After Zheng Ren saw the strange video information, he felt very tired.
His body was tired, but his heart was even more tired.
If no one got sick, how great would that world be?
At that time, he would have nothing to do. He would go shopping with Little Yiren every day, even if it was a roller coaster ride.
However, that was just a dream. He immediately dispelled his unrealistic thoughts and focused on looking at the radiographic films.
The office was silent.
The patient's condition was very special. At first glance, it looked like more than ten spleens were growing in his stomach at the same time. But in reality, in Zheng Ren's eyes, these spleens were like grapes on a bunch of grapevines. They could be considered a giant spleen.
In terms of area, the spleen occupied about 40-50% of the abdominal cavity. The intestines, stomach, and even kidneys had shifted to different degrees.
This …
"The possibility of Gaucher disease is higher. Are there any relevant tests?" Zheng Ren asked.
When Professor Yang heard him say that, he clapped his hands excitedly and said, "I told you it's Gaucher disease!"
"Has the glucoside lipase activity been tested?" Zheng Ren looked at the radiographic films and asked.
"It's been sent for testing." Professor Yang chuckled and said, "If you don't say this kind of rare disease, I always feel that something is missing."
"No," Zheng Ren said lightly without a trace of relaxation.
"You're worried about the surgery, right?" Professor Yang asked.
Zheng Ren nodded.
The incidence of Gaucher disease in Asians was lower than in Caucasians. It was estimated that less than 500 people in the country had this disease.
The patient in front of him had a spleen that occupied half of the abdominal cavity. Although Zheng Ren did not see the patient, he estimated that the patient's appearance was thin and dry, but his stomach was very big.
It was like the people who ate Guanyin clay during the famine in the old society. Perhaps because of the low platelets, there would be bruises on the body.
Many times, the patient would also have pathological fractures. Fractures usually occurred at the neck of the femur.
Just based on his understanding of Gaucher disease, Zheng Ren had already outlined the patient's image in his mind.
As for the surgery, it was even more difficult.
The spleen was an organ that stored blood and was an immune organ. Under normal circumstances, the spleen stored 40-50 ml of blood. Patients with cirrhosis and a large spleen could store up to 1,000 ml of blood.
As for the patient in front of him … It was an understatement to say that the large lump of spleen stored 3,000 ml of blood.
More than half of the blood in the human body was in the spleen and did not participate in the circulation. It would be strange if the patient's body was healthy.
The key to surgery was not removal, but how much blood flow was needed. If there were too many, the patient would definitely have complications such as heart failure. If it's too little, it will affect his recovery.
Moreover, whether to preserve the spleen or not was also a problem. Based on the patient's condition, if the spleen was completely removed, the patient's immune system would be so low that it would make one's hair stand on end.
Patients with Gaucher disease were definitely different from patients with ordinary trauma and ruptured spleen.
It was another tricky case.
Zheng Ren looked at the radiographic films and took a deep breath. In his mind, he had already begun to outline the tragic death of the simulation mannequins after countless failed surgical training.
"Where's the patient? Take a look at the patient, "Zheng Ren said.
"He's going to do an auxiliary examination. I'll go up and take a look. If I come back, I'll WeChat you." After Professor Yang said that, he hurried back.
"Zheng Ren, can you do this surgery?" Department Chief Kong looked at the spleen in his stomach and felt a headache coming on.
"I'll try my best," Zheng Ren said. "Actually, I want to try interventional embolization treatment. But with such a large spleen, I need to embolize it at least ten or twenty times. Whether the patient's family's financial situation can accept it or not is a big problem. "
Department Chief Kong thought about it. Zheng Ren's consideration was indeed right.
Interventional embolization treatment was an option for hypersplenism caused by cirrhosis. However, after the surgery, the patient would suffer from high fever and other symptoms due to the necrosis of the spleen.
The embolization could be done, but with such a large spleen, ten or twenty embolizations might not be able to cure it.
"Go and see the patient later. Don't forget to come down early," Department Chief Kong said with a smile. "I'll treat you tonight to a welcoming dinner for Old Pei."
"Okay, come back as soon as possible," Zheng Ren agreed straightforwardly.
"Remember to call your girlfriend. You don't have time to accompany her during the day. If you don't bring her along for dinner at night, be careful that your girlfriend will have a problem with you," Department Chief Kong, who was experienced, instructed Zheng Ren.
"Uh …" It was not that Zheng Ren did not want to bring Little Yiren along, but because of what Department Chief Kong said, he hesitated for a moment.
Professor Pei smiled and said, "I heard that you have a scrub nurse yourself? Is it the little girl who was busy when I went to Sea City last time? "
Zheng Ren nodded a little shyly.
"Using local resources. You're considered a neighbor, right?" Professor Pei joked, which was rare for him.
"I was just lucky," Su Yun said.
"I'm going to see the patient. I'll come down for dinner later." Zheng Ren was not used to making jokes in such a crowded place.
Even as a man, Zheng Ren was still not very used to this kind of communication method.
..
In the ward, a thin and withered little boy was lying on the bed wrapped in a down jacket.
Although the temperature outside was already more than ten degrees Celsius, many people had already changed into half-sleeved shirts. There were even young girls who could not wait to start showing their fair thighs to attract attention. However, for this little boy, there was only winter in life.
His mother sat by the bed and looked at the various people in the ward. A stone finally fell to the ground.
The child was weak and sickly since he was young, but who would do all kinds of checkups for the child? When he was a little older, he often came home with black and blue bruises. At that time, he thought that the child was naughty and accidentally damaged it.
However, as he grew older, the child's illness became more and more serious.
Three years ago, after a local checkup, the entire CT room was in an uproar.
She saw doctors in white coats rushing to the CT room one after another and knew that it must be a serious illness.
Her first thought was leukemia …
However, when the doctor explained the condition to her, he said that it was not.
He only said that the child's stomach was full of spleens. This disease could not be treated locally, so she took the child to a higher-level hospital for treatment.
Her husband passed away five years ago. Because the child was always sick, her mother-in-law found a fortune-teller and said that the child's fate was against the heavens. Until all her relatives died.
Otherwise, how could such a strange thing grow?
Her parents-in-law believed it and quickly began to alienate the mother and son. Her maternal family advised her to leave the child with her grandparents so that she could remarry.
After all, it was very difficult to remarry with a child.
However, as a mother, how could she bear to leave the child? Moreover, she knew that with her parents-in-law's temperament, the child would not even have a full meal, let alone treatment.
Thus, the mother and son began a long journey to seek medical advice.
However, this disease was too strange. The local doctors could not treat it. They went to three or four hospitals in the Provincial Capital, but they still received a notice that they could not operate.
She did not know when it started, but she had the idea of holding the child and dying.
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.
