Pulmonary artery embolism was also known as pulmonary infarction.
It was a clinical condition in which endogenous or exogenous emboli blocked the pulmonary artery or its branches, causing pulmonary circulation disorders.
Its main source was thrombosis. There were also amniotic fluid emboli, fat emboli, air emboli, foreign body emboli, and so on.
For example, amniotic fluid emboli was an extremely serious complication after a Caesarean section. It could not be treated with thrombolysis. Ten years ago, it was almost an unsolvable disease.
One of the most feared complications in orthopedic surgery was fat emboli.
After the patient had a pulmonary artery emboli, there would be severe pain in the chest and back and symptoms of breathing difficulties.
However, early stage patients would usually feel that it would be over after enduring it for a while, delaying the best treatment time.
However, even when they arrived at the hospital, when the earliest symptoms were not typical, the location of the emboli was not as typical as this patient. It was very easy to miss the diagnosis.
From the radiographic films, there was nothing to doubt. It was a thrombus originating from the pulmonary valve that blocked the main trunk of the pulmonary artery.
It was impossible to remove the thrombus. Abrasive surgery … The blood vessel wall was too thin, completely different from the coronary artery. In addition, the emboli originating from the pulmonary valve could not be dealt with.
Abrasive surgery was impossible.
Zheng Ren's first impression was the same as that of many chief physicians of the 912. They all thought that the patient could only be treated with thrombolysis.
However, just as his gaze was about to move away from the image, Zheng Ren's gaze stopped again.
In an instant, his vestibular nerves trembled violently. It was very uncomfortable.
It was like riding a roller coaster for a moment.
Sensing that something was wrong with Zheng Ren, Chief Wei asked, "Boss Zheng, are you a little tired after a day of torment?"
"No, there's something wrong with the radiographic films," Zheng Ren said as he stared at the radiographic films.
"Huh?" Chief Wei was puzzled.
The radiographic films were very typical. The entire hospital consulted, and no one had any objections to the diagnosis. There was a slight disagreement, but there were some differences in the treatment.
"Wait a moment, let me think about it again," Zheng Ren said. Then, he began to use his reconstruction ability.
Three-dimensional reconstruction, nuclear MRI enhancement, and vascular CTA were all useless for the image of this position.
Zheng Ren used the most basic image data and used the dual-energy CT reconstruction model to re-observe the lesions originating from the pulmonary valve.
The dual-energy CT system could use two different energies of X-rays to image objects and could accurately obtain the composition of objects.
Its principle had already been proposed in the 1970s.
Through two different energy photon beams penetrating the stage for imaging, and using the differences in the energy absorption curves of different substances, the composition of the object could be accurately deduced.
Of course, to get close to the truth, the doctors who read the scans had to have a deep understanding of the scans.
And Zheng Ren was this person.
The reconstruction ability was very handy. However, Zheng Ren found it a little difficult to perform a dual-energy CT scan.
His brain was operating at full power, like a machine, roaring non-stop. The CPU quickly processed all kinds of data, and Zheng Ren was a little overwhelmed.
However, the dual-energy CT image was still established.
It was a little blurry, and it was still different from a standard image produced by a machine. Even so, Zheng Ren thought it was enough.
The image showed a different situation, completely different from the previous judgment.
The large filling defect near the pulmonary valve was not a thromboembolus!
It was not a blood clot, but an echo of abnormal tissues.
Zheng Ren looked at the dual-energy CT image in his mind. After a moment of excitement, he fell silent.
Although it was not an embolus, it overturned the previous diagnosis.
However, abnormal body tissue … This meant that the patient's pulmonary valve region had tumor tissue!
Whether it was benign or malignant, it was still a tumor!
Pulmonary valve tumors were quite rare.
"Su Yun, call Lil Fugui up," Zheng Ren said in a deep voice.
Chief Wei and Lin Ge were stunned. What did Boss Zheng mean?
After a short, awkward silence, Zheng Ren immediately realized that he was in the doctor's office in the ICU. Su Yun was not by his side.
"Sorry, Chief Lin, Chief Wei." Zheng Ren smiled awkwardly.
"Boss Zheng? What did you find? "Chief Wei asked softly.
Was Boss Zheng going to use surgery to treat this case of pulmonary embolism caused by a thrombosis in the pulmonary valve?
Because some of the thrombosis was not fixed in its original position, there was a high possibility of embolism in other positions during the surgery.
Therefore, this was a surgical contraindication!
Boss Zheng was going to attack the restricted area? That was impossible.
No, he was going to call Professor Rudolf Wagner. Was he going to use interventional surgery to treat it?
It could not be. Chief Mao Chi did not say anything.
"Chief Wei, I also thought it was a pulmonary embolism at first," Zheng Ren said. "But after looking at the radiographic films, I feel that there is a problem."
"What problem?" Chief Wei asked.
"How should I put it? Based on the subtle feeling, my initial judgment is that the filling defect in the pulmonary valve region is the body's tissue. "
"…" Chief Wei was speechless.
This sentence was slightly awkward for ordinary people. However, for doctors, the presence of body tissue in the pulmonary valve region meant that there was a benign or malignant tumor there!
F * ck … A tumor in the pulmonary valve region?
Boss Zheng was really daring.
However, Chief Wei did not refute it. He had chatted with Feng Jianguo some time ago and said that Boss Zheng might not be good at laparoscopic surgery.
Then, he was slapped in the face by a standard laparoscopic emergency bleeding control and foreign body removal surgery.
Immediately, Boss Zheng diagnosed a pulmonary valve tumor. Chief Wei really wanted to scold Boss Zheng, but he held it in.
Forget it. He would listen obediently and not make a joke like laparoscopic surgery.
"Let's go and take a look at the patient," Zheng Ren said.
Lin Ge felt that Boss Zheng was not under control at this time. He was like a little beast.
His mind was full of surgeries and patients.
Should he provide more surgery opportunities for Boss Zheng? He did not seem to be able to do it. Besides, Chief Kong had already contacted the community hospital for Boss Zheng.
Everyone else had done what needed to be done. He was a little late.
So what should he do?
He took out his phone and walked out of the doctor's office in the ICU.
"Su Yun, ICU, call Lil Fugui over."
"Busy? That's fine. I'll look for Zhao Yunlong about the pulmonary valve tumor. You go back to work."
After saying that, Zheng Ren did not wait for Su Yun to say anything and hung up.
However, he did not continue to call.
"Boss Zheng, do you want to find someone with a big heart?" Lin Ge immediately leaned over and asked.
"No need. Su Yun will be here soon."
"Isn't Doctor Su busy?" Lin Ge was a little confused. Did he hear wrong?
"There are only 37 cases of patients with pulmonary valve tumors in the world. Of them, 35 were found after the autopsy after death. Two were operated on, but the surgery failed," Zheng Ren said. "When faced with this kind of case, he has to let go of everything."
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
