"After we came here in the morning, we heard that Yongzhe's brother had chest pain. The doctor on duty informed the patient's attending doctor that he was here and would be dealing with it inside." Li Qian reported, his expression as incomprehensible as the other boys. Because it was said that the patient's attending doctor was the famous playboy, no one thought Chang Jiawei was reliable.
Fearing that Geng would be irritated, Ren Chongda took the students to rest in the doctor's office and wait for news.
He had chest pain, and the electrocardiogram showed no abnormalities such as myocardial infarction, but his heart rate was relatively fast. The initial cause was suspected to be bronchitis and orthopedic problems, and no one from the cardiothoracic surgery department was called. The situation actually seems to be better and there is no life-threatening situation at the moment. But when the patient complains of pain, his 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 (local anesthesia plus other drugs are injected into the nerve-involved area for analgesic and anti-inflammatory treatment).
Do not give painkillers randomly. Pain-relieving injections are basically addictive, and they only provide temporary pain relief but cannot eradicate the cause of the disease. Domestic clinicians have always used it with caution. . The condition of the patients inside 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 him, 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. He was originally 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 in the epidural inside and outside the spinal canal at the level of the thoracic 5 to thoracic 7 vertebrae. 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 are often malignant. Doctors need to be multi-minded. Surgery for malignant tumors is different from surgery for benign tumors. For example, in spinal surgery, if it is judged to be malignant, the first thing to consider is not to remove the tumor but to think about how to reduce pressure to prolong the patient's physiological function during the survival period and improve the happiness index during 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.
Ren Chongda took him to the office. The others all followed Cao Yong like little followers.
Take out last night's films and hang them on the light board one by one. Because we were far away yesterday, we couldn't see clearly. Today I finally had the opportunity to see the patient's film up close. Xie Wanying seized the opportunity and stood a little closer to the front. Who knows that the films of orthopedics are more complicated than those of other departments. Think about just one vertebra. Anyone who has read anatomy will know that its morphological structure is already very complicated. Every bone in the human body has its own special shape and special physiological significance. It is as difficult to figure out the meaning 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.
