Yanyan's condition is very serious. Although she received timely treatment, some organs in her body have been affected.
Moreover, the most helpless thing is that Yanyan most likely has other comorbidities.
The treatment of leukemia, except for hematopoietic stem cell transplantation, which requires surgery, is generally controlled by drugs and rarely requires surgical intervention.
However, Zhao Yuan discovered a hidden problem when doing a physical examination on Yanyan.
It must be solved with surgery.
The key is whether Yanyan's body can be operated on?
Of course, Zhao Yuan could not draw a direct conclusion at this moment.
He is not Yanyan's attending doctor, he is just a rotation doctor.
Leukemia can be subdivided into many types,
Yanyan suffers from acute lymphoblastic leukemia, referred to as acute lymphoblastic leukemia.
Leukemia generally has several causes.
One is caused by radioactive elements. For example, after World War II, the island country next door was dropped an atomic bomb, which subsequently caused many people to suffer from leukemia. Therefore, the island country is in a leading position in the field of leukemia research.
The second is chemical pollution. People who have been exposed to various chemical substances for a long time have a higher infection rate, such as decoration workers. The glue in the decoration materials contains benzene or formaldehyde, which is the murderer of leukemia.
Also, some special viruses can cause leukemia. No specific conclusion has been drawn yet about which viruses they are.
In the end, it's genetic.
The pathogenesis of leukemia is not as complicated as imagined.
Hematopoietic stem cells multiply in large numbers under the stimulation of certain factors. However, after these hematopoietic stem cells multiply, they do not turn into mature red blood cells, white blood cells, and platelets. These immature cells have no function and squeeze the living environment of normal cells.
These immature cells are white, so they are called leukemia.
To use a popular analogy, a warehouse is filled with a lot of millet. As a result, many of the millets are deflated. I want to put intact millet inside, but I find that the warehouse can no longer fill it.
Over time, the shriveled millet without grains cannot feed people, and people will starve to death.
Leukemia has similar pathology to other cancers.
The root cause of cancer is that a large number of malignant cells in the body keep replicating, crowding out the living space of normal cells. Eventually, some organs of the human body are completely occupied by bad cells, and life comes to an end.
Of course, with the development of science and technology and the emergence of targeted drugs, certain types of leukemia can be treated with drugs. In particular, patients with chronic leukemia have more hope of living. Targeted drugs change or induce mutated genes, allowing
If immature stem cells are no longer produced in the human body, the lives of these patients can be extended.
However, this type of targeted drugs are expensive. For a patient to take the drugs from regular channels, it costs almost 300,000 yuan for one year. Although the generic drugs in India are also effective, they cannot reach the efficacy of the original drugs.
The story of the popular movie "I'm Not the God of Medicine" a few years ago is related to this targeted drug.
At the same time, this also shows the strength of a medical power.
When you have a medical level that exceeds that of other countries, you can plunder the resources of other countries through drug pricing. Not only can you do so easily, but you can also do so with confidence.
However, acute leukemia can still only be relieved through chemotherapy. Currently, hematopoietic stem cell transplantation is still the main way to cure acute leukemia.
The principle of chemotherapy is like reinstalling the computer system.
When there are more and more viruses in the computer, affecting normal operation or even crashing, it is time to redo the system and format all good and bad cells.
This method is a bit overwhelming, but it can leave room for the survival of good cells and allow the fire of life to continue.
However, because the source of viruses in the computer has not been eradicated, and the growth rate of bad cells is faster than the growth rate of good cells, bad cells will still dominate.
Bad cells will still come back, treating the symptoms but not the root cause.
Because Yanyan's disease was discovered relatively late, many organs have been affected. The most serious one is
spleen.
50% of leukemia patients will develop hepatosplenomegaly, and hepatosplenomegaly is the most obvious in acute lymphoblastic leukemia, so the doctor may have overlooked some potential problems when examining Yanyan.
Zhao Yuan found Zhu Haixia, who was discussing Yanyan's treatment plan with two doctors. Zhu Haixia was a little surprised to see Zhao Yuan appear, "Xiao Zhao, is something wrong?"
Zhao Yuan glanced at the two young doctors, the female was Xu Qin and the male was Huang Gang.
Both of them are doctoral students under Zhu Haixia's supervision. Not surprisingly, in a few years, they will become the humeral strength of the Hematology Department of Tianhua Hospital.
Xu Qin glanced sideways at Zhao Yuan. She regarded Zhao Yuan as a passerby.
The rotation doctor will leave within a month, and you will basically never see him again.
Huang Gang didn't even look at Zhao Yuan. He had always had a strong sense of superiority. It was a rare opportunity to work in Zhu Haixia's team.
Not surprisingly, Huang Gang will also become a well-known expert in the field of blood diseases in the future.
Huang Gang takes Zhu Haixia as a role model deep in his heart. He is not limited to well-known experts, but aims to be academicians...
The appearance of Zhao Yuan interrupted their discussion with Academician Zhu.
Xu Qin and Huang Gang both felt a trace of displeasure deep in their hearts.
A rotational medicine intern can just go through the motions, why bother looking for a sense of presence?
For the sake of Yanyan's condition, Zhao Yuan did not hesitate.
"Director Zhu, I went to the ward to check on Yanyan. Her spleen is in very bad condition."
Huang Gang knew that Zhao Yuan was a medical student coming to the Department of Surgery. Although he knew that Zhao Yuan was somewhat famous in the hospital, he felt uncomfortable challenging his own major.
Huang Gang said casually, "Hepatosplenomegaly in acute lymphoblastic leukemia is very common clinically."
Xu Qin also expressed her own opinion, "Although Yanyan's spleen is obviously enlarged, there has been a targeted treatment plan and it will be controlled through medication, so there is no need to make a fuss."
Zhao Yuan put forward an idea: "I suggest increasing the testing of protein C, protein S and antithrombin."
Zhu Haixia's expression was solemn, "Do you think Yanyan also has thrombophilia?"
Zhao Yuan secretly thought that Zhu Haixia was indeed an experienced academician.
After a little prompting, she immediately thought of what she was worried about.
Huang Gang felt that Zhao Yuan was too self-righteous.
Yanyan's condition was followed up by Zhu Haixia with them. If there were any special circumstances, wouldn't they know about it?
Huang Gang curled his lips, "The probability of children having acute strep throat and thrombophilia is very low!"
Zhao Yuan knew that it would be difficult to convince them for a while.
After all, I am just guessing.
He made his judgment based on a physical examination and his own experience.
Thrombophilia is a hereditary disease. He checked Gao Xiaolan.
Gao Xiaolan also had symptoms of thrombophilia, so Zhao Yuan came to the conclusion.
Zhao Yuandao: "If it is really thrombophilia, Yanyan's condition is very dangerous. Once the spleen becomes embolized and causes infarction, the consequences will be disastrous."
Zhu Haixia didn't know why Zhao Yuan concluded that Yanyan had thrombophilia, but she still told Xu Qin and Huang Gang, "Take Yanyan for relevant examinations. You must be cautious in everything and eliminate all possible hidden dangers."
Seeing Zhu Haixia supporting Zhao Yuan, Huang Gang felt depressed, but he managed to smile and said, "I'll make arrangements right away."
Huang Gang just went out.
A male doctor in his forties walked in outside, holding an examination report in his hand and handed it to Zhu Haixia.
"Academician Zhu, this patient's condition is very bad! You need to go over and have a look quickly."
Zhu Haixia's expression turned cold instantly, "Hurry up and notify the cardiac surgery department to arrange a joint consultation with experts!"
