before I die, I want to wear new clothes once and take another picture, I want to die beautifully, and my father will miss me in the future, you can see the photos."
"I hope that my father will think of me in the future and think that I am very well-behaved."
。