stjorthotic Chapter 395
Chapter 395
Chapter 395
Why would Lin Feng judge pulmonary embolism?
He also has chest tightness and asthma.
As mentioned earlier, patients with “membranous nephropathy” are prone to thrombosis and thromboembolism, especially pulmonary embolism.
What are the typical manifestations of pulmonary embolism?
Isn’t it just coughing, wheezing, and chest tightness!
It’s exactly the same as the patient’s performance!
After Lin Feng saw Chen Xu panting, his heart was cold.
Quickly pushed to the rescue room.
Connect the ECG monitor,
Lin Feng was a little relieved to see that Chen Xu’s vital signs were fairly stable…
It seems that there is no need to send it to the operating room right away!
At last it is good news.
However, I still can’t relax, because life will be lost at any time, and I need to monitor my illness all the time.
“First go for CT enhancement!”
Lin Feng immediately made a decision.
Now that the patient has nothing to do, it is best to send to the CT side immediately, Zeng Qing radiography to see if there is a pulmonary embolism, where the embolism is, and see if thrombolytic therapy is possible…
If you can’t dissolve the thrombolysis, you need to go to the operating room!
at this time,
Chen Xu clutched his chest, his heart was full of trepidation.
“Your phone, unlock it, and let the nurse call your family…”
“Okay…”
“Don’t be so nervous, maybe it’s a false alarm…” Lin Feng comforted.
“Okay…” Chen Xu smiled hard.
Pushing the CT side quickly, Lin Feng personally performed chest CT angiography.
The arm is locally anaesthetized, and then an injection is given, a contrast agent is injected into the blood vessel, and then CT is performed.
If the blood vessel CT looks white, the blood will show white…
If a certain blood vessel has an embolism, the contrast agent will not go through and it is blocked, then there will be no contrast agent in this area, and it will be black.
The place where white and black meet is the location of the embolism!
The result came out immediately.
Lin Feng was stunned.
F*ck!
Not a pulmonary embolism!
The embolism was not found!
“its not right……”
Lin Feng breathed a sigh of relief and was a little confused.
If Chen Xu is not a pulmonary embolism, what is the cause of the shortness of breath?
At this time, Chen Xu was still happy with the news.
I feel like I don’t have to die.
Lin Feng observes carefully…
“Hey, that’s not right… There are so many contrast agents here? Rich in blood, tumors? ¨々!”
“Huh? A tumor?”
At this time, Chen Xu’s whole brain banged, blindfolded.
Smell cancer discoloration! !
“I’m on a horse…”
Cried!
Everything seemed like a dream.
At first, it was just peeing with a lot of bubbles. Later, I learned that there was edema in the lower limbs. I thought it was a simple kidney problem. I didn’t expect that the kidney puncture result was called “membranous nephropathy.” The result was cough and shortness of breath again, and I thought it was pulmonary embolism. , I knew it was lung cancer after CT scan…
Is this going to die by oneself?
Chen Xu(╯‵□)╯︵┻━┻ lift the table!
At this time, Lin Feng’s comforting words came again.
“Relax, although it is very likely to be lung cancer, it is not 100%. It may also be pneumonia, lung abscess, tuberculosis and other possibilities. It is still necessary to rely on the final pathological biopsy. Only the pathological tissue of the mass can be obtained. Say 100% is lung cancer…”
Or puncture…
This is Chen Xu’s second puncture.
“Do!!”
Chen Xu broke the tank and fell! !
actually,
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 complicated. Some patients will damage the kidneys, leading to a large amount of proteinuria, hypoalbuminemia, edema, and then causing “membranous nephropathy.”
If it is really “lung cancer” that causes “membranous nephropathy,” then if lung cancer is treated, then “membranous nephropathy” can be cured incidentally.
soon,
The patient pushed for a lung puncture test…
Sent for pathology…
…
3 days later,
The result came out.
That’s right!
·It’s really lung cancer, it’s lung adenocarcinoma in lung cancer.
The other good news is,
After a thorough examination, this lung adenocarcinoma showed no signs of distant metastasis.
“Doctor Lin, what should I do now?”
This time,
It was the patient Chen Xu and his parents who came together.
Lin Feng made a suggestion: “You can consider surgery to remove the lung mass.”
“Okay, cut!” Chen Xu had already regarded himself as pork on a chopping board at this time. Lin Feng said what he said, he would never object.
The parents were a little bit cold, and asked carefully: “Doctor, is it dangerous to open the chest?”
Lin Feng shook his head and explained: “Now thoracotomy has undergone countless surgeries to accumulate experience. It is generally very safe, and most of the operations are now minimally invasive, without the need to open the chest. It only needs to be done on the chest. Poke a few small holes and do it with a thoracoscopy. The damage is small and the recovery is quick.”
Hear this,
The parents nodded.
“Then cut it…”
Lin Feng: “Then pay the fee and be hospitalized now, and then arrange the surgery the next night, without water and food for these two days…”
Chen Xu and his parents nodded again and again.
There was a haze in my heart.
It still makes them too worried.
…
On the third day,
Chen Xu was pushed into the operating room.
Anesthesia……
Minimally invasive chest open…
Lin Feng spent 3 hours cutting off the lung cancer tissue from the back of the lung, and then sutured it to stop the bleeding…
Close your chest…
The operation went well, and the lung mass was cut off…
Fortunately, after exploration, this lung cancer did not have distant metastasis.
The patient was pushed back to the ward and began to recuperate and treat…
(Ps: I don’t want to write about surgery…)
In the next half month, after cutting off the lung cancer and then treating the symptoms with medication,
Chen Xu’s kidney condition is getting better day by day, the urine protein has decreased, and the edema has alleviated.
As Lin Feng said, lung cancer was ‘cured’, which is conducive to the recovery of the kidneys…
…
…
A backward county.
A rental house,
“｀” Dad…I’m sorry, I can’t accompany you…”
A little girl who was only 8 years old, lying on the bed, wiped the bright red nosebleed, with big bright eyes, said to the adoptive father Zhang Zhu beside the bed.
Her (Zhaohao) words sounded as mature as an adult.
All because she was abandoned by her biological parents since she was a child, then adopted by her adoptive father, and then raised.
What is even more worrying is that when she was 6 years old, she suddenly had a nosebleed, and finally diagnosed a leukemia patient. After two years of delay, it has become more and more serious. Now she often has a nosebleed.
The hardship of life made her mature and prosperous when she was only 8 years old.
“Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu…”
The adoptive father, Zhang Zhu, has not married a daughter-in-law in recent years, and has been taking care of the little girl with all his heart.
In order to save the little girl, the adoptive father Zhang Zhu has spent all his savings and sold the old house.
And now, the money is spent.
But the little girl’s illness became more serious.
“Dad, don’t cry…”
“Before I die, I want to wear a new dress and take another photo. I want to die beautifully. Dad will miss me in the future, so I can look at the photos.”
“I hope my dad thinks of me in the future, he will think I’m behaved.”
. .