"Doctor Zhang, can you be sure?" Zhao Pengcheng became serious.

“I just suspect that many of the symptoms of the patient are consistent with the characteristics of cystic hydatosis.

Make one more x-ray, nothing.

However, if treatment is delayed, it will be troublesome, which is a disease that can cause death.

So, there is no problem to be cautious." Zhang Yan said solemnly.

"Yes, what you said is right, you should be more cautious. We must be responsible for the patients." Zhao Pengcheng nodded and said with some self-blame.

Originally, general surgery would not make a diagnosis so rashly. Since Zhang Yan was born, they have become a little lazy. They thought that cholecystitis is not very serious anyway. When Zhang Yan comes, let me show you and prescribe a prescription.

, Why waste the patient's money and hospital resources to do such a test?

This is a kind of lazy thinking, very serious.

Although Zhang Yan did not say it clearly, the meaning in Zhang Yan's words has been pointed out.

Zhang Yan didn't know what Zhao Pengcheng was thinking, otherwise he would have been surprised.

Damn it!

Before I could think about it, you guessed what I thought?

Zhao Pengcheng had a lot of imagination, and in shame, he called and urged the other side to get the result as soon as possible.

With Zhao Pengcheng's urging, the film was released soon in the X-ray room.

Zhang Yan couldn't help frowning as he watched the movie.

"How about it?"

"Director Zhao, look, this spherical shadow with rough edges and blurred vagueness, I suspect it is the cyst of hydatosis, and the ovate shadow. This is what Western medicine calls echinococcal cysts."

Pointing to several shadows on the film, he said to Zhao Pengcheng.

"Well! You said that, it's true!

According to the standards of x-ray diagnostics, this really meets the characteristics of echinococcal cysts." www.bǐqυgetν.℃ǒm

"The reason why the patient suffered from pain in the upper right abdomen was misdiagnosed as stone cholecystitis was because the echinococcal cyst blocked the gallbladder." Zhang Yan pointed to a shadow on the gallbladder area and said.

"Yes!" Zhao Pengcheng nodded heavily.

Diagnosis is diagnosed, but how to treat it is a big problem.

At least, Zhao Pengcheng cannot do the surgery to remove echinococcal cysts with open chest and abdomen.

I don’t know if Dr. Zhang can do this surgery.

Zhang Yan frowned and was also thinking about how to treat the patient with cystic hydatosis in front of him.

Combining the imaging data and previous diagnosis, Zhang Yan can already confirm that this is cystic hydatosis.

It’s just how to treat it, this requires some thought.

In Western medicine, surgical treatment is the only thing.

According to his clinical knowledge of Western medicine, the patient is still in the stage of compression complications and is an initial symptom of the disease.

In the middle and late stages, the worm sac breaks, which infects the organs and causes other complications.

The trouble is that the patient has polyascystic hydatosis, which means there are multiple worm sacs on the liver and gallbladder.

"Do you have another ultrasound test." Zhang Yan thought for a while and said.

Note: The first generation of ultrasonic detectors was developed in my country in 52 years. The technology was truly mature and the factory production was carried out in 55 years.

The second generation of ultrasonic detectors were in the 1980s.

"Okay! It's also good to improve the test!" Zhao Pengcheng nodded in agreement.

After waiting for a while, the ultrasonic test results came out, polyascello-type hydatosis.

And there are worm sacs in the liver and gallbladder.

If the surgery is performed, this is a major operation, requiring chest and abdominal investigation.

Then, depending on the situation, the lightest one is to remove insect sacs, and the heaviest one may require partial hepatic resection.

Zhang Yan couldn't do such a surgery either.

"Doctor Zhang, how should you treat this patient? To be honest, I can't do such a surgery." Zhao Pengcheng confessed directly.

"Hehe, such an operation requires chest and abdominal examination, and may even require partial pulmonary resection, and I can't do it." Zhang Yan said with a wry smile.

"Why don't you transfer to the hospital?" Zhao Pengcheng said a decision he was most reluctant to make.

"Let's do this! I'll prescribe a prescription for the patient first and try it.

After three days, see how the results are, and then make a decision.” Zhang Yan didn’t want to give up on this patient, after all, he was a relatively special patient.

"What do you follow to treat it?"

"Liver depression and spleen deficiency, and insect stasis syndrome.

It relieves liver and strengthens spleen, kills insects and removes blood stasis.”

"Can this work?"

“Try it!

According to the diagnosis and treatment principles in "Su Wen", we must obey what we do and make the cause first.

Support soil to treat the root cause to cut off the cause, and take into account the killing of insects and stasis to cut off the root cause." Zhang Yan explained.

"Doctor Zhang, I don't understand what you said, but since you want to try it, then try it as you said!

If it really doesn't work, let's talk about the transfer of the hospital." Zhao Pengcheng was a little unconscious and could only nod in favor of Zhang Yan's decision.

"Thank you, Director Zhao!" Zhang Yan thanked sincerely.

It was very simple for Zhang Yan to make this decision, but Zhao Pengcheng had to take responsibility and risks along with it.

Once Zhang Yan fails to treat or other problems occur, Zhao Pengcheng will bear most of the responsibility.

"No need to thank you, Dr. Zhang, our appendicitis project has been halfway through. If your treatment plan for hydatosis is effective, it can be our next project.

In fact, there are also many hydatid disease patients in Beijing." Zhao Pengcheng grinned.

"Okay! I hope it will work!" Zhang Yan nodded solemnly.

Then start forming the formula.

This is his first time, he has formed a party alone.

Because there is no classic prescription to borrow.

Codonopsis 6 qian, 5 qian of raw Atractylodes macrocephala, 5 qian of raw hawthorn, 3 qian of Jianqu, 5 qian of Poria cocos, 5 qian of Poria cocos, 5 qian of Salvia miltiorrhiza, 5 qian of Tulip, 5 qian of Torreya, 4 qian of Gentleman, 5 qi

, 4 qian of Xianmaru, 3 qian of Epimedium, 10 jujubes, and 5 qian of Licorice.

"This prescription is one dose a day, and you can try it for three days." After thinking hard for a long time, Zhang Yan prescribed a prescription that he thought was thorough.

It was only after the first time he formed the prescription, Zhang Yan truly understood how precious those classic prescriptions were.

Many people look down on the warm disease school and think that the warm disease school does not understand medicine, and prescribes prescriptions of more than a dozen or twenty medicines.

Zhang Yan formed the table by himself and realized how difficult it was.

It is not difficult to add or subtract the classic formula, but it is really difficult to form the formula yourself.

All aspects should be considered, the monarch, minister, and envoy should be considered, and the characteristics of the disease should be considered. It should not only relieve the liver and strengthen the spleen, strengthen the foundation, and also kill insects and treat blood stasis.

This is the prescription that Zhang Yan had prescribed for a long time.

According to Zhang Yan's ability, this is already the most streamlined state, but there are still more than a dozen medicines.

Compared with the classic formula of the Injury School, the difference is not a little bit worse.

However, Zhang Yan couldn't guarantee the efficacy of the medicine, so he could only give it a try.

Zhang Yan plans to study hepatobiliary surgery when he goes back.
Chapter completed!