Chen Wen's disease is Cushing's syndrome, but it is not Cushing's syndrome.
Sun Lien looked at the crying Shen Qingmei with mixed feelings. From a doctor's point of view, he actually hoped that Chen Wen's disease was just simple Cushing's syndrome. In this way, as long as the tumor near her pituitary gland was removed, It can be completely cured.
But not hydatid disease.
Hydatid disease is probably one of the most troublesome parasitic diseases in the world. Its harm to patients may be very serious, even leading to death. But it may also be so minor that there are no symptoms at all. It may not occur until the patient undergoes surgery for other reasons. will be discovered, or no one may notice its existence until the patient dies naturally. The symptoms and severity, progression and duration of hydatid disease all depend on the three most critical factors: how the eggs are transported along Which organs the blood landed on, how big they were, and how many cysts there were.
The eggs of hydatid disease are like cancer that starts to spread through the blood and lymphatic system. When it enters the brain, it is cerebral hydatid disease. When it enters the lungs, it becomes pulmonary hydatid disease. The most common cases are After the eggs pass through the intestines, they follow the blood directly into the liver. Hepatic hydatid disease is also known as "pastoral cancer."
It is different from the traditional way of recovering by taking medicine and deworming. None of the medicines currently manufactured by humans can cure hydatid disease. Only through surgery to remove all the worm cysts as cleanly as possible can the disease be cured. Treatment of hydatid disease.
And the location of those twenty-seven insect cysts... Sun Lien felt desperate just thinking about it. The insect eggs traveled everywhere in the brain tissue along with the blood vessels, and then stayed in the deep brain tissue. Then they slowly developed into a A worm cyst.
There are worm cysts deep in the brain tissue, just like tofu with peas embedded in it. It is almost impossible to remove the peas without destroying the tofu.
Using surgical instruments to remove peas from tofu means that surgical damage will inevitably occur. The specific mechanism of the human brain is still not completely clear in modern medicine. Although it is possible to plan a method that will least damage the brain based on the different locations of the eggs. The surgical approach is planned, but this still cannot avoid damage to Chen Wen's brain function. The most frightening thing is that no one knows what kind of damage she will have. It may just become color weakness and reverse left and right. But it may also have a disordered personality. Loss of memory, and even directly becomes a vegetative state.
"If it is hydatid disease, her recovery process may be very long. The condition may even relapse." Sun Lien took a few deep breaths and continued to explain to Shen Qingmei, who was about to collapse. The biopsy he mentioned before, The full name is "directional three-dimensional intracerebral lesion biopsy". According to current standards, it is a standard third-level surgery. It needs to be reported to the department director, and the surgery must be performed by a senior attending physician or deputy chief physician.
"This biopsy operation will be presided over by Xu Yourong, the youngest deputy chief physician of the Department of Neurosurgery." Sun Lien approved Xu Yourong's promotion in advance without authorization. "She is a doctor of medicine graduated from Johns Hopkins University, and the neurosurgery level of that school is world-leading. First."
Shen Qingmei signed.
Chen Wen's condition did not become stable due to the diagnosis of cerebral hydatid. The gangrene on her chest still existed and continued to deepen. With the intervention of Vice President Liu, the Department of Neurosurgery and General Surgery of the Fourth Hospital quickly A capable surgical team was organized. For neurosurgery, Xu Yourong was in charge, and she also brought along the assistant she had used when she operated on Lin Lan that morning. For general surgery, Professor Zhao Saijuan, who was known as the first breast surgeon in Ningyuan, was sent.
Professor Zhao Saijuan is a colleague of Professor Li from the Department of Hematology. But she is also Professor Li's senior. Professor Zhao Saijuan, 79 years old this year, is a specially appointed expert who was specially hired back by Ningyuan Medical College. In his nearly 60 years of medical practice, Professor Zhao Saijuan
Having performed tens of thousands of breast surgeries, it is almost wishful thinking to find a doctor in China who can have the same rich experience in breast surgeries as Professor Zhao Saijuan.
Due to the access of the surgical site, Chen Wen could only sit on the operating bed. Her head was firmly held by the fixator, while Xu Yourong would sit in front of her and maneuver the sampling needle through her nasal cavity and into the skull.
During this period, Professor Zhao Saijuan, who is nearly eighty years old, will work with her students and assistants to monitor the progress of gangrene in Chen Wen's chest. If they determine that the gangrene will break through the abdominal wall, the brain sampling operation will be stopped directly.
, switched to mastectomy. Chen Wen's heart had suffered a myocardial infarction in the morning, and her physical condition was too weak. If necrotizing fasciitis occurs, Chen Wen's risk will be much higher than that of the average person.
There is nothing to see in this operation. Although he is the "doctor in charge" appointed by Director Liu, Sun Lien really does not have time to go to the operating room to observe the progress of Chen Wen's operation. He still has three patients to worry about. As for whether Chen Wen needs it or not
Sun Lien believes that Professor Zhao Saijuan must know better than himself whether the breast needs to be removed or when.
In addition to being unable to help, the reason why Sun Lien stayed in the emergency room was because the results of Zheng Xiaoyu's cerebrospinal fluid examination came out.
"A large number of Treponema pallidum was detected." Hu Jing, the head nurse, handed the examination sheet to Sun Lien. "The results of the liver biopsy are not out yet, but they should be soon."
"Treat him as neurosyphilis first. Give him prednisone first." Sun Lien put down the checklist. Neurosyphilis means that the course of syphilis has entered an advanced stage. If penicillin is used rashly at this time, a large number of dead Treponema pallidum will be released to the body.
The human body releases a large amount of toxins and waste products, which triggers a systemic immune response. This immune response, called the "Hershey reaction," can cause patients to have headaches, fever, muscle pain, shortness of breath, and even cause disseminated coagulation in the lungs.
Leading to the death of the patient. The use of hormones before formal antibiotic treatment can effectively suppress the activity of the body's own immune system, thereby weakening or even completely avoiding the occurrence of the Hershey reaction.
On the other hand, bad news came from Dr. Jiang Lun, who spoke Sichuan dialect. The middle-aged woman who had a habit of flirting with men, and a large number of young men who had "been following her for a long time", had no blood tests.
All tested positive for syphilis. This aunt is calling other young men who "have not been with her for a long time". It is estimated that there are sixty or seventy people.
At the same time, nearly 100 people were found to have positive syphilis reactions. The staff on duty at Ningyuan CDC almost choked to death on his own saliva after receiving a call from the Fourth Central Hospital.