Boss Zheng, you're here. "The doctor in the CT room greeted him politely.
Zheng Ren smiled and watched as the doctor got up to operate the machine to exit and carry the patient. He glanced at the patient's System panel to confirm the diagnosis.
Then, he sat in front of the operating table and began to look at the CT scan.
The patient's brain CT showed diffuse areas of increased gray matter and diffuse density.
There was occlusion in the cerebral cisternocephalic space and the submicroscopic structure of the upper cerebral hemisphere surrounding the midbrain and arachnoid space had begun to disappear.
The imaging features of primary amoebic meningoencephalitis were very typical. Zheng Ren finally confirmed the diagnosis.
He glanced at the patient's System panel and saw that the patient's System panel was very red, but it was not a hopeless red.
It was probably discovered early. Although the disease progressed quickly, with stage two and three nausea, vomiting, and epilepsy, it had only been a few days. It should be treatable.
He did not know the chief of the neurology department, but he immediately determined that it was primary amoebic meningoencephalitis. Treatment should not be a problem.
Zheng Ren let out a long sigh, stood up, and turned to leave.
"Boss Zheng, aren't you going to the neurology department?" Zhou Litao asked.
"There's nothing to see. They've already given the diagnosis. The CT image is a standard image of primary amoebic meningoencephalitis. Treatment should be fine. There's at least a 50% chance of survival."
50% …
Zhou Litao was a little depressed.
He hoped that everyone could be treated and discharged from the hospital in good health. Even if they would forget the efforts of everyone in the hospital after they were discharged, Zhou Litao still hoped that everyone would be well.
The probability mentioned by Boss Zheng was a little too low.
"What? Do you think a 50% cure rate is low? "Su Yun could guess what was going on in Zhou Litao's head from his expression.
"Uh … Brother Yun, I know the disease is serious, but a 50% cure rate is too low."
"Be content. Primary amoebic meningoencephalitis has a high fatality rate and a short course. Death usually occurs within a week. The prognosis is very poor. Early diagnosis and timely treatment are very necessary. There are no drugs that are definitely effective at the moment, "Su Yun said." There's a 50% chance that it's discovered early. "
"How do we treat it? With an anti-amoeba drug? "
"No," Zheng Ren said. Zheng Ren said, "The combination of intravenous drip and intrathecal high-dose amphotericin B and miconazole may be effective. You also have to take drugs like rifampicin orally. The effectiveness … is just so-so. "
A strange thought suddenly popped into Zheng Ren's mind. Was the amoeba a parasite?
If so, could Chu Nuang Sai drive the parasite out of the human body?
However, this was just a thought, similar to a joke.
If Chu Nu Ancel could do this, he would monopolize the global market for parasitic drugs.
If they were more evil, they could create a large-scale parasitic disease epidemic and sell the medicine.
Of course, if Chunu Anser were to do such a thing, it was very likely that he would be struck by an iron fist that even he couldn't afford to offend, and not even his bones would be left.
He reckoned that he wouldn't be able to do it. When there was time, there would be a chance to ask. Don't look for Chu Nu 'ang Sai and cause another parasitic disease epidemic in the Imperial Capital.
Zheng Ren walked out of the CT room. Zhou Litao followed him and asked about the diagnosis and differential diagnosis of the amoeba.
The two of them did not return to the emergency department with Zhou Litao. There was no need to go back. At least Su Yun had said what he wanted to say.
"Let's go to the thoracic department to see the patient for surgery tomorrow," Zheng Ren said. "Has the surgery schedule been arranged?"
"Double esophagus malformation? It's arranged. The patient will be picked up at 11 o 'clock sharp. The thoracic department will do it, and we'll just stand and watch, "Su Yun said.
"You've done it before?" Zheng Ren was curious.
Normally, Su Yun should be very interested in all kinds of strange diseases in the cardiothoracic department. Why did he not go on stage this time?
"I've done two cases. There's nothing special," Su Yun said. "It's usually found in children. It's rare in adults."
"You've done two cases!" Zheng Ren was a little surprised.
"Boss, you're just a junior doctor from Sea City. How can you have more clinical experience than me?" Su Yun said with a hint of pride.
Zheng Ren did not care. Double esophagus malformation was a simple surgery. It was not difficult. It was only because of the special physiological structure of the esophagus and the problem of blood supply that there were postoperative complications.
The doctors from the Thoracic Department would be more at ease if they were to consult the Interventional Department and watch during the surgery.
Zheng Ren was not in the mood to follow her on stage.
If the surgery was unstable and he was worried that there would be an anastomotic leak after the surgery, then he would have to put down the shelf.
The two of them arrived at the Thoracic Department and saw Fang Lin standing in front of the radiographic film viewer in a daze.
"Fang Lin, what are you doing? Do you want to hide from the wall for a meal? "Su Yun went in and patted Fang Lin on the shoulder.
"Uh, Brother Yun, Boss Zheng, why are you here?" Fang Lin was stunned. Clearly, he was distracted and was still thinking about the film.
Zheng Ren smiled. Just as he was about to speak, he glanced at the radiographic films and exclaimed in surprise.
"What patient?" Zheng Ren strode to the radiographic film viewer and pushed Fang Lin and Su Yun away from it like a stampeding beast.
"The hospitals below can't understand it. It's a foreign patient who came to the Imperial Capital for medical treatment," Fang Lin said. "The patient's family members will go to the hospital and pick him up. I'll take a look at the radiographic films first."
"Oh?" At this moment, Su Yun also glanced at the radiographic films and was stunned. He twisted his shoulders and squeezed Fang Lin even further away.
Fang Lin smiled bitterly.
The first radiographic film was a vertical chest radiographic film.
The frontal radiographic film showed that the right lung had a dense shadow near the hilum. The border of the outer edge was clear, and the right hilum angle had disappeared.
Through the lesion shadow, the lung texture behind it was chaotic. There seemed to be a crossing phenomenon, and the border of the right lower pulmonary artery was unclear. The right radiographic film was located at the lower front, equivalent to the position of the right middle lobe. The lung texture shadow could be seen inside, and the density was uniform.
The texture of the right upper lung was slightly sparse, and the top of the right diaphragm was slightly elevated.
This … Zheng Ren found it interesting and his eyes widened.
Crossing phenomenon? In other words, the patient's lungs overlapped.
The three lobes of the right lung were intertwined like the intestines?
Logically speaking, it was impossible. The human lung lobes were fixed by ligaments to ensure normal breathing and blood oxygen exchange. It was absolutely impossible for the image to cross or overlap.
"The patient has never undergone surgery before?" Zheng Ren asked.
Looking at the image, it did not seem like he had cut the lobes of the lungs. However, Zheng Ren still asked out of caution.
"Yes, I've never done it before," Fang Lin said. "It's because of chronic bronchitis. He coughed up phlegm and there was blood in the phlegm. He went to the local hospital for an examination."
Zheng Ren nodded and began to look for the radiographic film bag.
He looked at the patient's name clearly, found the CT scan of the lungs, and inserted it.
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