"When we came over in the morning, we heard that Yongzhe's younger brother had chest pain. The doctor on duty informed the patient's attending doctor to come over and deal with it inside." Li Qian reported, his expression was as speechless as the other boys. Because it was said that the patient's attending doctor was that person.
No one thinks Chang Jiawei is reliable for the famous playboy.
Afraid that classmate Geng would be irritated, Ren Chongda took the students to rest in the doctor's office and wait for news.
Chest pain, electrocardiogram did not show abnormalities such as myocardial infarction, but the heart rate was faster. The initial cause was suspected to be bronchitis and orthopedic problems, and no cardiothoracic surgery personnel were called. The situation actually seemed better and was not life-threatening for the time being. But the patient
When you complain of pain, your family members must be anxious. How should the doctor deal with it? For this kind of neuralgia, in addition to surgery to remove the cause, the only medicines available are analgesic injections or even local sealing (a combination of local anesthesia and other drugs injected into the nerve-involved area).
an analgesic and anti-inflammatory treatment).
Pain-relieving injections should not be taken randomly. Pain-relieving injections are basically addictive, and they only temporarily relieve pain but cannot eradicate the cause. Domestic clinicians have always been very cautious when using them. The situation of the patients there is worrying.
"Cao Yong." When he learned that he was coming, Ren Chongda asked the squad leader to accompany him and walked out of the office to call him.
Cao Yong turned around and asked the insider: "How is the patient?"
Ren Chongda said: "Chang Jiawei didn't call you, did he? He said last night that he might need to ask for a neurological consultation. Originally, he was going to send him for a brain CT today. After yesterday's film came out, what can be seen now is
There is a space occupied by the epidural inside and outside the spinal canal at the level of the thoracic 5 to thoracic 7 vertebral bodies. It is considered to be an epidural tumor. Perhaps for this reason, Chang Jiawei ordered a CT scan of other parts."
For example, epidural tumors are mostly metastases and most are malignant. Doctors must have a multi-minded approach. Surgery for malignant tumors is different from that for benign tumors. Like spine surgery, if it is judged to be malignant, the first step is not to remove it.
The tumor is about how to reduce pressure to prolong the physiological function of the patient's survival period and improve the happiness index of the survival period. Resection is of little significance. If it is benign, it should be removed as cleanly as possible to prevent recurrence.
"Where is the film? Let me take a look." Cao Yong said.
Gu QinRen Chongda took him to the office. The others followed Cao Yong like little followers.
The films from last night were taken out and hung on the light board. Because they were far away yesterday, they could not see clearly. Today I finally had the opportunity to see the patient’s films at close range. Xie Wanying seized the opportunity and stood forward as hard as she could. Who let the orthopedics department
The film looks more complicated than other subjects. Think about just one vertebra. Anyone who has read anatomy will know that its morphological structure is already very complicated. Each bone in the human body has its own special shape and other characteristics.
It has special physiological significance. It is as difficult to figure out the significance of a bone as it is to study an organ.
"Here, here." Ren Chongda helped Cao Yong point to the lesion, allowing Cao Yong to grasp the focus of the case faster in a short period of time.
Cao Yong watched the film without saying anything.
"If it is really a metastatic tumor, would it be better to do a whole-body CT scan?" Ren Chongda asked his opinion.
Metastatic tumors are not necessarily transferred from outside the brain. It seems that the majority of spinal metastases are transferred from the brain.
While waiting for Senior Brother Cao to express his opinion, Xie Wanying could hear the surrounding classmates in her class discussing privately.